Cow’s Milk or a Plant-based Milk: Which is More Nutritious?

Nowadays, plant-based milks are all the rage. And rightly so given that more people need alternatives to cow’s milk because of milk (or lactose) intolerances, milk allergies and individual preferences for vegan and vegetarian diets and environmentally friendlier dietary choices.

But, although these plant-based milks (or non-dairy alternatives) are advertised as healthy and wholesome and many consumers believe the milk alternatives are an acceptable direct substitute for cow’s milk, little research has been done cross-comparing the nutritional profiles of these milk alternatives with traditional cow’s milk.

So, a few researchers dug deep into the nutritional profiles (and the health benefits) of the four most commonly consumed milk beverages (almond milk, soy milk, coconut milk, and rice milk). Their findings, highlighted in this post below (and in their recently published scientific manuscript) capture their scientific thoughts. (Check out the Venga et al reference listed below for more details!) Hopefully, this information will help you make the most informed decisions for yourselves and your families.

First of all, why is cow’s milk so popular? Mammalian milk (including cow’s milk) is widely consumed due to its nutritional content. It contains a great combination of  nutrients because it is the only source of energy available to the babies of different mammals. This is why breast milk is considered a near-perfect source of nutrition for a newborn infant. When human milk is not available, cow’s milk is typically used as a substitute because of the nutritional similarities.

Are the non-dairy alternatives even milk? Actually, there is ongoing debate about whether these alternatives should be called “milks” at all.

So what did the researchers find?

  • Cow’s milk is the most balanced milk nutritionally, followed by soy and then almond milk. (See Table 1 below)
  • The significantly lower calorie content of plant-based milks is one of the biggest attractions for consumers.
  • Cow’s milk is a very important source of protein in the human diet; only soy milk is comparable in providing a similar amount of protein per the same number of calories
  • Nutritionally, soy milk is the best alternative for replacing cow’s milk in the human diet. However, the “beans flavor” and presence of anti-nutrients have encouraged people to look for other alternatives such as almond, coconut, and rice milks.
  • Nutritionally, soybeans and almonds should be the ideal raw materials for milk preparation in replacing cow’s milk in the human diet.
  • Calcium in most brands of plant-based alternative milks is typically added to mimic the levels found in cow’s milk. Still, milk is a much better source of calcium than soy milk or almond milk.
  • Various other minerals are found in cow’s milk (magnesium, phosphorous, potassium) which are found in lower but somewhat comparable quantities in most alternative milks except coconut milk. Cow’s milk is also a good source of vitamins; among alternative milks, only soy milk contains comparable amounts of nutrients.
  • Although almond milk has a balanced nutrient profile and much better flavor, the nutrient density and the total number of calories are not as rich as that of cow’s milk. So, when consuming almond milk instead of cow’s milk, care should be taken to ensure that various essential nutrients are available through other sources of the diet in appropriate quantities.
  • Rice milk and coconut milk cannot act as an ideal alternative for cow’s milk because of a limited nutrition profile, but they are the alternatives for consumers allergic to soybeans and/or almonds.

Some additional important notes about coconut and rice milks:

  • Research has shown that consumption of rice milk as an alternative to cow’s milk without proper care can result in malnutrition (especially with respect to infants because rice milk is not as nutritious)
  • Rice milks that are unfortified, especially those that are homemade, also lack in vitamins and minerals such as calcium, B-12
  • Some rice milks in Mississippi, USA have total arsenic contents in excess of 70% of the levels set by the World Health Organization for drinking water. Exposure to arsenic over the long term can cause cancer and various other health complications. This health issue must be addressed promptly to protect consumer health.
  • Various researchers have found conclusive evidence that consumption of coconut milk can increase high density lipoprotein (HDL; the “healthy” cholesterol), BUT it also contains a high amount of saturated fat which is generally associated with heart disease

So, there you have it. If you are able to drink milk, then milk will give you the most nutritional bang for your buck. However, if milk is not an option for you, soy milk should be your next go to, followed by almond milk. For a quick nutritional comparison of the milks, see Table 1 below.

           Table 1. Nutritional Comparison of Cow’s Milk vs Non-Dairy Alternatives

Dietary Nutrient

Recom Daily Amount (EAR)

Cow’s Milk

Soy
Milk

Almond Milk

Coconut Milk

Rice
Milk

Carbs (g)

Sugars

Fibers

130

35

12

12

5

3.5

1

1-2

< 1

< 1

1-2

< 1

0.25

25

13

Fats (g)

Saturated

Cholesterol

35

2-3

1.5

12

4-5

< 1

2-3

4-5

4-4

2-3

< 1

Proteins (g)

55

8-9

8-9

1-2

0

< 1

Minerals (mg)

Calcium

Iron

Magnesium

Phosphorus

Potassium

Sodium

Zinc

 

