{Reference Type}: Journal Article {Title}: Evaluating Food Procurement against the EAT-Lancet Planetary Health Diet in a Sample of U.S. Universities. {Author}: Bertoldo J;Fammartino A;Egan S;Neff RA;Grekin R;Wolfson JA; {Journal}: Int J Environ Res Public Health {Volume}: 21 {Issue}: 7 {Year}: 2024 Jul 19 {Factor}: 4.614 {DOI}: 10.3390/ijerph21070945 {Abstract}: Aligning institutional food procurement with planetary health targets offers opportunities to improve nutrition and reduce food-related greenhouse gas (GHG) emissions. This study compared foods procured by 19 university dining programs in the U.S. in 2022 with the EAT-Lancet planetary health diet. Each university's procurement was then modeled to align with the EAT-Lancet planetary health diet, and changes to Healthy Eating Index (HEI) scores and GHG emissions were evaluated. For a subset of universities that provided cost data, changes in annual total food costs were also estimated. Universities in this study exceeded EAT-Lancet planetary health targets for beef (x- = 657% of target), pork (x- = 587%), poultry (x- = 379%), and eggs (x- = 293%). All universities failed to achieve planetary health targets for legumes and nuts (x- = 39% of the target) and vegetables (x- = 68%). Aligning food procurement with the planetary health diet would result in an estimated average 46.1% reduction in GHG emissions and a 19.7 point increase in HEI scores. Universities that provided cost data saw an average 9.7% reduction in food costs in the EAT-Lancet-aligned scenario. The procurement metrics assessed in this study can help university dining programs and other institutional food service organizations set goals and monitor progress toward planetary health targets.