Theoretical Food and Nutrient Composition of Whole-Food Plant-Based and Vegan Diets Compared to Current Dietary Recommendations

Micaela C Karlsen, Gail Rogers, Akari Miki, Alice H Lichtenstein, Sara C Folta, Christina D Economos, Paul F Jacques, Kara A Livingston, Nicola M McKeown, Micaela C Karlsen, Gail Rogers, Akari Miki, Alice H Lichtenstein, Sara C Folta, Christina D Economos, Paul F Jacques, Kara A Livingston, Nicola M McKeown

Abstract

Public interest in popular diets is increasing, in particular whole-food plant-based (WFPB) and vegan diets. Whether these diets, as theoretically implemented, meet current food-based and nutrient-based recommendations has not been evaluated in detail. Self-identified WFPB and vegan diet followers in the Adhering to Dietary Approaches for Personal Taste (ADAPT) Feasibility Survey reported their most frequently used sources of information on nutrition and cooking. Thirty representative days of meal plans were created for each diet. Weighted mean food group and nutrient levels were calculated using the Nutrition Data System for Research (NDSR) and data were compared to DRIs and/or USDA Dietary Guidelines/MyPlate meal plan recommendations. The calculated HEI-2015 scores were 88 out of 100 for both WFPB and vegan meal plans. Because of similar nutrient composition, only WFPB results are presented. In comparison to MyPlate, WFPB meal plans provide more total vegetables (180%), green leafy vegetables (238%), legumes (460%), whole fruit (100%), whole grains (132%), and less refined grains (-74%). Fiber level exceeds the adequate intakes (AI) across all age groups. WFPB meal plans failed to meet the Recommended Dietary Allowances (RDA)s for vitamin B12 and D without supplementation, as well as the RDA for calcium for women aged 51⁻70. Individuals who adhere to WFBP meal plans would have higher overall dietary quality as defined by the HEI-2015 score as compared to typical US intakes with the exceptions of calcium for older women and vitamins B12 and D without supplementation. Future research should compare actual self-reported dietary intakes to theoretical targets.

Keywords: HEI-2015; Healthy Eating Index; MyPlate; nutrient composition; vegan; whole food plant-based.

Conflict of interest statement

M.C.K. has received speakers’ honoraria and consulting payments from the Plantrician Project. All other co-authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Macronutrient content (% of total energy) in MyPlate and whole-food plant-based WFPB meal plans.

