Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Nutrition and Health (including climate and ecological aspects)

Plant-based alternative proteins—are they nutritionally more advantageous?

Abstract

Background

The transition towards sustainable nutrition as well as the exploration of alternative sources of protein have been at the forefront of thinking in the 21st century. However, further research is required to ascertain if a diet composed of alternative plant-based proteins has similar nutritional advantages to a plant-based diet. This study aims to model the replacement of a diet consisting of animal-based proteins with plant-based alternatives (PBA), in a group of Asians.

Methods

A 4-day food record was collected from 50 individuals residing in Singapore and nutrient profiles were generated for each individual. Food records were analysed, and meat, dairy, and seafood ingredients were substituted gram-for-gram with their PBA. The original and replaced nutrient profiles were compared against each other and the differences in macro and micronutrients were analysed.

Results

A significant increase in carbohydrates, dietary fibre, as well as in micronutrients such as sodium and calcium was observed. Conversely, there was a significant decreased intake in overall energy, protein and fat (p < 0.005).

Conclusions

The significant nutritional impact of substituting animal-based proteins for PBA may present benefits for bone health and individuals on a caloric restriction diet. However, higher sodium levels may be undesirable for individuals with cardiovascular conditions and hypertension, and the low bioavailability of iron in plant-based sources may present issues for iron deficient populations. Bearing some of these key findings in mind, researchers and manufacturers need to consider these when developing alternative protein products to meet consumer demands for palatable and nutritious plant-based products.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Data collection: Food weighing and recording (Picture samples).
Fig. 2: Process flow chart from food record to generation of nutrient profile.
Fig. 3: Replacement of animal-based protein with plant-based alternatives.
Fig. 4: Distribution charts for comparing nutrient intakes.

Similar content being viewed by others

Data availability

The nutritional dataset generated during this study will be made available to the reader by contacting the corresponding author. However, due to constraints imposed by A*STAR Singapore Institutional Review Board, the release of the entire nutritional dataset will only be done at the discretion of the authors.

References

  1. Gold K, McBurney R. Sustainable diets and biodiversity: directions and solutions for policy, research and action. Food and Agriculture Organization of the United Nations, Rome, Italy. 2010:108–14.

  2. Lonnie M, Johnstone A. The public health rationale for promoting plant protein as an important part of a sustainable and healthy diet. Nutr Bull. 2020;45:281–93.

    Article  Google Scholar 

  3. Gerber PJ, Steinfeld H, Henderson B, Mottet A, Opio C, Dijkman J, et al. Tackling climate change through livestock: a global assessment of emissions and mitigation opportunities: Food and Agriculture Organization of the United Nations (FAO); 2013.

  4. Clune S, Crossin E, Verghese K. Systematic review of greenhouse gas emissions for different fresh food categories. J Clean Prod. 2017;140:766–83.

    Article  CAS  Google Scholar 

  5. Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019;393:447–92.

    Article  PubMed  Google Scholar 

  6. Alae-Carew C, Green R, Stewart C, Cook B, Dangour AD, Scheelbeek PF. The role of plant-based alternative foods in sustainable and healthy food systems: consumption trends in the UK. Sci Total Environ. 2022;807:151041.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Hu FB, Otis BO, McCarthy G. Can plant-based meat alternatives be part of a healthy and sustainable diet? JAMA. 2019;322:1547–8.

    Article  PubMed  Google Scholar 

  8. Singapore Food Statistics 2021. In: Agency SF, editor. Singapore: Singapore Food Agency.

  9. Godfray HCJ, Aveyard P, Garnett T, Hall JW, Key TJ, Lorimer J, et al. Meat consumption, health, and the environment. Science. 2018;361:eaam5324.

