Lifestyle and nutritional deficiencies associated with vegetarian diets
Iftear Kazim Rafi, Md. Aktaruzzaman
Abstract
Vegetarian and vegan diets are becoming increasingly popular as people become more aware of the benefits they offer to human health and the environment. Even though vegetarian diets have been associated with a decreased risk of death and chronic illnesses, followers of these diets might not acquire adequate nutrients, which could limit the benefits to their health. The main nutrients to be concerned about are iron, calcium, vitamin B12, vitamin D, iodine, and selenium. Anyone following a vegetarian or vegan diet needs to take vitamin B12 supplements. To avoid vitamin B12 deficiency, adults should take 50 μg - 100 μg of cyanocobalamin orally once a day or twice a week at 2000 μg. Iodine supplements are recommended for pregnant and lactating women, as well as vegetarians and vegans who are unable to consume sea vegetables or iodine-fortified foods. Adults should take 150 μg of iodine supplements every day. Understanding the entire spectrum of effects of a vegetarian diet - not just the nutritional ones-is essential. In addition to providing more reliable data, studies in this area may assist in eliminating all factors that could deter people from adopting a vegetarian diet or negatively impact the quality of life of those who already do so.
Keywords
References
- Flynn M, Schiff AR (2015) Economical healthy diets (2012): Including lean animal protein costs more than using extra virgin olive oil. Journal of Hunger and Environmental Nutrition. 10 (4): 467-482. doi: 10.1080/ 19320248.2015.1045675
- Beig BB (2008) A prática vegetariana em Rio Claro: Corpo, Espiríto e Natureza. Master’s Thesis, Universidade Estadual Paulista, São Paulo, Brazil. doi: Nil.
- De Souza ECG, Duarte MSL, da Conceição LL (2017) Alimentação vegetariana-atualidades na abordagem Nutricional, 1st ed.; Editora Rubio, Ed.; Rubio: Rio de Janeiro, Brasil. doi: Nil.
- Amato PR, Partridge SA (2013) The origins of modern vegetarianism. In: The new vegetarians: Promoting health and protecting life; Springer: São Paulo, Brazil. ISBN: 148996004X, 9781489960047.
- Ruby MB (2012) Vegetarianism. A blossoming field of study. Appetite. 58: 141-150. doi: 10.1016/j.appet. 2011.09.019
- Clarys P, Deliens T, Huybrechts I, Deriemaeker P, Vanaelst B, De Keyzer W, Hebbelinck M, Mullie P (2014) Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients. 6 93): 1318-1332. doi: 10.3390/nu6031318
- Slywitch DE (2015) Alimentação sem carne-um guia prático para montar a sua dieta vegetariana com saúde, 2nd Ed., LTDA, ed.; Alaúde Ed.; LTDA: São Paulo, Brasil. doi: Nil.
- Le LT, Sabaté J, Singh PN, Jaceldo-Siegl K (2018) The design, development and evaluation of the vegetarian lifestyle index on dietary patterns among vegetarians and non-vegetarians. Nutrients. 10 (5): 542. doi: 10.3390 /nu10050542
- Kessler CS, Holler S, Joy S, Dhruva A, Michalsen A, Dobos G, Cramer H (2016) Personality profiles, values and empathy: Differences between Lacto-Ovo-Vegetarians and Vegans. Forschende Komplementarmedizin. 23 (2): 95-102. doi: 10.1159/000445369
- Hargreaves SM, Nakano EY, Zandonadi RP (2020) Brazilian vegetarian population-influence of type of diet, motivation and sociodemographic variables on quality of life measured by specific Tool (VEGQOL). Nutrients. 12 (5): 1406. doi: 10.3390/nu12051406
- Key TJ, Fraser GE, Thorogood M, Appleby PN, Beral V, Reeves G, Burr ML, Chang-Claude J, Frentzel-Beyme R, Kuzma JW, Mann J, McPherson K (1998) Mortality in vegetarians and non-vegetarians: A collaborative analysis of 8300 deaths among 76,000 men and women in five prospective studies. Public Health Nutrition 1 (1): 33-41. PMID 10555529.
