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Vegetarianism and Bone Health in Women

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Part of the book series: Nutrition and Health ((NH))

Abstract

In recent years there has been an increased interest in possible health benefits of plant-based diets. Although vegetarians comprise a small percentage of the population, some data suggest that the prevalence may be increasing, particularly among young women (1). Whether vegetarianism has an impact on bone health has not been studied extensively to date. Accordingly, the purpose of this chapter is to review possible mechanisms whereby dietary and lifestyle factors associated with vegetarianism could influence bone health, and to review the available literature comparing bone health between vegetarians and omnivores. Because very few studies have been conducted with men, this review will be confined primarily to women.

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References

  1. Sabate J, Ratzin-Turner RA, Brown JE. Vegetarian diets: descriptions and trends. In: Sabate J, ed. Vegetarian Nutrition. CRC Press, Boca Raton, FL, 2001, pp. 3–17.

    Chapter  Google Scholar 

  2. Matkovic V, Heaney RP. Calcium balance during human growth: evidence for threshold behavior. Am J Clin Nutr 1992; 55:992–996.

    PubMed  CAS  Google Scholar 

  3. Tylavsky FA, Anderson JJB. Dietary factors in bone health of elderly lactoovovegetarian and omnivorous women. Am J Clin Nutr 1988; 48:842–849.

    PubMed  CAS  Google Scholar 

  4. Hunt IF, Murphy NJ, Henderson C, et al. Bone mineral content in postmenopausal women: cornparison of omnivores and vegetarians. Am J Clin Nutr 1989; 50:517–523.

    PubMed  CAS  Google Scholar 

  5. Tesar R, Notelovitz M, Shim E, Kauwell G, Brown J. Axial and peripheral bone density and nutrient intakes of postmenopausal vegetarian and omnivorous women. Am J Clin Nutr 1992; 56:699–704.

    PubMed  CAS  Google Scholar 

  6. Ellis FR, Holesh S, Ellis JW. Incidence of osteoporosis in vegetarians and omnivores. Am J Clin Nutr 1972; 25:555–558.

    PubMed  CAS  Google Scholar 

  7. Marsh AG, Sanchez TV, Michelsen O, Chaffee FL, Fagal SM. Vegetarian lifestyle and bone mineral density. Am J Clin Nutr 1988; 48:837–841.

    PubMed  CAS  Google Scholar 

  8. Janelle KC, Barr SI. Nutrient intakes and eating behavior scores of vegetarian and nonvegetarian women. J Am Diet Assoc 1995; 95:180–186, 189.

    Google Scholar 

  9. Draper A, Lewis J, Malhotra N, Wheeler E. The energy and nutrient intakes of different types of vegetarians: a case for supplements? Br J Nutr 1993; 69:3–19.

    Article  PubMed  CAS  Google Scholar 

  10. Gennari C. Calcium and vitamin D nutrition and bone disease of the elderly. Pub Health Nutr 2001; 4:547–559.

    Article  CAS  Google Scholar 

  11. Outila TA, Karkkainen MUM, Seppanen RH, Lamberg-Allardt CJE. Dietary intake of vitamin D in premenopausal, healthy vegans was insufficient to maintain concentrations of serum 25-hydroxyvitamin D and intact parathyroid hormone within normal ranges during the winter in Finland. J Am Diet Assoc 2000; 100:434–441.

    Article  PubMed  CAS  Google Scholar 

  12. Cloutier G, Barr SI. The effect of protein nutriture on bone health: literature review and counselling implications. Can J Diet Pract Res 2003; 64:5–11.

    Article  PubMed  Google Scholar 

  13. Lau EMC, Kwok T, Woo J, Ho SC. Bone mineral density in Chinese elderly female vegetarian vegans, lacto-vegetarians and omnivores. Eur J Clin Nutr 1998; 52:60–64.

    Article  PubMed  CAS  Google Scholar 

  14. Lloyd T, Schaeffer JM, Walker MA, Demers LM. Urinary hormonal concentrations and spinal bone densities of premenopausal vegetarian and nonvegetarian women. Am J Clin Nutr 1991; 54:1005–1010.

    PubMed  CAS  Google Scholar 

  15. Green J, Kleeman CR. The role of bone in the regulation of systemic acid-base balance. Contrib Nephrol 1991; 81:61–76.

    Google Scholar 

  16. Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson PW, Kiel DP. Potassium, magnesium, and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. Am J Clin Nutr 1999; 69:727–736.

    PubMed  CAS  Google Scholar 

  17. New SA, Robins SP, Campbell MK, et al. Dietary influences on bone mass and bone metabolism: further evidence of a positive link between fruit and vegetable consumption and bone health? Am J Clin Nutr 2000; 71:142–151.

