Position of the Academy of Nutrition and Dietetics: Vegetarian Diets.

It is the position of the Academy of Nutrition and Dietetics that appropriately planned vegetarian, including vegan, diets are healthful, nutritionally adequate, and may provide health benefits for the prevention and treatment of certain diseases. These diets are appropriate for all stages of the life cycle, including pregnancy, lactation, infancy, childhood, adolescence, older adulthood, and for athletes. Plant-based diets are more environmentally sustainable than diets rich in animal products because they use fewer natural resources and are associated with much less environmental damage. Vegetarians and vegans are at reduced risk of certain health conditions, including ischemic heart disease, type 2 diabetes, hypertension, certain types of cancer, and obesity. Low intake of saturated fat and high intakes of vegetables, fruits, whole grains, legumes, soy products, nuts, and seeds (all rich in fiber and phytochemicals) are characteristics of vegetarian and vegan diets that produce lower total and low-density lipoprotein cholesterol levels and better serum glucose control. These factors contribute to reduction of chronic disease. Vegans need reliable sources of vitamin B-12, such as fortified foods or supplements.

Five Decades: From Challenge to Acclaim.

What can make your work as a dietitian so meaningful that you begin each day with enthusiasm, and if you so choose, retain that joy in your work for 5 decades or more? Three themes are: (i) doing work that profoundly makes sense to you, (ii) inspiring others (and yourself) to make healthful choices, and (iii) moving through challenges to success. Initially it can be challenging to make a living through work that is most deeply meaningful or closest to your heart. Yet it is well worth finding the balance between practicality and movement in the desired direction. Other challenges faced by dietitians involve helping others to adopt new, more healthful lifestyle choices. As health professionals, our attitudes towards plant-based diets have changed dramatically during these past decades. This article examines our evolving perspectives of plant-based diets, and uses this as an example of movement through challenges to success and acclaim. Vegetarian and vegan diets that were considered entirely inappropriate for many stages of the life cycle in the 1970s are now seen to confer health benefits. This applies to well-designed plant-based diets, thus offering a significant role for dietitians as creative leaders in this field.

A new food guide for North American vegetarians.

This companion paper to the Position of the American Dietetic Association and Dietitians of Canada: Vegetarian Diets, presents a new food guide for vegetarians. Two graphic formats are presented, a rainbow and a pyramid. The guide will assist vegetarians in choosing diets that meet recent recommendations established by the Institute of Medicine for nutrients including protein, iron, zinc, calcium, vitamin D, riboflavin, vitamin B-12, vitamin A, omega-3 fatty acids, and iodine. The guide can be adapted for different types of vegetarian diets and includes a wide variety of foods commonly used by vegetarians. The guide is based on the following food groups: grains; vegetables; fruits; legumes; nuts, and other protein-rich foods; fats; and Calcium-rich foods. The calcium-rich foods food group is planned to offer expanded choices for calcium sources and includes foods from each of the other food groups. Specific guidelines are given for meeting requirements for vitamins B-12 and D. Modifications are provided to meet needs of different stages of the life cycle. This vegetarian food guide has a number of advantages including the promotion of variety and moderation within the context of vegetarian diets, a focus on foods commonly consumed by vegetarians, and a foundation in current nutritional science.