NCT06669819

Brief Summary

The main goals of the exploratory, cross-sectional survey among vegans are to reveal influencing factors, sources of information gathering, reasons for choosing certain dietary supplements of pregnant vegans and parents, difficulties in administering dietary supplements to children, and the compliance of dietary supplements of vegans, because there is no data available yet. Results serve as a starting point for comprehensive information provision for surveyed vegans and provide insight into the nutritional knowledge of vegans. The advisory role of the medical experts is essential to provide vegans with reliable information on a balanced vegan diet and dietary supplements. The opinion of medical experts has a decisive influence on the health of vegans. For this reason the content of their advice will be assessed. The main questions the study aims to answer are: Do vegan pregnant women and parents know about possible nutrient deficiencies during pregnancy and childhood and who do they turn to for information about nutritional supplements? What is the quality of the information received?

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2023

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

October 28, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 1, 2024

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

April 1, 2025

Status Verified

October 1, 2024

Enrollment Period

1.8 years

First QC Date

October 28, 2024

Last Update Submit

March 26, 2025

Conditions

Keywords

veganpregnancypregnantchildhooddietary supplementsparentsmedical expertspaediatriciangynaecologistgeneral practitionerpharmacistdietician

Outcome Measures

Primary Outcomes (3)

  • Determination of main influencing factors that affect vegans regarding their diet during pregnancy and when feeding their vegan children (up to an age of 5 years)

    Influence by medical experts or other influences (social environment, Internet and Social Media, magazines etc.) concerning the decision for or against a vegan diet should be clarified. Depending on the source of information, possible risks of a vegan diet during pregnancy, infancy and early childhood can be misjudged.

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

  • Identify sources of information for vegans on dietary supplements, as a reason for approval or rejection of dietary supplements (during pregnancy, infancy and early childhood) - trustworthiness by ranking

    It should be determined which information on dietary supplements (during pregnancy, infancy and early childhood) is used and whether this information appears trustworthy or causes uncertainty. Information received affects selection, intake, or avoidance of certain dietary supplements. The health impact of selected sources of information on dietary supplements can be made visible. Medical expert advice and other opinion-forming aspects (social environment, Internet and Social Media, magazines etc.) should be ranked according to their relevance. The main source of information should be identified. This can be an important approach for the improvement of information supply on dietary supplements in the vegan diet and for minimizing risks preventively. By recognizing the source of information that is classified as the most important for vegans, the main causes of frequent inadequacies in the supply of information can be identified and positively changed.

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

  • Viewpoints and general knowledge of medical experts about a vegan diet and dietary supplements (for a vegan pregnancy, infancy and early childhood) should be established

    The impact of expert opinion and knowledge on the vegan diet regarding their advice on dietary supplements for vegans (during vegan pregnancy, infancy and early childhood) should be clarified. Statistically evaluated results of the survey should allow conclusions about the influence of information supply by medical experts on nutrient supply, of vegan pregnant women and growing children (up to an age of 5 years). A possible misinterpretation of the health risk of a vegan diet during pregnancy, infancy and early childhood due to insufficient knowledge of dietary supplements could increase health risks. A negative basic attitude towards a vegan diet influences the relationship of trust between vegans and their physicians. If there is no advice on dietary supplements, health risks can increase.

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

Secondary Outcomes (3)

  • Determination of the level of knowledge of vegans on dietary supplements, nutrient deficiency risks and incorrect dosing of dietary supplements during pregnancy, infancy and early childhood (up to an age of 5 years)

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

  • Definition and effectiveness as well as health and health optimization through dietary supplements from a vegan perspective

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

  • Determination of compliance with dietary supplements (DS) during pregnancy, infancy and early childhood as well as the consequences of administration difficulties to vegan children (up to an age of 5 years)

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

Other Outcomes (1)

  • Investigate if gender-specific and socio-demographic differences within the researched group of vegans exist

    The assessment of the study will take place approximately 24 months after participation of vegans/medical experts in the survey

