1,3,4,5Department of Nutrition and Dietetics, Ben Carson Snr School of Medicine and Surgery, Babcock University, Ilishan-Remo, Ogun State, Nigeria
Vegetarianism is the practice of following a plant – based diet including fruits, vegetables, cereals, grains, nuts and seeds with or without dairy products and eggs. A vegetarian does not eat meat including: red meat, game, poultry, fish, crustacean, shellfish and products of animal slaughter such as animal derived gelatin and rennet [18]. Vegetarianism is considered a healthy viable diet. The American Dietetic Association and the Dietitians of Canada have found a properly planned vegetarian diet to satisfy the nutritional needs for all stages of life and large scale studies have shown that “mortality from ischemic heart disease was 24% lower in vegetarians than in non vegetarians [12].
“Vegetarian dietary patterns are quite diverse and variant due to food availability, region, age, gustatory reasons and religion and cultural beliefs. They encompass a wide range of plant products and food practices based on these factors and always begin with a plant based foundation” [1].
There is evidence that well-planned vegetarian diet provides numerous health benefits and is appropriate for all stages of life cycle [10]. Considering health hazards of consumption of protein rich diet deriving from animal sources, proportion of vegetarian or people consuming vegetable-based diet is increasing globally [6, 9, 13, 14].
Lacto-ovo vegetarians are allowed the consumption of milk which is a good source of calcium. However, Lacto-ovovegetarians, who consume diets which are generous in dairy products, should be advised to eat substantial amounts of ironrich vegetables, grains, and legumes to minimize the inhibitory effect of calcium, and also to consume plenty of vitamin C-rich fruits to facilitate absorption of the non-heme iron. Vitamin C appears to enhance iron retention when calcium is consumed in the same meal [8].
There is a need to detect under nutrition in individuals and to assess the severity of the problem in the community [17]. The use of nutritional anthropometric measure serves as an indicator of under nourishment. Nutritional anthropometry addresses issues related to reference values and discusses cut offs based on relationship between functional impairment, morbidity and other consequences of food inadequacy. Since diet is a component of health that can be modified fairly readily and specific nutritional guidance can be given to people to ensure adequate nutrition [19].
Studies have shown that adolescents who are vegetarians often engage in disturbed eating [4, 15]. Adolescents and young adults were found to be more likely to engage in binge eating with loss of control. However, that is there is no agreement on whether vegetarianism is the cause of disordered eating or whether is the manifestations of disordered eating (causal-symptomatic relationship) [1].
The concept that a well-balanced vegetarian diet can provide for the needs of a growing child and adolescent is supported by Canada’s Food Guide, the American Dietetic Association and Dietitians of Canada, and the American Academy of Pediatrics (Canadian Paediatric Society, 2010). A review of vegetarian diets based on ten studies found that vegetarians had lower intake than omnivores for only a few nutrients: vitamins B12 and C, calcium and zinc [7]. Overall conclusions were that vegetarian diets can be nutritionally adequate. Any nutritional deficits can be addressed by taking supplements, eating fortified foods, or preparing and combining foods to enhance absorption of vitamins and minerals [2]. The study therefore examined the nutritional status of Lactoovo vegetarian young adults of Babcock University in Ogun State.
The sample size for the study was calculated using [3].
N= 2(Za)2 pq/ d2
Where N = sample size
(Za)2 = level of confidence or the probability that the true percentage is within chosen value d = 1.96
P = proportion or estimate of percentage of sampling frame.
q = 100-p
d = level of precision (5%) required of results.
Hence, 210 student sample size at 5% level of precision was obtained. This study therefore used 210 boarding students as respondents for this study.
Two hundred and ten (210) healthy students were randomly selected for the study but Two hundred and six (206) questionnaires with matching anthropometry measurement and food intake were analyzed
Data were collected in the following ways:
Body weights were measured using bathroom scale. The scale was placed on a flat surface and the subjects were made to stand uprightly, barefooted, with minimum clothing. The reading was done in duplicate to the nearest 0.1 kg and the average weight was calculated.
b) Height measurement
Height measuring scale was used to measure the individual heights. The subjects were made to stand erect on the base place without shoes, socks, head tie in order to give accurate distance between the sole of the feet and the crown of the head. As the subjects are looking straight, the head piece was sliced down to the head crown. The heights was taken to the nearest 0.1m and repeated to obtain the average value.
C) Body Mass Index (BMI)
This was determined by dividing the weight of each respondent in kilogram by the square of his height in meters (World Health Organization, 2009).
