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...

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Autores: Echiburu, Natalia, Also-Fontanet, Maria Antonieta, Sisó-Almirall, Antoni, González-de Paz, Luis
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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spelling 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
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/420026
https://api.elsevier.com/content/abstract/scopus_id/105011154518
url http://hdl.handle.net/10261/420026
https://api.elsevier.com/content/abstract/scopus_id/105011154518
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv 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

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
Nutrition Society (Great Britain)
publisher.none.fl_str_mv Cambridge University Press
Nutrition Society (Great Britain)
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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