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Plant-based and vegetarian diets: an overview and definition of these dietary patterns

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Abstract

Purpose

This paper aims to present an overview of the definitions of “plant-based and “vegetarian diets” adopted by different organizations worldwide, proposing new standard definitions and discussing the notion of vegetarianism as a restrictive dietary pattern.

Methods

An extensive literature review on the different definitions of vegetarian and plant-based diets was conducted. Definitions of different international vegetarian and vegan organizations were also taken into account. Objective definitions for vegetarian and plant-based diets, as well as for their subcategories, were proposed. Other aspects related to how vegetarian diets are viewed and defined were also discussed.

Results

We proposed that a vegetarian diet should be defined as “a dietary pattern that excludes meat, meat-derived foods, and, to different extents, other animal products”. This definition would include, among others, ovolactovegetarian and vegan diets. The proposed definition for a plant-based diet was “a dietary pattern in which foods of animal origin are totally or mostly excluded”. Other types of diets, such as flexitarian and pescetarian diets, could be considered plant-based. A vegetarian diet should not be considered restrictive. Instead, terms such as alternative or non-conventional could be used to define it and to distinguish it from the conventional diet adopted by most of the Western population.

Conclusion

This paper was able to elaborate objective definitions of vegetarian and plant-based diets. Standardizing nomenclatures may reduce misinterpretation and confusion in this field of study.

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References

  1. Oussalah A, Levy J, Berthezène C et al (2020) Health outcomes associated with vegetarian diets: an umbrella review of systematic reviews and meta-analyses. Clin Nutr. https://doi.org/10.1016/j.clnu.2020.02.037

    Article  PubMed  Google Scholar 

  2. Selinger E, Neuenschwander M, Koller A et al (2022) Evidence of a vegan diet for health benefits and risks–an umbrella review of meta-analyses of observational and clinical studies. Crit Rev Food Sci Nutr. https://doi.org/10.1080/10408398.2022.2075311

    Article  Google Scholar 

  3. Bowman SA (2020) A vegetarian-style dietary pattern is associated with lower energy, saturated fat, and sodium intakes; and higher whole grains, legumes, nuts, and soy intakes by adults: National Health and Nutrition Examination Surveys 2013–2016 Shanthy. Nutrients 12:2668. https://doi.org/10.3390/nu12092668

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Satija A, Hu FB (2018) Plant-based diets and cardiovascular health. Trends Cardiovasc Med 28:437–441. https://doi.org/10.1016/j.tcm.2018.02.004

    Article  PubMed  PubMed Central  Google Scholar 

  5. Parker HW, Vadiveloo MK (2019) Diet quality of vegetarian diets compared with nonvegetarian diets: a systematic review. Nutr Rev 77:1–19. https://doi.org/10.1093/nutrit/nuy067

    Article  Google Scholar 

  6. Pistollato F, Battino M (2014) Role of plant-based diets in the prevention and regression of metabolic syndrome and neurodegenerative diseases. Trends Food Sci Technol 40:62–81. https://doi.org/10.1016/j.tifs.2014.07.012

    Article  CAS  Google Scholar 

  7. Lee KW, Loh HC, Ching SM et al (2020) Effects of vegetarian diets on blood pressure lowering: a systematic review with meta-analysis and trial sequential analysis. Nutrients 12:1–17. https://doi.org/10.3390/nu12061604

    Article  CAS  Google Scholar 

  8. Ozemek C, Laddu DR, Arena R, Lavie CJ (2018) The role of diet for prevention and management of hypertension. Curr Opin Cardiol 33:388–393. https://doi.org/10.1097/HCO.0000000000000532

    Article  PubMed  Google Scholar 

  9. Berkow SE, Barnard ND (2005) Blood pressure regulation and vegetarian diets. Nutr Rev 63:1–8. https://doi.org/10.1111/j.1753-4887.2005.tb00104.x

    Article  PubMed  Google Scholar 

  10. Tomova A, Bukovsky I, Rembert E et al (2019) The effects of vegetarian and vegan diets on gut microbiota. Front Nutr 6:47. https://doi.org/10.3389/fnut.2019.00047

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Singh RK, Chang HW, Yan D et al (2017) Influence of diet on the gut microbiome and implications for human health. J Transl Med 15:1–17. https://doi.org/10.1186/s12967-017-1175-y

    Article  CAS  Google Scholar 

  12. Wu GD, Compher C, Chen EZ et al (2016) Comparative metabolomics in vegans and omnivores reveal constraints on diet-dependent gut microbiota metabolite production. Gut 65:63–72. https://doi.org/10.1136/gutjnl-2014-308209.Comparative

    Article  CAS  PubMed  Google Scholar 

  13. Barnard ND, Levin SM, Yokoyama Y (2015) A systematic review and meta-analysis of changes in body weight in clinical trials of vegetarian diets. J Acad Nutr Diet 115:954–969. https://doi.org/10.1016/j.jand.2014.11.016

    Article  PubMed  Google Scholar 

  14. Hall KD, Guo J, Courville AB et al (2021) Effect of a plant-based, low-fat diet versus an animal-based, ketogenic diet on ad libitum energy intake. Nat Med. https://doi.org/10.1038/s41591-020-01209-1

