as processed or nonorganic. Others include special
foods such as organically grown foods, soy products
such as miso, or sea vegetables that they regard as
healthful.
0006 A vegetarians eating patterns therefore encompass
a continuum of animal and other food use and varies
in the extent, intensity, and degree of alterations in
both animal and other types of food consumption,
and in its involvement with belief systems and other
lifestyles. Some vegetarians limit only animal foods.
Others may also proscribe processed foods, ‘nonor-
ganic’ foods, or foods produced through biotechnol-
ogy such as cheeses made with recombinant enzymes
and genetically modified plant foods. At the same
time, vegetarians’ dietary diversity may be consider-
able owing to the wide variety of fruits, vegetables,
nuts, legumes, meat analogs and fungi they consume.
Dietary intakes
Energy
0007 Vegans often have lower energy intakes and lower
weights than omnivores; differences are smaller and
less consistent among those who consume other vege-
tarian patterns. Vegan and, to a lesser extent, vegetar-
ian diets tend to be relatively low in caloric density,
somewhat lower in fat, and occasionally lower in
protein than those of omnivores. While lower energy
intakes pose little problem for most adults, for vegan
infants, weanlings, and small children, unless they are
fed frequently, energy intakes may be low. Nuts, nut
butters, oils, and fruit juices are concentrated sources
of calories that are usually acceptable.
Fat and Saturated Fat
0008Most vegetarian diets eaten in western countries, and
especially vegan diets, are lower in fat, saturated fat,
and cholesterol, and higher in polyunsaturated and
monounsaturated fats than are nonvegetarian pat-
terns. Their low saturated fat and cholesterol and
high dietary fibre and polyunsaturated fatty acid con-
tent decrease risk factors for coronary artery disease.
Carbohydrate
0009Intakes of carbohydrates, especially complex carbo-
hydrates and dietary fiber, tend to be higher among
vegetarians than among omnivores, and more in line
with current dietary recommendations.
Protein
0010Vegetarians usually consume less total protein and
less animal protein than omnivores but their intakes
are usually satisfactory and sustain good nutritional
status if energy intakes are adequate. Energy intake,
protein quantity, quality, and digestibility must all be
monitored on extremely restrictive vegetarian diets,
however. Sufficient energy intake is important so that
protein is available for its unique functions rather
than being utilized for energy. Protein quality is also
of potential concern, since some plant sources of
protein are limited in one or more amino acids. For
example, lysine is low in most cereal grains, sulfur-
containing amino acids (methionine and cysteine) are
lower in legumes and fruits than in other plant
sources and animal foods, threonine is lower in
cereals, and tryptophan is lower in fruits than in
most animal foods. Thus, the biological value of
vegan diets based on single cereal staples may be
poor, especially at times of rapid growth.
0011However, the protein quality of appropriate mix-
tures of plant foods is entirely satisfactory and pro-
motes good nutritional status. When dietary patterns
include several plant protein sources (e.g., legumes,
cereals, nuts and seeds, fruits, and other vegetables),
protein quality is satisfactory since the deficits in one
plant food source can be complemented by other
plant or animal products that are higher in the
tbl0001 Table 1 Common types of vegetarian dietary patterns
Pattern Comments
Meat avoiders Limit or avoid red meat and other flesh
foods; may also restrict poultry, fish,
and seafood
Lactoovo vegetarians Avoid all meat, fish, poultry, and often
fish but consume milk products and
eggs
Lactovegetarians Avoid all meat, fish, poultry, fish, and
eggs
Macrobiotics Currently popular diets are less
restrictive than those popular in the
1970s but still involve numerous
restrictions, generally including
avoidance of all meat, poultry, milk,
and eggs, but may consume fish in
small amounts. Also avoid sugar and
other refined sweeteners, members
of the nightshade family (peppers,
eggplant, tomatoes, potatoes) and
tropical fruits
Vegans Avoidance of all animal products
including meat, fish, poultry, eggs,
and dairy products
Other Raw food eaters and ‘living food’ eaters
avoid animal foods and eat raw plant
foods, including fruits, vegetables,
and cereals, with special health
foods such as wheatgrass or carrot
juice. Fruitarians consume diets
mostly of fruits, nuts, honey, and
olive oil. Rastafarians eat vegan-like
diets but avoid alcohol, salt-
preserved foods, and additives
VEGETARIAN DIETS 5975