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The Balance of Health

Evidence

Here is the evidence. Decide for yourself.

Every important statement on this site is a claim with a record: what it says, how strong the evidence is and why, what its limits are, and which sources support or challenge it.

How we rate evidence

The rating scale

Strong evidence
Supported by multiple systematic reviews or large, consistent studies using different methods, with few plausible alternative explanations.
Moderate evidence
Supported by good-quality studies that point the same way, but with gaps: fewer studies, mostly observational data, or some inconsistency.
Limited evidence
Some relevant studies exist but they are small, indirect, short-term or conflicting. The direction is plausible; the size of the effect is not settled.
Uncertain
The evidence is too thin, too mixed or too dependent on assumptions to support a confident conclusion either way.

Claims (11)

Source records (18)

Each record summarises what a source found, its limitations, funding, and which claims it supports or complicates, with a link to the original. Why we do this.

  1. Reducing food's environmental impacts through producers and consumers

    Joseph Poore, Thomas Nemecek (2018). Science.

    Peer Reviewed StudyMeta AnalysisStrong evidenceSampleView original ↗
  2. Global greenhouse gas emissions from animal-based foods are twice those of plant-based foods

    Xiaoming Xu, Prateek Sharma, Shijie Shu et al. (2021). Nature Food.

    Peer Reviewed StudyModellingModerate evidenceSampleView original ↗
  3. FAOSTAT: Crops and livestock products — producing animals / slaughtered

    Food and Agriculture Organization of the United Nations (2024). FAOSTAT database.

    Government StatisticsCensusStrong evidenceSampleView original ↗
  4. Drivers of deforestation: soy, and what it is used for

    Hannah Ritchie (2021). Our World in Data.

    ReportReviewModerate evidenceSampleView original ↗
  5. Review of the evidence of sentience in cephalopod molluscs and decapod crustaceans

    Jonathan Birch, Charlotte Burn, Alexandra Schnell et al. (2021). Report commissioned by the UK Government (Defra).

    ReportSystematic ReviewStrong evidenceSampleView original ↗
  6. Defining and assessing animal pain

    Lynne Sneddon, Robert Elwood, Shelley Adamo et al. (2014). Animal Behaviour.

    Peer Reviewed StudyReviewModerate evidenceSampleView original ↗
  7. Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies

    Monica Dinu, Rosanna Abbate, Gian Franco Gensini et al. (2017). Critical Reviews in Food Science and Nutrition.

    Meta AnalysisMeta AnalysisModerate evidenceSampleView original ↗
  8. Effects of vegetarian diets on blood lipids: a systematic review and meta-analysis of randomized controlled trials

    Fenglei Wang, Jusheng Zheng, Bo Yang et al. (2015). Journal of the American Heart Association.

    Meta AnalysisRandomised Controlled TrialModerate evidenceSampleView original ↗
  9. How prevalent is vitamin B12 deficiency among vegetarians?

    Roman Pawlak, Scott Parrott, Sudha Raj et al. (2013). Nutrition Reviews.

    Systematic ReviewSystematic ReviewStrong evidenceSampleView original ↗
  10. Dietary protein and amino acids in vegetarian diets: a review

    François Mariotti, Christopher Gardner (2019). Nutrients.

    Peer Reviewed StudyReviewModerate evidenceSampleView original ↗
  11. Reducing climate impacts of beef production: a synthesis of life cycle assessments across management systems and global regions

    Daniela Cusack, et al. (2021). Global Change Biology.

    Peer Reviewed StudyMeta AnalysisModerate evidenceSampleView original ↗
  12. Grazed and Confused? Ruminating on cattle, grazing systems, methane, nitrous oxide, the soil carbon sequestration question

    Tara Garnett, Cécile Godde, et al. (2017). Food Climate Research Network, University of Oxford.

    ReportReviewModerate evidenceSampleView original ↗
  13. Aqueduct 4.0: Updated decision-relevant global water risk indicators

    Samantha Kuzma, Marlena Chertock Bierkens, Liz Saccoccia et al. (2023). WRI Technical Note.

    DatasetModellingModerate evidenceSampleView original ↗
  14. National life-cycle assessment panel for food products (placeholder record)

    Various national LCA studies (2024). Compiled by The Balance of Health.

    OtherLife Cycle AssessmentLimited evidenceSample
  15. National diet and food-balance surveys (placeholder record)

    FAO Food Balance Sheets, UK National Diet and Nutrition Survey, USDA Economic Research Service et al. (2024). Compiled by The Balance of Health.

    Government StatisticsCross SectionalModerate evidenceSampleView original ↗
  16. National dietary guidelines and fortification policies (placeholder record)

    UK Eatwell Guide, Dietary Guidelines for Americans 2020–2025, German Nutrition Society (DGE) et al. (2024). Compiled by The Balance of Health.

    Position StatementReviewModerate evidenceSample
  17. Farm animal welfare legislation by country (placeholder record)

    World Animal Protection Animal Protection Index, EU Directive 98/58/EC and species directives, UK Animal Welfare Act 2006 et al. (2024). Compiled by The Balance of Health.

    ReportReviewLimited evidenceSampleView original ↗
  18. FoodData Central

    US Department of Agriculture, Agricultural Research Service (2024). USDA.

    DatasetNot ApplicableStrong evidenceSampleView original ↗