    Article  PubMed  Google Scholar 

  15. Kahleova H, Levin S, Barnard ND (2018) Vegetarian dietary patterns and cardiovascular disease. Prog Cardiovasc Dis 61:54–61. https://doi.org/10.1016/j.pcad.2018.05.002

    Article  PubMed  Google Scholar 

  16. Ruini LF, Ciati R, Pratesi CA et al (2015) Working toward healthy and sustainable diets: The “Double Pyramid Model” developed by the Barilla Center for Food and Nutrition to Raise Awareness about the Environmental and Nutritional Impact of Foods. Front Nutr 2:1–7. https://doi.org/10.3389/fnut.2015.00009

    Article  Google Scholar 

  17. González-García S, Esteve-Llorens X, Moreira MT, Feijoo G (2018) Carbon footprint and nutritional quality of different human dietary choices. Sci Total Environ 644:77–94. https://doi.org/10.1016/j.scitotenv.2018.06.339

    Article  CAS  PubMed  Google Scholar 

  18. Aleksandrowicz L, Green R, Joy EJM et al (2016) The impacts of dietary change on greenhouse gas emissions, land use, water use, and health: a systematic review. PLoS ONE 11:1–16. https://doi.org/10.1371/journal.pone.0165797

    Article  CAS  Google Scholar 

  19. International Vegetarian Union (2021) International Vegetarian Union—definition of vegetarianism. In: Int. Veg. Union—Defin. Veg. https://ivu.org/definitions.html#:~:text=Vegetarian%3A IVU defines vegetarianism as,%2C eggs and%2For honey.&text=IVU does not promote the,or honey in their diets. Accessed 29 Mar 2021

  20. Academy of Nutrition and Dietetics (2016) Position of the Academy of Nutrition and Dietetics: vegetarian diets. J Acad Nutr Diet 116:1970–1980. https://doi.org/10.1016/j.jand.2016.09.025

    Article  Google Scholar 

  21. Clarys P, Deliens T, Huybrechts I et al (2014) Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients 6:1318–1332. https://doi.org/10.3390/nu6031318

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Petermann-Rocha F, Parra-Soto S, Gray S et al (2021) Vegetarians, fish, poultry, and meat-eaters: who has higher risk of cardiovascular disease incidence and mortality? A prospective study from UK Biobank. Eur Heart J 42:1136–1143. https://doi.org/10.1093/eurheartj/ehaa939

    Article  PubMed  Google Scholar 

  23. Craddock JC, Peoples GE (2017) Algal supplementation of vegetarian eating patterns improves plasma and serum docosahexaenoic acid concentrations and omega-3 indices: a systematic literature review. J Hum Nutr Diet 30:693–699. https://doi.org/10.1111/jhn.12474

    Article  CAS  PubMed  Google Scholar 

  24. Rosenfeld DL, Tomiyama AJ (2021) How proximal are pescatarians to vegetarians? An investigation of dietary identity, motivation, and attitudes toward animals. J Health Psychol 26:713–727. https://doi.org/10.1177/1359105319842933

    Article  PubMed  Google Scholar 

  25. Barnard ND, Goldman DM, Loomis JF et al (2019) Plant-based diets for cardiovascular safety and performance in endurance sports. Nutrients 11:1–10. https://doi.org/10.3390/nu11010130

    Article  CAS  Google Scholar 

  26. Kahleova H, Tura A, Klementova M et al (2019) A plant-based meal stimulates incretin and insulin secretion more than an energy-and macronutrient-matched standard meal in type 2 diabetes: A randomized crossover study. Nutrients 11:1–11. https://doi.org/10.3390/nu11030486

    Article  CAS  Google Scholar 

  27. Najjar RS, Moore CE, Montgomery BD (2018) Consumption of a defined, plant-based diet reduces lipoprotein(a), inflammation, and other atherogenic lipoproteins and particles within 4 weeks. Clin Cardiol 41:1062–1068. https://doi.org/10.1002/clc.23027

    Article  PubMed  PubMed Central  Google Scholar 

  28. Kahleova H, Dort S, Holubkov R, Barnard ND (2018) A plant-based high-carbohydrate, low-fat diet in overweight individuals in a 16-week randomized clinical trial: the role of carbohydrates. Nutrients 10:1–14. https://doi.org/10.3390/nu10091302

    Article  CAS  Google Scholar 

  29. Najjar RS, Feresin RG (2019) Plant-based diets in the reduction of body fat: physiological effects and biochemical insights. Nutrients 11:1–19. https://doi.org/10.3390/nu11112712

    Article  CAS  Google Scholar 

  30. Satija A, Bhupathiraju SN, Spiegelman D et al (2017) Healthful and unhealthful plant-based diets and the risk of coronary heart disease in U.S. Adults J Am Coll Cardiol 70:411–422. https://doi.org/10.1016/j.jacc.2017.05.047

    Article  PubMed  Google Scholar 

  31. Satija A, Bhupathiraju SN, Rimm EB et al (2016) Plant-based dietary patterns and incidence of type 2 diabetes in US men and women: results from three prospective cohort studies. PLoS Med 13:1–18. https://doi.org/10.1371/journal.pmed.1002039