Study Arms (2)

vegan pregnant women and vegan parents

medical experts

paediatricians, gynaecologists, general practitioners, pharmacists, dieticians

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Planned sample size for surveyed vegans: About 0.5-1% of the Austrian population follows a vegan diet (estimated - currently no exact numbers exist - source: vegan society Austria). In 2022, 82,198 children were born in Austria (Statistik Austria). In 5 years, around 400,000 children will be born in Austria - if 0.5-1% of them have parents that follow a vegan diet and are therefore also fed vegan, this results in an estimated number of 2000-4000 children and vegan parents. 25% of these should be reached with the survey. This corresponds to a planned sample size of 500-1000 vegans. Planned sample size for surveyed medical experts: Based on other scientific surveys in which physicians were included, we aim for 50-60 participants per expert group (paediatricians, gynaecologists, general practitioners, pharmacists, dieticians) for the questionnaire (see references: Vilette et al, 2022; Bardheci et al, 2021; Hamiel et al, 2020).

You may qualify if:

  • A. For vegans:
  • Females/gender-diverse participants (ages 18 and over) who follow/followed a vegan diet during their pregnancy/pregnancies (If there is/was more than one pregnancy, at least during one of their pregnancies)
  • Parents (females/males/gender-diverse - ages 18 and over) who feed/fed their child/children (If there is more than one child, at least one of them) a vegan diet within the age of 0-5 years
  • Vegan mothers/gender-diverse participants (ages 18 and over) who breastfeed/breastfed their infant(s)/child(ren). Answering questions regarding their infant(s)/child(ren) up to an age of 5 years will be included
  • B. For medical experts:
  • Gynaecologists, paediatricians, general practitioners, pharmacists, dieticians with or without a consulting focus on vegans
  • Confirmation of the participant information/written consent

You may not qualify if:

  • A. For vegans:
  • Females/gender-diverse participants who change/changed their vegan diet (eat/ate a vegetarian or omnivorous diet) during their pregnancy/pregnancies
  • B. For medical experts:
  • All participants have do understand the German language in order to answer the questionnaire.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Vienna - Department of Nutritional Sciences

Vienna, Austria, 1090, Austria

RECRUITING

Related Publications (25)

  • Amit M. Vegetarian diets in children and adolescents. Paediatr Child Health. 2010 May;15(5):303-14.

    PMID: 21532796BACKGROUND
  • Avnon T, Paz Dubinsky E, Lavie I, Ben-Mayor Bashi T, Anbar R, Yogev Y. The impact of a vegan diet on pregnancy outcomes. J Perinatol. 2021 May;41(5):1129-1133. doi: 10.1038/s41372-020-00804-x. Epub 2020 Sep 1.

    PMID: 32873905BACKGROUND
  • Baldassarre ME, Panza R, Farella I, Posa D, Capozza M, Mauro AD, Laforgia N. Vegetarian and Vegan Weaning of the Infant: How Common and How Evidence-Based? A Population-Based Survey and Narrative Review. Int J Environ Res Public Health. 2020 Jul 5;17(13):4835. doi: 10.3390/ijerph17134835.

    PMID: 32635592BACKGROUND
  • Bardheci K, Jager L, Risch L, Rosemann T, Burgstaller JM, Markun S. Testing and Prescribing Vitamin B12 in Swiss General Practice: A Survey among Physicians. Nutrients. 2021 Jul 29;13(8):2610. doi: 10.3390/nu13082610.

    PMID: 34444770BACKGROUND
  • Baroni L, Goggi S, Battaglino R, Berveglieri M, Fasan I, Filippin D, Griffith P, Rizzo G, Tomasini C, Tosatti MA, Battino MA. Vegan Nutrition for Mothers and Children: Practical Tools for Healthcare Providers. Nutrients. 2018 Dec 20;11(1):5. doi: 10.3390/nu11010005.

    PMID: 30577451BACKGROUND
  • Bivi D, Di Chio T, Geri F, Morganti R, Goggi S, Baroni L, Mumolo MG, de Bortoli N, Peroni DG, Marchi S, Bellini M. Raising Children on a Vegan Diet: Parents' Opinion on Problems in Everyday Life. Nutrients. 2021 May 25;13(6):1796. doi: 10.3390/nu13061796.

