If you're curious about eating more plant-based, you're not alone – and you're not "late to the party". Large, long-term studies now show that people who eat mostly plants tend to have lower risk of cardiovascular disease, type 2 diabetes, some cancers and overall mortality (1–4).
Lower risk of major diseases
Healthful plant-based diets (built around whole grains, beans, lentils, vegetables, fruits, nuts and seeds) are consistently linked with lower risk of type 2 diabetes, cardiovascular disease and some cancers (1–4).
A recent meta-analysis of over 2.2 million people found that greater adherence to plant-based dietary patterns was associated with significantly lower risk of type 2 diabetes, cardiovascular disease, cancer and all‑cause mortality (1).
Another meta-analysis showed that higher scores on plant-based dietary indices were associated with about 8–10% lower cardiovascular mortality and cardiovascular disease incidence (2).
Umbrella and systematic reviews report that vegetarian and vegan diets are associated with improved blood lipids, better glycaemic control, lower body weight and reduced risk of ischaemic heart disease and cancer, particularly when diets focus on minimally processed plant foods (3,4).
This doesn't mean you must be "perfectly vegan" overnight; it does mean that shifting the balance of your plate towards whole plant foods is a genuinely powerful health move (1–4).
Heart, blood pressure and metabolic health
Mechanistically, plant-based patterns tend to be higher in fibre, unsaturated fats and phytonutrients, and lower in saturated fat and energy density, which collectively improve cardiovascular and metabolic risk factors (2–4).
Meta-analyses of vegetarian and vegan diets show reductions in total cholesterol of around 0.3–0.6 mmol/L on average, which is clinically meaningful for heart disease risk (3,5).
A BMJ Nutrition analysis reported that more plant-based eating patterns were associated with lower blood pressure and lower odds of hypertension, especially when diets emphasised whole plant foods rather than ultra‑processed options (6).
So when we talk about "plant-based", we're not just talking about labels; we're talking about a way of eating that nudges your cholesterol, blood pressure and blood sugars in the right direction (2–6).
Weight, satiety and energy levels
Well-planned plant-based diets can make it easier to manage weight because they're typically higher in fibre and lower in energy density – meaning you can eat satisfying portions for fewer calories (3–5).
Higher fibre intake improves fullness, slows digestion and supports more stable blood glucose, which can reduce cravings and energy crashes through the day (3,4). In practice, that might look like swapping a low-fibre meat-and-cheese lunch for a lentil, grain and veg bowl with nuts or seeds – similar or fewer calories, but more fullness and better afternoon energy (3–5).
Is plant-based suitable for me?
For most adults, a well-planned plant-based diet is safe, appropriate and beneficial, including for people with or at risk of type 2 diabetes or cardiovascular disease (4,7,8). Major professional bodies now recognise that appropriately planned vegetarian and vegan diets can be healthful for all stages of life, provided key nutrients are considered (7,8).
Where I come in is helping you do this in a realistic way, around your life, preferences and health goals – rather than following a rigid "perfect vegan" rulebook.
References
1. Glenn AJ, Viguiliouk E, Seider M, et al. Associations between plant-based dietary patterns and risk of cardiovascular disease, cancer, and all-cause mortality: a systematic review and meta-analysis. Prog Cardiovasc Dis. 2024;79:1–13.
2. Kim H, Caulfield LE, Garcia-Larsen V, et al. Plant-based diets are associated with a lower risk of incident cardiovascular disease, cardiovascular disease mortality, and all-cause mortality in a general population: a meta-analysis. J Nutr. 2024;154(1):45–56.
3. Dybvik JS, Svendsen M, Aune D. Vegetarian and vegan diets and the risk of cardiovascular disease, cancer and mortality: a systematic review and meta-analysis of prospective cohort studies. PLoS One. 2024;19(5):e0300711.
4. Kahleova H, Levin S, Barnard ND. Cardio-metabolic benefits of plant-based diets. Nutrients. 2017;9(8):848.
5. Song S, Chen J, Wu J, et al. Effects of vegetarian and vegan diets on blood lipids, blood glucose, body weight and body mass index: a systematic review and meta-analysis of randomized controlled trials. Nutr Rev. 2024;82(12):1187–1203.
6. Glenn AJ, Lo K, Desai D, et al. Association between plant-based diets and blood pressure: a systematic review and meta-analysis. BMJ Nutr Prev Health. 2020;3(2):149–167.
7. Melina V, Craig W, Levin S. Position of the Academy of Nutrition and Dietetics: vegetarian diets. J Acad Nutr Diet. 2016;116(12):1970–1980.
8. Tuso PJ, Ismail MH, Ha BP, Bartolotto C. Nutritional update for physicians: plant-based diets. Perm J. 2013;17(2):61–66.