Age range (years) |
Frequency (no) |
Percentage (%) |
16—20 |
83 |
40.3 |
21-25 |
95 |
46.1 |
>25 |
28 |
13.6 |
Total |
206 |
100 |
Sex |
||
Male |
108 |
52.43 |
Female |
98 |
47.57 |
Total |
206 |
100 |
Marital Status |
||
Single |
176 |
85.4 |
Married |
29 |
14.1 |
Widow |
1 |
0.5 |
Total |
206 |
100 |
Religious Affiliation |
||
Christianity |
147 |
71.4 |
Islamic |
47 |
22.8 |
Traditional |
12 |
5.8 |
Total |
206 |
100 |
Tribe |
||
Yoruba |
84 |
41.78 |
Hausa |
46 |
22.33 |
Igbo |
63 |
30.58 |
Minority |
13 |
6.31 |
Total |
206 |
100 |
Family Type |
||
Monogamous |
179 |
86.89 |
Polygamous |
27 |
13.11 |
Total |
206 |
100 |
Table 2 below shows the nutritional status of the respondents and the data indicates that 67.59% were normal, 18.52% over-weight, 11.11% obese and 2.77% were underweight. Majority (70.41%) of the female respondents was Normal, 18.37% were overweight, and 9.18% were obese while 2.04% were underweight. From the overall nutritional status of the respondents based on Body Mass Index (BMI), majority (68.93%) of the respondents were normal, 18.45% were overweight and 10.19% of the respondents were obese while 2.43% were underweight.
Status |
Frequency (no) |
Percentage (%) |
Male Respondents |
||
Under-weight |
3 |
2.77 |
Normal |
73 |
67.59 |
Over-weight |
20 |
18.52 |
Obese |
12 |
11.11 |
Total |
108 |
100 |
Female Respondents |
|
|
Underweight |
2 |
2.04 |
Normal |
69 |
70.41 |
Overweight |
18 |
18.37 |
Obese |
9 |
9.18 |
Total |
98 |
100 |
Total status |
||
Underweight (<18.5 kg/m2) |
5 |
2.43 |
Normal (8.5 – 24.9 kg/m2) |
142 |
68.93 |
Overweight (25.0 -29.9 kg/m2) |
38 |
18.45 |
Obese (>30kg/m2) |
21 |
10.19 |
Total |
206 |
100 |
In table 4, The RDI of Nutrients covered by the meal consumed by the Male and Female respondents is shown. The Female covered 114.26% of the protein RDI while the Male covered 84.28% of the RDI which were significantly different. The Energy intake of the Male was 73.36% of RDI while that of the Female was 96.27% of RDI. The Calcium intake for both Male and Female covered 47.60% and 48.55% respectively. The Male Iron intake covered 65.40% and the Female Iron intake covered 39.33% while the Male intake of Zinc covered 43.20%, the Female intake of Zinc covered 54.83%. Generally, the Energy, Calcium, Iron and Zinc intake were not significantly different from Male to Female.
Table 5, gives the percentage of respondents that were below or above the Recommended Dietary Intake (RDI). For Energy, only 2% of the respondents were above the RDI, 97.1% were above protein RDI, 3% were above Iron RDI while the entire respondents were below the RDI for Calcium and Zinc.
Intake |
RDI |
||
Nutrient |
Male |
Female |
|
Energy (Kcal) |
2118.75±89.22 |
2900 |
2200 |
Protein (g/day) |
50.68±6.63 |
58 |
46 |
Calcium (mg) |
573.97±178.69 |
1200 |
1200 |
Iron (mg) |
6.22±2.07 |
10 |
15 |
Zinc (mg) |
6.51±3.36 |
15 |
12 |
Nutrient |
Sex |
Mean |
% of RDI |
T-Value |
Sig |
Female |
52.56 |
114.26 |
2.53 |
||
Protein |
Male |
48.88 |
84.28 |
1.39 |
0.01* |
Female |
2118 |
96.27 |
0.34 |
||
Energy |
Male |
2139 |
73.36 |
0.28 |
0.05* |
Female |
582.6 |
48.55 |
23.66 |
||
Calcium |
Male |
571.2 |
47.6 |
28.07 |
0.01* |
Female |
5.9 |
39.33 |
21.27 |
||
Iron |
Male |
6.54 |
65.4 |
17.34 |
0.01* |
Female |
6.58 |
54.83 |
26.77 |
||
Zinc |
Male |
6.48 |
43.2 |
32.32 |
0.01* |
Nutrients |
% Below RDI |
% Above RDI |
Energy |
98 |
2 |
Protein |
2.9 |
97.1 |
Calcium |
100 |
0 |
Iron |
97 |
3 |
Zinc |
100 |
0 |
The results of this study showed that the nutrient intake of these students needs to be increased to meet the nutrient requirements of male and female students. Hence, the findings of this research support Sandstorm (1997) which says that vegans may need guidance on appropriate diet planning and food selection in order to achieve an adequate intake of bioavailable Iron and Zinc.
