Marcel Hebbelinck

Comparison of Nutritional Quality of the Vegan, Vegetarian, Semi-Vegetarian, Pesco-Vegetarian and Omnivorous Diet

The number of studies comparing nutritional quality of restrictive diets is limited. Data on vegan subjects are especially lacking. It was the aim of the present study to compare the quality and the contributing components of vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diets. Dietary intake was estimated using a cross-sectional online survey with a 52-items food frequency questionnaire (FFQ). Healthy Eating Index 2010 (HEI-2010) and the Mediterranean Diet Score (MDS) were calculated as indicators for diet quality. After analysis of the diet questionnaire and the FFQ, 1475 participants were classified as vegans (n = 104), vegetarians (n = 573), semi-vegetarians (n = 498), pesco-vegetarians (n = 145), and omnivores (n = 155). The most restricted diet, i.e., the vegan diet, had the lowest total energy intake, better fat intake profile, lowest protein and highest dietary fiber intake in contrast to the omnivorous diet. Calcium intake was lowest for the vegans and below national dietary recommendations. The vegan diet received the highest index values and the omnivorous the lowest for HEI-2010 and MDS. Typical aspects of a vegan diet (high fruit and vegetable intake, low sodium intake, and low intake of saturated fat) contributed substantially to the total score, independent of the indexing system used. The score for the more prudent diets (vegetarians, semi-vegetarians and pesco-vegetarians) differed as a function of the used indexing system but they were mostly better in terms of nutrient quality than the omnivores.

Evaluation of habitual physical activity from a week's heart rate monitoring in French school children

Habitual physical activity (HPA) was studied in 30 boys and 34 girls aged 6–11 years. All the children performed a shuttle run test (SRT) to assess maximal heart frequency (fcmaxSRT) and to evaluate maximal oxygen uptake (VO2maxSRT). Heart rate (fc) was measured continuously from Monday to Sunday, using a heart rate counter. The time spent at fc greater than 140 beats · min−1 (tfc>140) and at fc greater than 160 beats · min−1 (tfc>160) permitted HPA to be evaluated. The daily heart rate (fcd) and the percentage of heart rate reserve (%fcrd) were calculated to evaluate the metabolic activity. In the boys and girls, fcd and %fcrd varied little with age. The metabolic activity varied in a rhythmical way during the week and was higher during school days than during free days (P < 0.001). The children were more active during school days (ds) than during the free days (df). This observation was particularly marked in the boys having tfc>140 being twice as high during ds compared to df [tfc>140, ds 85 (SD 25), df 40 (SD 26) min; tfc>160, ds 36 (SD 19), df 16 (SD 13) min]. During dstfc>160was greater in the boys than in the girls (P < 0.01) . The same held for tfc>140and % fcrd from the age of 9 years (P < 0.001) . It was during the recreation periods that the differences between the boys and the girls were observed (P < 0.01). There was no significant difference between the boys and the girls during lessons, in the evening and during df (% fcrd 26–28%, tfc>14035–45 min, tfc>16010–18 min). In contrast, the children who were physically active in a sports club, had less spontaneous physical activity and %fcrd, tfc>140, tfc>160and VO2maxSRT were identical to those of the other children.

Growth, development, and physical fitness of Flemish vegetarian children, adolescents, and young adults

This study was designed to assess average daily dietary intakes of energy in 82 vegetarian children (group A: 6- 9-y-old girls and 6-11-y-old boys), adolescents (group B: 10- 15-y-old girls and 12-17-y-old boys), and young adults (group C: 16-30-y-old females and 18-30-y-old males) and included determination of height and weight; triceps, suprailiac, and calf skinfold thicknesses; puberty ratings; and physical fitness. Dietary energy intake was lower than recommended values in all 3 groups. Height and weight did not differ significantly from the reference data except in group B, which had significantly lower heights and weights and lower body mass indexes (P<0.05). Triceps and suprailiac skinfold thicknesses were lower in all age groups, whereas the calf skinfold thickness was only significantly lower in the 10-15-y-old girls (P<0.05). The vegetarian children were as physically fit as the reference group. The vegetarian adolescent boys and girls and the young adults scored significantly lower on the standing long jump and 30-s sit-up (P<0.05). The vegetarian subjects of groups B and C recovered significantly faster from the step test (P<0.05). Puberty ratings plotted on percentile graphs showed that all vegetarian subjects, except for 1 girl, were within the normal developmental range. We conclude that, within the limits of this study, vegetarian subjects have lower relative body weights and skinfold thicknesses in adolescence than do nonvegetarians. They scored lower on the strength tests and better on the cardiorespiratory test when compared with reference values. The growth and maturation status of the vegetarian population were within the normal range.

