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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.

Explore food footprints, nutrition and sources

Felt-unit conversion factors · Calculator assumptions and factors

How we rate evidence

Browse every statistic and download reviewed records

The state of every record

The site is being built ahead of its research database, and it says so on every number. A record is sample until someone has opened the original source and confirmed the figure, unit, geography and year; draft once that is done and a second read is outstanding; reviewed when it is signed off. These are the records we offer for citation. The comparison tool, the calculator and the country notes run on figures that state their source and their basis instead of a review status; they are documented on the food pages and in the calculator assumptions. What each state means.

RecordsTotalReviewedDraftSample
Sources3610026
Claims13607
Statistics6134027
Questions8008
Articles6006

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 (13)

Source records (72)

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 evidenceView 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 evidenceView original ↗
  3. FAOSTAT: Crops and livestock products — producing animals / slaughtered

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

    Government StatisticsCensusStrong evidenceView original ↗
  4. Soy

    Hannah Ritchie (2021). Our World in Data.

    ReportReviewModerate evidenceView 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 evidenceView original ↗
  6. Defining and assessing animal pain

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

    Peer Reviewed StudyReviewModerate evidenceView 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 evidenceView 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 evidenceView original ↗
  9. How prevalent is vitamin B12 deficiency among vegetarians?

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

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

    François Mariotti, Christopher Gardner (2019). Nutrients.

    Peer Reviewed StudyReviewModerate evidenceView 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 evidenceView 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 evidenceView original ↗
  13. Aqueduct 4.0: Updated decision-relevant global water risk indicators

    Samantha Kuzma, Marc F. P. Bierkens, Shivani Lakshman et al. (2023). WRI Technical Note.

    DatasetModellingModerate evidenceView original ↗
  14. National food LCA research index (legacy)

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

    OtherLife Cycle AssessmentLimited evidence
  15. National food supply research index (legacy)

    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 evidenceView original ↗
  16. National guidance research index (legacy)

    UK Eatwell Guide, German Nutrition Society (DGE), Nordic Nutrition Recommendations et al. (2024). Compiled by The Balance of Health.

    Position StatementReviewModerate evidence
  17. Farm animal welfare research index (legacy)

    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 evidenceView original ↗
  18. FoodData Central

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

    DatasetNot ApplicableStrong evidenceView original ↗
  19. Serum concentrations of vitamin B12 and folate in British male omnivores, vegetarians and vegans: EPIC-Oxford

    A. M. J. Gilsing et al. (2010). .

    Peer Reviewed StudyCross SectionalModerate evidenceView original ↗
  20. Food systems are responsible for a third of global anthropogenic GHG emissions

    Monica Crippa et al. (2021). .

    Peer Reviewed StudyModellingModerate evidenceView original ↗
  21. Vegans, vegetarians, fish-eaters and meat-eaters in the UK show discrepant environmental impacts

    Peter Scarborough et al. (2023). .

    Peer Reviewed StudyCohortModerate evidenceView original ↗
  22. Greenhouse gas emissions from the EU livestock sector: A life cycle assessment carried out with the CAPRI model

    Franz Weiss and Adrian Leip (2012). .

    Peer Reviewed StudyLife Cycle AssessmentModerate evidenceView original ↗
  23. Environmental footprints of beef cattle production in the United States

    C. Alan Rotz et al. (2019). .

    Peer Reviewed StudyLife Cycle AssessmentModerate evidenceView original ↗
  24. Including carbon emissions from deforestation in the carbon footprint of Brazilian beef

    Christel Cederberg et al. (2011). .

    Peer Reviewed StudyLife Cycle AssessmentModerate evidenceView original ↗
  25. Estimating global numbers of farmed fishes killed for food annually from 1990 to 2019

    Alison Mood, Elena Lara, Natasha Boyland and Phil Brooke (2023). .

    Peer Reviewed StudyModellingModerate evidenceView original ↗
  26. Estimating the number of fish caught in global fishing each year

    Alison Mood and Phil Brooke, Fishcount (2020). .

    ReportReviewModerate evidenceView original ↗
  27. Vegetarian Dietary Patterns for Adults: A Position Paper of the Academy of Nutrition and Dietetics

    Academy of Nutrition and Dietetics (2025). .

    Position StatementReviewModerate evidenceView original ↗
  28. Vegan diet and nutritional status in infants, children and adolescents

    ESPGHAN Nutrition Committee (2025). .

    Peer Reviewed StudySystematic ReviewModerate evidenceView original ↗
  29. FAOSTAT Food Balance Sheets

    Food and Agriculture Organization of the United Nations (2026). .

    Government StatisticsNot ApplicableModerate evidenceView original ↗
  30. Australian Dietary Guidelines

    NHMRC (2013). .

    ReportReviewModerate evidenceView original ↗
  31. Mandatory food fortification

    Food Standards Australia New Zealand (2009). .

    ReportReviewModerate evidenceView original ↗
  32. Australian Animal Welfare Standards and Guidelines for Poultry

    Australian Government Department of Agriculture (2023). .

