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What are the nutritional issues with vegans? A complete nutritional guide

5 min read

According to a 2021 review published in ScienceDirect, individuals following a vegan diet are associated with low intakes of several key micronutrients, including vitamins B2, B12, and D, as well as iodine, zinc, and calcium. This highlights the importance of understanding what are the nutritional issues with vegans to ensure a well-planned and healthy plant-based diet.

Quick Summary

This guide details the potential nutrient deficiencies associated with a vegan diet, focusing on key vitamins and minerals. It explores how to strategically address issues with vitamin B12, iron, calcium, vitamin D, omega-3 fatty acids, and protein through dietary planning, fortified foods, and supplementation.

Key Points

  • Mandatory B12 Supplementation: Because usable vitamin B12 is not found in plant foods, vegans must take a supplement or regularly consume B12-fortified foods to avoid serious deficiency.

  • Iron Absorption is Inefficient: Plant-based non-heme iron is less bioavailable, but combining iron-rich foods with vitamin C-rich foods significantly boosts absorption.

  • Calcium Intake Requires Planning: Vegans must rely on fortified plant milks and calcium-set tofu, as well as specific leafy greens, to get enough calcium for bone health.

  • Vitamin D Needs Often Go Unmet: Regardless of diet, many people have insufficient vitamin D, and vegans relying on fortified foods and supplements are wise to ensure adequate intake.

  • Omega-3s Require Direct Sources: The body poorly converts ALA from plant sources into EPA and DHA; an algae-based omega-3 supplement is recommended for optimal heart and brain health.

  • Protein is Achievable with Variety: Combining a diverse range of legumes, grains, nuts, and seeds throughout the day easily provides all essential amino acids for a complete protein intake.

In This Article

Understanding the Vegan Diet's Nutritional Landscape

A vegan diet, which excludes all animal products and by-products, can offer numerous health benefits, including a lower risk of chronic diseases such as type 2 diabetes and heart disease. However, as with any restrictive eating pattern, careful planning is essential to prevent nutritional deficiencies. Without animal-based foods, which are primary sources for several critical nutrients, vegans must consciously seek out alternatives. Understanding these challenges is the first step toward maintaining optimal health on a plant-based journey.

Primary Nutritional Issues for Vegans

Vitamin B12: The Non-Negotiable Supplement

Vitamin B12 is crucial for nerve function and red blood cell formation, and a deficiency can lead to serious neurological damage and anemia. This vitamin is produced by micro-organisms and is not reliably found in plant foods.

For vegans, supplementation is not optional but mandatory. The Vegan Society recommends daily B12 intake via fortified foods (like some plant milks and cereals) or through a supplement. Breastfeeding mothers on a vegan diet must be particularly vigilant, as a deficiency can affect their infant's development.

Iron: Absorption Challenges and Solutions

While vegan diets often contain iron, it is in a non-heme form, which is absorbed less efficiently by the body than the heme iron found in meat. Several factors can also inhibit absorption, including phytates in whole grains and legumes, and polyphenols in tea and coffee.

However, vegans can maintain adequate iron levels through strategic planning. Pairing iron-rich plant foods with sources of vitamin C can significantly increase absorption. The body also adapts over time by increasing absorption when iron stores are low.

Calcium and Bone Health: Building Strength Without Dairy

Calcium is vital for bone and teeth health, but dairy-free diets require attention to alternative sources. Good vegan sources include calcium-set tofu, fortified plant milks and yoghurts, and certain leafy green vegetables like kale and bok choy. However, absorption can be inhibited by substances like oxalic acid (in spinach) and phytates.

To maximize calcium intake, include a variety of sources throughout the day and ensure adequate vitamin D levels, which aid absorption.

Vitamin D: Sun, Supplements, and Fortified Foods

Vitamin D is essential for regulating calcium and phosphate levels, but few plant foods naturally contain it. While sunlight exposure is a primary source, geographic location, season, and skin pigmentation can all affect synthesis.

Since dietary intake is typically insufficient, everyone—including vegans—should consider supplementation, especially during autumn and winter in many regions. Fortified products like some plant milks, margarines, and breakfast cereals can also help meet needs. Vegans must ensure any supplements are from vegan-friendly sources, like lichen-derived D3 or D2.

Omega-3 Fatty Acids: Ensuring Sufficient EPA and DHA

The most common plant-based omega-3, alpha-linolenic acid (ALA), is found in seeds and nuts (flax, chia, walnuts) but is poorly converted by the body into the more vital eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).

For optimal brain and heart health, vegans should use a direct source of EPA and DHA. Algae-based supplements are a reliable vegan-friendly option.

Protein: Quantity and Quality Concerns

A common misconception is that vegans cannot get enough protein. A varied diet of whole foods easily meets requirements for most people. Concerns about 'complete' proteins (containing all nine essential amino acids) are addressed by eating a mix of protein sources throughout the day. Combining legumes and grains, for instance, provides a complementary amino acid profile.

