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Does being vegan actually make you healthier? A scientific review

4 min read

Observational studies consistently show that vegans tend to have a lower body mass index (BMI) and a reduced risk of chronic diseases such as heart disease and type 2 diabetes. However, a balanced and well-planned approach is crucial to ensure that being vegan actually makes you healthier in the long run.

Quick Summary

An examination of the health impacts of a vegan diet, balancing documented benefits like lower heart disease risk against potential nutritional deficiencies. The overall health outcome depends heavily on planning, food choices, and proper supplementation to meet all nutritional requirements.

Key Points

  • Improved Cardiovascular Health: A well-planned vegan diet, lower in saturated fats and cholesterol, is associated with a reduced risk of heart disease and lower blood pressure.

  • Reduced Chronic Disease Risk: Studies show a lower incidence of type 2 diabetes and certain cancers in vegans, likely due to high fiber and antioxidant intake.

  • Potential for Weight Loss: Many vegans maintain a lower BMI because of the naturally lower calorie density and higher fiber content of a whole-food, plant-based diet.

  • Risk of Nutrient Deficiencies: Without proper planning, vegans are susceptible to deficiencies in essential nutrients like Vitamin B12, Calcium, Vitamin D, and Omega-3 fatty acids.

  • Planning is Essential: A healthy vegan diet requires conscious effort to replace nutrients typically found in animal products, often with fortified foods or supplements.

  • Avoid Vegan Junk Food: Processed vegan alternatives can be high in sugar, salt, and fat, negating the health benefits of a whole-food approach.

  • Monitor Bone Density: Due to potential low calcium and vitamin D intake, vegans need to be mindful of bone health, with some studies indicating a higher fracture risk.

In This Article

The Health Benefits of a Well-Planned Vegan Diet

A carefully planned vegan diet, rich in whole plant foods, can offer significant health advantages. These benefits are largely attributed to the diet's high intake of fiber, vitamins, minerals, and antioxidants, coupled with the avoidance of cholesterol and high levels of saturated fat found in animal products.

Cardiovascular Health Improvements

Research has frequently linked plant-based diets with improved heart health outcomes. A vegan diet often results in lower total and LDL ("bad") cholesterol levels, as well as lower blood pressure. These improvements are key to reducing the overall risk of heart disease. The high fiber content from legumes, fruits, and vegetables plays a significant role in lowering cholesterol.

Lower Risk of Type 2 Diabetes

Several studies show a reduced risk of developing type 2 diabetes among those who follow a vegan diet. The high fiber content in plant foods helps regulate blood sugar levels by slowing down glucose absorption. Additionally, vegans often have higher insulin sensitivity, another protective factor against type 2 diabetes. A study found that increasing plant-based food intake significantly reduced the risk of type 2 diabetes.

Support for Weight Management

Many studies have shown that individuals on a vegan diet tend to have a lower BMI compared to those on an omnivorous diet. This is partly due to the high fiber and lower calorie density of many plant-based foods, which promote a feeling of fullness and help manage overall calorie intake. This doesn't apply to a 'junk food vegan' diet, which relies on processed, high-calorie meat and dairy substitutes.

Potential Cancer Protection

The World Health Organization has classified processed meat as a carcinogen. A vegan diet, by excluding processed meats and emphasizing high consumption of legumes, fruits, and vegetables, may lower the risk of certain cancers. For example, studies suggest that higher intake of plant-based foods can reduce the risk of colorectal, prostate, and stomach cancers.

Potential Risks and Challenges of Being Vegan

While the benefits are considerable, a vegan diet is not automatically healthy. The elimination of all animal products can lead to deficiencies if not properly managed. Potential nutrient gaps and other risks must be addressed through careful planning and, often, supplementation.

Critical Nutrient Deficiencies

  • Vitamin B12: Found naturally only in animal products, B12 deficiency is a major concern for vegans. Without supplementation or consumption of fortified foods, this can lead to serious neurological and hematological problems.
  • Calcium and Vitamin D: Vegans may consume insufficient calcium due to the absence of dairy. Vitamin D levels can also be low, exacerbating calcium issues. This can negatively impact bone mineral density.
  • Iron and Zinc: The non-heme iron and zinc from plants are less bioavailable than their animal-sourced counterparts. Phytates in whole grains and legumes can also inhibit their absorption.
  • Omega-3 Fatty Acids: Primary omega-3 sources like EPA and DHA are found in fish. Vegans must rely on ALA from sources like flaxseed and walnuts or take algae-based supplements.

