Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis

Díaz-Goñi Valentina - Eumann Mesas Arthur - Jiménez-López Estela - Olivo-Martins-de-Passos Tomás - Peral-Martínez Fernando - Peraile-Huerta Ana María - Visier-Alfonso María Eugenia - Garrido-Miguel Miriam - Bizzozero-Peroni Bruno

Resumen:

Objective: To synthesize the evidence on the associations between vegetarian and vegan diets (VVDs) and eating disorder (ED) symptoms compared with omnivorous diets across the lifespan. Method: Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 Guidelines, we searched PubMed, Scopus, Cochrane Library, PsycINFO, and Web of Science Databases up to May 1, 2026, with no language or date restrictions. Random effects models with the Hartung–Knapp–Sidik–Jonkman method were used to estimate pooled effect sizes (standardized mean difference [SMD] with 95% confidence interval [CIs]). Results: We included 24 cross-sectional studies with a total of 25,223 participants (67.7% female; mean age range: 14.9–49.6 years). ED symptoms did not differ significantly between participants who followed VVDs and those following omnivorous diets in analyses including all eligible studies (SMD = 0.07; 95% CI: −0.04 to 0.19; I2 = 80.3%; 95% prediction interval: −0.44 to 0.59). Results were unchanged when analyses were restricted to adult populations. No significant differences in ED symptoms were observed according to diet type (p = 0.524), measurement scale (p = 0.392), or geographic region (p = 0.633). In analyses restricted to adults, sex significantly moderated the pooled estimates (p = 0.028), with studies including a higher proportion of females reporting lower ED symptom scores among individuals following VVDs compared with omnivores. Discussion: ED symptom levels do not appear to differ significantly between individuals following VVDs and those following omnivorous diets. Longitudinal studies accounting for dietary quality, duration of adherence, dietary motivations, and psychosocial factors are also needed to clarify this association.

Detalles Bibliográficos
2026
Agencia Nacional de Investigación e Innovación
Dietary patterns
Disordered eating behavior
Feeding and eating disorders
Mental disorders
Pathological eating
Plant-based diet
Ciencias Médicas y de la Salud
Medicina Clínica
Psiquiatría
Ciencias de la Salud
Nutrición, Dietética
Epidemiología
Inglés
Agencia Nacional de Investigación e Innovación
REDI
https://hdl.handle.net/20.500.12381/5712
https://doi.org/10.1002/eat.70158
Acceso abierto
Reconocimiento 4.0 Internacional. (CC BY)
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author Díaz-Goñi Valentina
author2 Eumann Mesas Arthur
Jiménez-López Estela
Olivo-Martins-de-Passos Tomás
Peral-Martínez Fernando
Peraile-Huerta Ana María
Visier-Alfonso María Eugenia
Garrido-Miguel Miriam
Bizzozero-Peroni Bruno
author2_role author
author
author
author
author
author
author
author
author_facet Díaz-Goñi Valentina
Eumann Mesas Arthur
Jiménez-López Estela
Olivo-Martins-de-Passos Tomás
Peral-Martínez Fernando
Peraile-Huerta Ana María
Visier-Alfonso María Eugenia
Garrido-Miguel Miriam
Bizzozero-Peroni Bruno
author_role author
bitstream.checksum.fl_str_mv a4ce09f01b5dd771727aa05c73851623
41232f23794bd2cba40186a73640730e
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
bitstream.url.fl_str_mv https://redi.anii.org.uy/jspui/bitstream/20.500.12381/5712/2/license.txt
https://redi.anii.org.uy/jspui/bitstream/20.500.12381/5712/1/Manuscript_VVD_ED.pdf
collection REDI
dc.creator.none.fl_str_mv Díaz-Goñi Valentina
Eumann Mesas Arthur
Jiménez-López Estela
Olivo-Martins-de-Passos Tomás
Peral-Martínez Fernando
Peraile-Huerta Ana María
Visier-Alfonso María Eugenia
Garrido-Miguel Miriam
Bizzozero-Peroni Bruno
dc.date.accessioned.none.fl_str_mv 2026-10-05T16:20:20Z
dc.date.available.none.fl_str_mv 2026-10-05T16:20:20Z
dc.date.issued.none.fl_str_mv 2026-07-07
dc.description.abstract.none.fl_txt_mv Objective: To synthesize the evidence on the associations between vegetarian and vegan diets (VVDs) and eating disorder (ED) symptoms compared with omnivorous diets across the lifespan. Method: Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 Guidelines, we searched PubMed, Scopus, Cochrane Library, PsycINFO, and Web of Science Databases up to May 1, 2026, with no language or date restrictions. Random effects models with the Hartung–Knapp–Sidik–Jonkman method were used to estimate pooled effect sizes (standardized mean difference [SMD] with 95% confidence interval [CIs]). Results: We included 24 cross-sectional studies with a total of 25,223 participants (67.7% female; mean age range: 14.9–49.6 years). ED symptoms did not differ significantly between participants who followed VVDs and those following omnivorous diets in analyses including all eligible studies (SMD = 0.07; 95% CI: −0.04 to 0.19; I2 = 80.3%; 95% prediction interval: −0.44 to 0.59). Results were unchanged when analyses were restricted to adult populations. No significant differences in ED symptoms were observed according to diet type (p = 0.524), measurement scale (p = 0.392), or geographic region (p = 0.633). In analyses restricted to adults, sex significantly moderated the pooled estimates (p = 0.028), with studies including a higher proportion of females reporting lower ED symptom scores among individuals following VVDs compared with omnivores. Discussion: ED symptom levels do not appear to differ significantly between individuals following VVDs and those following omnivorous diets. Longitudinal studies accounting for dietary quality, duration of adherence, dietary motivations, and psychosocial factors are also needed to clarify this association.
