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Is a lacto-ovo diet healthy long-term?

6 min read

A 2021 review suggests vegetarians may have better control of their weight over the long term compared to some other diet followers, raising the question: Is a lacto-ovo diet healthy long-term?

Quick Summary

A well-planned lacto-ovo diet is associated with a lower risk of chronic diseases like heart disease and diabetes but requires attention to key nutrients for sustained health.

Key Points

  • Health Benefits: A well-planned lacto-ovo diet is associated with lower risks of heart disease, type 2 diabetes, and certain cancers.

  • Nutrient Planning: Careful long-term planning is essential to manage potential deficiencies in vitamin B12, iron, zinc, and omega-3 fatty acids.

  • B12 Supplementation: Due to limited B12 in eggs and dairy, regular supplementation or fortified food consumption is often necessary for long-term followers.

  • Whole Foods Focus: Maximizing health benefits and preventing risks requires prioritizing whole, unprocessed plant foods over vegetarian processed junk food.

  • Lower Environmental Impact: The lacto-ovo diet offers a reduced environmental footprint compared to omnivorous diets, though it is higher than a vegan diet due to dairy production.

In This Article

Understanding the Lacto-Ovo Diet

The lacto-ovo diet, one of the most common forms of vegetarianism, excludes all meat, fish, and poultry while including eggs and dairy products. The name itself comes from the Latin roots 'lacto' for milk and 'ovo' for eggs. People adopt this diet for various reasons, including health benefits, ethical concerns about animal welfare, and a desire to reduce their environmental impact. A lacto-ovo diet is primarily plant-based, emphasizing whole foods such as fruits, vegetables, grains, legumes, nuts, and seeds, which are naturally rich in fiber, vitamins, and antioxidants. However, the long-term health outcomes depend heavily on proper planning to ensure nutritional adequacy, as is true with any dietary pattern.

Long-Term Health Benefits of a Well-Planned Lacto-Ovo Diet

Following a balanced lacto-ovo diet is associated with numerous positive long-term health outcomes supported by scientific research. These benefits largely stem from the high intake of plant-based foods and the reduced consumption of saturated fat and cholesterol typically found in meat.

Cardiovascular Health

Long-term lacto-ovo diets are strongly linked to improved heart health. They can lead to lower total and LDL ("bad") cholesterol levels and reduced blood pressure compared to omnivorous diets. The high fiber content in plant foods helps to manage cholesterol, while antioxidants help combat inflammation, both of which are key factors in preventing cardiovascular disease.

Reduced Risk of Type 2 Diabetes

Research indicates that individuals following vegetarian diets, including lacto-ovo, have a lower risk of developing type 2 diabetes. Plant-based diets are typically high in fiber, which aids in blood sugar control by slowing digestion. This dietary pattern can also lead to a lower body mass index (BMI), another factor associated with reduced diabetes risk.

Potential Cancer Risk Reduction

Numerous observational studies have found that vegetarian diets are associated with a reduced risk of certain cancers, such as colorectal cancer. This is attributed to the high intake of fruits and vegetables, which are rich in protective antioxidants, and the elimination of red and processed meats, which are linked to increased cancer risk.

Digestive Health and Weight Management

The high fiber content of a plant-rich diet promotes healthy digestion and a balanced gut microbiome. This can lead to improved digestive function and a lower risk of conditions like gallstones. Additionally, studies show that vegetarians tend to have lower BMIs and better long-term weight management, likely due to increased satiety from higher fiber intake.

Nutritional Considerations and Potential Risks

While a well-planned lacto-ovo diet offers significant health advantages, it requires careful attention to specific nutrients to prevent long-term deficiencies. Excluding meat and fish removes primary sources of certain vitamins and minerals, although including eggs and dairy helps mitigate some risks.

Key Nutrients to Monitor

  • Vitamin B12: This vitamin is primarily found in animal products. While eggs and dairy contain B12, long-term lacto-ovo vegetarians may still have suboptimal levels. Fortified foods and supplements are often necessary to ensure adequate intake. A five-year study on lacto-ovo vegetarians showed that while levels remained within the normal range for healthy individuals, those not consuming fortified foods had lower levels, highlighting the importance of monitoring.
  • Iron: Non-heme iron from plant sources is less readily absorbed than heme iron from meat. Vegetarians may need 1.8 times more iron than omnivores. Pairing iron-rich plant foods like lentils and spinach with vitamin C sources (e.g., citrus, peppers) can significantly boost absorption.
  • Zinc: Red meat and poultry are rich sources of zinc. While found in beans, lentils, nuts, and seeds, absorption can be affected by phytates in plant foods. Soaking and sprouting legumes can improve zinc availability.
  • Omega-3 Fatty Acids: Fish and seafood are excellent sources of EPA and DHA. Lacto-ovo vegetarians must rely on plant-based alpha-linolenic acid (ALA) sources like walnuts, flaxseeds, and chia seeds, which the body can convert to EPA and DHA inefficiently. Algal oil supplements are a reliable direct source of EPA and DHA.

The Trap of Processed Foods

A significant risk for any diet, including lacto-ovo, is relying too heavily on processed foods. The rise of "junk food" alternatives can lead to diets high in sugar, fat, and sodium, negating the health benefits of a whole-food, plant-based approach. A long-term healthy lacto-ovo diet prioritizes whole, unprocessed ingredients.

