美国营养与饮食学会及加拿大营养师协会的立场:素食饮食。

Position of the American Dietetic Association and Dietitians of Canada: Vegetarian diets.

出版信息

J Am Diet Assoc. 2003 Jun;103(6):748-65. doi: 10.1053/jada.2003.50142.

Abstract

It is the position of the American Dietetic Association and Dietitians of Canada that appropriately planned vegetarian diets are healthful, nutritionally adequate, and provide health benefits in the prevention and treatment of certain diseases. Approximately 2.5% of adults in the United States and 4% of adults in Canada follow vegetarian diets. A vegetarian diet is defined as one that does not include meat, fish, or fowl. Interest in vegetarianism appears to be increasing, with many restaurants and college foodservices offering vegetarian meals routinely. Substantial growth in sales of foods attractive to vegetarians has occurred, and these foods appear in many supermarkets. This position paper reviews the current scientific data related to key nutrients for vegetarians, including protein, iron, zinc, calcium, vitamin D, riboflavin, vitamin B-12, vitamin A, n-3 fatty acids, and iodine. A vegetarian, including vegan, diet can meet current recommendations for all of these nutrients. In some cases, use of fortified foods or supplements can be helpful in meeting recommendations for individual nutrients. Well-planned vegan and other types of vegetarian diets are appropriate for all stages of the life cycle, including during pregnancy, lactation, infancy, childhood, and adolescence. Vegetarian diets offer a number of nutritional benefits, including lower levels of saturated fat, cholesterol, and animal protein as well as higher levels of carbohydrates, fiber, magnesium, potassium, folate, and antioxidants such as vitamins C and E and phytochemicals. Vegetarians have been reported to have lower body mass indices than nonvegetarians, as well as lower rates of death from ischemic heart disease; vegetarians also show lower blood cholesterol levels; lower blood pressure; and lower rates of hypertension, type 2 diabetes, and prostate and colon cancer. Although a number of federally funded and institutional feeding programs can accommodate vegetarians, few have foods suitable for vegans at this time. Because of the variability of dietary practices among vegetarians, individual assessment of dietary intakes of vegetarians is required. Dietetics professionals have a responsibility to support and encourage those who express an interest in consuming a vegetarian diet. They can play key roles in educating vegetarian clients about food sources of specific nutrients, food purchase and preparation, and any dietary modifications that may be necessary to meet individual needs. Menu planning for vegetarians can be simplified by use of a food guide that specifies food groups and serving sizes.

摘要

美国营养学会及加拿大营养师协会的立场是,合理规划的素食有益健康、营养充足,且在预防和治疗某些疾病方面具有保健功效。美国约2.5%的成年人以及加拿大4%的成年人遵循素食饮食。素食被定义为不包含肉类、鱼类或禽类的饮食方式。对素食主义的兴趣似乎在不断增加,许多餐馆和大学餐饮服务部门都经常提供素食餐。吸引素食者的食品销售额大幅增长,这些食品在许多超市都有销售。本立场文件回顾了与素食者关键营养素相关的当前科学数据,这些营养素包括蛋白质、铁、锌、钙、维生素D、核黄素、维生素B - 12、维生素A、n - 3脂肪酸和碘。素食(包括纯素食)饮食能够满足当前对所有这些营养素的推荐摄入量。在某些情况下,食用强化食品或补充剂有助于满足个体对特定营养素的推荐摄入量。精心规划的纯素食和其他类型的素食饮食适合生命周期的所有阶段,包括孕期、哺乳期、婴儿期、儿童期和青春期。素食饮食具有诸多营养益处,包括较低水平的饱和脂肪、胆固醇和动物蛋白,以及较高水平的碳水化合物、纤维、镁、钾、叶酸,还有较高水平的抗氧化剂,如维生素C、维生素E和植物化学物质。据报道,素食者的体重指数低于非素食者,缺血性心脏病死亡率也较低;素食者的血液胆固醇水平也较低;血压较低;高血压、2型糖尿病以及前列腺癌和结肠癌的发病率也较低。尽管一些由联邦政府资助的机构供餐计划能够为素食者提供饮食,但目前很少有适合纯素食者的食物。由于素食者的饮食习惯存在差异,因此需要对素食者的饮食摄入量进行个体评估。营养专业人员有责任支持和鼓励那些对食用素食感兴趣的人。他们在向素食客户介绍特定营养素的食物来源、食品采购和准备方法,以及满足个体需求可能需要的任何饮食调整方面能够发挥关键作用。通过使用规定食物类别和份量的食物指南,可以简化素食者的菜单规划。

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