Vejetaryen Beslenme ve Sağlık Üzerine Etkileri

Yıl 2016, Cilt: 30 Sayı: 2, 101 - 116, 05.12.2016

Tülay Özcan , Serap Baysal

Öz

Vejetaryenler et ya da hayvansal kaynaklı gıdaları hiç tüketmeyen ya da sınırlı olarak tüketen kişiler olarak tanımlanmaktadır. Vejetaryen beslenme biçimleri lakto vejetaryen, ovo vejetaryen, lakto-ovo vejetaryen, vegan vb. olarak sınıflandırılabilmektedir. Vejetaryen beslenmesi genellikle beden kütle indeksi, toplam serum ve kolesterol seviyesi ile tansiyonun daha düşük olmasını sağlayarak kalp hastalıkları, hipertansiyon, felç, tip 2 diyabet ve belirli kanser türlerinin vejetaryen olmayanlara kıyasla daha az gözlenmesine neden olmaktadır. Bununla birlikte, vejetaryenlerin sağlığın korunması ve bazı kronik hastalıkların risklerinin azaltılması için tek tip beslenme sonucu eksiklikleri belirlenen vitamin B12, vit D, ω-3 yağ asitleri, kalsiyum, demir ve çinkoyu diyetlerinde yeterli miktarda almaları gerekmektedir. Bu derlemede vejetaryen beslenme şekillerinin sağlığa olan etkileri incelenmiştir.

