Abstract
Background/Objectives: Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, with elevated low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) being major risk factors. Diet is a key modulator of these parameters, and healthful plant-based diets-popular particularly among women-are associated with cardiovascular benefits. The present study aimed to evaluate the serum lipid profile and to identify dietary components associated with differences in lipid fractions in healthy women adhering to different dietary patterns. Methods: This was a cross-sectional, single-center, convenience sample study of 128 healthy women of similar age, normal BMI, and comparable body fat, allocated to four dietary groups: vegans (n = 45), lacto-ovo-vegetarians (n = 52), pescatarians (n = 12), and omnivores (n = 19). Serum lipid profiles were determined using enzymatic kits. Intake of selected nutrients was assessed based on 7-day dietary records. Physical activity was estimated using the physical activity level (PAL) index. Analyses included different ANOVA approaches and PCA. Results: Omnivores exhibited the highest serum concentrations of LDL-C, TC, and TGs compared with other dietary groups. A significant association was noted between elevated TC and higher intake of saturated fatty acids (SFAs), cholesterol, and animal protein, accompanied by lower intake of fiber and plant protein. Additionally, women with lower TGs and higher HDL-C showed lower PAL values. No significant differences in HDL-C concentrations were observed between groups. Conclusions: Plant-based diets, defined by lower consumption of SFAs, cholesterol, and animal protein alongside higher intake of fiber and plant protein, were associated with a more favorable lipid profile. These findings support the role of vegetarian and vegan diets in CVDs prevention and management, particularly when coupled with regular physical activity; however, further interventional studies among diverse populations are necessary to confirm our results.