A Mixed Methods Evaluation of a Whole Food Plant-Based Nutrition Program for Medical Students
Highlights
- Diet-related chronic diseases, particularly cardiovascular disease and obesity, represent a leading and growing public health burden that is strongly influenced by modifiable dietary behaviors.
- Inadequate nutrition education among future physicians limits the healthcare system’s capacity to deliver effective, prevention-focused dietary counseling at the population level.
- This study demonstrates that a short, whole food, plant-based (WFPB) nutrition intervention can significantly improve nutrition knowledge, attitudes, and readiness for lifestyle counseling among medical students.
- By strengthening physicians’ nutrition literacy and confidence early in training, this intervention addresses a critical upstream determinant of preventive care quality and chronic disease management.
- Experiential, community-partnered nutrition programs may represent a scalable, low-cost strategy to enhance preventive health competencies within medical education and the broader healthcare workforce.
- Policymakers and educators should consider integrating practical, lifestyle-focused nutrition training into medical curricula to support long-term chronic disease prevention and health equity.
Abstract
1. Introduction
2. Materials and Methods
2.1. Program Overview
2.2. Participant Recruitment
2.3. Interview-Based Data Collection
2.4. Pre- and Post-Program Knowledge Assessment
2.5. Post-Intervention Survey on Attitudes and Perceptions
3. Results
3.1. Interviews
3.2. Nutrition Knowledge Assessment
3.3. Survey
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| WFPB | Whole food, plant-based |
| LDL | Low-density lipoprotein |
Appendix A
- “Did you enjoy the plant plunge?”
- “What did you enjoy about it?”
- “What did you learn about heart-healthy diets from the plant plunge?”
- “How were your thoughts on whole food plant-based diet and other heart-healthy diets changed after the Plant Plunge?”
- “What do you think about the importance of nutrition education in medical school?”
- “What changes would you make to nutrition education in medical school curriculum?”
- “How will you implement nutrition into your future practice?”
Appendix B
- Which of the following diets has been shown to significantly lower LDL cholesterol and reduce the risk of cardiovascular disease?
- 2.
- What percentage of cardiovascular disease cases are estimated to be preventable through lifestyle changes?
- 3.
- Which of the following is NOT a benefit of a low-fat plant-based diet for heart health?
- 4.
- Which dietary component has been most strongly linked to increased CVD risk?
- 5.
- How does excess sodium intake increase cardiovascular risk?
- 6.
- What effect does a low-fat plant-based diet have on endothelial function?
- 7.
- Which of the following has the greatest impact on reducing cardiovascular disease risk?
- 8.
- Which factor contributes most to the development of metabolic syndrome, a major risk factor for cardiovascular disease?
- 9.
- Which of the following nutrients indicates that a food contains animal products?
- 10.
- Which of the following types of food is most useful for feeling full while consuming fewer calories?
