Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study
Objective: To determine the prevalence and characteristics of plant-based patterns in the Spanish population and assess their potential impact on individuals with similar socio-demographic backgrounds. Design: We estimated vegetarian and vegan individuals’ national and regional prevalence and analys...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositorio: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/420026 |
| Acceso en línea: | http://hdl.handle.net/10261/420026 https://api.elsevier.com/content/abstract/scopus_id/105011154518 |
| Access Level: | acceso abierto |
| Palabra clave: | Chronic diseases Lifestyle Plant-based diet Survey design Vegan Vegetarian |
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Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey studyEchiburu, NataliaAlso-Fontanet, Maria AntonietaSisó-Almirall, AntoniGonzález-de Paz, LuisChronic diseasesLifestylePlant-based dietSurvey designVeganVegetarianObjective: To determine the prevalence and characteristics of plant-based patterns in the Spanish population and assess their potential impact on individuals with similar socio-demographic backgrounds. Design: We estimated vegetarian and vegan individuals’ national and regional prevalence and analysed their socio-demographic characteristics and weekly dietary intake patterns. Individuals with a plant-based dietary pattern were matched to a control group (1:4) with similar socio-demographic characteristics. Associations with the prevalence risk of common chronic diseases, self-reported health status, lifestyle and healthcare use were analysed with unadjusted and adjusted logistic regression models. Setting: A population-based survey of individuals residing in Spain. Participants: Data from 22 072 participants were examined. Results: The prevalence of plant-based diets was 5·62‰ (95 % CI: 4·33, 7·28), and adherents were female (68·6 %), single (62·3 %) and university-educated 41·8 %) (P < 0·001). They reported higher rates of ‘never’ consuming snacks (50 % v. 35 %), fast food (58 % v. 36 %) and sweets (33 % v. 14 %). Lifestyle factors did not differ between the plant-based and omnivorous groups; however, adherence to plant-based diets was associated with a prevalence risk of depressive symptoms (OR 2·58, 95 % CI: 1·00, 6·65), stroke (OR 7·08, 95 % CI: 1·27, 39·46) and increased consultations for mental health and complementary medicine (OR 3·21, 95 % CI: 1·38, 7·43). Conclusions: Plant-based diets are uncommon and are associated with specific socio-demographic profiles, particularly sex. When comparing individuals with similar socio-demographic characteristics, individuals with plant-based diets and omnivores had similar lifestyles. Addressing patient concerns regarding diet and personal well-being might prioritise healthy behaviours over specific dietary patterns.Peer reviewedCambridge University PressNutrition Society (Great Britain)Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202620262025info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/420026https://api.elsevier.com/content/abstract/scopus_id/105011154518reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)InglésPublic health nutritionThe underlying dataset has been published as supplementary material of the article in the publisher platform at https://doi.org/10.1017/S1368980025100669Data described in the manuscript, code book and analytic code will be made publicly and freely available without restriction at https://www.sanidad.gob.es/en/estadEstudios/estadisticas/EncuestaEuropea/Enc_Eur_Salud_en_Esp_2020.htmhttps://doi.org/10.1017/S1368980025100669Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/4200262026-05-22T06:33:51Z |
| dc.title.none.fl_str_mv |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| title |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| spellingShingle |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study Echiburu, Natalia Chronic diseases Lifestyle Plant-based diet Survey design Vegan Vegetarian |
| title_short |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| title_full |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| title_fullStr |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| title_full_unstemmed |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| title_sort |
Impact of plant-based diets and associations with health, lifestyle and healthcare utilisation: a population-based survey study |
| dc.creator.none.fl_str_mv |
Echiburu, Natalia Also-Fontanet, Maria Antonieta Sisó-Almirall, Antoni González-de Paz, Luis |
| author |
Echiburu, Natalia |
| author_facet |
Echiburu, Natalia Also-Fontanet, Maria Antonieta Sisó-Almirall, Antoni González-de Paz, Luis |
| author_role |
author |
| author2 |
Also-Fontanet, Maria Antonieta Sisó-Almirall, Antoni González-de Paz, Luis |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
Chronic diseases Lifestyle Plant-based diet Survey design Vegan Vegetarian |
| topic |
Chronic diseases Lifestyle Plant-based diet Survey design Vegan Vegetarian |
| description |
Objective: To determine the prevalence and characteristics of plant-based patterns in the Spanish population and assess their potential impact on individuals with similar socio-demographic backgrounds. Design: We estimated vegetarian and vegan individuals’ national and regional prevalence and analysed their socio-demographic characteristics and weekly dietary intake patterns. Individuals with a plant-based dietary pattern were matched to a control group (1:4) with similar socio-demographic characteristics. Associations with the prevalence risk of common chronic diseases, self-reported health status, lifestyle and healthcare use were analysed with unadjusted and adjusted logistic regression models. Setting: A population-based survey of individuals residing in Spain. Participants: Data from 22 072 participants were examined. Results: The prevalence of plant-based diets was 5·62‰ (95 % CI: 4·33, 7·28), and adherents were female (68·6 %), single (62·3 %) and university-educated 41·8 %) (P < 0·001). They reported higher rates of ‘never’ consuming snacks (50 % v. 35 %), fast food (58 % v. 36 %) and sweets (33 % v. 14 %). Lifestyle factors did not differ between the plant-based and omnivorous groups; however, adherence to plant-based diets was associated with a prevalence risk of depressive symptoms (OR 2·58, 95 % CI: 1·00, 6·65), stroke (OR 7·08, 95 % CI: 1·27, 39·46) and increased consultations for mental health and complementary medicine (OR 3·21, 95 % CI: 1·38, 7·43). Conclusions: Plant-based diets are uncommon and are associated with specific socio-demographic profiles, particularly sex. When comparing individuals with similar socio-demographic characteristics, individuals with plant-based diets and omnivores had similar lifestyles. Addressing patient concerns regarding diet and personal well-being might prioritise healthy behaviours over specific dietary patterns. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 2026 2026 |
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info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10261/420026 https://api.elsevier.com/content/abstract/scopus_id/105011154518 |
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http://hdl.handle.net/10261/420026 https://api.elsevier.com/content/abstract/scopus_id/105011154518 |
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Inglés |
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Inglés |
| dc.relation.none.fl_str_mv |
Public health nutrition The underlying dataset has been published as supplementary material of the article in the publisher platform at https://doi.org/10.1017/S1368980025100669 Data described in the manuscript, code book and analytic code will be made publicly and freely available without restriction at https://www.sanidad.gob.es/en/estadEstudios/estadisticas/EncuestaEuropea/Enc_Eur_Salud_en_Esp_2020.htm https://doi.org/10.1017/S1368980025100669 Sí |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Cambridge University Press Nutrition Society (Great Britain) |
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Cambridge University Press Nutrition Society (Great Britain) |
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reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC) |
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Consejo Superior de Investigaciones Científicas (CSIC) |
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