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Meta-Analysis
. 2020 Dec 10;10(1):21736.
doi: 10.1038/s41598-020-78426-8.

Systematic review and meta-analysis of the associations of vegan and vegetarian diets with inflammatory biomarkers

Affiliations
Meta-Analysis

Systematic review and meta-analysis of the associations of vegan and vegetarian diets with inflammatory biomarkers

Juliane Menzel et al. Sci Rep. .

Abstract

Plant-based diets like vegetarian or vegan diets might influence circulating levels of inflammatory biomarkers, thereby reducing the risk of chronic diseases. This systematic review and meta-analysis aimed to investigate the associations of veganism and vegetarianism with circulating inflammatory biomarkers in comparison to omnivores. Literature search was conducted in Pubmed and EMBASE until April 2020 and mean differences of biomarkers were assessed for: C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-18 (IL-18), interleukin-1 receptor antagonist (IL-1 RA), tumor necrosis factor-alpha (TNF-ɑ), E-selectin, intercellular adhesion molecule-1 (ICAM-1), monocyte chemoattractant protein-1 (MCP-1), adiponectin, omentin-1 and resistin. Of initially identified 1073 publications, 21 cross-sectional studies met the inclusion criteria and were included in the systematic review and meta-analysis. Vegan diet was associated with lower levels of CRP compared to omnivores [mean difference - 0.54 mg/l, 95%-CI: - 0.79 to - 0.28, p < 0.0001]. This association was less pronounced in vegetarians [mean difference - 0.25 mg/l, 95%-CI: - 0.49 to 0.00, p = 0.05]. In patients with impaired kidney function, the association between vegetarian nutrition and CRP was much stronger with - 3.91 mg/l (95%-CI: - 5.23 to - 2.60; p < 0.0001). No substantial effects were observed for all other inflammatory biomarkers. Despite strong associations between CRP and a vegan or vegetarian diet were seen, further research is needed, as most inflammatory biomarkers were investigated only in single studies so far.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Flowchart. Selection process from initial search to final number of the included studies.
Figure 2
Figure 2
Forest plots of the effect of a vegan and vegetarian diet on CRP concentrations compared to omnivorous diet in apparently healthy participants. Forest plot showing the overall effect of a vegan diet (A) or a vegetarian diet (B) on CRP concentrations compared to omnivorous diet in apparently healthy participants. Results are presented as mean difference (MD) (95%-CI). The study-specific MD and 95%-CI are represented by the black dot and horizontal line, respectively. The center of the diamond and the vertical dashed line represent the overall effect size of all studies; the width of the diamond represents the overall pooled 95%-CI.

References

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