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vegetarian diet
A diet consisting of foods only of vegetable origin, excluding meat or foods of animal origin.
Notes:
- lowers risk of diverticular disease ~30% [2]
- lowers all-cause mortality [3]
a) benefit greater in men
b) pescovegetarian diet marginally better than vegan diet
- diminished bowel transit time with increased frequency of bowel movements [2]
- may reduce risk of gastrointestinal cancer [13]
- gastric cancer (RR=0.41) more so than colorectal cancer (RR=0.85) [13]
- reduced risk of colorectal cancer (RR=0.78) [4]
- pescovegetarians with lowest risk (RR=0.57)
- more so in men than women
- more so in Asian & North American than European
- no risk reduction for esophageal cancer [5]
- equally beneficial vs Mediterranean diet in reducing weight & improving cardiovascular risk profiles [5]
- a vegetarian diet may improve cardiometabolic outcomes beyond standard pharmacological therapy in individuals at high cardiovascular risk [12]
- potential protective & synergistic effects of vegetarian diet for primary prevention of cardiovascular disease [12]
- a vegetarian diet reduces cardiometabolic risk factors & cardioavascular mortality [14]
- reduces HgbA1c in patients with type 2 diabetes (0.3%) [6]
- reduces cardiovascular risk in patients with type 2 diabetes [6]
- low carbohydrate diets high in plant protein or fat associated with decreased mortality [7]
- lowers risk of ischemic heart disease (RR=0.78)
- kowers LDL cholesterol 11% [9]
- effects on risk of stroke conflicting
- increases risk for stroke (RR=1.2) & hemorrhagic stroke (RR=1.4) vs meat eaters [8]
- pescovegetarian does not increase risk of stroke [8]
- reduces risk of stroke (total, ischemic, & hemorrhagic) vs non-vegetarian diet in Buddhists [9]
- cohort one: 0 1.16 vs 1.99 per 1000 person-years
- cohort two: 0.95 vs. 1.88 per 1000 person-years) [9]
- a vegetarian lifestyle is associated with ~ twice as many depressive episodes as those who eat meat in Brazil [11]
- the depressive episodes are not caused by nutrition but possibly by several factors, including the vegetarian social experience [11]
- depression itself may increase the likelihood of becoming vegetarian
- vegetarian diet & depression may be associated with guilt via factors involving the meat industry [11]
- a vegetarian diet may affect relationships with others, involvement in social activities, & social ostracism
- vegetarians account for 0.5% of Brazil's population [11]
Related
pescovegetarian diet
General
healthy diet
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999.
- Crowe FL et al
Diet and risk of diverticular disease in Oxford cohort of
European Prospective Investigation into Cancer and Nutrition
(EPIC): prospective study of British vegetarians and
non-vegetarians
BMJ 2011; 343:d4131
PMID: 21771850
http://www.bmj.com/content/343/bmj.d4131.full
- Humes DJ and West J
Diet and risk of diverticular disease
BMJ 2011; 343:d4115
PMID: 21771832
http://www.bmj.com/content/343/bmj.d4115.extract
- Orlich MJ et al
Vegetarian Dietary Patterns and Mortality in Adventist Health
Study 2.
JAMA Intern Med. 2013;():1-8.
PMID: 23836264
http://archinte.jamanetwork.com/article.aspx?articleid=1691919
- Baron RB
Should We All Be Vegetarians?
Comment on "Vegetarian Dietary Patterns and Mortality in
Adventist Health Study 2"
JAMA Intern Med. 2013;():1-2.
PMID: 23836265
http://archinte.jamanetwork.com/article.aspx?articleid=1691926
- Orlich MJ et al
Vegetarian Dietary Patterns and the Risk of Colorectal Cancers.
JAMA Intern Med. Published online March 09, 2015
PMID: 25751512
http://archinte.jamanetwork.com/article.aspx?articleid=2174939
- Busko M
Vegetarian or Mediterranean? Both Diets Improve Weight, Lipids.