Anahtar Kelimeler

Vejetaryen, beslenme, sağlık, kronik hastalıklar

Kaynakça

• Appleby P, Roddam A, Allen N, Key T. 2007. Comparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford. Eur J Clin Nutr, 61: 1400-1406.
• Appleby P.N., Davey G.K., Key T.J. 2002. Hypertension and blood pressure among meat eaters, fish eaters, vegetarians and vegans in EPIC–Oxford. Public Health Nutr, 5: 645-654.
• Barnard N.D., Katcher H.I., Jenkins D.J., Cohen J, Turner-McGrievy G. 2009. Vegetarian and vegan diets in type 2 diabetes management. Nutr Rev, 67: 255-263.
• Benito P, Caballero J, Moreno J, et al. 2006. Effects of milk enriched with ω-3 fatty acid, oleic acid and folic acid in patients with metabolic syndrome. Clin Nutr, 25: 581-587.
• Berkow S.E., Barnard N.D. 2005. Blood pressure regulation and vegetarian diets. Nutr Rev, 63: 1-8.
• Beutler E, Hoffbrand A.V., Cook J.D. 2003. Iron deficiency and overload. ASH Education Program Book. pp.1: 40-61.
• Caballero B, Allen L, Prentice A. 2012. Encyclopedia of human nutrition. 2nd Edition, Academic press,
• Canbulat Z., Özcan T. 2008. Süt ürünlerinin Eikosapentaenoik asit (EPA) ve Dokosahekzaenoik asit (DHA) ile zenginleştirilmesi. Türkiye 10. Gıda Kongresi. 21-23 Mayıs, Erzurum, 713-716.
• Center M., Siegel R., Jemal A. 2007. Global cancer facts & figures. Atlanta, GA: American Cancer Soc, 1.3: 52.
• Chan H.L., Lau E.M.C., Woo J, et al. 1996. Dietary calcium intake, physical activity and the risk of vertebral fracture in Chinese. Osteoporos Int, 6: 228-232.
• Craig W. Pinyan L. 2001. Nutrients of concern in vegetarian diets. In: Vegetarian Nutrition, (J Sabate ed.), pp; 299–332. CRC Press, Boca Raton.
• Craig W.J., Mangels A.R. 2009. Position of the American Dietetic Association: vegetarian diets. J Am Diet Assoc, 109: 1266-1282
• Craig W.J. 2010. Nutrition concerns and health effects of vegetarian diets. Nutr Clin Pract 25: 613-620.
• Divisi D, Di Tommaso S, Salvemini S. 2006. Diet and cancer. Acta biomedica, 77: 118-123.
• Dror DK, Allen LH. 2008. Effect of vitamin B12 deficiency on neurodevelopment in infants: current knowledge and possible mechanisms. Nutr Rev, 66: 250-255.
• Dunham L, Kollar L.M. 2006. Vegetarian eating for children and adolescents. J Pediatr Health Care, 20: 27-34.
• Elkan A.C., Sjoberg B, Kolsrud B. et al. 2008. Gluten-free vegan diet induces decreased LDL and oxidized LDL levels and raised atheroprotective natural antibodies against phosphorylcholine in patients with rheumatoid arthritis: a randomized study. Arthritis Res Ther, 10: R34.
• Elmadfa I, Singer I. 2009. Vitamin B-12 and homocysteine status among vegetarians: a global perspective. Am J Clin Nutr, 89: 1693-1698.
• Fairweather-Tait S.J. 2004. Iron nutrition in the UK: getting the balance right. Proc Nutr Soc, 63: 519-528. Fardet A. 2010. New hypotheses for the health-protective mechanisms of whole-grain cereals: what is beyond fibre?. Nutr Res Rev, 23: 65-134.
• Fedosov S.N. 2012. Physiological and molecular aspects of cobalamin transport. Subcell Biochem.; 56: 347-367.
• Fields C, Dourson M, Borak J. 2005. Iodine-deficient vegetarians: A hypothetical perchlorate-susceptible population?. Regul Toxicol Pharm, 42: 37-46.
• Fox N, Ward K. 2008. Health, ethics and environment: A qualitative study of vegetarian motivations. Appetite, 50: 422-429.
• Fraser G.E. 1999. Associations between diet and cancer, ischemic heart disease, and all-cause mortality in non-Hispanic white California Seventh-day Adventists. Am J Clin Nutr; 70: 532-538.
• Fraser G.E. 2009. Vegetarian diets: What do we know of their effects on common chronic diseases?. Am J Clin Nutr, 89: 1607-1612.
• Geppert J, Kraft V, Demmelmair H, Koletzko B. 2005. Docosahexaenoic acid supplementation in vegetarians effectively increases omega-3 index: a randomized trial. Lipids, 40: 807-814.
• Gibson R.S., Perlas L, Hotz C. 2006. Improving the bioavailability of nutrients in plant foods at the household level. Proc Nutr Soc, 65: 160-168.
• Gil A, Ortega RM, Maldonado J. 2011. Wholegrain cereals and bread: A duet of the Mediterranean diet for the prevention of chronic diseases. Public Health Nutr, 14.12A: 2316-2322.