    Article  PubMed  Google Scholar 

  10. Hemler EC, Hu FB. Plant-based diets for personal, population, and planetary health. Adv Nutr. 2019;10:S275–S83. Supplement_4

    Article  PubMed  PubMed Central  Google Scholar 

  11. Fehér A, Gazdecki M, Véha M, Szakály M, Szakály Z. A comprehensive review of the benefits of and the barriers to the switch to a plant-based diet. Sustainability. 2020;12:4136.

    Article  Google Scholar 

  12. Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T, et al. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality—a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol. 2017;46:1029–56.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Leitzmann C. Vegetarian nutrition: past, present, future. Am J Clin Nutr. 2014;100:496S–502S. suppl_1

    Article  CAS  PubMed  Google Scholar 

  14. Springmann M, Wiebe K, Mason-D’Croz D, Sulser TB, Rayner M, Scarborough P. Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail. Lancet Planet Health. 2018;2:e451–e61.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Hemler EC, Hu FB. Plant-based diets for cardiovascular disease prevention: all plant foods are not created equal. Curr Atheroscler Rep. 2019;21:1–8.

    Article  Google Scholar 

  16. Springmann M, Spajic L, Clark MA, Poore J, Herforth A, Webb P. et al. The healthiness and sustainability of national and global food based dietary guidelines: modelling study. BMJ. 2020;370:1–16.

    Google Scholar 

  17. Michel F, Hartmann C, Siegrist M. Consumers’ associations, perceptions and acceptance of meat and plant-based meat alternatives. Food Qual Pref. 2021;87:104063.

    Article  Google Scholar 

  18. Singh M, Trivedi N, Enamala MK, Kuppam C, Parikh P, Nikolova MP, et al. Plant-based meat analogue (PBMA) as a sustainable food: a concise review. Eur Food Res Technol. 2021;247:2499–526.

    Article  CAS  Google Scholar 

  19. Kumar M, Tomar M, Potkule J, Verma R, Punia S, Mahapatra A, et al. Advances in the plant protein extraction: mechanism and recommendations. Food Hydrocoll. 2021;115:106595.

    Article  CAS  Google Scholar 

  20. Aschemann-Witzel J, Gantriis RF, Fraga P, Perez-Cueto FJ. Plant-based food and protein trend from a business perspective: markets, consumers, and the challenges and opportunities in the future. Crit Rev Food Sci Nutr. 2021;61:3119–28.

    Article  CAS  PubMed  Google Scholar 

  21. Giacalone D, Clausen MP, Jaeger SR. Understanding barriers to consumption of plant-based foods and beverages: insights from sensory and consumer science. Curr Opin Food Sci. 2022;48:100919

    Article  Google Scholar 

  22. Toh DWK, Srv A, Henry CJ. Unknown impacts of plant-based meat alternatives on long-term health. Nat Food. 2022;3:90–1.

    Article  PubMed  Google Scholar 

  23. Fuller NR, Fong M, Gerofi J, Ferkh F, Leung C, Leung L, et al. Comparison of an electronic versus traditional food diary for assessing dietary intake—a validation study. Obes Res Clin Pract. 2017;11:647–54.

    Article  PubMed  Google Scholar 

  24. Park Y, Dodd KW, Kipnis V, Thompson FE, Potischman N, Schoeller DA, et al. Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers. Am J Clin Nutr. 2018;107:80–93.

    Article  PubMed  PubMed Central  Google Scholar 

  25. FoodData Central. In: U.S. Department of Agriculture ARS, editor. 2019.

  26. Australian Food Composition Database - Release 2. In: Zealand FSAN, editor. Canberra: FSANZ; 2022.

  27. Energy and Nutrient Composition of Food. In: Board HP, editor. Singapore: HPB; 2011.

  28. Zhao H, Song A, Zheng C, Wang M, Song G. Effects of plant protein and animal protein on lipid profile, body weight and body mass index on patients with hypercholesterolemia: a systematic review and meta-analysis. Acta Diabetol. 2020;57:1169–80.

