{"id":89004,"date":"2023-01-27T09:13:29","date_gmt":"2023-01-27T08:13:29","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=article_revue&#038;p=89004"},"modified":"2023-03-23T14:30:51","modified_gmt":"2023-03-23T13:30:51","slug":"are-plant-based-diets-becoming-unhealthy","status":"publish","type":"article_revue","link":"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/are-plant-based-diets-becoming-unhealthy\/","title":{"rendered":"Are plant-based diets becoming unhealthy?"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"450\" src=\"https:\/\/aprifel-pp.mentalworks.biz\/wp-content\/uploads\/2023\/01\/Article-3-ok.jpg\" alt=\"\" class=\"wp-image-89129\"\/><\/figure>\n\n\n\n<p>A healthy and sustainable diet, characterized by a predominantly plant-based diet with small amounts of meat, is recommended for its benefits in terms of human health and the environment, as stipulated in the joint report of the <span class='tooltipsall tooltip_post_id_79592 classtoolTips79592'>FAO<\/span> and WHO on guiding principles for sustainable healthy diet (<a href=\"https:\/\/www.fao.org\/3\/ca6640en\/ca6640en.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class='tooltipsall tooltip_post_id_79592 classtoolTips79592'>FAO<\/span> and WHO, 201<\/a>9).<\/p>\n\n\n\n<p>However, consumers perceive plant-based diets as inconvenient in terms of cooking skills and time as well as affordability which challenges the changing food environment and industries.<\/p>\n\n\n\n<p>Therefore, to overcome these barriers, a \u2018modern\u2019 plant-based diet that is very different from a more traditional diet, emerged, offering plant-based foods that are ultra-processed, high in energy, fats, sugar, and salt and thus, present a concern as regard to both public health and environmental impact.<\/p>\n\n\n\n<p>Thus, this paper reports the challenges of the trend towards a plant-based diet based of the current evidence on human and planetary health. Those findings were presented during the conference on &#8220;Nutrition in a changing world&#8221; at the <a href=\"https:\/\/www.nutritionsociety.org\/past-conference\/summer-conference-2021-nutrition-changing-world\" target=\"_blank\" rel=\"noreferrer noopener\">Nutrition Society Summer Conference 2021<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-for-environmental-and-or-health-reasons-consumers-are-moving-towards-meat-alternatives-particularly-vegetarian-options\">For environmental and\/or health reasons, consumers are moving towards meat alternatives, particularly vegetarian options<\/h2>\n\n\n\n<p>In order to achieve global goals to reduce greenhouse gas (GHG) emission and to limit global warming (<a href=\"https:\/\/www.cop21paris.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">COP21, Paris, 2021<\/a>), significant action is needed in all sectors, including food sector, with changes targeting the agriculture, the food chain but also the consumer. In high-income countries, guidelines targeting the consumer recommend mainly to change food consumption by eating less meat and dairy products, especially from ruminant animals, to decrease GHG emissions. Indeed, red meat and dairy products have higher GHG emissions than plant-based commodities (<a href=\"https:\/\/www.science.org\/doi\/10.1126\/science.aaq0216?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\" target=\"_blank\" rel=\"noreferrer noopener\">Poore J, 2018<\/a>). Reducing red meat consumption could also have potential benefits for human health in line with national and international dietary guidelines for health to decrease risk of cancers, such as colorectal cancer (<a href=\"https:\/\/www.wcrf.org\/wp-content\/uploads\/2021\/02\/Summary-of-Third-Expert-Report-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">World Cancer Research Fund, 2018<\/a>).<\/p>\n\n\n\n<p>Currently, more and more consumers are turning to red meat alternatives, particularly plant-based food for environmental and\/or health reasons. Healthy plant-based foods, such as fruits, vegetables, pulses, and nuts are low in fat and high in fiber and micronutrients as well as having lower GHG emissions. But these foods are perceived by some people as inconvenient, time consuming to prepare and expensive (<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0195666311005770?via%3Dihub\" target=\"_blank\" rel=\"noreferrer noopener\">Sch\u00f6sler H, 2012<\/a>). Moreover, the use of legumes instead of meat (e.g., pulses or lentils) can change traditional meal formats and can be a significant challenge for consumers when