    PMID: 34070399BACKGROUND
  • Brown B, Wright C. Safety and efficacy of supplements in pregnancy. Nutr Rev. 2020 Oct 1;78(10):813-826. doi: 10.1093/nutrit/nuz101.

    PMID: 31925443BACKGROUND
  • Chouraqui JP. Risk Assessment of Micronutrients Deficiency in Vegetarian or Vegan Children: Not So Obvious. Nutrients. 2023 Apr 28;15(9):2129. doi: 10.3390/nu15092129.

    PMID: 37432244BACKGROUND
  • Hamiel U, Landau N, Eshel Fuhrer A, Shalem T, Goldman M. The Knowledge and Attitudes of Pediatricians in Israel Towards Vegetarianism. J Pediatr Gastroenterol Nutr. 2020 Jul;71(1):119-124. doi: 10.1097/MPG.0000000000002721.

    PMID: 32304543BACKGROUND
  • Hay G, Fadnes L, Meltzer HM, Arnesen EK, Henriksen C. Follow-up of pregnant women, breastfeeding mothers and infants on a vegetarian or vegan diet. Tidsskr Nor Laegeforen. 2022 Apr 27;142(7). doi: 10.4045/tidsskr.21.0847. Print 2022 May 3. No abstract available. English, Norwegian.

    PMID: 35510463BACKGROUND
  • Hovinen T, Korkalo L, Freese R, Skaffari E, Isohanni P, Niemi M, Nevalainen J, Gylling H, Zamboni N, Erkkola M, Suomalainen A. Vegan diet in young children remodels metabolism and challenges the statuses of essential nutrients. EMBO Mol Med. 2021 Feb 5;13(2):e13492. doi: 10.15252/emmm.202013492. Epub 2021 Jan 20.

    PMID: 33471422BACKGROUND
  • Koebnick C, Hoffmann I, Dagnelie PC, Heins UA, Wickramasinghe SN, Ratnayaka ID, Gruendel S, Lindemans J, Leitzmann C. Long-term ovo-lacto vegetarian diet impairs vitamin B-12 status in pregnant women. J Nutr. 2004 Dec;134(12):3319-26. doi: 10.1093/jn/134.12.3319.

    PMID: 15570032BACKGROUND
  • Kiely ME. Risks and benefits of vegan and vegetarian diets in children. Proc Nutr Soc. 2021 May;80(2):159-164. doi: 10.1017/S002966512100001X. Epub 2021 Jan 28.

    PMID: 33504371BACKGROUND
  • Kostecka M, Kostecka J, Jackowska I, Ilowiecka K. Parental Nutritional Knowledge and Type of Diet as the Key Factors Influencing the Safety of Vegetarian Diets for Children Aged 12-36 Months. Nutrients. 2023 May 9;15(10):2244. doi: 10.3390/nu15102244.

    PMID: 37242126BACKGROUND
  • Lemale J, Mas E, Jung C, Bellaiche M, Tounian P; French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Vegan diet in children and adolescents. Recommendations from the French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr. 2019 Oct;26(7):442-450. doi: 10.1016/j.arcped.2019.09.001. Epub 2019 Oct 12.

    PMID: 31615715BACKGROUND
  • Malek PhD L, Umberger PhD WJ, Makrides PhD M, Collins PhD CT, Zhou PhD SJ. Understanding motivations for dietary supplementation during pregnancy: A focus group study. Midwifery. 2018 Feb;57:59-68. doi: 10.1016/j.midw.2017.11.004. Epub 2017 Nov 26.

    PMID: 29223041BACKGROUND
  • Sandoval Leiva T, Munoz Y, Tabilo Aguirre L, Estay Castillo P. [Vitamin B12, fatty acids EPA and DHA during pregnancy and lactation in women with a plant-based diet]. Nutr Hosp. 2024 Oct 31;41(5):1098-1104. doi: 10.20960/nh.05120. Spanish.