References

    1. Campbell T.C., Campbell T.M., II . The China Study: Revised and Expanded Edition: The Most Comprehensive Study of Nutrition Ever Conducted and the Startling Implications for Diet, Weight Loss, and Long-Term Health. BenBella Books, Inc.; Dallas, TX, USA: 2016.
    1. McDougall J. Dr. McDougall’s Health and Wellness Center. [(accessed on 24 February 2019)]; Available online:
    1. Campbell T.C., Esselstyn C.B. Forks over Knives: The Plant-Based Way to Health. The Experiment; New York, NY, USA: 2011.
    1. Greger M. . [(accessed on 20 February 2019)]; Available online:
    1. Physicians Committee for Responsible Medicine. [(accessed on 24 February 2019)]; Available online:
    1. Esselstyn C.B. Prevent and Reverse Heart Disease: The Revolutionary, Scientifically Proven, Nutrition-Based Cure. Penguin; New York, NY, USA: 2008.
    1. How Many Adults in the US are Vegetarian and Vegan? [(accessed on 30 July 2018)]; Available online: .
    1. Conrad Z., Karlsen M., Chui K., Jahns L. Diet quality on meatless days: National Health and Nutrition Examination Survey (NHANES), 2007–2012. Public Health Nutr. 2017 doi: 10.1017/S136898001700026X.
    1. Macknin M., Kong T., Weier A., Worley S., Tang A.S., Alkhouri N., Golubic M. Plant-Based, No-Added-Fat or American Heart Association Diets: Impact on Cardiovascular Risk in Obese Children with Hypercholesterolemia and Their Parents. J. Pediatr. 2015;166:953–959.e953. doi: 10.1016/j.jpeds.2014.12.058.
    1. Patrick-Goudreau C. The Joy of Vegan Baking: The Compassionate Cooks’ Traditional Treats and Sinful Sweets. Fair Winds Press; Beverly, MA, USA: 2007.
    1. Baroni L., Goggi S., Battaglino R., Berveglieri M., Fasan I., Filippin D., Griffith P., Rizzo G., Tomasini C., Tosatti M.A., et al. Vegan Nutrition for Mothers and Children: Practical Tools for Healthcare Providers. Nutrients. 2018;11:5. doi: 10.3390/nu11010005.
    1. Baroni L., Goggi S., Battino M. Planning Well-Balanced Vegetarian Diets in Infants, Children, and Adolescents: The VegPlate Junior. J. Acad. Nutr. Diet. 2018 doi: 10.1016/j.jand.2018.06.008.
    1. Melina V., Craig W., Levin S. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J. Acad. Nutr. Diet. 2016;116:1970–1980. doi: 10.1016/j.jand.2016.09.025.
    1. Baroni L., Goggi S., Battino M. VegPlate: A Mediterranean-Based Food Guide for Italian Adult, Pregnant, and Lactating Vegetarians. J. Acad. Nutr. Diet. 2018;118:2235–2243. doi: 10.1016/j.jand.2017.08.125.
    1. Menal-Puey S., Marques-Lopes I. Development of a Food Guide for the Vegetarians of Spain. J. Acad. Nutr. Diet. 2017;117:1509–1516. doi: 10.1016/j.jand.2016.09.008.
    1. Agnoli C., Baroni L., Bertini I., Ciappellano S., Fabbri A., Papa M., Pellegrini N., Sbarbati R., Scarino M.L., Siani V., et al. Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutr. Metab. Cardiovasc. Dis. 2017;27:1037–1052. doi: 10.1016/j.numecd.2017.10.020.
    1. Martinez Steele E., Baraldi L.G., Louzada M.L., Moubarac J.C., Mozaffarian D., Monteiro C.A. Ultra-processed foods and added sugars in the US diet: Evidence from a nationally representative cross-sectional study. BMJ Open. 2016;6:e009892. doi: 10.1136/bmjopen-2015-009892.
    1. Engel M.G., Kern H.J., Brenna J.T., Mitmesser S.H. Micronutrient Gaps in Three Commercial Weight-Loss Diet Plans. Nutrients. 2018;10:108. doi: 10.3390/nu10010108.
    1. Rizzo N.S., Jaceldo-Siegl K., Sabate J., Fraser G.E. Nutrient profiles of vegetarian and nonvegetarian dietary patterns. J. Acad. Nutr. Diet. 2013;113:1610–1619. doi: 10.1016/j.jand.2013.06.349.
    1. Schwarz J., Dschietzig T., Schwarz J., Dura A., Nelle E., Watanabe F., Wintgens K.F., Reich M., Armbruster F.P. The influence of a whole food vegan diet with Nori algae and wild mushrooms on selected blood parameters. Clin. Lab. 2014;60:2039–2050. doi: 10.7754/Clin.Lab.2014.140527.
    1. Zava T.T., Zava D.T. Assessment of Japanese iodine intake based on seaweed consumption in Japan: A literature-based analysis. Thyroid Res. 2011;4:14. doi: 10.1186/1756-6614-4-14.
    1. Leung A.M., Lamar A., He X., Braverman L.E., Pearce E.N. Iodine status and thyroid function of Boston-area vegetarians and vegans. J. Clin. Endocrinol. Metab. 2011;96:E1303–E1307. doi: 10.1210/jc.2011-0256.
    1. Calton J.B. Prevalence of micronutrient deficiency in popular diet plans. J. Int. Soc. Sports Nutr. 2010;7:24. doi: 10.1186/1550-2783-7-24.
    1. Ma Y., Pagoto S.L., Griffith J.A., Merriam P.A., Ockene I.S., Hafner A.R., Olendzki B.C. A dietary quality comparison of popular weight-loss plans. J. Am. Diet. Assoc. 2007;107:1786–1791. doi: 10.1016/j.jada.2007.07.013.
