DNA Damage Across Dietary Patterns: A Comet Assay Study in Vegans and Omnivores

Plant-based diets are generally associated with a reduced risk of chronic diseases; however, the relationship between a vegan diet and genome integrity remains insufficiently characterized. In this cross-sectional study, we assessed primary DNA damage in peripheral blood cells of vegans and omnivores. A total of 62 apparently healthy adults were included: 31 vegans (median vegan diet duration 4.5 years) and 31 omnivores matched for sex and smoking status. DNA damage was assessed using the alkaline comet assay under standardized conditions and expressed as tail intensity (% tail DNA), tail length, tail moment, and total comet area. Tail intensity was significantly higher in vegans than in omnivores (B = 1.98; 95% CI 0.19 to 3.76; p = 0.031) after adjustment for age, physical activity, body mass index (BMI), and alcohol consumption. Within the vegan group, longer duration of adherence to a vegan diet was positively associated with tail intensity, independent of age (B = 0.23; 95% CI 0.03 to 0.43; p = 0.026). These findings suggest that adherence to a vegan diet and its duration may be associated with higher levels of primary DNA damage; however, these results should be interpreted with caution given the observational design and modest sample size.