ABSTRACT

Vegetarian diets of varying degrees of restriction may be adopted for cultural, religious, or health reasons. In 2009, an estimated 3.4% of adults in the United States reported no consumption of meat, poultry, or seafood and thus could be described as vegetarian, while 0.8% omitted all animalderived products (including milk, eggs, and honey) and could be described as vegan [1]. The of­cial position statement of the American Dietetic Association states that “Appropriately planned vegetarian diets, including total vegetarian or vegan diets, are healthful, nutritionally adequate, and may provide health bene­ts in the prevention and treatment of certain diseases” [2]. Speci­cally, vegetarian diets have been linked with a decrease in the risk of ischemic heart disease and other obesityrelated disorders [3,4] in some but not all studies. The topic of vegetarian diets and obesity has been reviewed by one of the authors and others; in general, body mass index (BMI) has been found to be lower in both men and women in vegetarians vs. nonvegetarians [5-8]. The discussion that follows in this chapter emphasizes results published within the last 10 years. This chapter ­rst describes

Introduction .................................................................................................................................... 457 Studies of Vegetarian Diets and Obesity ........................................................................................ 458

Observational Studies ................................................................................................................ 458 Factors Affecting the Impact of a Vegetarian Diet .................................................................... 462 Intervention Studies ..................................................................................................................463