Adults on long-term strict raw-food diets often lost substantial weight, a quarter of women and about one in seven men were underweight, and about 30% of women under 45 reported partial to complete loss of menstruation, more often at very high raw-food shares.
Low certainty
Further research is likely to change this.Who this is about
adults following long-term raw-food diets (70-100% raw food)
Practical note
Evidence comes from a self-reported questionnaire in the German Giessen Raw Food Study (513 adults) and a small Berlin comparison of 16 strict raw food eaters with vegans and omnivores; both are cross-sectional, so cause cannot be separated from who chooses the diet.
Vegan note
Most raw-food diets in these studies were mainly or wholly plant-based, so the findings bear on raw vegan eating in particular.
Safety note
The study authors concluded that a very strict raw-food diet cannot be recommended long term. Underweight and loss of menstruation are reasons to seek advice from a doctor or dietitian.
Sources
- Supports “About 30% of the women under 45 years of age had partial to complete amenorrhea; subjects eating high amounts of raw food (>90%) were affected more frequently than moderate raw food dieters.” (Abstract, results) Koebnick C, Strassner C, Hoffmann I, Leitzmann C. 1999. Annals of Nutrition and Metabolism. Consequences of a long-term raw food diet on body weight and menstruation: results of a questionnaire survey. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine
- Supports “They had lower mean values of BMI and percentage of body fat than the respective RBVD participants.” (Abstract) Abraham K, Trefflich I, Gauch F, Weikert C. 2022. Nutrients. Nutritional Intake and Biomarker Status in Strict Raw Food Eaters. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine
- Context “Since many raw food dieters exhibited underweight and amenorrhea, a very strict raw food diet cannot be recommended on a long-term basis.” (Abstract, conclusions) Koebnick C, Strassner C, Hoffmann I, Leitzmann C. 1999. Annals of Nutrition and Metabolism. Consequences of a long-term raw food diet on body weight and menstruation: results of a questionnaire survey. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine