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Dairy vs Plant-Based Milk: Which Is Healthier?

How dairy and plant-based milks compare on nutrition, bioavailability and environmental impact.

Cover: Is dairy better? Is plant better? Comparing dairy and plant-based milk
Is dairy better? Is plant better? Comparing dairy and plant-based milk.

Plant-based milk has become a household staple in recent years, extending beyond vegans and those who are lactose intolerant. The most popular varieties include oat, coconut, almond, soya, hemp, rice and hazelnut milk. People may opt for plant-based milk for a number of reasons, including health concerns, environmental sustainability, ethical considerations, dietary intolerances or simply flavour preference.

Plant-based food alternatives, not only milk, are often perceived as the ‘healthier’ option due to their association with natural and whole ingredients compared with their non-plant-based counterparts. However, is this perception true, and how does their nutritional value differ from dairy milk?

Nutritional benefits of dairy milk

Dairy milk provides essential nutrients which support a healthy balanced diet, including energy and high-quality protein, along with a range of micronutrients. In particular, dairy consumption is associated with improved bone mineral density in children, which may reflect its provision of calcium, protein, vitamin D, potassium and phosphorus (Ramsing et al., 2023), making it a valuable dietary component.

Furthermore, dairy milk contains two main types of protein: whey and casein. Combined, these animal-based proteins provide all nine essential amino acids that our body requires to support tissue repair and muscle maintenance (Gil & Ortega, 2019). Casein can also help increase mineral absorption, which increases the nutritional efficiency of dairy milk (Gil & Ortega, 2019).

Additionally, dairy consumption has been linked to a reduced risk of high blood pressure, possibly due to its calcium, potassium and magnesium content (Gil & Ortega, 2019). Overall, dairy milk provides a convenient source of essential nutrients within a balanced diet with minimal processing involved.

Nutritional benefits of plant-based milks

The main concerns people may have when switching to plant-based milk are their level of processing, additives and their potential nutritional limitations compared with cow’s milk. However, classification as an ultra-processed food does not inherently mean a detriment to nutritional quality.

Processing enables the fortification of plant-based milks with essential macro- and micronutrients to help match their nutritional content to that of dairy milk. Most commonly added nutrients include vitamin A, vitamin D, calcium and vitamin B12 (Ramsing et al., 2023). Plant-based milks can still provide beneficial nutrients, including dietary fibre, antioxidants and unsaturated fats, although their nutritional composition varies depending on the base ingredient (Aydar et al., 2020; Pérez-Rodríguez et al., 2023). As a result, the overall nutrient profile, including protein and fat content, differs considerably between products, making it difficult to generalise the nutritional value of plant-based milks as a whole (Pérez-Rodríguez et al., 2023).

Why plant-based milks aren't necessarily the ‘healthier’ option

Despite the reputation of plant-based diets for promoting health and sustainability, several factors contribute to the nutritional limitations of plant-based milks compared with dairy milk.

An important limitation is the bioavailability of vitamins and minerals. Bioavailability refers to the proportion of a nutrient that the body can absorb and utilise. Although the plant ingredients used to produce these milks are often nutrient-rich and many plant milks are fortified, the bioavailability of some of these nutrients may be compromised by antinutrients (Aydar et al., 2020). Antinutrients are naturally occurring compounds, such as phytates and oxalates, which can interfere with the absorption and utilisation of essential nutrients, including calcium, iron and zinc (Aydar et al., 2020).

Many commercial plant-based milks also contain added sugars, flavourings or additives to improve palatability, extend shelf life and mimic textures and flavours of dairy milk (Pérez-Rodríguez et al., 2023). Added sugars help to replicate the naturally occurring sweetness of dairy milk, which can raise the free sugar content of the drink.

Furthermore, many plant-based milks contain less protein than dairy milk because they are often made from ingredients which naturally contain lower levels of protein and are diluted with water during production. Additionally, processing methods such as roasting can damage protein molecules which further reduces their digestibility and nutritional value (Aydar et al., 2020). However, not all plant milks are low in protein; soya milk, for example, has a similar protein content to cow’s milk (Aydar et al., 2020).

Sustainability qualities of plant-based milk

Regardless of nutritional value, plant-based milk remains the more environmentally sustainable option compared with dairy milk.

Dairy production has a considerably greater environmental impact than plant-based milk production for two main reasons: methane emissions and land use (Carlsson Kanyama et al., 2021). Cattle produce high volumes of methane, a greenhouse gas which contributes significantly to global warming. Additionally, extensive areas of land are required for cattle grazing and feed production. This land could otherwise support trees and other ecosystems, which can act as carbon sinks by absorbing carbon dioxide from the atmosphere. Dairy milk production is also highly water-intensive, for example approximately 628 litres of water are required per litre of milk compared with approximately 48 litres for oat milk production (Poore & Nemecek, 2018).

While the cultivation of crops for plant-based milks also requires land and produces greenhouse gas emissions, it is generally more resource-efficient and has an overall lower carbon footprint across the supply chain (Carlsson Kanyama et al., 2021). Therefore, the decision to opt for plant-based milk alternatives may be driven by factors other than health benefits, such as environmental impact.

Conclusions

Neither dairy milk nor plant-based milk can be considered the ‘healthier’ option.

Dairy milk has its advantages in terms of its naturally occurring nutritional content, particularly its high-quality protein and highly bioavailable vitamins and minerals. However, contemporary fortification and processing techniques allow many plant-based alternatives to achieve a nutritional profile which more closely resembles that of dairy milk.

While dairy milk may hold certain nutritional advantages, plant-based milks generally have a substantially lower environmental impact, requiring fewer resources and emitting fewer greenhouse gases.

However, consumers opting for plant-based milks should check nutrition labels, as nutrient content can differ between products. Selecting fortified varieties and ensuring key nutrients are acquired elsewhere in the diet can help to maintain nutritional adequacy.

Ultimately, the choice between dairy and plant-based milk is not simply a question of health, but also one of personal values, dietary needs and sustainability priorities.

Glossary

17 terms
Antinutrients
Naturally occurring plant compounds, such as phytates and oxalates, that can bind to minerals in the gut and reduce how much the body absorbs. Cooking, soaking, sprouting and fermentation can lower their effect.
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Bioavailability
The proportion of a nutrient that the body can actually absorb and use, rather than the amount present in a food.
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Carbon footprint
The total greenhouse gas emissions caused by making, moving and using a product, expressed as the equivalent amount of carbon dioxide.
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Carbon sink
An area such as a forest, soil or ocean that absorbs more carbon dioxide from the atmosphere than it releases.
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Casein
The main protein in cow’s milk, making up about 80% of its protein. It is digested more slowly than whey and binds minerals such as calcium and phosphorus.
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Dairy milk
Milk produced by mammals, in a nutrition context most commonly cow’s milk, used as a drink or as an ingredient.
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Essential amino acids
The nine amino acids the body cannot make for itself and must get from food. Together they are needed to build and repair body tissues.
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Fortification
The deliberate addition of nutrients to a food or drink to raise its nutritional value, for example adding calcium, vitamin D or vitamin B12 to plant-based milks.
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Free sugars
Sugars added to foods and drinks by the manufacturer, cook or consumer, plus sugars naturally present in honey, syrups and fruit juices. The lactose in plain milk is not counted as a free sugar.
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Lactose intolerance
Difficulty digesting lactose, the natural sugar in milk, because of low activity of the enzyme lactase. It can cause bloating, wind and diarrhoea after dairy, and is not the same as a milk allergy.
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Macronutrients
The three nutrients the body needs in large amounts for energy and structure: carbohydrate, protein and fat.
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Micronutrients
Vitamins and minerals the body needs in small amounts to work properly, such as calcium, iron, zinc and vitamin B12.
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Oxalates
Compounds found in some plants (such as spinach and almonds) that can bind to calcium in the gut and reduce its absorption.
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Phytates (phytic acid)
A storage form of phosphorus in seeds, grains, nuts and legumes. Phytates can bind to calcium, iron and zinc in the gut and reduce their absorption.
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Plant-based milk
A drink made from a plant source (such as oats, soya, almonds, coconut, rice, hemp or hazelnuts) blended with water, often with added nutrients, salt, oils and flavourings. Also called a plant-based beverage.
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Ultra-processed food
Under the NOVA food classification, industrial formulations typically made from substances extracted from foods and additives, with little or no whole food in them. Classification refers to how a food is made, not on its own to how nutritious it is.
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Whey protein
One of the two main proteins in cow’s milk. It separates from the solid curd during cheese-making and is quickly digested.
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References

  1. Aydar, E. F., Tutuncu, S., & Ozcelik, B. (2020). Plant-based milk substitutes: Bioactive compounds, conventional and novel processes, bioavailability studies, and health effects. Journal of Functional Foods, 70, Article 103975. https://doi.org/10.1016/j.jff.2020.103975
  2. Carlsson Kanyama, A., Hedin, B., & Katzeff, C. (2021). Differences in environmental impact between plant-based alternatives to dairy and dairy products: A systematic literature review. Sustainability, 13(22), Article 12599. https://doi.org/10.3390/su132212599
  3. Gil, Á., & Ortega, R. M. (2019). Introduction and executive summary of the supplement, role of milk and dairy products in health and prevention of noncommunicable chronic diseases: A series of systematic reviews. Advances in Nutrition, 10(Suppl. 2), S67–S73. https://doi.org/10.1093/advances/nmz020
  4. Pérez-Rodríguez, M. L., Serrano-Carretero, A., García-Herrera, P., Cámara-Hurtado, M., & Sánchez-Mata, M. C. (2023). Plant-based beverages as milk alternatives? Nutritional and functional approach through food labelling. Food Research International, 173, Article 113244. https://doi.org/10.1016/j.foodres.2023.113244
  5. Poore, J., & Nemecek, T. (2018). Reducing food’s environmental impacts through producers and consumers. Science, 360(6392), 987–992. https://doi.org/10.1126/science.aaq0216
  6. Ramsing, R., Santo, R., Kim, B. F., Altema-Johnson, D., Wooden, A., Chang, K. B., Semba, R. D., & Love, D. C. (2023). Dairy and plant-based milks: Implications for nutrition and planetary health. Current Environmental Health Reports, 10(3), 291–302. https://doi.org/10.1007/s40572-023-00400-z
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