    1. Karlsen M.C., Lichtenstein A.H., Economos C.D., Folta S.C., Rogers G., Jacques P.F., Livingston K.A., Rancaño K.M., McKeown N.M. Web-Based Recruitment and Survey Methodology to Capture Followers of Popular Diets: The Adhering to Dietary Approaches for Personal Taste (ADAPT) Feasibility Survey. Curr. Dev. Nutr. 2018 doi: 10.1093/cdn/nzy012. in press.
    1. United States Department of Agriculture Sample Two-Week Menus. [(accessed on 24 February 2019)]; Available online: .
    1. United States Department of Agriculture Sample Menus for a 2000 Calorie Food Pattern. [(accessed on 24 February 2019)]; Available online: .
    1. Schakel S.F. Maintaining a nutrient Database in a Changing Marketplace: Keeping Pace with Changing Food Products—A Research Perspective. Elsevier; Amsterdam, The Netherlands: 2001.
    1. US Department of Health and Human Services . 2015–2020 Dietary Guidelines for Americans. USDA; Washington, DC, USA: 2015.
    1. Dietary Reference Intakes (DRIs): Summary Tables. Food and Nutrition Board, Institute of Medicine, National Academies; Washington, DC, USA: 2011.
    1. Dietary Guidelines Advisory Committee . Scientific Report of the 2015 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Health and Human Services and the Secretary of Agriculture. U.S. Department of Agriculture, Agricultural Research Service; Washington, DC, USA: 2015.
    1. HEI-2010 Total and Component Scores for Children, Adults, and Older Adults During 2011–2012 Prevention. U.S. Department of Agriculture; Alexandria, VA, USA: 2011.
    1. Drewnowski A., Rehm C.D. Consumption of added sugars among US children and adults by food purchase location and food source. Am. J. Clin. Nutr. 2014;100:901–907. doi: 10.3945/ajcn.114.089458.
    1. What We Eat in America, NHANES 2013–2014, Individuals 2 Years and over (Excluding Breast-Fed Children), Day 1. [(accessed on 13 March 2019)]; Available online: .
    1. Johnson R.K., Appel L.J., Brands M., Howard B.V., Lefevre M., Lustig R.H., Sacks F., Steffen L.M., Wylie-Rosett J. Dietary sugars intake and cardiovascular health: A scientific statement from the American Heart Association. Circulation. 2009;120:1011–1020. doi: 10.1161/CIRCULATIONAHA.109.192627.
    1. Sacks F.M., Lichtenstein A.H., Wu J.H., Appel L.J., Creager M.A., Kris-Etherton P.M., Miller M., Rimm E.B., Rudel L.L., Robinson J.G. Dietary fats and cardiovascular disease: A presidential advisory from the American Heart Association. Circulation. 2017;136:e1–e23. doi: 10.1161/CIR.0000000000000510.
    1. Eckel R.H., Jakicic J.M., Ard J.D., de Jesus J.M., Houston Miller N., Hubbard V.S., Lee I.M., Lichtenstein A.H., Loria C.M., Millen B.E., et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J. Am. Coll. Cardiol. 2014;63:2960–2984. doi: 10.1016/j.jacc.2013.11.003.
    1. What We Eat in America, NHANES 2007–2010, Individuals 1 Year and Over (Excluding Breast-Fed Children and Pregnant or lactating Females), Dietary Intake Data. Food Surveys Research Group, Beltsville Human Nutrition Research Center, Agricultural Research Service, U.S. Department of Agriculture; Beltsville, MD, USA: 2010.
    1. Kantor E.D., Rehm C.D., Du M., White E., Giovannucci E.L. Trends in Dietary Supplement Use Among US Adults From 1999–2012. JAMA. 2016;316:1464–1474. doi: 10.1001/jama.2016.14403.
    1. Del Valle H.B., Yaktine A.L., Taylor C.L., Ross A.C. Dietary Reference Intakes for Calcium And Vitamin D. National Academies Press; Washington, DC, USA: 2011.
    1. United States Department of Agriculture: Agricultural Research Service . National Nutrient Database for Standard Reference. United States Department of Agriculture: Agricultural Research Service; Beltsville, MD, USA: 2014.
    1. Devries S., Dalen J.E., Eisenberg D.M., Maizes V., Ornish D., Prasad A., Sierpina V., Weil A.T., Willett W. A deficiency of nutrition education in medical training. Am. J. Med. 2014;127:804–806. doi: 10.1016/j.amjmed.2014.04.003.
    1. Stote K.S., Radecki S.V., Moshfegh A.J., Ingwersen L.A., Baer D.J. The number of 24 h dietary recalls using the US Department of Agriculture’s automated multiple-pass method required to estimate nutrient intake in overweight and obese adults. Public Health Nutr. 2011;14:1736–1742. doi: 10.1017/S1368980011000358.
    1. Mathieu S., Dorard G. Vegetarianism and veganism lifestyle: Motivation and psychological dimensions associated with selective diet. Presse Med. 2016;45:726–733. doi: 10.1016/j.lpm.2016.06.031.

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