    Article  CAS  PubMed  Google Scholar 

  29. Bakaloudi DR, Halloran A, Rippin HL, Oikonomidou AC, Dardavesis TI, Williams J, et al. Intake and adequacy of the vegan diet. A systematic review of the evidence. Clin Nutr. 2021;40:3503–21.

    Article  CAS  PubMed  Google Scholar 

  30. Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M. et al. Association of protein intake with the change of lean mass among elderly women: the Osteoporosis Risk Factor and Prevention–Fracture Prevention Study (OSTPRE-FPS). J Nutr Sci. 2015;4:1–8.

    Article  Google Scholar 

  31. Huang R-Y, Yang K-C, Chang H-H, Lee L-T, Lu C-W, Huang K-C. The association between total protein and vegetable protein intake and low muscle mass among the community-dwelling elderly population in Northern Taiwan. Nutrients. 2016;8:373.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Mangano KM, Sahni S, Kiel DP, Tucker KL, Dufour AB, Hannan MT. Dietary protein is associated with musculoskeletal health independently of dietary pattern: the Framingham Third Generation Study. Am J Clin Nutr. 2017;105:714–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Sahni S, Mangano KM, Hannan MT, Kiel DP, McLean RR. Higher protein intake is associated with higher lean mass and quadriceps muscle strength in adult men and women. J Nutr. 2015;145:1569–75.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Ewy MW, Patel A, Abdelmagid MG, Mohamed Elfadil O, Bonnes SL, Salonen BR. et al. Plant-based diet: is it as good as an animal-based diet when it comes to protein?. Curr Nutr Rep. 2022;11:337–46.

    Article  CAS  PubMed  Google Scholar 

  35. Tu D-Y, Kao F-M, Tsai S-T, Tung T-H, editors. Sarcopenia among the elderly population: a systematic review and meta-analysis of randomized controlled trials. Healthcare. 2021. vol 9, p. 1–12.

  36. Domić J, Grootswagers P, van Loon LJ, de Groot LC. Perspective: vegan diets for older adults? A perspective on the potential impact on muscle mass and strength. Adv Nutr. 2022;13:712–25.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Berrazaga I, Micard V, Gueugneau M, Walrand S. The role of the anabolic properties of plant-versus animal-based protein sources in supporting muscle mass maintenance: a critical review. Nutrients 2019;11:1825.

    Article  CAS  PubMed  Google Scholar 

  38. Huang M, Mehany T, Xie W, Liu X, Guo S, Peng X. Use of food carbohydrates towards the innovation of plant-based meat analogs. Trends Food Sci Technol. 2022;129:155–63.

    Article  CAS  Google Scholar 

  39. McArdle P, Greenfield S, Rilstone S, Narendran P, Haque MS, Gill P. Carbohydrate restriction for glycaemic control in Type 2 diabetes: a systematic review and meta‐analysis. Diabet Med. 2019;36:335–48.

    Article  CAS  PubMed  Google Scholar 

  40. Viguiliouk E, Stewart SE, Jayalath VH, Ng AP, Mirrahimi A, De Souza RJ, et al. Effect of replacing animal protein with plant protein on glycemic control in diabetes: a systematic review and meta-analysis of randomized controlled trials. Nutrients. 2015;7:9804–24.

    Article  CAS  PubMed  Google Scholar 

  41. Comerford KB, Pasin G. Emerging evidence for the importance of dietary protein source on glucoregulatory markers and type 2 diabetes: different effects of dairy, meat, fish, egg, and plant protein foods. Nutrients. 2016;8:446.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Bacanli M, Dilsiz SA, Başaran N, Başaran AA. Effects of phytochemicals against diabetes. Adv Food Nutr Res. 2019;89:209–38.

    Article  CAS  PubMed  Google Scholar 

  43. Gaikwad B, Switi Krishna Mohan G, Sandhya Rani M. Phytochemicals for diabetes management. Pharm Crops. 2014;5: 11-28.

