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Accepted manuscript

Plant and animal protein intakes are differentially associated with diet quality and obesity: Findings from the Australian National Nutrition and Physical Activity Survey of Australian adults

Published online by Cambridge University Press:  27 March 2025

Hesti Retno Budi Arini*
Affiliation:
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3220, Australia
Rebecca M. Leech
Affiliation:
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3220, Australia
Sze-Yen Tan
Affiliation:
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3220, Australia
Sarah A. McNaughton
Affiliation:
School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3220, Australia Health and Well-Being Centre for Research Innovation, School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, QLD 4067, Australia
*
Corresponding author: Hesti Retno Budi Arini, Mailing address: School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood, Highway, Melbourne, Victoria 3225, Australia, Email address: [email protected], Phone number: (03) 9244 6100
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Abstract

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Dietary guidelines often combine plant and animal protein intake recommendations, yet some evidence suggests they may have distinct associations with diet quality and obesity. This study aimed to examine relationships between animal and plant protein intake, based on different protein classification approaches, and diet quality and obesity. Plant and animal protein contents of foods reported by 7637 adult participants aged ≥19 years during the 2011-12 Australian National Nutrition and Physical Activity Survey were estimated using Australian food composition databases. Usual animal, plant, and total protein intakes were estimated using Multiple Source Method. Diet quality was assessed using the 2013-Dietary Guidelines Index (DGI), and obesity measures included BMI and waist circumference (WC). Sex-stratified multiple linear and logistic regressions were performed and adjusted for potential confounders. Plant and animal protein intakes were positively associated with DGI scores [Plant protein: men, β=0.74(95%CI: 0.64, 0.85); women, β=0.78(0.67, 0.89); Animal protein: men, β=0.15(0.12, 0.18); women, β=0.26(0.22, 0.29)]. These associations were consistent when examining high-quality plant protein (i.e., high-protein-containing plant-based foods with comparable nutritional values to animal proteins) and non-dairy animal protein intakes. Plant protein intake was inversely associated with BMI and WC in men but not women. Animal protein intake was positively associated with BMI in men and women and WC in men only [β=0.04(0.02, 0.07)]. Plant protein intake was inversely associated with obesity [OR=0.97(0.96, 0.99)] and central obesity [OR=0.97(0.95, 0.98)] among men only. Further studies are needed to examine the influence of different animal protein sources by accounting for energy intake and sex-specific associations.

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society