BackgroundGood health is vital for child development, and a key component is a nutritious diet. Food systems impact health, and are also major contributors to greenhouse gas emissions. Sustainable diets have low environmental impacts and contribute to food and nutrition security. Plant-based diets are considered sustainable and nutritionally adequate for adults, whereas their adequacy for children remains under explored; this study aims to understand this. MethodsWe analysed 3-day weighed food diary data from a convenience sample of 39 children aged 2–12 in the UK, consuming a vegan (13), vegetarian (11) or omnivore (15) diet. Nutrients analysed were: calories, total fat, saturated fat, protein, carbohydrate, fibre, free sugar, vitamin A, C, B12 and D, sodium, iodine, iron, calcium, zinc, and folate. Demographic data collected were age, sex, ethnicity, school and lunch type, postcode, parental education, marital status and household income (self reported). Mean daily intakes were compared with recommended daily intakes for age/sex groups, using ANOVA to determine significant differences. University of Warwick's ethics committee approved this study. FindingsChildren were similar in age, sex, ethnicity, school type, school lunch type, and parental qualification across dietary groups, but differed in household income and parental marital status. With vegan households having a significantly lower incomes to omnivore households, and omnivore families had more married parents than vegetarian families. Significant differences were found across groups for saturated fat, vitamins A, C, B12, D, and folate, including supplements. All groups were below the recommendations for calories, total fat, and vitamin D. Vegan diets exceeded sodium recommendations, while omnivorous diets exceeded free sugar recommendations. Both omnivorous and vegetarian diets exceeded saturated fat recommendations. Without supplements, vegan and vegetarian children failed to meet iodine and zinc requirements and vegetarian children did not meet iron recommendations. InterpretationLimitations include: smaller sample size, the use of a convenience sample; and potential under-reporting of food intake, as no group met recommended calorie levels. This study suggests plant-based diets can meet children's nutrient needs with appropriate supplementation. Planning and awareness of supplementation are essential to prevent potential developmental issues. FundingThis project was completed as part of a PhD project funded by The Leverhulme Trust.
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