Major study in The Lancet about global burden of disease and diet. Low intake of certain nutrients seems associated with greater impact than the high intake of deprecated foods. Diets low in whole grains (<125 g/day) are associated with the greatest loss of Disability-Adjusted Life Years (DALY), across the world, but really in every region. Low intake of fruit (<250 g/day), nuts (<21 g/day), vegetables (<360 g/day), seafood omega-3 (<250 mg/day), fiber (<24 g/day) continue down the list. Only high intake of sodium is high on the list (especially for East Asia), whereas excess of sugary beverages (>3 g/day), processed meats (>2 g/day) and trans fats (>0.5% of daily calories) are lower in the scale of DALY loss. Cardiovascular disease (CVD) drives the burden of disease most associated with inadequate diets, but there might be bias in the availability of studies of other outcomes, compared to CVD. Optimal intake was defined as the level associated with lowest risk of death. The countries with the lowest DALY loss associated with diet include France, Spain, Italy, Israel, Australia, Japan, and South Korea. The highest burden is in countries that tend to have a number of other public health problems prompted by geopolitical or economic struggles.