4.3 Article

Intake of vitamin B12 and other characteristics of women of reproductive age on a vegan diet in Australia

Journal

PUBLIC HEALTH NUTRITION
Volume 24, Issue 14, Pages 4397-4407

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980021001695

Keywords

Vegan; Plant-based diet; Women; Reproduction; Vitamin B-12; Dietary intake; Deficiency; Supplementation

Funding

  1. Australian Government Research Training Program Scholarship

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This study examined demographic and health characteristics of Australian women of reproductive age on a vegan diet, compared their vitamin B12 intakes to recommendations, and found that a significant proportion of participants had inadequate intake. Results showed that supplementation was the strongest predictor of intake, but a quarter of participants had not supplemented with vitamin B12 in the past 3 months. Further research is needed to address this issue.
Objective: (i) To examine demographic and health characteristics of women of reproductive age on a vegan diet in Australia and compare these to the general population; (ii) to identify sources and intake of vitamin B-12 and compare intake to current recommendations and (iii) examine associations between participant characteristics and adequacy of vitamin B-12 intake. Design: In this cross-sectional study, data were collected via an online survey. Demographic and health characteristics of women on a vegan diet were compared with women in the general population (using Australian Bureau of Statistics data). Intake of vitamin B-12 was estimated using a FFQ and estimation of supplemental intake. Setting: Australia. Participants: Participants (n 1530) were women aged 18-44 years who had been on a vegan diet for at least 6 months. Results: While BMI, smoking habits and intakes of fruit and vegetables compared favourably with the general population, 26 % of respondents had estimated intakes of vitamin B-12 below recommendations. Analyses of relationships between vitamin B-12 intake and participant characteristics revealed that the strongest predictor of intake was supplementation (P < 0 center dot 001); however, 25 % had not supplemented with vitamin B-12 in the past 3 months. Conclusions: The vitamin B-12 intakes of a substantial proportion of Australian women of reproductive age consuming a vegan diet do not meet the recommended intake, which could adversely affect their health, and, if they are pregnant or lactating, that of their infants too. There is a need for further research in this area to identify effective strategies to address this situation.

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