• Gilsing A.M., Crowe F.L., Lloyd-Wright Z, et al. 2010. Serum concentrations of vitamin B12 and folate in British male omnivores, vegetarians and vegans: results from a cross-sectional analysis of the EPIC-Oxford cohort study. Eur J Clin Nutr , 64: 933-939.
• Hambidge M. 2000. Human zinc deficiency. J Nutr, 1344S-1349S.
• Hannan M.T., Tucker K.L., Dawson-Hughes B, et al. 2000. Effect of dietary protein on bone loss in elderly men and women: the Framingham Osteoporosis Study. J bone Miner Res, 15: 2504-2512.
• Herbert V. 1988. Vitamin B-12: plant sources, requirements, and assay. Am J Clin Nutr, 48: 852-858.
• Herrmann W, Geisel J. 2002. Vegetarian lifestyle and monitoring of vitamin B-12 status. Clin Chim Acta, 326: 47-59.
• Hetzel B.S. 2002. Eliminating iodine deficiency disorders: the role of the International Council in the global partnership. B World Health Org, 80: 410-412.
• Hoffman S.R., Stallings S.F., Bessinger R.C., et al. 2013. Differences between health and ethical vegetarians. Strength of conviction, nutrition knowledge, dietary restriction, and duration of adherence. Appetite, 65: 139-144.
• Holick M.F., Chen T.C. 2008. Vitamin D deficiency: A worldwide problem with health consequences. Am J Clin Nutr, 87: 1080-1086. Holick M.F. (2007). Vitamin D deficiency. N Engl J Med, 357; 266-281.
• Ho-Pham L.T, Nguyen P.L.T, Le T.T.T, et al. 2009. Veganism, bone mineral density, and body composition: a study in Buddhist nuns. Osteoporos Int, 20: 2087-2093.
• Hunt J. 2002. Moving toward a plant-based diet: are iron and zinc at risk? Nutr Rev, 60: 127-34.
• Hunt J.R., Roughead Z.K. 1999. Nonheme-iron absorption, fecal ferritin excretion, and blood indexes of iron status in women consuming controlled lactoovovegetarian diets for 8 wk. Am J Clin Nutr, 69: 944-952.
• Innis S.M. 2008. Dietary omega 3 fatty acids and the developing brain. Brain Res, 1237: 35-43.
• Jenkins D.J., Kendall C.W., Marchie A, et al. 2003. Type 2 diabetes and the vegetarian diet. Am J Clin Nutr, 78: 610-616.
• Jeong H, Mason S.P., Barabási A.L., et al. 2001. Lethality and centrality in protein networks. Nature, 411: 41-42.
• Key T.J., Appleby P.N., Sabate J. 2001. Vegetarianism, coronary risk factors and coronary heart disease. Vegetarian Nutr, 33-54.
• Key T.J., Appleby P.N., Rosell M.S. 2006. Health effects of vegetarian and vegan diets. Proc Nutr Soc, 65: 35-41.
• Key T.J., Appleby P.N., Spencer E.A., et al. 2009. Mortality in British vegetarians: results from the European Prospective Investigation into Cancer and Nutrition (EPIC-Oxford). Am J Clin Nutr; 89, 1613-1619.
• Koyyalamudi S.R., Jeong S.C., Song C.H., et al. 2009. Vitamin D2 formation and bioavailability from Agaricus bisporus button mushrooms treated with ultraviolet irradiation. J Agr Food Chem, 57: 3351-3355.
• Krajcovicova-Kudlackova M., Blazicek P., Kopcova J., et al. 2000. Homocysteine levels in vegetarians versus omnivores. Ann Nutr Metab, 44: 135-138.
• Krajcovicova-Kudlackova M., Buckova K., Klimes I., Sebokova E. 2003. Iodine deficiency in vegetarians and vegans. Ann Nutr Metab, 47: 183-185.
• Kuo C.S., Lai, N.S., Ho L.T., Lin C.L. 2004. Insulin sensitivity in Chinese ovo-lactovegetarians compared with omnivores. Eur J Clin Nutr, 58: 312-316.
• Lanou A.J., Svenson B. 2011. Reduced cancer risk in vegetarians: an analysis of recent reports. Cancer Manag Res, 3: 1-8.
• Leitzmann C. 2014. Vegetarian nutrition: Past, present, future. Am J Clin Nutr, 100: 496-502.
• Leung A.M., LaMar A, He X, Braverman L.E., Pearce E.N. 2011. Iodine status and thyroid function of Boston-area vegetarians and vegans. J Clin Endocrinol Metab, 96: 1303-1307.
• Lewis N.M., Seburg S., Flanagan N.L. 2000. Enriched eggs as a source of n-3 polyunsaturated fatty acids for humans. Poultry Science, 79: 971-974.
• Longo U.G., Spieza F, Maffuli N., et al. 2008. The best athletes in ancient Rome were vegetarian! J Sports Sci Med, 7: 565
• Marsh K, Zeuschner C, Saunders A. 2012. Health Implications of a vegetarian diet: A Review. Am J Lifestyle Med, 6: 250-267.
• Marsh K.A., Munn E.A., Baines, S.K. 2013. Protein and vegetarian diets. Med J Aust, 199: 7-10.
• Mendis S, Puska P, Norrving B. 2011. Global atlas on cardiovascular disease prevention and control. World Health Organization.