1100

6.5

350

600

4700

1500

9.4

305

0.1

27

232

366

100

1.0

205

< 1

50

110

365

65

0.8

325

21

48

65

145

0.5

245

0.1

35

47

64

0.7

245

0.1

35

63

50

72

0.8

Vitamins

Vitamin C (mg)

Thiamine (mg)

Riboflavin (mg)

Niacin (mg)

Vitamin B6 (mg)

Folate, DFE (ug)

Vitamin B-12 (ug)

Vitamin A (ug)

Vitamin E (mg)

Vitamin D (ug)

75

1

1.1

11

1.2

320

2

600

12

10

0.05

0.45

0.23

0.9

12

1.15

142

0.2

2.9

0.01

0.25

0.3

0.1

34

0.7

33

4

1.9

0.2

19

1

77

3.8

2.3

19

< 1

60

3

0.3

1

67.5

3

2.1

Calories

1800-2000

100

95

36

50

130-135

Copyright (c) LiVe Nutrition. All rights reserved.

Sources:

  • Craig WJ. Health effects of vegan diets. Am J Clin Nutr. 2009; 89: 1627S-1633S.
  • Ekanayaka R, et al. Impact of a traditional dietary supplement with coconut milk and soy milk on the lipid profile in normal free living subjects. J Nutr Metab. 2013;
  • El-Agamy EI. The challenge of cow milk protein allergy. Small Rumin Res. 2007; 68: 64-72.
  • Friedman M, et al. Nutritional and health benefits soy proteins. J Agric Food Chem. 2001; 49: 1069-1086.
  • Katz KA, et al. Rice nightmare: kwashiorkor in 2 Philadelphia-area infants fed rice dream beverage. J Am Acad Dermatol. 2005; 52: S69-S72.
  • Lower M, et al. Review article: lactose intolerance in clinical practice-myths and realities. Aliment Pharmacol Ther. 2008; 27: 93-103.
  • Massa G, et al. Protein malnutrition due to replacement of milk by rice drink. Eur J Pediatr. 2001; 160: 382-384.
  • Mensink RP, et al. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003; 77: 1146-1155.
  • Messina V, et al. Considerations in planning vegan diets: children. J Am Diet Assoc. 2001; 101: 661-669.
  • Murugkar DA. Effects of sprouting of soybean on the chemical composition and quality of soy milk and tofu. J Food Sci Technol. 2014; 51: 915-921.
  • Murugkar DA. Effect of different process parameters on the quality of soy milk and tofu from sprouted soybean. 2015; J Food Sci Technol. 52: 2886-2893.
  • Sethi S, et al. Plant-based milk alternatives an emerging segment of functional beverages: a review. J Food Sci Technol. 2016; 53: 3408-3423.
  • Shannon R, et al. Total arsenic in rice milk. Food Addit Contam Part B. 2014; 7: 54-56.
  • Siri-Tarino PW, et al. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr. 201; 91: 535-546.
  • Vanga SK, Raghavan V. How well do plant based alternatives fare nutritionally compared to cow’s milk? J Food Sci Technol. 2018; 55(1): 10-20.

2 thoughts on “Cow’s Milk or a Plant-based Milk: Which is More Nutritious?

Add yours

  1. Dr Vislocky,
    This was a very interesting article. I had cut out cows milk due to possible antibiotics and hormones that could be in it. With the informatuin you provided I will take a closer look at purchasing cows milk that ensures protection from these harmful pollutants, such as organic etc.
    Do you have any comments of the comparison of the milks from this standpoint?

    Thanks again!
    MGZ

    1. Hi Margaux. Thanks so much for stopping by and for your thoughtful question! This is a common question among consumers.

      All cow’s milk, both conventional and organic, naturally contains very small amounts of hormones.

      Research has shown that, once consumed, these small amounts of hormones are not available to the body because they are broken down by the body during the digestion process (as all proteins in the diet typically are). As a result, these hormones have little physiological effect in humans. Research findings to date have failed to show that the presence of hormones in cow’s milk should be a health concern.

      Also, although some dairy farmers treat their cows with a hormone to increase milk production, this hormone is not added to the milk. In addition, the safety of milk from cows treated with this hormone has been verified by government health officials and supported by health professional organizations.

      With respect to your concern regarding antibiotics in cow’s milk, there are national provisions in place to protect consumers. The legal standard defined by the Federal Drug Administration prohibits milk from containing any detectable amounts of antibiotics when milk is analyzed using approved test methods (to be classified as Grade A Pasteurized milk).

      Each tank truck of milk in the US is tested. Samples are tested before leaving the farm and again when the milk is transported to the processing plant. If the milk fails antibiotic testing, the entire truck load of milk is discarded and the farm samples are tested to find the source of the antibiotic residues. Regulatory action is taken against the farm with the positive antibiotic test.

      I hope this answers your questions.

      Please email me privately at lisa@drlisavislcoky.com if you’d like me to share with you the reports and studies supporting these findings.

      In health! Lisa

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