  44. DiNicolantonio JJ, O’Keefe JH. Effects of dietary fats on blood lipids: a review of direct comparison trials. Open Heart. 2018;5:e000871.

    Article  PubMed  PubMed Central  Google Scholar 

  45. O’Sullivan TA, Hafekost K, Mitrou F, Lawrence D. Food sources of saturated fat and the association with mortality: a meta-analysis. Am J Public Health. 2013;103:e31–e42.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Hooper L, Martin N, Jimoh OF, Kirk C, Foster E, Abdelhamid AS. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. 2020;105:1–287.

    Google Scholar 

  47. Report of the National Nutrition Survey. In: Board HP, editor. Singapore 2010.

  48. Elorinne A-L, Alfthan G, Erlund I, Kivimäki H, Paju A, Salminen I, et al. Food and nutrient intake and nutritional status of Finnish vegans and non-vegetarians. PloS One. 2016;11:e0148235.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Drewnowski A. Energy density, palatability, and satiety: implications for weight control. Nutr Rev. 1998;56:347–53.

    Article  CAS  PubMed  Google Scholar 

  50. Rifai T, Rhee LQ. On energy balance and weight control—is a calorie a calorie? Am J Health Promot. 2021;35:878–80.

  51. Greger M. A whole food plant-based diet is effective for weight loss: the evidence. Am J Lifestyle Med. 2020;14:500–10.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Miquel-Kergoat S, Azais-Braesco V, Burton-Freeman B, Hetherington MM. Effects of chewing on appetite, food intake and gut hormones: a systematic review and meta-analysis. Physiol Behav. 2015;151:88–96.

    Article  CAS  PubMed  Google Scholar 

  53. Hollis JH. The effect of mastication on food intake, satiety and body weight. Physiol Behav. 2018;193:242–5.

    Article  CAS  PubMed  Google Scholar 

  54. Chew ST, Kayambu G, Lew CCH, Ng TP, Ong F, Tan J, et al. Singapore multidisciplinary consensus recommendations on muscle health in older adults: assessment and multimodal targeted intervention across the continuum of care. BMC Geriatr. 2021;21:1–14.

    Article  Google Scholar 

  55. Norazman CW, Adznam SNA, Jamaluddin R. Malnutrition as key predictor of physical frailty among Malaysian older adults. Nutrients. 2020;12:1713.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Verlaan S, Ligthart-Melis GC, Wijers SL, Cederholm T, Maier AB, de van der Schueren MA. High prevalence of physical frailty among community-dwelling malnourished older adults–a systematic review and meta-analysis. J Am Med Dir Assoc. 2017;18:374–82.

    Article  PubMed  Google Scholar 

  57. White JV, Guenter P, Jensen G, Malone A, Schofield M, Group AMW, et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet. 2012;112:730–8.

    Article  PubMed  Google Scholar 

  58. Malta D, Petersen KS, Johnson C, Trieu K, Rae S, Jefferson K, et al. High sodium intake increases blood pressure and risk of kidney disease. From the Science of Salt: a regularly updated systematic review of salt and health outcomes (August 2016 to March 2017). J Clin Hypertens. 2018;20:1654–65.

    Article  CAS  Google Scholar 

  59. Wang Y-J, Yeh T-L, Shih M-C, Tu Y-K, Chien K-L. Dietary sodium intake and risk of cardiovascular disease: a systematic review and dose-response meta-analysis. Nutrients 2020;12:2934.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Cormick G, Betrán A, Romero I, Lombardo C, Gülmezoglu A, Ciapponi A, et al. Global inequities in dietary calcium intake during pregnancy: a systematic review and meta‐analysis. BJOG: Int J Obstet Gynaecol. 2019;126:444–56.

