Sepsis & infection

Plant-Based Diet and Risk of Sepsis: A 16-Year Follow-Up Study

Crit Care MedPublished Prospective cohort study

Authors' conclusion

Adherence to a healthy plant-based diet was associated with a lower risk of sepsis, whereas adherence to an unhealthy plant-based diet was associated with an increased risk, independently of other traditional risk factors.

Study context

Population
UK Biobank participants4,031 incident sepsis cases
Participants
180,442 participants
Exposure
Greater vs lower adherence to plant-based diet indices
Outcome
Risk of sepsis
Follow-up
Median 13 years
Methodological detailslarge-scale, UK Biobank, multivariable-adjusted Cox regression
  • Large-scale
  • UK Biobank
  • Multivariable-adjusted Cox regression

Main finding

As reported in the abstract

Greater adherence; multivariable-adjusted
Hazard ratio (95% CI)P value
PDI
0.87(0.79–0.96)
P = 0.003for trend
hPDI
0.84(0.77–0.93)
P < 0.001for trend
uPDI
1.15(1.05–1.27)
P < 0.001for trend

Observational data: associations, not effects.

Further findings

Stratified and sensitivity analyses

Associations generally consistent across stratified and sensitivity analyses

Mediation via metabolic and inflammatory biomarkers (incl. BMI, C-reactive protein)

Proportion of hPDI–sepsis association mediated
2.5-31.6%
Proportion of uPDI–sepsis association mediated
1.7-13.7%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Plant-Based Diet and Risk of Sepsis: A 16-Year Follow-Up Study. Crit Care Med. Published 1 June 2026. doi:10.1097/ccm.0000000000007165

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