dc.description.sponsorship.none.fl_txt_mv Agencia Nacional de Investigación e Innovación
dc.identifier.anii.es.fl_str_mv POS_EXT_2023_1_175630
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1002/eat.70158
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12381/5712
dc.language.iso.none.fl_str_mv eng
dc.publisher.es.fl_str_mv Wiley
dc.relation.none.fl_str_mv https://hdl.handle.net/20.500.12381/5456
https://hdl.handle.net/20.500.12381/5621
https://hdl.handle.net/20.500.12381/5620
https://hdl.handle.net/20.500.12381/5622
dc.rights.*.fl_str_mv Acceso abierto
dc.rights.license.none.fl_str_mv Reconocimiento 4.0 Internacional. (CC BY)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.es.fl_str_mv International Journal of Eating Disorders
dc.source.none.fl_str_mv reponame:REDI
instname:Agencia Nacional de Investigación e Innovación
instacron:Agencia Nacional de Investigación e Innovación
dc.subject.anii.none.fl_str_mv Ciencias Médicas y de la Salud
Medicina Clínica
Psiquiatría
Ciencias de la Salud
Nutrición, Dietética
Epidemiología
dc.subject.es.fl_str_mv Dietary patterns
Disordered eating behavior
Feeding and eating disorders
Mental disorders
Pathological eating
Plant-based diet
dc.title.none.fl_str_mv Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
dc.type.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.es.fl_str_mv Publicado
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description Objective: To synthesize the evidence on the associations between vegetarian and vegan diets (VVDs) and eating disorder (ED) symptoms compared with omnivorous diets across the lifespan. Method: Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 Guidelines, we searched PubMed, Scopus, Cochrane Library, PsycINFO, and Web of Science Databases up to May 1, 2026, with no language or date restrictions. Random effects models with the Hartung–Knapp–Sidik–Jonkman method were used to estimate pooled effect sizes (standardized mean difference [SMD] with 95% confidence interval [CIs]). Results: We included 24 cross-sectional studies with a total of 25,223 participants (67.7% female; mean age range: 14.9–49.6 years). ED symptoms did not differ significantly between participants who followed VVDs and those following omnivorous diets in analyses including all eligible studies (SMD = 0.07; 95% CI: −0.04 to 0.19; I2 = 80.3%; 95% prediction interval: −0.44 to 0.59). Results were unchanged when analyses were restricted to adult populations. No significant differences in ED symptoms were observed according to diet type (p = 0.524), measurement scale (p = 0.392), or geographic region (p = 0.633). In analyses restricted to adults, sex significantly moderated the pooled estimates (p = 0.028), with studies including a higher proportion of females reporting lower ED symptom scores among individuals following VVDs compared with omnivores. Discussion: ED symptom levels do not appear to differ significantly between individuals following VVDs and those following omnivorous diets. Longitudinal studies accounting for dietary quality, duration of adherence, dietary motivations, and psychosocial factors are also needed to clarify this association.