Optimizing Nutrient Absorption in a Vegan Diet

To counteract potential deficiencies and improve nutrient uptake, vegans can follow several key strategies:

  • Pair Vitamin C with Iron: Combining foods like lentils with bell peppers or spinach with lemon juice enhances non-heme iron absorption.
  • Soak and Sprout: Soaking and sprouting legumes and grains reduces phytate levels, improving mineral absorption.
  • Time Coffee and Tea: Avoid drinking coffee and tea with iron-rich meals, as their polyphenols can inhibit iron absorption.
  • Add Fats for Vitamins: Because vitamin D is fat-soluble, consuming it with a source of healthy fat, like avocado or nuts, improves absorption.
  • Combine Protein Sources: Mixing grains, legumes, nuts, and seeds throughout the day ensures a balanced intake of all essential amino acids.

Comparison: Omnivore vs. Vegan Approaches to Key Nutrients

Nutrient Omnivore Approach Vegan Approach Potential Vegan Issue Solution for Vegans
Vitamin B12 Easily obtained from meat, dairy, eggs. Found only in fortified foods or supplements. Deficiency can cause serious neurological damage. Mandatory supplementation or consistent intake of fortified foods.
Iron Heme iron from meat is highly bioavailable. Non-heme iron from plants has lower bioavailability. Lower absorption rates and ferritin levels. Pair iron-rich foods with vitamin C; avoid coffee/tea with meals.
Calcium Primarily from dairy products. Fortified plant milks, tofu set with calcium, leafy greens, nuts. Can be lower than omnivore intake if not planned; absorption inhibitors exist. Consistently include fortified products and diverse plant sources.
Vitamin D Primarily from sun exposure, fatty fish, eggs; fortified dairy. Primarily from sun exposure, fortified plant milks/margarines, mushrooms. Lower dietary intake; reliance on sun/supplements. Fortified foods and supplements are often recommended.
Omega-3s (EPA/DHA) From oily fish and eggs. ALA from flax/chia/walnuts; inefficient conversion to EPA/DHA. Potential for insufficient EPA/DHA intake. Algae-based EPA/DHA supplements are recommended.
Protein Meat, dairy, eggs provide 'complete' proteins. From legumes, grains, nuts, seeds, soy; may require combining. Often perceived as insufficient, though easily met with variety. Eat a variety of plant protein sources throughout the day.

Special Considerations for Specific Groups

While a well-planned vegan diet can be healthy for most adults, some populations require extra attention to their nutritional needs:

  • Children: Rapid growth and development mean infants and children on vegan diets need careful monitoring to ensure sufficient energy, protein, and micronutrients. Inadequate planning can lead to poor growth and developmental delays. Regular consultation with a dietitian is advisable.
  • Pregnant and Breastfeeding Women: Higher nutrient needs during these life stages, particularly for B12, iron, and iodine, mean careful planning and likely supplementation are essential. A mother's B12 deficiency can severely impact the baby.
  • Athletes: Vegan athletes must ensure sufficient protein intake, although it is readily achievable with planning. They may also benefit from creatine and taurine supplementation, as these are typically absent from vegan diets.

Conclusion: Planning is Key

For those asking what are the nutritional issues with vegans, the answer is that a well-informed and thoughtfully planned vegan diet can be perfectly healthy and nutritionally adequate. The potential risks are not inherent to a plant-based diet itself but stem from insufficient knowledge and planning. Mandatory vitamin B12 supplementation and a conscious effort to include a variety of fortified foods, minerals, and vitamin D sources are essential. With a strategic approach, vegans can avoid common deficiencies and thrive on a plant-based lifestyle.

For further reading and resources, you can consult organizations such as the Vegan Society which provides extensive nutritional advice.

Frequently Asked Questions

Vitamin B12 is produced by micro-organisms and is not reliably present in plant-based foods. Since it is essential for nerve function and red blood cell production, vegans must get it from supplements or fortified foods to avoid severe deficiency.

To improve iron absorption from plant-based foods, pair them with a source of vitamin C. Additionally, avoid drinking tea or coffee with meals, as they contain compounds that can inhibit iron absorption.

Good vegan calcium sources include fortified plant milks and yoghurts, calcium-set tofu, leafy greens like kale and bok choy, tahini, and sesame seeds.

Yes, vegans can be at a higher risk of vitamin D deficiency as the dietary sources are limited. Like the general population, vegans often need to rely on sun exposure, fortified foods, or supplements, especially during winter months.

The most bioavailable forms of omega-3 (EPA and DHA) are poorly converted from plant-based ALA. The most reliable vegan source for EPA and DHA is an algae-based supplement.

Yes, it is entirely possible to meet protein needs on a vegan diet by consuming a variety of plant protein sources like legumes, grains, nuts, and seeds. Combining different plant proteins throughout the day ensures all essential amino acids are consumed.

A well-planned and balanced vegan diet can be healthy for children, but it requires careful attention to key nutrients like vitamin B12, iron, and calcium. Regular monitoring by a healthcare professional is recommended, particularly for infants and toddlers.

References

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Medical Disclaimer

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