- Hoque M (2023) Unveiling the silent threat: Food adulteration in Bangladesh. International Journal of Biological Innovations. 5 (2): 22-27. doi: 10.46505/IJBI.2023.5203
- Barnard ND, Levin SM, Yokoyama Y (2015) A systematic review and meta-analysis of changes in body weight in clinical trials of vegetarian diets. Journal of the Academy of Nutrition Dietetics. 115 (6): 954-969. doi: 10.1016/j.jand.2014.11.016
- Yokoyama Y, Levin SM, Barnard ND (2017) Association between plant-based diets and plasma lipids: A systematic review and meta-analysis. Nutrition Reviews. 75 (9): 683-698. doi: 10.1093/nutrit/nux030
- Parker HW, Vadiveloo MK (2019) Diet quality of vegetarian diets compared with nonvegetarian diets: A systematic review. Nutrition Reviews. 77 (3): 114-160. doi: 10.1093/nutrit/nuy067
- Academy of Nutrition and Dietetics (2016) Position of the Academy of Nutrition and Dietetics: Vegetarian diets. Journal of the Academy of Nutrition Dietetics. 116 (12): 1970-1980. doi: 10.1016/j.jand.2016.09.025
- Martens JH, Barg H, Warren MA, Jahn D (2002) Microbial production of vitamin B12. Applied Microbiology Biotechnology. 58 (3): 275-285. doi: 10.1007/s00253-001-0902-7
- Hoque M, Emon K, Malo PC, Hossain MH, Tannu SI, Roshed MM (2023) Comprehensive guide to vitamin and mineral sources with their requirements. Indian Journal of Agriculture and Life Sciences. 3 (6): 23-31. doi: 10.5281/zenodo.10284736
- Hunt A, Harrington D, Robinson S (2014) Vitamin B12 deficiency. British Medical Journal. 349: g5226. doi: 10.1136/bmj.g5226
- Herbert V (1988) Vitamin B-12: Plant sources, requirements, and assay. The American Journal of Clinical Nutrition. 48 (3S): 852-858. doi: 10.1093/ajcn/48.3.852
- Hargreaves SM, Nakano EY, Zandonadi RP (2020) Brazilian vegetarian population-influence of type of diet, motivation and sociodemographic Variables on Quality of Life measured by specific tool (VEGQOL). Nutrients. 12 (5): 1406. doi: 10.3390/nu12051406
- Hossein-nezhad A, Holick MF (2013) Vitamin D for health: A global perspective. Mayo Clinic Proceedings. 88 (7): 720-755. doi: 10.1016/j.mayocp.2013.05.011
- Norman AW (2008) From vitamin D to hormone D: Fundamentals of the vitamin D endocrine system essential for good health. The American Journal of Clinical Nutrition. 88 (2): 491S-499S. doi: 10.1093/ajcn/88.2.491S
- Papadimitriou DT (2017) The big vitamin D mistake. Journal of Preventive Medicine and Public Health. 50 94): 278-281. doi: 10.3961/jpmph.16.111
- Bakaloudi DR, Halloran, A, Rippin HL, Oikonomidou AC, Dardavesis TI, Williams J, Wickramasinghe K, Breda J, Chourdakis M (2021) Intake and adequacy of the vegan diet. A systematic review of the evidence. Clinical Nutrition. 40 (5): 3503-3521. doi: 10.1016/j.clnu.2020.11.035
- Ho-Pham LT, Vu BQ, Lai TQ, Nguyen ND, Nguyen TV (2012) Vegetarianism, bone loss, fracture and vitamin D: A longitudinal study in Asian vegans and non-vegans. European Journal of Clinical Nutrition. 66 (1): 75-82. doi: 10.1038/ejcn.2011.131
- Holick MF (2009) Vitamin D status: Measurement, interpretation, and clinical application. Annals of Epidemiology. 19 (2): 73-78. doi: 10.1016/j.annepidem.2007.12.001
- Iguacel I Miguel-Berges ML, Gómez-Bruton A, Moreno LA, Julián C (2019) Veganism, vegetarianism, bone mineral density, and fracture risk: A systematic review and meta-analysis. Nutrition Reviews. 77 (1): 1-18. doi: 10.1093/nutrit/nuy045
