
Table of Contents
Blood Type Diet: Fact or Myth?
When Nutrition Meets Science: Why Is the Blood Type Diet Controversial?
The blood type diet was once a phenomenon in the field of nutrition and health, widely popularized by Dr. Peter D’Adamo’s 1996 book Eat Right for Your Type. The core idea is that each blood type – A, B, AB, or O – should have its own diet, based on the hypothesis that blood type reflects our ancestors’ eating habits and affects our ability to digest certain foods. For example, people with type O are encouraged to eat more meat like hunter-gatherers, while type A individuals should follow a vegetarian diet due to agricultural origins. But does this theory really stand up to scientific scrutiny, or is it just an unfounded trend?
Today, as personalized nutrition gains more attention, evaluating the validity of the blood type diet is more important than ever. A 2014 study from the University of Toronto found no link between blood type and the effectiveness of diets on health (see the study on PLOS ONE). If this diet truly offered benefits, it could open a new path for public health. Conversely, if it lacks a solid foundation, it could lead to unnecessary restrictions, nutritional deficiencies, and the spread of misconceptions. This article will deeply analyze the aspects of the blood type diet – from its original theory, scientific evidence, to new perspectives like gut microbiota – to answer the question: Does blood type really determine how we should eat? Let’s find out.

From Theory to Practice: The Blood Type Diet Under a Multidimensional Lens
Origins and Theoretical Basis of the Blood Type Diet
The blood type diet stems from the idea that blood type is not just a biological trait but also a mark of evolutionary history, directly influencing how the body processes food. Dr. Peter D’Adamo, the creator of this theory, argued that blood group antigens (A, B, AB, O) appear not only on red blood cells but also in the digestive system, where they interact with lectins – a type of protein found in food. According to him, eating foods “incompatible” with your blood type could cause lectins to trigger chemical reactions leading to indigestion or health issues. Here’s how the theory classifies diets for each blood type:
- Type O: Linked to hunter-gatherers, should eat lots of animal protein (meat, fish), low carbohydrates, and limit grains.
- Type A: Emerged with the advent of agriculture, suitable for a vegetarian diet rich in vegetables, avoiding meat and dairy.
- Type B: Associated with nomads, can eat a more varied diet including dairy, meat (except chicken), and some grains.
- Type AB: A combination of A and B, should eat a balanced diet, limit meat but can consume dairy.
However, the evolutionary basis of this theory has been questioned. Research from Harvard Health points out that there is no historical or genetic evidence confirming that type A appeared before type O, or that type O is the oldest blood type (see Harvard Health article). In reality, scientists believe the evolution of blood types is much more complex than D’Adamo’s simple hypothesis, and there is no direct link between blood type and ancestral diets.

What Does Science Say About the Blood Type Diet?
Scientific studies have consistently debunked the validity of the blood type diet, showing it lacks a solid foundation. A notable 2014 study from the University of Toronto, published in PLOS ONE, analyzed data from 1,455 participants to examine the link between blood type and health indicators such as cholesterol, triglycerides, and insulin (see the study). The results showed no significant differences between blood types when following different diets. Any health benefits came from adhering to a healthy diet (such as vegetarian or low-carb), not from matching the diet to blood type.
A 2013 systematic review in the American Journal of Clinical Nutrition further reinforced this view. After reviewing 1,415 medical documents, researchers concluded there was no evidence that the blood type diet provided specific benefits (see the review). Similarly, a 2020 study in the Journal of the Academy of Nutrition and Dietetics found that blood type did not affect the effectiveness of a vegetarian diet on weight, body fat, blood lipids, or blood sugar control (see article). Another study from Harvard Health in 2021 also found no link between blood type and metabolic indicators when following a low-fat vegetarian diet (see study).
These findings show that D’Adamo’s theory is not supported by modern science. Instead, experts emphasize that a balanced diet, tailored to individual needs and based on scientific evidence, is the key to health.
Gut Microbiota: A Noteworthy New Perspective
Although the blood type diet is not supported by nutrition research, some recent findings have opened another perspective: the link between blood type and gut microbiota. A 2022 study from the Quadram Institute found that bacteria such as Ruminococcus gnavus tend to prefer blood group A antigens, helping them settle better in the gut (see study). Similarly, a 2012 study on PMC also indicated that blood group antigens can influence the composition of gut microbiota (see article).
However, these findings do not mean the blood type diet is reasonable. A 2019 study on PMC showed that overall diet can overshadow the effect of blood type on microbiota, and currently, there is no evidence that these differences affect how we should choose foods (see study). This suggests that while blood type may play a minor role in the microbiome, it is not enough to serve as the basis for diet design as D’Adamo proposed.
This perspective opens a new research direction in health and microbiota, but it does not change the reality that the blood type diet lacks scientific basis in traditional nutrition.

Science-Based Nutrition: Lessons and the Road Ahead
Through analysis of scientific evidence, it can be affirmed that the blood type diet lacks a solid foundation and is largely considered a superstition rather than a reliable nutritional method. Studies from the University of Toronto, Harvard Health, and many other reputable organizations have shown that any health benefits come from following a generally healthy diet – such as increasing vegetables and reducing processed foods – not from matching the diet to blood type. While some studies on gut microbiota suggest a link to blood type, this is not enough to support Dr. D’Adamo’s theory.
The lesson here is the importance of relying on science when building a diet. Consumers should be cautious with unverified nutrition trends and consult experts to design a diet that suits their individual needs, rather than relying on blood type. In the future, further research into the relationship between blood type and gut microbiota may bring practical applications in nutrition and health, but for now, this remains an area that needs more exploration.
For readers, the most practical action is to focus on a balanced, diverse, and personalized diet based on scientific advice rather than unproven theories. Science, not trends, should be the compass for long-term health.
References:
- Ahmed El-Sohemy et al. (2014). ABO Genotype, ‘Blood-Type’ Diet and Cardiometabolic Risk Factors. PLOS ONE. https://journals.plos.org/plosone/article?doi=10.1371/journal.pone.0084749
- Leila Cusack et al. (2013). Blood type diets lack supporting evidence: a systematic review. American Journal of Clinical Nutrition. https://pubmed.ncbi.nlm.nih.gov/23697707/
- Physicians Committee for Responsible Medicine (2020). New Study Debunks Blood Type Diet. https://www.pcrm.org/news/news-releases/new-study-debunks-blood-type-diet
- Harvard Health Publishing (2017). Diet not working? Maybe its not your type. https://www.health.harvard.edu/blog/diet-not-working-maybe-its-not-your-type-2017051211678
- Quadram Institute (2022). Blood and guts: new link uncovered between the gut microbiome and blood groups. https://quadram.ac.uk/link-between-the-gut-microbiome-and-blood-groups/
- Eija K. Laakkonen et al. (2012). Association between the ABO blood group and the human intestinal microbiota composition. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC3485159/
- Peter J. D’Adamo et al. (2019). Human Microbiota, Blood Group Antigens, and Disease. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC5902424/