eu_rights_str_mv openAccess
format article
id REDI_1f044b42564ff13d402b3fafb8cb8bfc
identifier_str_mv POS_EXT_2023_1_175630
instacron_str Agencia Nacional de Investigación e Innovación
institution Agencia Nacional de Investigación e Innovación
instname_str Agencia Nacional de Investigación e Innovación
language eng
network_acronym_str REDI
network_name_str REDI
oai_identifier_str oai:redi.anii.org.uy:20.500.12381/5712
publishDate 2026
reponame_str REDI
repository.mail.fl_str_mv jmaldini@anii.org.uy
repository.name.fl_str_mv REDI - Agencia Nacional de Investigación e Innovación
repository_id_str 9421
rights_invalid_str_mv Reconocimiento 4.0 Internacional. (CC BY)
Acceso abierto
spelling Reconocimiento 4.0 Internacional. (CC BY)Acceso abiertoinfo:eu-repo/semantics/openAccess2026-10-05T16:20:20Z2026-10-05T16:20:20Z2026-07-07https://hdl.handle.net/20.500.12381/5712POS_EXT_2023_1_175630https://doi.org/10.1002/eat.70158Objective: To synthesize the evidence on the associations between vegetarian and vegan diets (VVDs) and eating disorder (ED) symptoms compared with omnivorous diets across the lifespan. Method: Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 Guidelines, we searched PubMed, Scopus, Cochrane Library, PsycINFO, and Web of Science Databases up to May 1, 2026, with no language or date restrictions. Random effects models with the Hartung–Knapp–Sidik–Jonkman method were used to estimate pooled effect sizes (standardized mean difference [SMD] with 95% confidence interval [CIs]). Results: We included 24 cross-sectional studies with a total of 25,223 participants (67.7% female; mean age range: 14.9–49.6 years). ED symptoms did not differ significantly between participants who followed VVDs and those following omnivorous diets in analyses including all eligible studies (SMD = 0.07; 95% CI: −0.04 to 0.19; I2 = 80.3%; 95% prediction interval: −0.44 to 0.59). Results were unchanged when analyses were restricted to adult populations. No significant differences in ED symptoms were observed according to diet type (p = 0.524), measurement scale (p = 0.392), or geographic region (p = 0.633). In analyses restricted to adults, sex significantly moderated the pooled estimates (p = 0.028), with studies including a higher proportion of females reporting lower ED symptom scores among individuals following VVDs compared with omnivores. Discussion: ED symptom levels do not appear to differ significantly between individuals following VVDs and those following omnivorous diets. Longitudinal studies accounting for dietary quality, duration of adherence, dietary motivations, and psychosocial factors are also needed to clarify this association.Agencia Nacional de Investigación e InnovaciónengWileyhttps://hdl.handle.net/20.500.12381/5456https://hdl.handle.net/20.500.12381/5621https://hdl.handle.net/20.500.12381/5620https://hdl.handle.net/20.500.12381/5622International Journal of Eating Disordersreponame:REDIinstname:Agencia Nacional de Investigación e Innovacióninstacron:Agencia Nacional de Investigación e InnovaciónDietary patternsDisordered eating behaviorFeeding and eating disordersMental disordersPathological eatingPlant-based dietCiencias Médicas y de la SaludMedicina ClínicaPsiquiatríaCiencias de la SaludNutrición, DietéticaEpidemiologíaAre vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysisArtículoPublicadoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidad de Castilla-La Mancha//Ciencias Médicas y de la Salud/Medicina Clínica/Psiquiatría//Ciencias Médicas y de la Salud/Ciencias de la Salud/Nutrición, Dietética//Ciencias Médicas y de la Salud/Ciencias de la Salud/EpidemiologíaDíaz-Goñi ValentinaEumann Mesas ArthurJiménez-López EstelaOlivo-Martins-de-Passos TomásPeral-Martínez FernandoPeraile-Huerta Ana MaríaVisier-Alfonso María EugeniaGarrido-Miguel MiriamBizzozero-Peroni BrunoLICENSElicense.txtlicense.txttext/plain; charset=utf-84967https://redi.anii.org.uy/jspui/bitstream/20.500.12381/5712/2/license.txta4ce09f01b5dd771727aa05c73851623MD52ORIGINALManuscript_VVD_ED.pdfManuscript_VVD_ED.pdfapplication/pdf552908https://redi.anii.org.uy/jspui/bitstream/20.500.12381/5712/1/Manuscript_VVD_ED.pdf41232f23794bd2cba40186a73640730eMD5120.500.12381/57122026-10-05 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Institucionalhttps://redi.anii.org.uy/Gobiernohttps://www.anii.org.uy/https://redi.anii.org.uy/oai/requestjmaldini@anii.org.uyUruguayopendoar:94212026-10-05T16:20:23REDI - Agencia Nacional de Investigación e Innovaciónfalse
spellingShingle Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
Díaz-Goñi Valentina
Dietary patterns
Disordered eating behavior
Feeding and eating disorders
Mental disorders
Pathological eating
Plant-based diet
Ciencias Médicas y de la Salud
Medicina Clínica
Psiquiatría
Ciencias de la Salud
Nutrición, Dietética
Epidemiología
status_str publishedVersion
title Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
title_full Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
title_fullStr Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
title_full_unstemmed Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
title_short Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
title_sort Are vegetarian and vegan diets associated with eating disorder symptoms? A systematic review and meta-analysis
topic Dietary patterns
Disordered eating behavior
Feeding and eating disorders
Mental disorders
Pathological eating
Plant-based diet
Ciencias Médicas y de la Salud
Medicina Clínica
Psiquiatría
Ciencias de la Salud
Nutrición, Dietética
Epidemiología
url https://hdl.handle.net/20.500.12381/5712
https://doi.org/10.1002/eat.70158