Mediterranean agroecosystems' vulnerability to hydroclimatic extremes threatens their resilience and sustainability. Nature-based Solutions present a sustainable strategy to address global challenges. This meta-analysis of 70 studies developed in Mediterranean climates identified solutions to improve soil health and water quality in agroecosystems by estimating their effects on soil organic matter, organic carbon, water, erosion, and Kjeldahl nitrogen, total nitrogen, nitrate, total phosphorus, phosphate, and suspended solids, respectively. Using meta-regression, we analysed how the interaction with biophysical conditions (e.g., soil texture and irrigation practices for soil health and macrophyte species and temperature for water quality) drives the effects of Nature-based Solutions. The results indicate that these solutions can improve soil health and water quality, supporting the achievement of land and water Sustainable Development Goals. Among all the options considered for rehabilitating land ecosystems, afforestation led to significant increases in soil organic carbon up to 137%. Of all tillage practices tested, eliminating soil disturbance combined with using cover crops and mulching revealed the potential to counteract agricultural land degradation, showing significant reductions in erosion as high as 98%. The individual application of organic inputs showed the potential to reverse ongoing agricultural soil degradation trends. Applying olive mill wastewater was associated with a significant increase of 249\% in soil organic matter. However, applying manure compost in no-tilled plots with herbaceous cover reduced the soil water content at field capacity by 46\%.Constructed wetlands have shown the most significant results in improving water quality by reducing pollutants and contributing to protecting and restoring aquatic ecosystems. Polycultural systems with horizontal subsurface flow reduced Kjeldahl nitrogen by 9%, nitrates and phosphorus by 3%, and total suspended solids by 10%. However, in continuous aerated systems, nitrate levels increased by 36%. The reduction in total nitrogen in subsurface vertical flow systems was 11%, while surface flow wetlands with two macrophyte species reduced total suspended solids by 6%. Implementing Nature-based Solutions in Mediterranean agroecosystems depended on biophysical conditions, highlighting the need for site-specific adaptation based on local conditions and objectives. In a global change scenario, mainstreaming these solutions as sustainable land and water management practices is vital for enhancing the resilience and sustainability of Mediterranean agroecosystems, providing ecosystem services beyond soil health and water quality, including climate change mitigation, biodiversity protection and human well-being.
Keywords: Mediterranean; Nature-based Solutions; Soil health; Sustainable Development Goals; Sustainable Land Management; Water quality.
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