Waldmann A, Koschizke J W, Leitzmann C, Hahn A
Institute of Food Science, University of Hanover, Hanover, Germany.
Eur J Clin Nutr. 2003 Aug;57(8):947-55. doi: 10.1038/sj.ejcn.1601629.
Evaluation of dietary intakes and lifestyle factors of German vegans.
Cross-sectional study.
Germany.
Subjects were recruited through journal advertisements. Of 868 volunteers, only 154 participated in all study segments (pre- and main questionnaire, two 9-day food frequency questionnaires, blood sampling) and fulfilled the following study criteria: vegan dietary intake at least 1 year prior to study start, minimum age of 18 y, no pregnancy or childbirth during the last 12 months.
No interventions.
All the 154 subjects had a comparatively low BMI (median 21.2 kg/m(2)), with an extremely low mean consumption of alcohol (0.77+/-3.14 g/day) and tobacco (96.8% were nonsmokers). Mean energy intake (total collective: 8.23+/-2.77 MJ) was higher in strict vegans than in moderate ones. Mean carbohydrate, fat, and protein intakes in proportion to energy (total collective: 57.1:29.7:11.6%) agreed with current recommendations. Recommended intakes for vitamins and minerals were attained through diet, except for calcium (median intake: 81.1% of recommendation), iodine (median: 40.6%), and cobalamin (median: 8.8%). For the male subgroup, the intake of a small amount of food of animal origin improved vitamin and mineral nutrient densities (except for zinc), whereas this was not the case for the female subgroup (except for calcium).
In order to reach favourable vitamin and mineral intakes, vegans should consider taking supplements containing riboflavin, cobalamin, calcium, and iodine. Intake of total energy and protein should also be improved.
评估德国纯素食者的饮食摄入及生活方式因素。
横断面研究。
德国。
通过期刊广告招募研究对象。868名志愿者中,只有154人参与了所有研究环节(预调查问卷和主要调查问卷、两份为期9天的食物频率问卷、血液采样)并符合以下研究标准:在研究开始前至少1年遵循纯素食饮食,最低年龄18岁,过去12个月内未怀孕或分娩。
无干预措施。
所有154名研究对象的体重指数(BMI)相对较低(中位数为21.2 kg/m²),酒精平均摄入量极低(0.77±3.14克/天),烟草平均摄入量也极低(96.8%为非吸烟者)。严格纯素食者的平均能量摄入量(总体:8.23±2.77兆焦耳)高于适度纯素食者。碳水化合物、脂肪和蛋白质的平均摄入量与能量的比例(总体:57.1:29.7:11.6%)符合当前建议。除钙(中位数摄入量:推荐量的81.1%)、碘(中位数:40.6%)和钴胺素(中位数:8.8%)外,维生素和矿物质的推荐摄入量可通过饮食达到。对于男性亚组,摄入少量动物源性食物可提高维生素和矿物质的营养密度(锌除外),而女性亚组则不然(钙除外)。
为了达到良好的维生素和矿物质摄入量,纯素食者应考虑服用含有核黄素、钴胺素、钙和碘的补充剂。总能量和蛋白质的摄入量也应提高。