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GreenWise - March 2005

Being Vegetarian: how to do it

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I was just about to put dinner on the table when my 16-year-old son announced that he was going to be a vegetarian, the only one in our family. After the dishes were done that evening, we did some research to find out what his decision would mean to us as a family - in terms of both his nutritional status and our dinner menus.

Once a person makes the decision to adopt a different way of eating, it's not just a matter of leaving an empty spot on the plate where the meat used to be. Whether you intend to cut down on the amount of meat in your diet or to cut it out altogether, a little research can go a long way in preventing deficiencies of vital nutrients.

The first question you'll hear when you announce your goal of adopting a vegetarian eating style is likely to be, "How are you going to get enough protein?" And that may be followed by, "Where will you get your calcium?"

Where's the Protein?
As long as you eat a variety of high-quality plant foods - and enough good food to maintain energy - protein shouldn't be an issue. In a joint statement, the American Dietetic Association and Dietitians of Canada said, "Research indicates that an assortment of plant foods eaten over the course of a day can provide all essential amino acids [the building blocks of protein]."

The Traditional Healthy Vegetarian Diet Pyramid developed by Oldways Preservation and Exchange Trust includes recommendations for high-protein foods that, along with brightly colored fresh fruits and vegetables, should make up the greatest part of a vegetarian diet:
  • Whole Grains
    barley, bulgur, corn, flax, kasha, millet, oats, rice, rye, wheat
  • Legumes
    1. beans (including black beans, black-eyed peas, kidney beans, lentils, navy beans, pinto beans, red beans)
    2. peanuts
    3. soy (including tofu).
Calcium Needs
Calcium is, of course, another nutrient that's necessary for health and strength. Research has shown that vegetarians who eat some dairy foods consume a comparable amount of calcium as those who are not vegetarians. Even vegetarians who avoid animal-based products can build and maintain healthy bones and teeth by including the following foods in their daily eating plans:
  • Green vegetables
    especially broccoli and dark, leafy greens such as kale
  • Legumes
    1. beans (kidney beans, for example, contain about 144 mg of calcium per cup)
    2. tofu (read the label to be sure it's been processed with calcium sulfate) and soymilk (with calcium added)
  • Calcium-fortified foods
    orange juice and many breads and cereals look and taste like their nonfortified counterparts but pack a wallop of calcium.
Supplementing the Vegetarian Diet
Assuming that your protein needs are met and that you eat plenty of fruits and veggies, what else should you consider? For one thing, many experts agree that low levels of vitamins, minerals, and other nutrients are a problem in this country, and not just for vegetarians. "There is good evidence that a large segment of the population is deficient in significant amounts of micronutrients," says Gerald M. Lemole, MD, chief of cardiovascular services at Christiana Care Health System's Center for Heart and Vascular Health in Newark, Delaware. He recommends the following supplements:
    • vitamins A, C, and E for their antioxidant properties
    • vitamin B complex
    • minerals (including calcium, magnesium, selenium, and zinc)
    • essential fatty acids
    • coenzyme Q10, which becomes depleted as we age.
    Licensed nutritionist Frances M. Berg, MS, adjunct professor at the University of North Dakota School of Medicine, emphasizes the vegetarian's need for vitamin B12, which she calls "an essential vitamin missing in plant foods." Women who are pregnant or planning a pregnancy and those who are breastfeeding should look for a B complex rich in vitamin B12 and containing 400 micrograms of folate. Parents of vegetarian children and adolescents will want to be sure their diets contain lots of fresh fruits and vegetables and sources of minerals and vitamin D (especially important where sun exposure is limited or sunblock is used).
  • Vegetarian or Not
    "The focus for healthy eating should be a mostly plant-based diet - one that is centered around a variety of vegetables, fruits, whole grains, and beans," says nutritionist Karen Collins, MS, RD, of the American Institute for Cancer Research. Whether or not you become a full-time, lifelong vegetarian, Collins says, "healthy food choices within that framework seem to be the key for good health."

    Next month: An overview of the different types of vegetarian diets.

    SELECTED SOURCES
    The Healing Diet by Gerald M. Lemole, MD ($25, William Morrow, 2001)
    "Is Vegetarian Eating Really Healthier?" by Karen Collins, MS, RD, American Institute for Cancer Research, www.aicr.org, 2/14/00
    "The Traditional Healthy Vegetarian Diet Pyramid," Oldways Preservation & Exchange Trust, 2000, www.oldwayspt.org
    Underage & Overweight: America's Childhood Obesity Crisis - What Every Family Needs to Know by Frances M. Berg, MS, LN ($24.95, Hatherleigh Press, 2004)
    "Vegetarian Diets," American Dietetic Association and Dietitians of Canada, position paper, www.eatright.org
    What, No Meat?! What to Do When Your Kid Becomes a Vegetarian by Debra Halperin Poneman and Emily Anderson Greene ($14.95, ECWPress, 2003)

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