Potential Impact on Bone Health

Some research suggests a higher fracture risk among vegans, particularly hip fractures. This is likely tied to lower calcium, vitamin D, and potentially protein intake, as well as lower BMI. Careful attention to these nutrients is essential for maintaining bone health throughout life.

Mental Health Considerations

A review of studies comparing vegan and omnivore mental health outcomes found some conflicting results, with a few suggesting higher rates of depression and anxiety among meat-avoiders. While the reasons are complex and not fully understood, proper nutrient intake, especially of omega-3s and B12, is known to support psychological well-being.

Comparison: Well-Planned Vegan vs. Typical Omnivore Diet

Health Marker Well-Planned Vegan Diet Typical Omnivore Diet
Saturated Fat Intake Typically low Often higher, especially with red/processed meat
Dietary Fiber Intake Significantly higher Often lower than recommended
Cholesterol Levels Lower LDL and total cholesterol Often higher, increasing heart disease risk
Vitamin B12 Requires supplementation or fortified foods Readily available from animal sources
Antioxidant Intake High, from fruits and vegetables Variable, often lower
Calcium & Vitamin D May need fortification or supplementation for adequate intake Available through dairy and animal products
Protein Quality Can be lower without strategic pairing of plant sources Generally high due to animal products

How to Ensure a Healthy Vegan Diet

  • Embrace Whole Foods: Focus on fruits, vegetables, whole grains, legumes, nuts, and seeds. These provide essential nutrients and fiber.
  • Don't Fear Supplements: Ensure adequate B12 through fortified foods or a daily supplement. Consider a vitamin D supplement, especially if sunlight exposure is limited.
  • Prioritize Nutrient-Dense Choices: Include iron-rich lentils, chickpeas, and spinach, pairing them with vitamin C sources to improve absorption. For calcium, consume fortified plant milks and tofu.
  • Include Omega-3 Sources: Regular consumption of walnuts, flaxseed, and chia seeds is important. Consider an algae-based DHA supplement for direct EPA/DHA intake.
  • Be Mindful of Processed Foods: Vegan junk food like cookies and processed meat substitutes should not be the foundation of the diet. Their high salt, sugar, and fat content can undermine the health benefits of a whole-foods approach.

Conclusion: So, does being vegan actually make you healthier?

Yes, a vegan diet can make you healthier, but its success is not automatic. The potential for a reduced risk of chronic diseases like heart disease and type 2 diabetes is substantial, driven by a higher intake of fiber and other beneficial plant compounds. However, the strict exclusion of animal products necessitates careful meal planning and likely supplementation to avoid critical nutrient deficiencies, especially vitamin B12, calcium, and vitamin D. Ultimately, the healthfulness of a vegan diet depends on whether it is a well-planned, whole-food diet or a heavily processed 'junk food' diet. With due diligence and nutritional awareness, a vegan lifestyle can be a very healthy choice for most individuals.

You can read more about planning a healthy vegan diet here.

Frequently Asked Questions

The most common nutrient deficiencies in an unplanned vegan diet include Vitamin B12, Vitamin D, calcium, iodine, iron, zinc, and omega-3 fatty acids. These nutrients are more readily available or more easily absorbed from animal products.

Yes, supplementation is often necessary for vegans to ensure adequate nutrient intake. A Vitamin B12 supplement is essential, as this vitamin is not found in plant foods. Depending on your diet and sun exposure, Vitamin D, iron, and an algae-based DHA/EPA supplement may also be needed.

Yes, a well-planned vegan diet can aid in weight loss due to its high fiber content and lower calorie density compared to many omnivorous diets. This can help you feel full on fewer calories. However, a diet based on processed vegan junk food may not have the same effect.

Yes, it is entirely possible. An unhealthy vegan diet is one that consists of heavily processed foods, sugary drinks, and refined grains, rather than nutrient-dense whole plant foods. A 'junk food vegan' diet lacks the beneficial properties of a balanced, plant-focused approach.

Excellent plant-based protein sources include lentils, beans, chickpeas, tofu, tempeh, edamame, and quinoa. Combining various plant proteins throughout the day helps ensure a balanced intake of all essential amino acids.

A vegan diet is often beneficial for heart health, with many studies showing lower levels of total and LDL cholesterol and lower blood pressure. This is due to the low saturated fat and cholesterol content and high fiber intake.

Bone health can be a concern for vegans, particularly for those with inadequate calcium and vitamin D intake. Some studies have noted a higher fracture rate among certain vegan populations. Ensuring sufficient calcium and vitamin D is vital.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.