meat is the core of the plate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-popular-plant-based-foods-are-those-that-mimic-meat-products-and-are-mostly-ultra-processed\">Popular plant-based foods are those that mimic meat products and are mostly ultra-processed<\/h2>\n\n\n\n<p>In the past few years, the food environment has changed dramatically, and the availability and accessibility of plant-based convenience foods has exploded to consider the barriers perceived by the consumers. The most popular plant-based foods are those that mimic meat products, such as burgers, sausages, or hash browns, which minimize changes to meals and do not require new cooking skills. These foods can also help overcome feelings of social inclusion, as people can eat the same meal as others, with a vegetarian alternative. Among these foods, many are classified as ultra-processed according to the NOVA score (<a href=\"https:\/\/www.cambridge.org\/core\/journals\/public-health-nutrition\/article\/ultraprocessed-foods-what-they-are-and-how-to-identify-them\/E6D744D714B1FF09D5BCA3E74D53A185\" target=\"_blank\" rel=\"noreferrer noopener\">Monteiro, 2019a<\/a>). The appeal of ultra-processed foods (UPF) is not only their convenience, but they are also attractive, highly palatable and cheap, and typically energy dense and high in fat, added sugar or salt (<a href=\"https:\/\/www.cambridge.org\/core\/journals\/public-health-nutrition\/article\/ultraprocessed-foods-what-they-are-and-how-to-identify-them\/E6D744D714B1FF09D5BCA3E74D53A185\" target=\"_blank\" rel=\"noreferrer noopener\">Monteiro, 2019b<\/a>).<\/p>\n\n\n\n<p>Many studies have emerged in recent years on the association between UPF and chronic diseases. A recent systematic review including 43 studies shows that the majority found a negative association with at least one adverse health outcome (e.g. overweight, obesity, cardiovascular disease, cancers, type 2 diabetes) (<a href=\"https:\/\/www.mdpi.com\/2072-6643\/12\/7\/1955\" target=\"_blank\" rel=\"noreferrer noopener\">Elizabeth, 2020<\/a>). These studies are not specific to plant-based foods, but it is very likely that these energy-dense foods, high in sugar, fat, and salt also have these same negative effects. A cross-section study of a cohort of 21 212 adults in France found that 33, 32.5, 37 and 39.5% of energy intake came from UPF in diets of meat-eaters, pesco-vegetarians, vegetarians and vegans, respectively (<a href=\"https:\/\/academic.oup.com\/jn\/article\/151\/1\/120\/5874423?login=false\" target=\"_blank\" rel=\"noreferrer noopener\">Gehring, 2021<\/a>).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-definition-of-plant-based-diets-is-misunderstood-by-consumers\">The definition of plant-based diets is misunderstood by consumers<\/h2>\n\n\n\n<p>Traditionally, plant-based diets include minimally processed foods such as fruits, vegetables, legumes, nuts, and whole grains, but currently they changed with the increasing availability of industrially processed plant-based foods.<\/p>\n\n\n\n<p>In fact, people who started recently to follow a vegetarian diet were more likely to consume plant-based processed foods. More particularly, young people (18-24 years) tended to consume plant-based processed meat and dairy alternatives (<a href=\"https:\/\/www.google.com\/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;cad=rja&amp;uact=8&amp;ved=2ahUKEwiA9vSEub_8AhUhVqQEHXtODiAQFnoECAkQAQ&amp;url=https%3A%2F%2Farchive.nutrition.org.uk%2Fpress-office%2Fpressreleases%2Fplant-based.html&amp;usg=AOvVaw3jtdLAlqNzOgJi2pT5pcxk\" target=\"_blank\" rel=\"noreferrer noopener\">British Nutrition Foundation, 2020<\/a> ; <a href=\"https:\/\/pubag.nal.usda.gov\/catalog\/6982011\" target=\"_blank\" rel=\"noreferrer noopener\">Gehring, 2020<\/a>).<\/p>\n\n\n\n<p>This could be explained by the fact that consumers often perceive plant-based foods as &#8220;healthy&#8221; regardless of their nutritional profile. They also have difficulties to define this type of diet. A recent survey found that 41% of adults in the UK thought that a plant-based diet is a vegan diet, 20% a vegetarian diet, and 8% did not know what that meant (<a href=\"https:\/\/www.google.com\/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;cad=rja&amp;uact=8&amp;ved=2ahUKEwiA9vSEub_8AhUhVqQEHXtODiAQFnoECAkQAQ&amp;url=https%3A%2F%2Farchive.nutrition.org.uk%2Fpress-office%2Fpressreleases%2Fplant-based.html&amp;usg=AOvVaw3jtdLAlqNzOgJi2pT5pcxk\" target=\"_blank\" rel=\"noreferrer noopener\">British Nutrition Foundation, 2020<\/a>).