- Combet E (2017) Iodine status, thyroid function, and vegetarianism. In: Vegetarian and Plant-Based Diets in Health and Disease Prevention. Elsevier: Amsterdam, The Netherlands. doi: 10.1016/B978-0-12-803968-7.00042-3
- Eveleigh ER, Coneyworth LJ, Avery A, Welham SJM (2020) Vegans, vegetarians, and omnivores: How does dietary choice influence iodine intake? A systematic review. Nutrients. 12 (6): 1606. doi: 10.3390/nu12061606
- Zimmermann MB (2009) Iodine deficiency. Endocrine Reviews. 30 (4): 376-408. doi: 10.1210/er.2009-0011
- Bath SC, Hill S, Infante HG, Elghul S, Nezianya CJ, Rayman MP (2017) Iodine concentration of milk-alternative drinks available in the UK in comparison with cows’ milk. The British Journal of Nutrition. 118 (7): 525-532. doi: 10.1017/S0007114517002136
- Eveleigh ER, Coneyworth LJ, Avery A, Welham SJM (2020) Vegans, vegetarians, and omnivores: How does dietary choice influence iodine intake? A systematic review. Nutrients. 12 (6): 1606. doi: 10.3390/nu12061606
- Leung AM, Braverman LE (2014) Consequences of excess iodine. Nature Reviews. Endocrinology. 10 (3): 136-142. doi: 10.1038/nrendo.2013.251
- Theobald HE (2005) Dietary calcium and health. Nutrition Bulletin. 30 (3): 237-277. doi: 10.1111/j.1467-3010. 2005.00514.x
- Flynn A (2003) The role of dietary calcium in bone health. The Proceedings of the Nutrition Society. 62 (4): 851-858. doi: 10.1079/PNS2003301
- Roshed MM (2024) Food Poisoning Causes and Prevention and What to Know about Hygiene. International Journal of Public Health Excellence. 4 (1): 79-83. doi: 10.55299/ijphe.v4i1.961
- Bickelmann FV, Leitzmann MF, Keller M, Baurecht H, Jochem C (2023) Calcium intake in vegan and vegetarian diets: A systematic review and Meta-analysis. Critical Reviews in Food Sciences and Nutrition. 63 (31):10659-10677. doi: 10.1080/10408398.2022.2084027
- Bolland MJ, Avenell A, Baron JA, Grey A, MacLennan GS, Gamble GD, Reid IR (2010) Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: Meta-analysis. British Medical Journal. 341: c3691. doi: 10.1136/bmj.c3691
- Boldt P, Knechtle B, Nikolaidis P, Lechleitner C, Wirnitzer G, Leitzmann C, Rosemann T, Wirnitzer K (2018) Quality of life of female and male vegetarian and vegan endurance runners compared to omnivores - results from the NURMI study (step 2). Journal of the International Society of Sports Nutrition. 15 (1): 15-33. doi: 10.1186/s12970-018-0237-8
- Hargreaves SM, Nakano EY, Zandonadi RP (2020) Brazilian vegetarian population-influence of type of diet, motivation and sociodemographic Variables on Quality of Life Measured by Specific Tool (VEGQOL). Nutrients. 12 (5): 1406. doi: 10.3390/nu12051406
- Kahleova H, Hrachovinova T, Hill M, Pelikanova T (2013) Vegetarian diet in type 2 diabetes-improvement in quality of life, mood and eating behaviour. Diabetic Medicine. 30 (1): 127-129. doi: 10.1111/dme.12032
- Barnard N, Scialli AR, Bertron P, Hurlock D, Edmonds K (2000) Acceptability of a therapeutic low-fat, Vegan diet in premenopausal women. Journal of Nutrition Education. 32 (6): 314-319. doi: 10.1016/S0022-3182(00)70590-5
Submitted date:
04/25/2025
Reviewed date:
05/02/2025
Accepted date:
05/05/2025