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| Theme | Definition | Example Quotes |
|---|---|---|
| Improved Physical Health Outcomes | Participants experienced tangible health improvements such as weight loss, improved digestion, and better lab values. | “I was able to drop my LDL in half, so I’m really, I was really excited about that. And just like overall, I just felt like better in general.” “I did find in this process that I’m not worried about my cholesterol. I’m not worried about my triglycerides. My blood pressure is great.” “I noticed, especially when I got my lab values back, that my cholesterol and a lot of those bad values that were kind of high before went down in just four weeks, which I thought was really interesting because being in my 20s, I didn’t really think about my blood work that much and kind of assumed that I was living a pretty healthy lifestyle.” |
| Increased Awareness of Nutrition’s Role in Medicine | Students gained insight into how nutrition directly connects to patient care and the practice of medicine. | “It doesn’t matter how many hours we spend learning these drugs, like statins, to improve our blood and our cardiovascular system if we cannot take care of the diet.” “I think that nutrition education is really important in medical school. I think the potential benefits of a plant-focused, or at least a minimal meat-consuming diet, are really significant.” |
| Feasibility and Accessibility of Plant-Based Diets | Participants found plant-based eating to be easier and more sustainable than expected, often noting available alternatives. | “It’s a lot easier than I thought it would be to like make those changes and still enjoy food.” “It was my first time committing to eating fully vegan for a few weeks, so I was a bit intimidated by it at first, but as soon as I started, I realized how feasible it was. And we learned from Chickpea and Bean that it can still be affordable and you can still eat foods that taste good and that fuel your body.” “Nowadays there’s so many alternative options for you know if you’re trying to eat vegetarian or vegan there’s a lot of options these days. So I didn’t find it as challenging as I thought it was going to be.” |
| Personal Empowerment and Behavioral Change | Students described feeling motivated to continue plant-based eating and apply these habits long-term. | “To see that change in four weeks definitely is going to affect how I eat on the regular and kind of trying to implement plant-based food in my life.” “I hope that, you know, we continue this plant based, plant based initiative so that, you know, we could continue lowering our LDL levels, decreasing our, decreasing our blood pressure and making sure, you know, making sure that our blood glucose levels are, are within range so that we don’t develop type two diabetes.” |
| Educational Value of the Seminars | Seminars were appreciated for being informative, accessible, and relevant to both personal and professional growth. | “I learned how like it’s like shifting more towards a plant-based diet is important, especially if you have a family history of like, you know, type 2 diabetes, hypertension, hyperlipidemia.” “The info sessions were really enjoyable, and I learned a lot from the sessions.” “I also learned a bit more about healthy fats versus unhealthy fats and how you can change, you know, the composition of the fats in your diet. It does make a difference.” |
| Positive Social Engagement and Peer Support | Participants valued the communal nature of the program, bonding with peers and feeling supported by classmates. | “Connecting with other classmates and seeing how they’ve been progressing throughout the four weeks and seeing all their improvement has really made me happy and has really inspired me.” “The info sessions were really enjoyable with my classmates, and I learned a lot from the sessions, even though it wasn’t too intense.” |
| Relevance to Future Clinical Practice | Students recognized the long-term applicability of plant-based knowledge to their role as future physicians. | “I can definitely use a lot of information with my patients going forward and trying to help them have better lifestyles and better diets.” “In terms of nutrition education, I do think it’s crucial, especially in medical school, since I will be joining the workforce and helping future patients navigate their diets.” “It was really cool for us to learn about how eating a plant-based diet can really lower your risk of chronic disease or if you have chronic disease it can really help with your symptoms. So I think moving forward just having this knowledge is really helpful for us so that we can help our future patients.” |
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Share and Cite
Metzger, T.; Sukhon, D.; Fisher, S.; Hossain, Z.; Uhley, V. A Mixed Methods Evaluation of a Whole Food Plant-Based Nutrition Program for Medical Students. Int. J. Environ. Res. Public Health 2026, 23, 194. https://doi.org/10.3390/ijerph23020194
Metzger T, Sukhon D, Fisher S, Hossain Z, Uhley V. A Mixed Methods Evaluation of a Whole Food Plant-Based Nutrition Program for Medical Students. International Journal of Environmental Research and Public Health. 2026; 23(2):194. https://doi.org/10.3390/ijerph23020194
Chicago/Turabian StyleMetzger, Tai, Deena Sukhon, Sophie Fisher, Zaheen Hossain, and Virginia Uhley. 2026. "A Mixed Methods Evaluation of a Whole Food Plant-Based Nutrition Program for Medical Students" International Journal of Environmental Research and Public Health 23, no. 2: 194. https://doi.org/10.3390/ijerph23020194
APA StyleMetzger, T., Sukhon, D., Fisher, S., Hossain, Z., & Uhley, V. (2026). A Mixed Methods Evaluation of a Whole Food Plant-Based Nutrition Program for Medical Students. International Journal of Environmental Research and Public Health, 23(2), 194. https://doi.org/10.3390/ijerph23020194

