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Vegetarianism A Brief Overview Objectives • Define vegetarianism and associated terms • Describe benefits of vegetarian diet • Discuss nutrients of concern in vegetarian diets Vegetarian • A general term used to describe people who exclude meat, poultry, fish, or other animal-derived foods from their diets. • Vegetarians exhibit a wide diversity of dietary practices. History of Vegetarian • “Vegetarian” was coined in 1847 by Vegetarian Society of United Kingdom. • The word “vegetarian” was derived from the Latin word “vegetari” which means enliven. • Vegetarianism dates to ancient history where philosophers and religious gurus asked followers to avoid a flesh diet to acknowledge the sacredness of life. www.fda.gov Why Vegetarianism? • Ecology – animal proteins require more land, energy, and water – Enough grain/soybean to feed 1.3 billion – 2500 gal of water/# vs. 25 gal/# of wheat • Economics – plant foods less expensive • Ethics – killing/confinement of animals • Religious Beliefs p. 378 Will discuss only nutrition. Types of Vegetarians • Loacto-ovo: vegetarians who consume eggs, milk, and milk products • Pesco: vegetarians who eat fish • Vegans: vegetarians who rely exclusively on plant foods p. 378 Other Definitions • Omnivores: people who have no formal restriction on the eating of any foods • Macrobiotic diet: extremely restrictive diet limited to a few grains (brown rice, miso soup) and vegetables based on metaphysical beliefs More Definitions • Meat replacements: products made to look and taste like meat, fish, poultry • Textured vegetable protein: processed soybeans used to make soy burgers, etc • Tempeh: a fermented soybean food • Tofu: a curd made from soybean; used in Asian & vegetarian dishes Benefits of Vegetarianism • • • • • Obesity Hypertension Heart Disease Cancer Diabetes • • • • Osteoporosis Diverticular Disease Gallstones Rheumatoid Arthritis Sabate, Forum of Nutrition, 56:218; 2003 Winston, Nutrition in Clinical Practice, 25:613; 2010 Benefits of Vegetarianism • Obesity – Vegetarians maintain lower, healthier body weight than non-vegetarians – Lower weight correlates with high intakes of fiber and low intakes of fat American Journal of Clinical Nutrition, 81:1267;2005 • Hypertension – Vegetarians have lower blood pressure and lower rates of hypertension – Other factors impact hypertension Nutrition Reviews, 63:1;2005 Benefits of Vegetarianism • Heart Disease – Incidence of heart disease much lower – Higher intakes of fiber, antioxidants, vitamins, phytochemicals, and fats Public Health Nutrition, 87:871;2004 • Cancer – Significantly lower rates of cancer – Ratio of vegetables to meat may be most relevant dietary factor in prevention Forum of Nutrition, 59:130;2006 Other Possible Benefits • Vegetarianism may help in the prevention of the following: • Diabetes • Osteoporosis • Diverticular Disease • Gallstones • Rheumatoid Arthritis Leitzmann, Forum of Nutrition, 57:147; 2005 Nutrition Concerns • • • • • • • Vitamin B12 Omega-3 Fatty Acids Vitamin D Calcium Iron Zinc Protein Nutrition Concerns • Vitamin B12 – Found only in animal-derived foods – Need fortified sources (soy milk, cereal) – Small amount in tempeh but inactive form – Small amount in seaweeds (nori, chlorella) but possible iodine toxicity • Omega-3 Fatty Acids – Found in fatty fish – Need flaxseed, walnuts Nutrition Concerns • Vitamin D – Need fortified foods if inadequate exposure to sunlight – Important for infants, children, elderly • Calcium – Lacto-ovo vegetarians similar to omnivores – Vegans need fortified juices, soy milk, and breakfast cereals – Important for children Nutrition Concerns • Iron – RDA for iron higher for vegetarians because plant iron (non-heme iron) is not as well absorbed – Body adjusts to absorb more plant iron – No more iron deficiency than omnivores? • Zinc – Plant zinc not well absorbed – Soy interferes with absorption Nutrition Concerns • Protein – Vegetarian diets are low in high quality proteins (those containing all of the essential amino acids) – Use fortified meat replacements and textured vegetable proteins – Use complementary proteins Complementary Proteins • Definition: The combination of plant protein foods which when eaten together provide all the essential amino acids. Vegetarian Diet Planning • The more restricted the vegetarian diet is the greater the challenge is to achieve a nutritionally adequate diet. • The goal for the vegetarian in diet planning is the same as the omnivore: consume a variety of foods to obtain all of the needed nutrients. • Use the same diet planning principles. Use a Vegetarian Pyramid Visit Vegetarian Resource Group www.vrg.org www.oldwayspt.org Summary • Vegetarians described by what is omitted from the diet. • Wide diversity of dietary practices. • Several benefits to vegetarianism. • Some nutrient concerns. • Adequate dietary intake requires diet planning. • Same diet planning principles as omnivores used. Vegetarianism THE END!