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. 2022 Oct 31;11:e93. doi: 10.1017/jns.2022.93

Table 4.

Observational studies investigating DAL scores in plant-based cohorts

Study (year) Location Participants Results Comments
Deriemaeker et al.(133) Belgium n 60 participants, thereof n 30 vegetarians and n 30 non-vegetarians matched for age, sex and BMI
  • PRALR: −10⋅9 ± 19⋅7 in vegetarians and 13⋅8 ± 17⋅1 in non-vegetarians

  • NEAPR: 31⋅4 ± 21⋅4 in vegetarians and 56⋅4 ± 21⋅2 in non-vegetarians

  • NEAPF was not determined as part of the study

Ströhle et al.(23) Germany n 154 participants, thereof n 56 moderate vegans and n 98 strict vegans. All participants were non-obese, non-smoking adults aged 19–50 years
  • PRALR: −39⋅0 ± 29⋅0 in strict vegans and −46⋅5 ± 29⋅6 in moderate vegans

  • NEAPF: 16⋅3 ± 6⋅73 in strict vegans and −12⋅6 ± 7⋅46 in moderate vegans

  • NEAPR: 2⋅41 ± 29⋅3 in strict vegans and −6⋅19 ± 30⋅01 in moderate vegans

  • Secondary data analysis from the German Vegan Study

  • Calcium was not included in the algorithm

Knurick et al.(134) United States of America n 82 participants, thereof n 27 meat eaters, n 27 lacto-ovo-vegetarians and n 28 vegans. All participants were non-obese, non-smoking adults aged 19–50 years with at least 1 year of dietary adherence
  • PRALR: −15⋅2 ± 40⋅5 in vegans, −1⋅5 ± 23⋅9 in vegetarians and 19⋅6 ± 24⋅3 in omnivores

  • NEAPF and NEAPR were not determined as part of the study

Storz et al.(12) United States of America n 191 self-perceived lacto-ovo-vegetarians aged 18 years or older
  • PRALR: −0⋅44 (−12⋅19 to 11⋅01)

  • NEAPF: 39⋅60 (31⋅48 to 52⋅07)

  • NEAPR: 41⋅30 (28⋅63 to 52⋅49)

  • Secondary data analysis using data from the National Health and Nutrition Examination Surveys

DAL, dietary acid load; NEAP, net endogenous acid production; PRAL, potential renal acid load.