    ReportReviewModerate evidenceView original ↗
  33. Export Control Amendment (Ending Live Sheep Exports by Sea) Act 2024

    Australian Parliament (2024). .

    ReportReviewModerate evidenceView original ↗
  34. Dietary Guidelines for the Brazilian Population

    Brazil Ministry of Health (2014). .

    ReportReviewModerate evidenceView original ↗
  35. Law 9,605/1998, Article 32

    Brazil Presidency (1998). .

    ReportReviewModerate evidenceView original ↗
  36. Dietary Guidelines for Chinese Residents

    Chinese Nutrition Society (2022). .

    ReportReviewModerate evidenceView original ↗
  37. Guideline: Fortification of food-grade salt with iodine

    World Health Organization (2014). .

    ReportReviewModerate evidenceView original ↗
  38. Animal Protection Index: China

    World Animal Protection (2020). .

    ReportReviewModerate evidenceView original ↗
  39. DGE position on a vegan diet

    German Nutrition Society (2024). .

    ReportReviewModerate evidenceView original ↗
  40. Nordic Nutrition Recommendations 2023

    Nordic Council of Ministers (2023). .

    ReportReviewModerate evidenceView original ↗
  41. The Eatwell Guide

    Public Health England (2016). .

    ReportReviewModerate evidenceView original ↗
  42. Bread and flour: labelling and composition

    UK Government (2024). .

    ReportReviewModerate evidenceView original ↗
  43. Council Directive 1999/74/EC: laying hens

    Council of the European Union (1999). .

    ReportReviewModerate evidenceView original ↗
  44. Council Directive 2008/120/EC: pigs

    Council of the European Union (2008). .

    ReportReviewModerate evidenceView original ↗
  45. Dietary Guidelines for Indians

    ICMR-NIN (2024). .

    ReportReviewModerate evidenceView original ↗
  46. Japanese Food Guide Spinning Top

    MHLW and MAFF (2005). .

    ReportReviewModerate evidenceView original ↗
  47. Act on Welfare and Management of Animals

    Japan Ministry of the Environment (1973). .

    ReportReviewModerate evidenceView original ↗
  48. Dietary Guidelines for Americans, 2020–2025

    USDA and HHS (2020). .

    ReportReviewModerate evidenceView original ↗
  49. 21 CFR 137.165: Enriched flour

    US Food and Drug Administration (1996). .

    ReportReviewModerate evidenceView original ↗
  50. Farm Animal Confinement Bans

    ASPCA (2026). .

    ReportReviewModerate evidenceView original ↗
  51. Vegetarian, vegan and plant-based diet

    British Dietetic Association (2025). .

    ReportReviewModerate evidenceView original ↗
  52. ECI End the Cage Age

    European Commission (2026). .

    ReportReviewModerate evidenceView original ↗
  53. Cabinet approves continuation of universal supply of fortified rice

    Press Information Bureau, Government of India (2024). .

    ReportReviewModerate evidenceView original ↗
  54. Rules of Tennis: dimensions of the court

    (2024). International Tennis Federation.

    Position StatementNot ApplicableStrong evidenceView original ↗
  55. Laws of the Game: the field of play

    (2024). International Football Association Board.

    Position StatementNot ApplicableStrong evidenceView original ↗
  56. UK government greenhouse gas reporting: conversion factors

    (2024). Department for Energy Security and Net Zero.

    Government StatisticsNot ApplicableStrong evidenceView original ↗
  57. At Home with Water

    (2013). Energy Saving Trust.

    ReportCross SectionalModerate evidenceView original ↗
  58. Family Food: UK household purchases

    (2024). Department for Environment, Food and Rural Affairs.

    Government StatisticsCross SectionalModerate evidenceView original ↗
  59. Impact of increasing vegetarian availability on meal selection and sales in cafeterias

    Emma S. Garnett, Andrew Balmford, Chris Sandbrook et al. (2019). Proceedings of the National Academy of Sciences.

    Peer Reviewed StudyRandomised Controlled TrialStrong evidenceView original ↗
  60. Increasing vegetarian availability in a French university restaurant

    (2023). French university catering research group.

    Peer Reviewed StudyRandomised Controlled TrialModerate evidence
  61. It's not easy eating green: the language of sustainable diets

    (2020). World Resources Institute, Better Buying Lab.

    ReportRandomised Controlled TrialModerate evidenceView original ↗
  62. Increasing vegetable intake by emphasizing tasty and enjoyable attributes

    Bradley P. Turnwald, Alia J. Crum (2019). Psychological Science.

    Peer Reviewed StudyRandomised Controlled TrialModerate evidence
  63. Nudging towards plant-based main dishes in a university restaurant

    (2022). University research group.

    Peer Reviewed StudyRandomised Controlled TrialModerate evidence
  64. Dynamic norms promote sustainable behavior, even if it is counternormative

    Gregg Sparkman, Gregory M. Walton (2017). Psychological Science.

    Peer Reviewed StudyRandomised Controlled TrialModerate evidenceView original ↗