biostudies-literatureMilner JWellcome Truste26-e32https://www.ebi.ac.uk/biostudies/studies/S-EPMC5408829biostudies-literatureUnknown1(1)<h4>Background</h4>The availability of freshwater for irrigation in the Indian agricultural sector is expected to decline over the coming decades. This might have implications for food production in India, with subsequent effects on diets and health. We identify realistic and healthy dietary changes that could enhance the resilience of the Indian food system to future decreases in water availability.<h4>Methods</h4>In this modelling study, we optimised typical dietary patterns in an Indian population sample to meet projected decreases in the availability of water per person for irrigation (blue water footprint) due to population growth (to 2025 and 2050). The optimised diets met nutritional guidelines and minimised deviation from existing patterns. Resulting changes in life-years lost due The Lancet. Planetary healthProjected health effects of realistic dietary changes to address freshwater constraints in India: a modelling study.PMC5408829WT084754/Z/08/A103932Agrawal SSmith PJoy EJMMilner JGreen RHaines AHarris FAleksandrowicz LDangour ADfalseProjected health effects of realistic dietary changes to address freshwater constraints in India: a modelling study.<h4>Background</h4>The availability of freshwater for irrigation in the Indian agricultural sector is expected to decline over the coming decades. This might have implications for food production in India, with subsequent effects on diets and health. We identify realistic and healthy dietary changes that could enhance the resilience of the Indian food system to future decreases in water availability.<h4>Methods</h4>In this modelling study, we optimised typical dietary patterns in an Indian population sample to meet projected decreases in the availability of water per person for irrigation (blue water footprint) due to population growth (to 2025 and 2050). The optimised diets met nutritional guidelines and minimised deviation from existing patterns. Resulting changes in life-years lost due 2017-01-01T00:00:00Z2017 Apr2025-04-26T21:22:59.382Z2019-03-27T02:42:15ZS-EPMC54088292848045310.1016/S2542-5196(17)30001-3