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30 November 2023

Comparison of Vegan and Omnivorous Diets in Pregnant Women: First Results of the PREGGIE Study †

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1
Research Institute for Plant-Based Nutrition, 35444 Biebertal, Germany
2
Department of Nutritional Epidemiology, Institute of Nutritional and Food Science, University of Bonn, 44225 Dortmund, Germany
3
Faculty of Health, Gemeinschaftskrankenhaus Herdecke, Witten Herdecke University, 58313 Herdecke, Germany
*
Author to whom correspondence should be addressed.

Abstract

Objective: The interest in vegan nutrition and the number of vegans in Germany are increasing. Especially, young women decide to choose a vegan diet. However, there are concerns whether a vegan diet can ensure nutrient adequacy during pregnancy. Methods: The study investigated the energy and nutrient intake as well as food consumption of vegan (VN; n = 34) and omnivorous (OM; n = 16) pregnant women via a 3-day weighed dietary record at the beginning (week 9–16) and at the end (week 35–38) of pregnancy. Results: Significant differences between VN and OM were found in the intake of vitamin B12, niacin, vitamin K, vitamin C, potassium, magnesium, dietary fibre, salt, cholesterol, saturated, monounsaturated and polyunsaturated fatty acids (PUFA), α-linolenic acid, and linoleic acid at the beginning and end of pregnancy. For all nutrients assessed, the VN participants’ median intake met the harmonised average requirements. However, the VN median intakes (including supplements) did not reach the D-A-CH reference values for pantothenic acid, potassium, iron, and iodine at least at one time point. The OM participants’ median intake (including supplements) did not reach the D-A-CH reference values for vitamin D, potassium, calcium, iron, PUFA, eicosapentaenoic acid (EPA), as well as docosahexaenoic acid (DHA) at least at one time point. Excluding supplementation, both groups failed to reach the reference intakes for the following nutrients for both time periods: vitamin D, folate, iron, iodine, EPA, and DHA. In terms of mean intake (including supplementation), the VN group achieved the D-A-CH reference values for all critical nutrients in a VN pregnancy, except for iodine, while OM did not reach the reference intakes for calcium, iron, EPA, and DHA at one or both time points. Conclusion: Including appropriate supplementation, an adequate intake of critical nutrients appears to be possible in a VN diet during pregnancy.

Author Contributions

Conceptualization and methodology, M.K., U.A. and S.W.; investigation, K.F. and A.L.; resources, M.K.; data curation, M.K. and K.F.; formal analysis, K.F. and S.S.; writing—first draft, S.S.; writing—review and editing, S.S., K.F., S.W., U.A., A.L. and M.K.; project administration, M.K. and U.A. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Ethics Committee Witten Herdecke University, No. 29/2019.

Data Availability Statement

The data presented in this study are available on request from the corresponding author.

Conflicts of Interest

The authors declare no conflict of interest.
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