High compliance with dietary recommendations in a cohort of meat eaters, fish eaters, vegetarians, and vegans: results from the European Prospective Investigation into Cancer and Nutrition–Oxford study

Jakub G Sobiecki,Paul N Appleby,Kathryn E Bradbury,Timothy J Key

doi:10.1016/j.nutres.2015.12.016

Jakub G Sobiecki, Paul N Appleby + Show 2 more

Open Access

https://doi.org/10.1016/j.nutres.2015.12.016

Copy DOI

Abstract

The aim of this study was to investigate differences in dietary intakes between 30251 participants in the European Prospective Investigation into Cancer and Nutrition–Oxford study, comprising 18 244 meat eaters, 4 531 fish eaters, 6 673 vegetarians, and 803 vegans aged 30 to 90 years who completed semiquantitative food frequency questionnaires. We hypothesized that these groups characterized by varying degrees of animal product exclusion have significantly different intakes of many nutrients, with possible implications for dietary adequacy and compliance with population dietary goals. Nutrient intakes were estimated including fortification in foods, but excluding dietary supplements. Dietary supplementation practices were also evaluated. Highly significant differences were found in estimated nutrient intakes between meat eaters and vegans, with fish eaters and vegetarians usually having intermediate values. Meat eaters had the highest energy intakes, followed by fish eaters and vegetarians, whereas vegans had the lowest intakes. Vegans had the highest intakes of polyunsaturated fatty acids, dietary fiber, vitamins C and E, folate, magnesium, iron, and copper. Meat eaters had the highest intake of saturated fatty acids, protein, vitamin B2, vitamin B12, vitamin D, zinc, and iodine. Fish eaters had the highest intakes of calcium and selenium. There were no statistically significant differences in sodium and potassium intakes between dietary groups. With the exception of sodium intake, compliance with population dietary goals was high across diet groups. The results suggested a high prevalence of inadequacy for dietary vitamin B12 and iodine in vegans. The diet groups under study showed striking differences in dietary intakes, with possible implications for compliance with dietary recommendations, as well as cardiometabolic diseases risk.

Highlights

According to a joint Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO) expert consultation from the year 2004, “households across all regions should select predominantly plant-based diets rich in a variety of vegetables and fruits, pulses or legumes, and minimally processed starchy staple foods
Sizeable differences were found in nutrient intakes between meat eaters and vegans, with fish eaters and vegetarians usually having intermediate values
Striking differences were found between meat eaters and vegans, with fish eaters and vegetarians usually having intermediate values

Summary

Introduction

According to a joint Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO) expert consultation from the year 2004, “households across all regions should select predominantly plant-based diets rich in a variety of vegetables and fruits, pulses or legumes, and minimally processed starchy staple foods. The evidence that such diets will prevent or delay a significant proportion of non-communicable chronic diseases is consistent” [1]. Establishing the optimal balance between plant and animal foods for obtaining health benefits and nutrient adequacy of diets at a population level is an important goal for public health nutrition, and assessing the adequacy of habitual dietary intakes in vegetarians can prove valuable in accomplishing this task

Objectives

Methods

Results

Discussion

Conclusion