Medscape. Feb 27, 2018
https://www.medscape.com/viewarticle/893184
- Sofi F, Dinu M, Pagliai G.
Low-Calorie Vegetarian Versus Mediterranean Diets for Reducing
Body Weight and Improving Cardiovascular Risk Profile: CARDIVEG
Study (Cardiovascular Prevention With Vegetarian Diet).
Circulation. February 26, 2018
PMID: 29483085
http://circ.ahajournals.org/content/early/2018/02/14/CIRCULATIONAHA.117.030088
- Frellick M
Vegetarian Diet Improves HbA1c, Reduces CV Risk in Diabetes.
Medscape - Jul 06, 2018
https://www.medscape.com/viewarticle/898976
- Viguiliouk E, Kendall CW, Kahleova H et al
Effect of vegetarian dietary patterns on cardiometabolic risk
factors in diabetes: A systematic review and meta-analysis of
randomized controlled trials.
Clinical Nutriion. June 13, 2018
PMID: 29960809
https://www.clinicalnutritionjournal.com/article/S0261-5614(18)30220-6/fulltext
- Seidelmann SB, Claggett B, Cheng S et al
Dietary carbohydrate intake and mortality: a prospective cohort
study and meta-analysis.
The Lancet Public Health. Aug 16, 2018
PMID: 30122560 Free full text
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30135-X/fulltext
- Tong TYN, Appleby PN, Bradbury KE et al
Risks of ischaemic heart disease and stroke in meat eaters,
fish eaters, and vegetarians over 18 years of follow-up: results
from the prospective EPIC-Oxford study.
BMJ 2019;366:l4897
PMID: 31484644
https://www.bmj.com/content/366/bmj.l4897
- Lawrence MA, McNaughton SA
Vegetarian diets and health.
BMJ 2019;366:l5272
PMID: 31484646
https://www.bmj.com/content/366/bmj.l5272
- Chiu THT, Chang HR, Wang LY et al
Vegetarian diet and incidence of total, ischemic, and hemorrhagic
stroke in 2 cohorts in Taiwan.
Neurology. Feb 26, 2020
PMID: 32102976
https://n.neurology.org/content/early/2020/02/26/WNL.0000000000009093
- Spence JD, Tangney C
Lower risk of stroke with a vegetarian diet.
Neurology. Feb 26, 2020
PMID: 32102978
https://n.neurology.org/content/early/2020/02/26/WNL.0000000000009092
- Mariotti F, Gardner CD
Dietary Protein and Amino Acids in Vegetarian Diets-A Review.
Nutrients. 2019 Nov 4;11(11):2661. doi: 10.3390/nu11112661.
PMID: 31690027 PMCID: PMC6893534 Free PMC article
- Medscape staff
Vegetarians Suffer More Depression Than Meat Eaters.
Medscape. Dec 27, 2022
https://www.medscape.com/viewarticle/986196
- Wang T, Kroeger CM, Cassidy S, et al.
Vegetarian Dietary Patterns and Cardiometabolic Risk in People With or at
High Risk of Cardiovascular Disease: A Systematic Review and Meta-analysis.
JAMA Netw Open. 2023 Jul 3;6(7):e2325658
PMID: 37490288 PMCID: PMC10369207 Free PMC article
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807597
- Bai T, Peng J, Zhu X, Wu C
Vegetarian diets and the risk of gastrointestinal cancers:
a meta-analysis of observational studies.
Eur J Gastroenterol Hepatol. 2023 Nov 1;35(11):1244-1252
PMID: 37724454 PMCID: PMC10538608 Free PMC article
- Landry MJ, Senkus KE, Mangels AR et al
Vegetarian dietary patterns and cardiovascular risk factors and disease prevention:
An umbrella review of systematic reviews.
Am J Prev Cardiol. 2024 Sep 28;20:100868.
PMID: 39430429 PMCID: PMC11489049 Free PMC article. Review.