Estimation of daily human intake of food flavonoids.

The daily intake of food flavonoids was determined using a semiquantitative food frequency questionnaire (FFQ) and a 4-day food record (4DFR) in a group of 45 female Flemish dietitians. The subjects were asked to report their food intake three times: day 1 using the FFQ (FFQ1); between days 2 and 13 using a 4-day non-consecutive food diary (4DFR); and again using the FFQ on day 14 (FFQ2). The total flavonoid intakes (mean and standard deviation) as estimated with the different methods were: for FFQ1, 166.0±146.6 mg/day; for 4DFR, 203.0±243.2 mg/day; and for FFQ2, 158.3 ±151.8 mg/day. There was a significant different estimate for the amount of flavan-3-ols, flavanones and flavones when comparing the two FFQs with the 4DFR. The two research methods classified 88% of the 45 dietitians in the same or in an adjacent quartile for total flavonoid intake. The findings of this study indicate that the developed FFQ seems to be a simple and reliable method to assign subjects in quartiles of flavonoid intake.

Nutritional Status of Flemish Vegetarians Compared with Non-Vegetarians: A Matched Samples Study

The present study compares the nutritional status of vegetarian (V) with non-vegetarian (NV) subjects. A three-day food record and a health questionnaire were completed by 106 V and 106 NV matched for following characteristics: sex, age, BMI, physical activity, tobacco use and alcohol consumption. Total energy intake was not significantly different (men: V: 2,346 ± 685 kcal/d; NV: 2,628 ± 632 kcal/d; p = 0.078; women: V: 1,991 ± 539 kcal/d; NV: 1,973 ± 592 kcal/d; p = 0.849). Macronutrients intake differed significantly between the V and NV subjects for protein (men: V:12.7 ± 2.3 E%; NV:15.3 ± 4.5 E%; p = 0.003; women: V: 13.2 ± 2.3 E%; NV:16.0 ± 4.0 E%; p < 0.001), fat (men: V: 29.3 ± 8.4 E%; NV: 33.8 ± 5.3 E%; p = 0.010; women: V: 29.7 ± 6.9 E%; NV: 34.7 ± 9.0 E%; p < 0.001), and carbohydrate (men: V: 55.3 ± 10.1 E%; NV: 47.4 ± 6.9 E%; p < 0.001; women: V: 55.1 ± 7.6 E%; NV: 47.2 ± 8.2 E%; p < 0.001). The intake of most minerals was significantly different between the V and the NV subjects. V had a lower sodium intake, higher calcium, zinc, and iron intake compared to the NV subjects. Our results clearly indicate that a vegetarian diet can be adequate to sustain the nutritional demands to at least the same degree as that of omnivores. The intakes of the V subjects were closer to the recommendations for a healthy diet when compared to a group of well matched NV subjects.

Cross-sectional analysis of BMI and some lifestyle variables in Flemish vegetarians compared with non-vegetarians

Epidemiological studies on vegetarians indicate that appropriately planned vegetarian diets are associated with certain health benefits, which may lower mortality and morbidity. A healthy lifestyle, such as regular physical activity and avoidance of harmful practices, such as smoking and heavy drinking, could also influence these positive health-related outcomes in vegetarians. This study reports BMI, smoking and drinking habits, engagement in physical activity, medication use and subjective health perception in a vegetarian population (women: n = 206, mean age 37.0 ± 12.3 years; men: n = 120, mean age 42.3 ± 15.9 years) as compared with a reference Belgian population (women: n = 4993, mean age 49.8 ± 18.0 years; men: n = 4666, mean age 48.0 ± 17.1 years). When considering the vegetarian group as a whole, the vegetarians had a lower mean BMI compared with the reference population (respectively 22.1 ± 3.1 kg/m2 compared with 24.6 ± 4.8 kg/m2 for women (p < 0.001) and respectively 22.6 ± 3.6 kg/m2 compared with 25.7 ± 4.0 kg/m2 for men (p < 0.001)). Vegetarians smoked less than subjects of the reference group (13.5% compared with 28.5% respectively; p < 0.001). During weekdays the percentage of subjects consuming alcoholic drinks in the two populations was comparable (32.8 in the vegetarian and 35.8 in the reference population; p = 0.159). During the weekend, more subjects of the reference population drank alcohol compared with the vegetarian subjects (70.2% vs. 58.6% respectively; p = 0.026). More vegetarians were involved in intensive physical activity (over 4 h per week) compared with the reference population (36.8% vs. 17.3% respectively; p < 0.001), while fewer vegetarians were involved in moderate physical activity (up to 4 h per week) compared with subjects of the reference group (28.2% and 51.0% respectively; p < 0.001). Percentages of subjects involved in no physical activity were comparable in both groups (vegetarians 34.9 vs. reference subjects 31.8; p = 0.625). Use of prescribed medication was lower among the vegetarians (25.5% compared with 47.3% in the reference population; p < 0.001), while use of non-prescribed drugs was comparable between both groups (34.1% in the vegetarian group and 28.2% in the reference group; p = 0.580). More vegetarian subjects perceived their health to be good to very good compared with the subjects of the reference population (90.4% vs. 77.2% respectively; p < 0.001). The significant difference for the BMI values when comparing the vegetarian males and females with the reference population cannot be completely explained by the evaluated lifestyle characteristics. However, the lower BMI values in vegetarians are in agreement with the literature.