    Article  CAS  Google Scholar 

  61. Hodges JK, Cao S, Cladis DP, Weaver CM. Lactose intolerance and bone health: the challenge of ensuring adequate calcium intake. Nutrients 2019;11:718.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Huang F, Wang Z, Zhang J, Du W, Su C, Jiang H, et al. Dietary calcium intake and food sources among Chinese adults in CNTCS. PLoS One. 2018;13:e0205045.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Iguacel I, Miguel-Berges ML, Gómez-Bruton A, Moreno LA, Julián C. Veganism, vegetarianism, bone mineral density, and fracture risk: a systematic review and meta-analysis. Nutr Rev. 2019;77:1–18.

    Article  PubMed  Google Scholar 

  64. Agnoli C, Baroni L, Bertini I, Ciappellano S, Fabbri A, Papa M, et al. Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutr Metab Cardiovasc Dis. 2017;27:1037–52.

    Article  CAS  PubMed  Google Scholar 

  65. Tong TY, Appleby PN, Armstrong ME, Fensom GK, Knuppel A, Papier K, et al. Vegetarian and vegan diets and risks of total and site-specific fractures: results from the prospective EPIC-Oxford study. BMC Med. 2020;18:1–15.

    Article  CAS  Google Scholar 

  66. Thorpe DL, Beeson WL, Knutsen R, Fraser GE, Knutsen SF. Dietary patterns and hip fracture in the Adventist Health Study 2: combined vitamin D and calcium supplementation mitigate increased hip fracture risk among vegans. Am J Clin Nutr. 2021;114:488–95.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Haddad EH, Berk LS, Kettering JD, Hubbard RW, Peters WR. Dietary intake and biochemical, hematologic, and immune status of vegans compared with nonvegetarians. Am J Clin Nutr. 1999;70:586s–93s.

    Article  CAS  PubMed  Google Scholar 

  68. Melville H, Shahid M, Gaines A, McKenzie BL, Alessandrini R, Trieu K. et al. The nutritional profile of plant-based meat analogues available for sale in Australia. Nutr Diet. 2023;80:211–22.

    Article  PubMed  Google Scholar 

  69. Bryngelsson S, Moshtaghian H, Bianchi M, Hallström E. Nutritional assessment of plant-based meat analogues on the Swedish market. Int J Food Sci Nutr. 2022;73:889–901.

    Article  CAS  Google Scholar 

  70. Mayer Labba I-C, Steinhausen H, Almius L, Bach Knudsen KE, Sandberg A-S. Nutritional composition and estimated iron and zinc bioavailability of meat substitutes available on the Swedish market. Nutrients. 2022;14:3903.

    Article  CAS  PubMed Central  Google Scholar 

Download references

Funding

This research is supported unconditionally by the Singapore Institute of Food and Biotechnology Innovation (SIFBI), A*STAR under its IAF-PP Food Structure Engineering for Nutrition and Health Programme (Grant ID No: H17/01/a0/A11 and H18/01/a0/B11).

Author information

Authors and Affiliations

Authors

Contributions

Conceptualisation, W.T. and C.J.H.; data analysis, W.T., R.Q., J.L. S.P.; writing—original draft preparation, W.T., R.Q., J.L.; writing—review and editing, W.T., R.Q., J.L., B.K., S.P., C.J.H. All authors have read and agreed to the published version of the manuscript.

Corresponding author

Correspondence to Christiani Jeyakumar Henry.

Ethics declarations

Ethical approval

The study was conducted in accordance with the guidelines laid down in the Declaration of Helsinki, and all procedures involving human participants were approved by the A*STAR Institutional Review Board, Singapore (Reference no. 2021-110). Before the commencement of the study, all participants were briefed on the study protocol and were given ample time to read through the procedure before giving consent.

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tay, W., Quek, R., Lim, J. et al. Plant-based alternative proteins—are they nutritionally more advantageous?. Eur J Clin Nutr 77, 1051–1060 (2023). https://doi.org/10.1038/s41430-023-01328-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-023-01328-1

Search

Quick links