The Vegan Diet and Depression: What You Need to Know

The Vegan Diet and Depression: What You Need to Know

These are strange times. Reports of the implosion of the meat industry due to the coronavirus pandemic, the closure of massive pork, chicken, and beef factories to worker illnesses, and governmental interventions to prop up an ailing meat industry are current headlines. Against this backdrop are new data describing a dose-response relationship between all kinds of meat intake and risk for diabetes. It would seem clear that the less meat, or none at all, is the future for health and the food industry.

In contrast are new headlines declaring that “ Eating meat IMPROVES mental health and one in three vegetarians are depressed.” Is it true that a new research publication showed that eating meat improves mental health? Or is this more spin and more #fakenews from a dying animal food industry?

The Vegan Diet and Depression: What You Need to Know
Does meat impact mental health?

Prior Headlines

Similar headlines appeared in 2017 when a study of 9,668 male partners of 14, 541 pregnant women were asked to report if they were vegan, vegetarian, or non-vegetarians.

To indicate the quality of the study, 72 percent of the self-reported vegans indicated they ate meat! In addition, the vegetarian group reported eating sausage or burgers, meat pies, and fish and fried food in over 50 percent of the men. Men responding as vegetarians had higher rate of depression scores than non-vegetarians. The headlines blasted the news: “meat prevents depression” without acknowledging the serious flaws in the study.

In contrast, in 2015 the SUN project reported on a cohort of university graduates free of depression followed 10 years with food questionnaires and assessed for anew diagnosis of depression. The risk of depression with a pro-vegetarian dietary pattern was 25 percent lower with the plant-predominant diet.  Other data indicate elevated mood in plant-eaters. In a rare prospective and randomized trial of nutrition intervention for 18 weeks in a corporate setting, improved productivity at work was demonstrated with less depression and anxiety on a plant-based diet vs. a standard diet.

The Vegan Diet and Depression: What You Need to Know
The plant kingdom boasts many brain foods | Minimalist Baker

The Current Study

In a paper titled “Meat and mental health, a systematic review of meat abstention and depression, anxiety, and related phenomena”, a literature review was conducted examining psychological health in meat-consumers and meat-abstainers. Overall, 160,257 participants were analyzed with 149,559 meat-consumers and 8584 meat-abstainers. Eleven of the 18 studies demonstrated that meat-abstention was associated with poorer psychological health, four studies were equivocal, and three showed that meat-abstainers had better outcomes. The conclusion was that meat avoidance as a strategy to benefit psychological health was not supported.

What Did Not Make the Headlines

1.  A huge number of studies were excluded

The initial search resulted in 7102 potentially relevant articles and only 18 papers met the inclusion/exclusion criteria.

2. Bias in the Studies Was Very Common

“The studies were placed in five categories based on their score for methodologic rigor. Two of the 18 selected studies had a low risk of bias; 5 had moderate risk; 4 had moderate-to-high risk; 4 had a high risk, and 3 studies had a severe risk of bias”.

3. There Were Very Few Vegans

The review emphasized one particular study several times. That was the study of Michalak, Zhang, and Jacobi (2012) in German adults. Of a total of 4,181 study subjects, only 54 were “complete vegetarians” or 1.3%.

4. The Study was Funded by the Beef Industry

Buried deep at the end of the paper were the telling words: “This study was funded in part via an unrestricted research grant from the Beef Checkoff, through the National Cattlemen’s Beef Association.”

Should This Study Make You Eat Meat?

The flaws in this study are obvious. The one prospective and randomized trial of whole food, plant diets versus standard diets with meats showed a reduction in anxiety and depression with the plant diets. The downsides of increased risks of heart disease, cancer, diabetes, animal cruelty, and environmental consequences of meat-based diets all argue for more widespread adoption of plant diets of high quality with adequate supplementation.