Evidence map›Paper›PMID 33471422›Full record

ArticleEMBO molecular medicine2021

Vegan diet in young children remodels metabolism and challenges the statuses of essential nutrients.

Topi Hovinen, Liisa Korkalo, Riitta Freese, Essi Skaffari, Pirjo Isohanni, Mikko Niemi, Jaakko Nevalainen, Helena Gylling, Nicola Zamboni, Maijaliisa Erkkola and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06669819 (Can Dietary Supplements be Linked to a Vegan Diet and Health Risk Modulation During Vegan Pregnancy, Infancy and Early Childhood), which is not on this map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06669819 recruitingnot on this mapstarted 2023, after this paper: background citation

Can Dietary Supplements be Linked to a Vegan Diet and Health Risk Modulation During Vegan Pregnancy, Infancy and Early Childhood

TypeobservationalSponsorWolfgang Huber-SchneiderRan2023 to 2025Enrolled1,000ConditionsVegan Diet, Pregnancy, Dietary Supplements, Childhood
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  5. Assessment of vitamin A, vitamin BEuropean journal of nutrition · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Topi HovinenResearch Programs Unit, Stem Cells and Metabolism, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9853-6572
Liisa KorkaloDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-0525-9877
Riitta FreeseDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6833-2736
Essi SkaffariDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-1451-534X
Pirjo IsohanniResearch Programs Unit, Stem Cells and Metabolism, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-0156-1614
Mikko NiemiIndividualized Drug Therapy Research Program, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4550-2189
Jaakko NevalainenHealth Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.ORCID 0000-0001-6295-0245
Helena GyllingDepartment of Medicine, Division of Internal Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4586-8367
Nicola ZamboniInstitute of Molecular Systems Biology, ETH Zürich, Zürich, Switzerland.ORCID 0000-0003-1271-1021
Maijaliisa ErkkolaDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6966-1523
Anu SuomalainenResearch Programs Unit, Stem Cells and Metabolism, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4833-5195
University of Helsinki · FIETH Zurich · CHTampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vegan diets are gaining popularity, also in families with young children. However, the effects of strict plant-based diets on metabolism and micronutrient status of children are unknown. We recruited 40 Finnish children with a median age 3.5 years-vegans, vegetarians, or omnivores from same daycare centers-for a cross-sectional study. They enjoyed nutritionist-planned vegan or omnivore meals in daycare, and the full diets were analyzed with questionnaires and food records. Detailed analysis of serum metabolomics and biomarkers indicated vitamin A insufficiency and border-line sufficient vitamin D in all vegan participants. Their serum total, HDL and LDL cholesterol, essential amino acid, and docosahexaenoic n-3 fatty acid (DHA) levels were markedly low and primary bile acid biosynthesis, and phospholipid balance was distinct from omnivores. Possible combination of low vitamin A and DHA status raise concern for their visual health. Our evidence indicates that (i) vitamin A and D status of vegan children requires special attention; (ii) dietary recommendations for children cannot be extrapolated from adult vegan studies; and (iii) longitudinal studies on infant-onset vegan diets are warranted.

Indexed as

Diet, VeganDiet, VegetarianAdultChildChild, PreschoolCross-Sectional StudiesDietHumansNutrientsVegetariansNutrientsdevelopmentmetabolismnutritionveganvitamin

Identifiers

PMID33471422
PMCPMC7863396
OpenAlexW3125376510

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.