Lacto-Ovo vs. Vegan: A Long-Term Comparison

To understand where a lacto-ovo diet stands, it's helpful to compare it to a vegan diet, which excludes all animal products, including eggs and dairy. Both are plant-based, but key differences emerge over the long term.

Feature Lacto-Ovo Diet Vegan Diet
Protein Sources Includes complete proteins from eggs and dairy, in addition to plant sources like legumes, nuts, and seeds. Relies solely on plant-based protein sources, requiring strategic food combining to ensure a complete amino acid profile.
Calcium & Vitamin D Dairy provides an excellent source of calcium and is often fortified with vitamin D. Requires careful planning using fortified plant-based milks, tofu, and leafy greens. Vitamin D supplementation is common.
Vitamin B12 Eggs and dairy provide some B12, but long-term use often requires monitoring and supplementation. B12 supplementation is essential for all vegans, as it is only reliably sourced from animal products or fortified foods.
Omega-3s (EPA/DHA) Can obtain some pre-formed omega-3s from eggs, but supplementation with algal oil is still advisable. Must supplement with algal oil or rely on inefficient conversion from ALA sources like flax and chia seeds.
Environmental Impact Significantly lower carbon and ecological footprint than omnivorous diets, but higher than vegan diets due to dairy production. The lowest environmental impact across a range of factors, including greenhouse gas emissions, land use, and water use.

Conclusion: Making it Healthy Long-Term

Ultimately, the question, "Is a lacto-ovo diet healthy long-term?" has a clear answer: yes, provided it is well-planned and consists primarily of whole, unprocessed foods. The inclusion of dairy and eggs offers a greater degree of flexibility and can help cover some key nutrient needs compared to a vegan diet. However, long-term followers must be proactive in managing potential deficiencies, especially for vitamin B12, iron, and omega-3s. Monitoring nutrient levels through blood work and considering fortified foods and supplements where necessary is a prudent strategy. By focusing on whole foods and smart nutritional planning, a lacto-ovo diet can be a sustainable, nutritious, and health-promoting choice for life. For more detailed nutritional guidance, consult a registered dietitian.

The Impact of a Lacto-Ovo Vegetarian Diet on Post-Operative Outcomes - MDPI

Long-Term Nutrient Management Strategies for Lacto-Ovo Vegetarians

  • Focus on Whole Foods: Prioritize unprocessed fruits, vegetables, whole grains, and legumes to maximize fiber, vitamin, and mineral intake.
  • Pair Nutrients for Absorption: Combine iron-rich plant foods (e.g., lentils, spinach) with Vitamin C sources (e.g., citrus, bell peppers) to enhance iron absorption.
  • Consider B12 Fortification: Due to limited B12 in dairy and eggs, regularly consume fortified foods like cereals or plant-based milks, or use a reliable supplement.
  • Choose High-Quality Dairy and Eggs: Opt for organic, pasture-raised options to potentially increase beneficial nutrient content, such as omega-3s and vitamin K2 in dairy.
  • Don't Fear the Supplements: For certain nutrients like B12 and Omega-3s, supplements are a safe and effective way to ensure long-term adequacy, especially without fish.

Conclusion

For those wondering, "Is a lacto-ovo diet healthy long-term?", the answer is a resounding yes, assuming a thoughtful, well-planned approach. The core benefits—reduced risk of chronic disease, improved heart health, and better weight management—are well-supported by research. The flexibility of including eggs and dairy can make this a more manageable option than stricter veganism for some, but vigilance around key nutrients like vitamin B12, iron, and omega-3 fatty acids is crucial. By focusing on nutrient-dense whole foods, smart supplementation, and staying informed, a lacto-ovo diet can be a sustainable, nutritious, and deeply satisfying lifelong dietary pattern.

Addressing Nutritional Gaps in a Long-Term Lacto-Ovo Diet

  • Vitamin B12: Regular monitoring and potentially supplementation are necessary, as dairy and eggs may not provide sufficient amounts for long-term health.
  • Iron: Pair plant-based iron sources like lentils and leafy greens with Vitamin C to improve absorption.
  • Omega-3s: Include ALA sources such as flaxseeds and walnuts, and consider an algal oil supplement for direct EPA/DHA.
  • Calcium and Vitamin D: Eggs and dairy are good sources, but consuming fortified plant milks or sun exposure for vitamin D also helps.
  • Zinc: Include legumes, nuts, seeds, and fortified cereals, and use preparation methods like soaking and sprouting to enhance absorption.

Frequently Asked Questions

A lacto-ovo vegetarian diet is one that excludes meat, fish, and poultry but includes dairy products ('lacto') and eggs ('ovo').

Yes, it is entirely possible. Protein sources include eggs, dairy, legumes, nuts, seeds, and soy products like tofu and tempeh.

The main risks are deficiencies in vitamin B12, iron, zinc, and long-chain omega-3 fatty acids (EPA/DHA), which require conscious monitoring and planning.

Yes, for long-term lacto-ovo diets, supplements or fortified foods are often recommended. A five-year study noted that individuals not using fortified foods had lower serum B12 levels.

Pairing iron-rich foods like lentils or spinach with a source of vitamin C (e.g., bell peppers, citrus fruits) significantly enhances the body's ability to absorb non-heme iron.

No, a vegan diet generally has a lower environmental impact due to the higher resource use associated with dairy production. However, a lacto-ovo diet is more sustainable than an omnivorous one.

Common benefits include reduced risk of heart disease, type 2 diabetes, certain cancers, and better weight management due to a high intake of plant foods.

References

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Medical Disclaimer

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