While dietary health can be influenced by many factors including access to nutritious food, economic conditions, and cultural eating habits, typically, countries that struggle with food security and have higher rates of malnutrition are ranked lower in terms of healthy diets. Based on this context, it is likely that Chad and Sierra Leone would be among the bottom three countries on the list, as both face challenges related to health, nutrition, and food access.
The United States and Belgium, generally, have more developed food systems and healthier dietary options available, though the U.S. has its own issues related to obesity and processed foods. Therefore, the bottom three in this context are likely to include:
- Chad
- Sierra Leone
- United States or Belgium (with a higher chance of the U.S. due to its diet-related health issues).
However, Chad and Sierra Leone are almost certainly in the bottom three based on overall dietary health.