Health aspects, nutrition and physical characteristics in matched samples of institutionalized vegetarian and non-vegetarian elderly (> 65yrs)

BackgroundEpidemiological studies indicate that a well balanced vegetarian diet offers several health benefits including a lower prevalence of prosperity diseases in vegetarians compared to omnivores. It was the purpose of the present study to compare nutritional and physical characteristics in matched samples of institutionalized vegetarian (V) and non-vegetarian (NV) elderly.MethodsTwenty-two female and 7 male V (females: 84.1 ± 5.1yrs, males: 80.5 ± 7.5yrs) and 23 female and 7 male NV (females: 84.3 ± 5.0yrs, males: 80.6 ± 7.3yrs) participated. All subjects were over 65 years of age, and free of major disease or physical handicap. Dietary intake, blood profile, anthropometrics, and handgrip strength were determined.ResultsMean daily energy intake was 6.8 ± 2.0MJ in V females, and 8.0 ± 1.4MJ in the NV females, only the V did not reach the recommended value of 7.8 MJ. Male V and NV had a mean daily energy intake of 8.7 ± 1.6MJ and 8.7 ± 1.2MJ respectively (RDI: 8.8 MJ). Mean carbohydrate intake was significantly below the RDI in NV only (female V: 47.8 ± 7.5E%, female NV: 43.3 ± 4.6E%, male V: 48.1 ± 6.4E%, male NV: 42.3 ± 3.6E%), while protein (female V: 17.3 ± 3.4E%, female NV: 19.5 ± 3.5E%, male V: 17.8 ± 3.4E%, male NV: 21.0 ± 2.0E%), and saturated fat intake (female V: 25.4 ± 8.2 g/day, female NV: 32.2 ± 6.9 g/day, male V: 31.4 ± 12.9 g/day, male NV: 33.4 ± 4.7 g/day) were too high in both V and NV. Mean micronutrient intakes met the RDIs in all 4 groups. Mean blood concentrations for vitamin B12, folic acid, iron, and calcium were normal in all 4 groups. Mean zinc blood serum was below the reference value in all groups, whereas estimated zinc intake was in agreement with the RDI. The mean blood cholesterol concentration was above the 200 mg/dl upper limit in the V group (213 ± 40 mg/dl) and below that limit in the NV (188 ± 33 mg/dl) group. Mean BMI was 26.1 ± 4.7 kg/m2 in the female V, 26.8 ± 3.7 kg/m2 in the female NV, 23.5 ± 3.7 kg/m2 in the male V, and 25.2 ± 4.2 kg/m2 in the male NV. V and NV scored below the reference values for the handgrip strength test.ConclusionsGenerally, our results show a similar profile for V and NV concerning dietary intake, blood values, and physical characteristics. Attention should be paid to the intake of mono- and disaccharides and saturated fats in the diet of both V and NV. This study indicates that a vegetarian lifestyle has no negative impact on the health status at older age.