<\/p>\n\n\n\n<p>Therefore, it seems essential to point out that the emerging \u201cmodern\u201d plant-based diet is very different from a more traditional diet. While convenient, desirable, and affordable plant-based foods have their place in encouraging dietary change towards a more sustainable diet, there is a need to ensure that they do not unconsciously lead to a shift that is ultimately neither healthy nor sustainable.<\/p>\n\n\n\n<p><strong>Based on<\/strong>: Macdiarmid JI. The food system and climate change: are plant-based diets becoming unhealthy and less environmentally sustainable? Proc Nutr Soc. 2022 May;81(2):162-167.<\/p>\n\n\n\n<div class=\"block__solid-colored\">\n    <div class=\"block__solid-colored__leading\">\n        <i class=\"fa-classic fa-regular fa-square-check\" aria-hidden=\"true\"><\/i>\n        <strong>Key messages<\/strong>\n    <\/div>\n    <div class=\"block__solid-colored__content\"><ul>\n<li>Plant-based foods have a halo effect around human and planetary health, but many being produced are ultra-processed high in energy, fat, sugar, and salt with greater environmental impact than minimally processed plant-based foods.<\/li>\n<li>The emerging &#8220;modern&#8221; plant-based diet is very different than a more traditional one comprising pulses, vegetables and wholegrain.<\/li>\n<li>While there is a place for convenient, desirable, and affordable plant-based foods to encourage dietary change, care should be taken that this does not subconsciously set a path which may ultimately be neither healthy nor sustainable.<br \/>\n<\/div>\n<\/div>\n\n\n\n<div class=\"block__reference\">\n    <div class=\"block__reference__leading\" id=\"block__reference__leading\">\n        <i class=\"fa-classic fa-solid fa-share-from-square\" aria-hidden=\"true\"><\/i>\n        <strong>References<\/strong>\n    <\/div>\n    <div class=\"block__reference__entries\" id=\"block__reference__entries\" style=\"display: none;\">\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>British Nutrition Foundation. Majority unlikely to go plant-based in the New Year. 2020.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Elizabeth L, et al. Ultra-processed foods and health outcomes: a narrative review. Nutrients. 2020 Jun 30;12(7):1955.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span><span class='tooltipsall tooltip_post_id_79592 classtoolTips79592'>FAO<\/span> and WHO. Sustainable Healthy Diets \u2013 Guiding Principles. Rome. 2019.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Gehring J, et al. The consumption of ultra-processed foods by fish-eaters, vegetarians and vegans is associated with the duration and commencing age of diet. Proc Nutr Soc. 2020;(79):E467.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Gehring J, et al. Consumption of ultra-processed foods by pesco-vegetarians, vegetarians, and vegans: associations with duration and age at diet initiation. J Nutr. 2021 Jan 4;151(1):120-131.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>(a) Monteiro CA, et al. Ultra-processed Foods, Diet Quality, and Health Using the NOVA Classification System. Rome: <span class='tooltipsall tooltip_post_id_79592 classtoolTips79592'>FAO<\/span>. 2019.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>(b) Monteiro CA, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019 Apr;22(5):936-941.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Poore J, et al. Reducing food\u2019s environmental impacts through producers and consumers. Science. 2018 Jun 1;360(6392):987-992.<\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>Sch\u00f6sler H, et al. Can we cut out the meat of the dish? Constructing consumer-oriented pathways towards meat substitution. Appetite. 2012 Feb;58(1):39-47. <\/span>\n            <\/div>\n                    <div class=\"block__reference__entry\">\n                <i class=\"fa-classic fa-solid fa-share\" aria-hidden=\"true\"><\/i>\n                <span>World Cancer Research Fund. Third expert report: diet, nutrition, physical activity and cancer: a global perspective. Rome. 2018.<\/span>\n            <\/div>\n            <\/div>\n<\/div>\n","protected":false},"template":"","class_list":["post-89004","article_revue","type-article_revue","status-publish","hentry"],"acf":{"auteur":"","source":"","revue":[{"ID":89111,"post_author":"25","post_date":"2023-01-27 09:12:53","post_date_gmt":"2023-01-27 08:12:53","post_content":"<!