• Messina V, Mangels A.R. 2001. Considerations in planning vegan diets: Children. J Am Diet Assoc, 101: 661-669.
• Messina V.K., Burke K.I. 1997. Position of the American Dietetic Association: vegetarian diets. J Am Diet Assoc, 97: 1317-1321.
• Millward D.J. 1999. Meat or wheat for the next millennium? Proc. Nutr. Soc, 58: 209-210.
• Montanari M. 1995. Avrupa'da yemeğin tarihi. Önen M, Hinginar B (Çeviren). 1. Baskı, İstanbul: Afa Yayıncılık.
• New S.A. 2004. Do vegetarians have a normal bone mass?. Osteoporos Int, 15: 679-688.
• Özcan, T. 2016. Beslenme İlkeleri Ders Notu (Basılmamış). Uludağ Üniversitesi, Ziraat Fakültesi, 81 s.
• Parker G., Gibson N.A., Brotchie H, et al. 2006. Omega-3 fatty acids and mood disorders. Am J Psychiatry, 163: 969-978.
• Pawlak R, James P.S., Raj S, Cullum-Dugan D, Lucus D. 2013. Understanding vitamin B12. Analytic Rev, 7: 60-65.
• Penninx B.W., Guralnik J.M., Ferrucci L., et al. 2000. Vitamin B12 deficiency and depression in physically disabled older women: epidemiologic evidence from the Women's Health and Aging Study. Am J Psychiatry, 157: 715-721.
• Phillips F. 2005. Vegetarian nutrition. Nutr Bull, 30: 132-167.
• Phillips S.M. 2011. The science of muscle hypertrophy: making dietary protein count. Proc Nutr Soc, 70: 100-103.
• Prasad A.S., Mantzoros C.S., Beck F.W., et al. 1996. Zinc status and serum testosterone levels of healthy adults. Nutrition, 12: 344-348.
• Raiten D.J., Picciano M.F. 2004. Vitamin D and health in the 21st century: bone and beyond. Executive summary. Am J Clin Nutr, 80: 1673-1677.
• Remer T. 2000. Acid-base in renal failure: Influence of Diet on Acid-Base Balance. In Seminars in dialysis. In Seminars in dialysis. Blackwell Science Inc, 13: 221-226.
• Rice S, Whitehead S.A. 2006. Phytoestrogens and breast cancer–promoters or protectors?. Endocr Relat Cancer, 13: 995-1015.
• Rosell M, Appleby P, Spencer E, Key T. 2006. Weight gain over 5 years in 21 966 meat-eating, fish-eating, vegetarian, and vegan men and women in EPIC-Oxford. Int J Obes, 30: 1389-1396.
• Sabaté J. 2003. The contribution of vegetarian diets to health and disease: a paradigm shift?. Am. J. Clin. Nutr, 78: 502-507.
• Samur G. 2008. Vitaminler Mineraller ve Sağlığımız. Birinci Baskı, Ankara: Klasmat Matbaacılık: 20-21
• Slavin J. 2003. Why whole grains are protective: biological mechanisms. Proc. Nutr. Soc, 62: 129-134.
• Stabler S.P., Allen R.H. 2004. Vitamin B12 deficiency as a worldwide problem. Annu. Rev. Nutr; 24: 299-326.
• Tantamango-Bartley Y, Jaceldo-Siegl K, Fan J, Fraser G. 2013. Vegetarian diets and the incidence of cancer in a low-risk population. Cancer Epidemiol Biomarkers Prev, 22: 286-294.
• Taylor E.F., Burley V.J., Greenwood D.C., Cade J.E. 2007. Meat consumption and risk of breast cancer in the UK Women's Cohort Study. Brit J Cancer, 96: 1139-1146.
• Theobald H.E. 2005. Dietary calcium and health. Bnf, 30: 237-277.
• Tonstad S, Butler T, Yan R, Fraser, G.E. 2009. Type of vegetarian diet, body weight, and prevalence of type 2 diabetes. Diabetes Care, 32: 791-796.
• Trumbo P., Yates A.A., Schlicker S., Poos M. 2001. Dietary reference intakes: vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. J Am Diet Assoc, 101: 294-301.
• Tsai C.J, Leitzmann M.F, Willett W.C., et al. 2006. Fruit and vegetable consumption and risk of cholecystectomy in women. Am J Med, 119: 760-767.
• Turner-McGrievy G., Davidson C., Wingard E., et al. 2015. Comparative effectiveness of plant-based diets for weight loss: A randomized controlled trial of five different diets. Nutrition, 31: 350-358.
• Venderley A.M., Campbell W.W. 2006. Vegetarian diets. Sports Med, 36: 293-305.
• Weaver C.M., Plawecki K.L. 1994. Dietary calcium: adequacy of a vegetarian diet. Am J Clin Nutr, 59: 1238-1241.
• Weaver C.M., Proulx W.R., Heaney R. 1999. Choices for achieving adequate dietary calcium with a vegetarian diet. Am J Clin Nutr, 70: 543-548.
• Yokoyama Y, Nishimura K, Barnard N.D., et al. 2014. Vegetarian diets and blood pressure: A meta-analysis. JAMA Intern Med, 174: 577-587.
• Young V.R., Pellett P.L. 1994. Plant proteins in relation to human protein and amino acid nutrition. Am J Clin Nutr, 59: 1203-1212.