- Melina V, Craig W, Levin S. Position of Academy of Nutrition and Dietetics: Vegetarian Diet. J Acad Nutr Diet. 2016; 116(12):1970-1980. doi: 10.1016/j.jand.2016.09.025
- Akther, F Akther, MKSen, BK Rahman, M Talukder MU. Assessment of Nutritional Status & Health Condition Among Vegetarian and Non-vegetarian Adult at Tangail Sadar Upazila in Tangail District. International Journal of Nutrition and Food Sciences. 2016;5(4):241-245.
- Araoye NA. Research Methodology with Statistics for Health and Social Sciences, Ilorin, Nigeria. 2003;Mathadex Publishers.
- Bardone-Cone AM, Fitzsimmons-Craft EE, Harney MB, Maldonado CR, Lawson MA, Smith R, et al. The inter-relationships between vegetarianism and eating disorders among females. J Acad Nutr Diet. 2012;112(8):1247-1252. doi: 10.1016/j.jand.2012.05.007
- Craig WJ. Phytochemicals: Guardians of our health. J Am Diet Assoc. 1997; 97: S199-S204.
- Craig WJ. Health effects of vegan diets. American Journal Clinical Nutrition. 2009;89(5):1627S-1633S.
- Craig W, Mangels AR. Position of the American Dietetic Association: Vegetarian Diets. J Am Diet Assoc. 2009;109 (7):1266-1282.
- Deehr MS, Dallal GE, Smith KT, et al. Effects of different calcium sources on iron absorption in postmenopausal women. Am J Clin Nutr. 1990;51(1):95-99.
- Dunham L and LM Kollar. Vegetarian eating for children and adolescents. J Pediatr Health Care. 2006;20(1):27-34.
- Elmadfa I, I Singer. Vitamin B-12 and homocysteine status among vegetarians: a global perspective. Am J Clin Nutr. 2009;89(5):1693S-1698S. doi: 10.3945/ajcn.2009.26736Y
- Hallberg L, Rossander L. Improvement of iron nutrition in developing countries: Comparison of adding meat, soy protein, ascorbic acid, citric acid, and ferrous sulphates on iron absorption from a simple Latin American - type of meal. Am J Clin Nutr. 1984;39(4): 577- 583.
- Timothy J Key, Paul N Appleby, Gwyneth K Davey, Naomi E Allen, Elizabeth A Spencer, Ruth C Travis. Mortality in British vegetarians: review and preliminary results from EPIC – Oxford. American journal of Clinical Nutrition. 2003;78(3):5335-5386.
- Nakamoto K et al. A new Japanese vegetarian food guide. Asia Pac J Public Health. 2009; 21(2):160-169. doi: 10.1177/1010539509331595.
- Povey R, B Wellens, M Conner. Attitudes towards following meat, vegetarian and vegan diets: an examination of the role of ambivalence. Appetite. 2001;37(1): 15-26.
- Robinson-O’Brien R, Perry CL, Wall MM, Story M, Neumark-Sztainer D. Adolescent and young Adult vegetarianism: Better dietary intake and weight outcomes but increased risk of disordered behaviours. J Am Diet Assoc. 2009;109(4):648-655. doi: 10.1016/j.jada.2008.12.014
- Sandstrom B. Bioavailability of zinc. European Journal Clinical Nutrition. 1997;51:S17-S19.
- Shetty P. Measures of nutritional status from anthropometric survey data. 2009
- The Vegetarian Society. “The Vegetarian society – definitions information sheet”. 2008.
- Wong EK, Enomoto H, Leopold IH, Williams JL, Kladde L, Hollander DH. Intestinal absorption of dietary fat in patients with multiple Sclerosis. Metab Pediatric Syst ophthamol. 1993;16(3-4):39-42.
- World Health Organization. Facts on obesity and overweight. 2009; WHO.