Evidence map›Paper›PMID 40155986›Full record

ArticleJournal of health, population, and nutrition2025

Replacing cow's milk with plant-based drinks: consequences for nutrient intake of young children on a balanced diet in Germany.

Mathilde Kersting, Hermann Kalhoff, Katja Zahn, Aziza Janice Belgardt, Kathrin Sinningen, Thomas Lücke

Abstract read
In one paragraph

Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mathilde KerstingResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID 0000-0001-6555-6104
Hermann KalhoffResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany. hermann.kalhoff@klinikumdo.de.ORCID 0000-0003-0911-2511
Katja ZahnResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany.
Aziza Janice BelgardtResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany.
Kathrin SinningenResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID 0000-0002-4902-3954
Thomas LückeResearch Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef- Hospital, Ruhr-University Bochum, Bochum, Germany.ORCID 0000-0001-6875-6582

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe transition to a planetary health diet goes along with the increase of plant-based alternatives to milk available on the market. Therefore, it is necessary to assess the consequences of replacing milk with plant-based drinks on the nutrient intake of young children on a balanced diet.

methodsAn internet search was conducted on plant-based drinks available on the German market. Scenarios of nutrient intake were calculated in which fluid cow's milk was replaced by plant-based drinks in the menus of the Optimized Mixed Diet (OMD), the guideline balanced diet for children in Germany.

resultsSix different drinks made from legumes (soy), cereals (oats) and nuts (almonds) in three characteristic product types (basic, no fortification / basic + fortification / special products for children) were analyzed. The replacement had hardly any effect on the intake of energy and protein. However, the consequences for micronutrients were remarkable. By replacing milk with non-fortified plant-based drinks (around 80% of products on the market) the daily intake of calcium, vitamin B2, B12, and iodine was reduced to around 50%; with the fortified products, only the intake of iodine was reduced. With the children's products, the supply of the micronutrients examined was maintained within the OMD.

conclusionsThe lack in important nutritional components (calcium, B12, B2, and iodine) as a consequence of replacement of cow's milk with most of the plant-based drinks on the current market on nutrient intake of young children can hardly be foreseen by parents. Even minor-looking changes to a balanced diet require an expert opinion of advisors.

trial registrationNumber and date of registration for prospectively registered trials.

Indexed as

BeveragesDietDiet, HealthyMilkAnimalsCattleChild, PreschoolEnergy IntakeFemaleFood, FortifiedGermanyHumansInfantMicronutrientsNutritive ValueMicronutrientsMicronutrient supplyNutritionPlant-based drinksSustainabilityYoung children

Identifiers

PMID40155986
PMCPMC11954288

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Registered trials

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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.