Evidence map›Paper›PMID 40147295›Full record

ArticleThe journal of nutrition, health & aging2025

A vegan dietary pattern is associated with high prevalence of inadequate protein intake in older adults; a simulation study.

Jos W Borkent, Pol Grootswagers, Joost Linschooten, Annet J C Roodenburg, Marga Ocké, Marian A E de van der Schueren

Abstract readPublished Erratum
In one paragraph

Article in The journal of nutrition, health & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jos W BorkentHAN University of Applied Sciences, Department of Nutrition, Dietetics and Lifestyle, Nijmegen, the Netherlands; Wageningen University, Department of Human Nutrition and Health, Wageningen, the Netherlands. Electronic address: jos.borkent@han.nl.
Pol GrootswagersWageningen University, Department of Human Nutrition and Health, Wageningen, the Netherlands. Electronic address: pol.grootswagers@wur.nl.
Joost LinschootenHAS Green Academy, Department of Food and Industry, 's-Hertogenbosch, the Netherlands. Electronic address: j.linschooten@has.nl.
Annet J C RoodenburgHAS Green Academy, Department of Food and Industry, 's-Hertogenbosch, the Netherlands. Electronic address: a.roodenburg@has.nl.
Marga OckéWageningen University, Department of Human Nutrition and Health, Wageningen, the Netherlands; National Institute for Public Health and the Environment, Bilthoven, the Netherlands. Electronic address: marga.ocke@rivm.nl.
Marian A E de van der SchuerenHAN University of Applied Sciences, Department of Nutrition, Dietetics and Lifestyle, Nijmegen, the Netherlands; Wageningen University, Department of Human Nutrition and Health, Wageningen, the Netherlands. Electronic address: marian.devanderschueren@han.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA more sustainable diet with fewer animal-based products has a lower ecological impact but might lead to a lower protein quantity and quality. The extent to which shifting to more plant-based diets impacts the adequacy of protein intake in older adults needs to be studied.

objectivesWe simulated how a transition towards a more plant-based diet (flexitarian, pescetarian, vegetarian, or vegan) affects protein availability in the diets of older adults.

settingCommunity.

participantsData from the Dutch National Food Consumption Survey 2019-2021 of community-dwelling older adults (n = 607) was used. MEASUREMENTS: Food consumption data was collected via two 24-h dietary recalls per participant. Protein availability was expressed as total protein, digestible protein, and utilizable protein (based on digestibility corrected amino acid score) intake. The percentage below estimated average requirements (EAR) for utilizable protein was assessed using an adjusted EAR.

resultsCompared to the original diet (∼62% animal-based), utilizable protein intake decreased by about 5% in the flexitarian, pescetarian and vegetarian scenarios. In the vegan scenario, both total protein intake and utilizable protein were lower, leading to nearly 35% less utilizable protein compared to the original diet. In the original diet, the protein intake of 7.5% of men and 11.1% of women did not meet the EAR. This slightly increased in the flexitarian, pescetarian, and vegetarian scenarios. In the vegan scenario, approximately 60% had a protein intake below EAR.

conclusionsReplacing animal-based protein sources with plant-based food products in older adults reduces both protein quantity and quality, albeit minimally in non-vegan plant-rich diets. In a vegan scenario, the risk of an inadequate protein intake is imminent.

Indexed as

Amino acid compositionPDCAASProtein intakeProtein qualitySimulation studySustainability

Identifiers

PMID40147295
PMCPMC12179998

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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.