-- wp:image {\"id\":89131,\"sizeSlug\":\"full\",\"linkDestination\":\"none\"} -->\n<figure class=\"wp-block-image size-full\"><img src=\"https:\/\/aprifel-pp.mentalworks.biz\/wp-content\/uploads\/2023\/01\/edito-ok-1.jpg\" alt=\"\" class=\"wp-image-89131\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p>As the <a href=\"https:\/\/www.ipcc.ch\/\" target=\"_blank\" rel=\"noreferrer noopener\">Intergovernmental Panel on Climate Change<\/a> recalls, diets based mostly on plant foods provide both health and environmental benefits. This statement <strong>especially applies to diets that are diversified, rich in raw products<\/strong>, consisted mainly of whole grains, fruit and vegetables, legumes, and nuts. However, a plant-based diet is not necessarily healthy.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Based on 3 recent studies, this Global Fruit and Vegetables Newsletter shed light on this common misconception:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The first one is a systematic review of the literature that examined evidence regarding the <strong>influence of vegetarian diets<\/strong> (from [tooltips keyword=\"pesco-vegetarian\" content = \"excluding only meat\"] to [tooltips keyword=\"vegan\" content = \"excluding all animal products (meat, milk, eggs\u2026etc)\"]) <strong>during complementary feeding on child development and [tooltips keyword=\"health\" content = \"Growth, neurodevelopment, risk of stunting and overweight\/obesity.\"] in Western countries<\/strong>. <em>Simeone et al<\/em>. concluded that <strong>vegetarian diets should not be recommended during complementary feeding<\/strong> due to the <strong>risk of vitamin B12, [tooltips keyword=\"DHA\" content = \"Docosahexaenoic acid or DHA is a polyunsaturated fatty acid from the Omega-3 group.\"], and iron deficiencies<\/strong> that can alter the nervous system. However, the level of evidence in the studies included in this review was low to very low and most studies present major biases.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The second study investigated the <strong>association between the quality of a plant-based diet and the risk of frailty among women over 60 years of age<\/strong>. The quality was assessed using an index reflecting both [tooltips keyword=\"health-promoting\" content = \"Including fruits and vegetables, nuts, wholemgrain products, pulses, etc.\"] and [tooltips keyword=\"health-impairing\" content = \"Rich in fruit juices, sweetened beverages, refined cereals, potatoes and sweetened products\"] \u201cplant-based\u201d dimensions. A <strong>health-promoting plant-based diet was associated with a lower risk of frailty<\/strong> while a health-impairing one was associated with a higher risk of frailty.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In the final article based on a plenary lecture during the <em>Nutrition Society Summer Conference 2021<\/em>, J.I. Macdiarmid states that <strong>while reducing meat and dairy consumption is necessary for health and climate, modern [tooltips keyword=\"ultra-processed plant-based diets\" content = \"Rich in salt, sugar and energy\"]<\/strong> \u2013 notably popular among young people and recent vegetarians \u2013 <strong>are neither healthy nor sustainable<\/strong> and differ greatly from traditional plant-based diets.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/unpictureable {\"name\":\"acf\/unpictureable\",\"data\":{\"title\":\"Author\",\"_title\":\"field_unpictureable_title\",\"authors_0_fully_name\":\"Julia Baudry\",\"_authors_0_fully_name\":\"field_unpictureable_author_fully_name\",\"authors_0_profession\":\"Nutrition Epidemiologist, INRAE\",\"_authors_0_profession\":\"field_unpictureable_author_profession\",\"authors\":1,\"_authors\":\"field_unpictureable_authors\"},\"align\":\"center\",\"mode\":\"auto\"} \/-->","post_title":"Does plant-based necessarily mean healthy and sustainable?","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"does-plant-based-necessarily-mean-healthy-and-sustainable","to_ping":"","pinged":"","post_modified":"2024-10-24 17:25:37","post_modified_gmt":"2024-10-24 15:25:37","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=revue&#038;p=89111","menu_order":43,"post_type":"revue","post_mime_type":"","comment_count":"0","filter":"raw"}],"position":"3","references":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Are plant-based diets becoming unhealthy?<\/title>\n<meta name=\"description\" content=\"A healthy and sustainable diet is recommended for its benefits in terms of human health and the environment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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