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The Evidence

Page 29

Plant-based diets and weight

Across tens of thousands of people, the pattern is consistent: the more plant-based the diet, the lower the average body weight. It is one of the better-supported claims in the whole field.

This is a summary of the cited evidence, not medical advice.

  • Vegan average BMI 23.6 (lowest group)
  • Meat-eater average 28.8
  • In trials Vegan diet aids weight loss

The BMI ladder

The clearest picture comes from the Adventist Health Study 2, which measured more than 60,000 people eating everything from fully vegan to fully omnivorous. Average body weight tracked the diet in a near-perfect staircase.

Primary source 01 / 02

Mean BMI was lowest in vegans (23.6 kg/m(2)) and incrementally higher in lacto-ovo vegetarians (25.7 kg/m(2)), pesco-vegetarians (26.3 kg/m(2)), semi-vegetarians (27.3 kg/m(2)), and nonvegetarians (28.8 kg/m(2)).

Tonstad and colleagues Adventist Health Study 2, Loma Linda University Type of vegetarian diet, body weight, and prevalence of type 2 diabetes (Diabetes Care), 2009

That is an observational finding, so it cannot prove the diet caused the difference on its own. But it is not the only evidence.

What happens when you intervene

Controlled trials that assign people to a vegan diet see weight come off. In a 74-week randomised trial in people with type 2 diabetes, the low-fat vegan group lost weight over the study.

Primary source 02 / 02

Weight loss was significant within each diet group but not significantly different between groups (−4.4 kg in the vegan group and −3.0 kg in the conventional diet group, P = 0.25)

Barnard and colleagues randomised controlled trial A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes (Am J Clin Nutr), 2009

The vegan and control diets did not differ significantly from each other here, so the honest reading is that a well-built vegan diet is an effective weight approach, not a magic one. What plant-based eating reliably does is lower the average, which is why vegans sit at the bottom of the BMI ladder across whole populations.

Frequently asked

Do vegans weigh less than meat eaters?

On average, yes. In the Adventist Health Study 2, vegans had the lowest mean BMI at 23.6, rising through vegetarians and pescatarians to 28.8 in non-vegetarians. It is an average, not a guarantee for any one person.

Is a vegan diet good for weight loss?

The evidence supports it. Observational data link plant-based eating to lower body weight, and trials of low-fat vegan diets show weight loss. As with any approach, total calories still matter.

The primary sources

The documents this page quotes. Read them yourself.

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