    PMID: 38896115BACKGROUND
  • Nyaradi A, Li J, Hickling S, Foster J, Oddy WH. The role of nutrition in children's neurocognitive development, from pregnancy through childhood. Front Hum Neurosci. 2013 Mar 26;7:97. doi: 10.3389/fnhum.2013.00097. eCollection 2013.

    PMID: 23532379BACKGROUND
  • Palma O, Jallah JK, Mahakalkar MG, Mendhe DM. The Effects of Vegan Diet on Fetus and Maternal Health: A Review. Cureus. 2023 Oct 30;15(10):e47971. doi: 10.7759/cureus.47971. eCollection 2023 Oct.

    PMID: 38034264BACKGROUND
  • Pawlak R. To vegan or not to vegan when pregnant, lactating or feeding young children. Eur J Clin Nutr. 2017 Nov;71(11):1259-1262. doi: 10.1038/ejcn.2017.111. Epub 2017 Jul 26. No abstract available.

    PMID: 28745335BACKGROUND
  • Pawlak R, Vos P, Shahab-Ferdows S, Hampel D, Allen LH, Perrin MT. Vitamin B-12 content in breast milk of vegan, vegetarian, and nonvegetarian lactating women in the United States. Am J Clin Nutr. 2018 Sep 1;108(3):525-531. doi: 10.1093/ajcn/nqy104.

    PMID: 29931273BACKGROUND
  • Piccoli GB, Clari R, Vigotti FN, Leone F, Attini R, Cabiddu G, Mauro G, Castelluccia N, Colombi N, Capizzi I, Pani A, Todros T, Avagnina P. Vegan-vegetarian diets in pregnancy: danger or panacea? A systematic narrative review. BJOG. 2015 Apr;122(5):623-33. doi: 10.1111/1471-0528.13280. Epub 2015 Jan 20.

    PMID: 25600902BACKGROUND
  • Sebastiani G, Herranz Barbero A, Borras-Novell C, Alsina Casanova M, Aldecoa-Bilbao V, Andreu-Fernandez V, Pascual Tutusaus M, Ferrero Martinez S, Gomez Roig MD, Garcia-Algar O. The Effects of Vegetarian and Vegan Diet during Pregnancy on the Health of Mothers and Offspring. Nutrients. 2019 Mar 6;11(3):557. doi: 10.3390/nu11030557.

    PMID: 30845641BACKGROUND
  • Simeone G, Bergamini M, Verga MC, Cuomo B, D'Antonio G, Iacono ID, Mauro DD, Mauro FD, Mauro GD, Leonardi L, Miniello VL, Palma F, Scotese I, Tezza G, Vania A, Caroli M. Do Vegetarian Diets Provide Adequate Nutrient Intake during Complementary Feeding? A Systematic Review. Nutrients. 2022 Aug 31;14(17):3591. doi: 10.3390/nu14173591.

    PMID: 36079848BACKGROUND
  • Villette C, Vasseur P, Lapidus N, Debin M, Hanslik T, Blanchon T, Steichen O, Rossignol L. Vegetarian and Vegan Diets: Beliefs and Attitudes of General Practitioners and Pediatricians in France. Nutrients. 2022 Jul 28;14(15):3101. doi: 10.3390/nu14153101.

    PMID: 35956277BACKGROUND

Related Links

Study Officials

  • Wolfgang Huber-Schneider

    University of Vienna

    PRINCIPAL INVESTIGATOR
  • Karl-Heinz Wagner

    University of Vienna

    STUDY DIRECTOR
  • Ingrid Kiefer

    Austrian Agency for Health and Food Safety GmbH - AGES

    STUDY DIRECTOR

Central Study Contacts

Wolfgang Huber-Schneider

CONTACT

Karl-Heinz Wagner

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
PhD Student

Study Record Dates

First Submitted

October 28, 2024

First Posted

November 1, 2024

Study Start

October 1, 2023

Primary Completion

July 31, 2025

Study Completion

December 1, 2025

Last Updated

April 1, 2025

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

Locations