    PubMed  CAS  Google Scholar 

  18. Tham DM, Gadner CD, Haskell WL. Potential health benefits of dietary phytoestrogens: a review of the clinical, epidemiological, and mechanistic evidence. J Clin Endocrinol Metab 1998; 83:2223–2235.

    Article  PubMed  CAS  Google Scholar 

  19. Greendale GA, Fitz-Gerald G, Huang MH, et al. Dietary soy isoflavones and bone mineral density: results from the study of women’s health across the nation. Am J Epidemiol 2002; 155:746–754.

    Article  PubMed  Google Scholar 

  20. Mei J, Yeung SS, Kung AW. High dietary phytoestrogen intake is associated with higher bone mineral density in postmenopausal but not premenopausal women. J Clin Endocrinol Metab 2001; 86:5217–5221.

    Article  PubMed  CAS  Google Scholar 

  21. Appleby PN, Key TJ, Thorogood M, Burr ML, Mann J. Mortality in British vegetarians. Pub Health Nutr 2002; 5:29–36.

    Google Scholar 

  22. Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Adolescent vegetarians. A behavioral profile of a school-based population in Minnesota. Arch Pediatr Adolesc Med 1997; 151:833–838.

    Article  PubMed  CAS  Google Scholar 

  23. Martins Y, Pliner P, O’Connor R. Restrained eating among vegetarians: does a vegetarian eating style mask concerns about body weight? Appetite 1999; 32:145–154.

    Article  PubMed  CAS  Google Scholar 

  24. McLean JA, Barr SI. Cognitive dietary restraint is associated with eating behaviors, lifestyle practices, personality characteristics, and menstrual irregularity in college women. Appetite 2003; 40:185–192.

    Article  PubMed  Google Scholar 

  25. McLean JA, Barr SI, Prior JC. Dietary restraint, exercise, and bone density in young women: are they related? Med Sci Sports Exerc 2001; 33:1292–1296.

    Article  PubMed  CAS  Google Scholar 

  26. Barr SI. Vegetarianism and menstrual cycle disturbances: is there an association? Am J Clin Nutr 1999; 70:549S–554S.

    Google Scholar 

  27. Barr SI. Chapman GE. Perceptions and practices of self-defined current vegetarian, former vegetarian, and nonvegetarian women. J Am Diet Assoc 2002; 102:354–360.

    Article  PubMed  Google Scholar 

  28. Marsh AG, Sanchez TV, Mickelsen O, Keise J, Mayor G. Cortical bone density of adult lactoovo-vegetarian and omnivorous women. J Am Diet Assoc 1980; 76:148–151.

    PubMed  CAS  Google Scholar 

  29. Reed JA, Anderson JJB, Tylavsky FA, Gallagher PN Jr. Comparative changes in radial-bone density of elderly female lactoovovegetarians and omnivores. Am J Clin Nutr 1994; 59(suppl):1197S–1202S.

    Google Scholar 

  30. Barr SI, Prior JC, Janelle KC, Lentle BC. Spinal bone mineral density in premenopausal vegetarian and nonvegetarian women: cross-sectional and prospective comparisons. J Am Diet Assoc 1998; 98:760–765.

    Article  PubMed  CAS  Google Scholar 

  31. Chiu J-F, Lan S-J, Yang C-Y, et al. Long-term vegetarian diet and bone mineral density in postmenopausal Taiwanese women. Calcif Tissue Int 1997; 60:245–249.

    Article  PubMed  CAS  Google Scholar 

  32. Rajaram S, Wien M. Vegetarian diets in the prevention of osteoporosis, diabetes and neurological disorders. In: Sabate J, ed. Vegetarian Nutrition. CRC Press, Boca Raton, FL, 2001, pp. 109–134.

    Chapter  Google Scholar 

  33. Parsons TJ, Van Dusseldorp M, Van der Vliet M, Van de Werken K, Schaafsma G, Van Staveren WA. Reduced bone mass in Dutch adolescents fed a macrobiotic diet in early life. J Bone Miner Res 1997; 12:1486–1494.

    Article  PubMed  CAS  Google Scholar 

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© 2004 Springer Science+Business Media New York

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Barr, S.I. (2004). Vegetarianism and Bone Health in Women. In: Holick, M.F., Dawson-Hughes, B. (eds) Nutrition and Bone Health. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-740-6_16

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  • DOI: https://doi.org/10.1007/978-1-59259-740-6_16

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-451-7

  • Online ISBN: 978-1-59259-740-6

  • eBook Packages: Springer Book Archive

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