Stability of somatotypes: A longitudinal study of Belgian children age 6 to 17 years

The purpose of this study was to investigate the stability of somatotypes in Belgian children and adolescents, 52 boys and 30 girls, followed longitudinally from 6 to 17 years of age. The anthropometric Heath‐Carter somatotypes, with a stature correction for endomorphy, were estimated at 1‐year intervals. Mean somatotypes were most different between the earliest and oldest ages in both boys and girls. For boys, the means from 9 to 13 years and from 14 to 17 years did not differ. Means were 2‐4‐2½, 2½‐4‐4, and 2‐4‐4 at 6, 12, and 17 years, respectively. The scatter of somatotypes about their means was smallest at 6–8 years and greatest at 11–13 years in both boys and girls (P <0.05). For girls, the mean somatotypes from 8 or 9 years through adolescence were not different, although they tended to become more meso‐endomorphic. Means were 2‐4½‐2½, 3‐4‐3½, and 3½‐3½‐3 at 6, 12, and 17 years, respectively. The average migratory distance for boys was 6.4 (range = 3.7–12.9) and 7.8 (3.9–21.8) for girls. Many subjects had changes that were three to four times greater than others. Boys were lower in ectomorphy at 6–8 years than at older ages, while girls were higher in mesomorphy at 6 than at 12–17 years (P <.05). Interage partial correlations for each component were highest (r2 ⩾ .49) between adjacent years, but were poor to moderate as time intervals increased. The findings of this longitudinal study confirm and further define the instability of somatotypes previously observed in cross‐sectional studies of Belgian children and adolescents.

Dietary pattern analysis: a comparison between matched vegetarian and omnivorous subjects

BackgroundDietary pattern analysis, based on the concept that foods eaten together are as important as a reductive methodology characterized by a single food or nutrient analysis, has emerged as an alternative approach to study the relation between nutrition and disease. The aim of the present study was to compare nutritional intake and the results of dietary pattern analysis in properly matched vegetarian and omnivorous subjects.MethodsVegetarians (n = 69) were recruited via purposeful sampling and matched non-vegetarians (n = 69) with same age, gender, health and lifestyle characteristics were searched for via convenience sampling. Two dietary pattern analysis methods, the Healthy Eating Index-2010 (HEI-2010) and the Mediterranean Diet Score (MDS) were calculated and analysed in function of the nutrient intake.ResultsMean total energy intake was comparable between vegetarians and omnivorous subjects (p > 0.05). Macronutrient analysis revealed significant differences between the mean values for vegetarians and omnivorous subjects (absolute and relative protein and total fat intake were significantly lower in vegetarians, while carbohydrate and fibre intakes were significantly higher in vegetarians than in omnivorous subjects). The HEI and MDS were significantly higher for the vegetarians (HEI = 53.8.1 ± 11.2; MDS = 4.3 ± 1.3) compared to the omnivorous subjects (HEI = 46.4 ± 15.3; MDS = 3.8 ± 1.4).ConclusionsOur results indicate a more nutrient dense pattern, closer to the current dietary recommendations for the vegetarians compared to the omnivorous subjects. Both indexing systems were able to discriminate between the vegetarians and the non-vegetarians with higher scores for the vegetarian subjects.

Energy and macronutrient intake in adolescent sprint athletes: A follow-up study

Abstract Macronutrient intake, height, weight, and body composition of 60 adolescent sprint athletes were estimated every 6 months over 3 years. Seven-day food records were analysed based on the Belgian and Dutch food databanks. The age of participants at the start of the 3-year study was 14.8 ± 1.6 years for female athletes and 14.7 ± 1.9 years for male athletes. Girls and boys gained height (3.4 ± 4.6 cm and 5.9 ± 6.6 cm respectively) and weight (5.6 ± 3.5 kg and 8.7 ± 5.5 kg respectively), whereas percent body fat remained unchanged in both girls and boys (around 17.0% and 8.5% respectively). Mean protein intake of around 1.5 g · kg−1 body weight was within recommendations on each occasion for both sexes. Carbohydrate intakes between 5 and 7 g · kg−1 body weight support a training programme of moderate intensity. Total and saturated fat intakes were high at the start of the study (girls: 31.8 ± 3.5% and 12.2 ± 2.0% of energy intake; boys: 30.3 ± 4.6% and 12.0 ± 1.9% of energy intake) and it appeared to be difficult to achieve and maintain lower intakes. Consistent low fluid intakes around 40 ml · kg−1 body weight were observed. General non-stringent advice for improvement of the diet resulted in significant favourable changes only for the consumption of wholegrain bread, vegetables, and soft drinks. Dietary habits of adolescent sprint athletes are not always according to guidelines and are relatively stable but repeated advice can induce moderate improvements.