    Article  Google Scholar 

  32. Rosenfeld DL (2018) The psychology of vegetarianism: recent advances and future directions. Appetite 131:125–138. https://doi.org/10.1016/j.appet.2018.09.011

    Article  PubMed  Google Scholar 

  33. Cruwys T, Norwood R, Chachay VS et al (2020) “An important part of who i am”: the predictors of dietary adherence among weight-loss, vegetarian, vegan, paleo, and gluten-free dietary groups. Nutrients 12:970. https://doi.org/10.3390/nu12040970

    Article  PubMed  PubMed Central  Google Scholar 

  34. Plante CN, Rosenfeld DL, Plante M, Reysen S (2019) The role of social identity motivation in dietary attitudes and behaviors among vegetarians. Appetite 141:104307. https://doi.org/10.1016/j.appet.2019.05.038

    Article  PubMed  Google Scholar 

  35. Christ A, Lauterbach M, Latz E (2019) Western diet and the immune system: an inflammatory connection. Immunity 51:794–811. https://doi.org/10.1016/j.immuni.2019.09.020

    Article  CAS  PubMed  Google Scholar 

  36. Kopp W (2019) How western diet and lifestyle drive the pandemic of obesity and civilization diseases. Diabetes, Metab Syndr Obes Targets Ther 12:2221–2236. https://doi.org/10.2147/DMSO.S216791

    Article  CAS  Google Scholar 

  37. Cambridge dictionary (2021) Definition of “vgetarianism.” In: Dict. Defin. term “vegetarianism.” https://dictionary.cambridge.org/us/dictionary/english/vegetarianism. Accessed 29 Mar 2021

  38. The Vegetarian Society (2021) What is a Vegetarian? In: Definition. https://vegsoc.org/info-hub/definition/. Accessed 24 Jan 2021

  39. Sociedade Vegetariana Brasileira (2021) Sociedade Vegetariana Brasileira. In: O que é Veg. https://www.svb.org.br/vegetarianismo1/o-que-e#:~:text=Vegetarianismo é o regime alimentar,causa do dinamismo da linguagem.&text=(d) Vegetarianismo estrito%3A não,SVB preconiza o vegetarianismo estrito. Accessed 2 Apr 2021

  40. European Vegetarian Union (2018) Definitions of “vegan” and “vegetarian” in accordance with the EU Food Information Regulation. Berlin

  41. Nezlek JB, Forestell CA (2020) Vegetarianism as a social identity. Curr Opin Food Sci 33:45–51. https://doi.org/10.1016/j.cofs.2019.12.005

    Article  Google Scholar 

  42. McEvoy CT, Woodside JV (2015) Vegetarian diets. In: Koletzko B, Bhatia J, Augusta G, Bhutta ZA et al (eds) Pediatric nutrition in practice. Karger, Basel, pp 134–138

    Chapter  Google Scholar 

  43. Association Végétarienne de France (2021) Association Végétarienne de France. In: Defin. Veg. https://www.vegetarisme.fr/. Accessed 2 Apr 2021

  44. The Vegan Society (2021) Definition of Veganism. In: Defin. veganism. https://www.vegansociety.com/go-vegan/definition-veganism. Accessed 24 Jan 2021

  45. Chai BC, Van Der VJR, Grofelnik K et al (2019) Which diet has the least environmental impact on our planet? A systematic review of vegan. Veg Omnivorous Diets Sustain 11:4410. https://doi.org/10.3390/su11154110

    Article  CAS  Google Scholar 

  46. Lavallee K, Zhang XC, Michelak J et al (2019) Vegetarian diet and mental health: cross-sectional and longitudinal analyses in culturally diverse samples. J Affect Disord 248:147–154. https://doi.org/10.1016/j.jad.2019.01.035

    Article  PubMed  Google Scholar 

  47. Turner-Mcgrievy GM, Wirth MD, Shivappa N et al (2015) Randomization to plant-based dietary approaches leads to larger short-term improvements in Dietary Inflammatory Index scores and macronutrient intake compared with diets that contain meat. J Comb Des 35:97–106. https://doi.org/10.1016/j.nutres.2014.11.007

    Article  CAS  Google Scholar 

  48. Derbyshire EJ (2017) Flexitarian diets and health: a review of the evidence-based literature. Front Nutr 3:1–8. https://doi.org/10.3389/fnut.2016.00055

    Article  CAS  Google Scholar 

  49. Chiba M, Abe T, Tsuda H et al (2010) Lifestyle-related disease in Crohn’s disease: relapse prevention by a semi-vegetarian diet. World J Gastroenterol 16:2484–2495. https://doi.org/10.3748/wjg.v16.i20.2484

    Article  PubMed  PubMed Central  Google Scholar 

  50. Baines S, Powers J, Brown WJ (2006) How does the health and well-being of young Australian vegetarian and semi-vegetarian women compare with non-vegetarians? Public Health Nutr 10:436–442. https://doi.org/10.1017/S1368980007217938

    Article  Google Scholar 

  51. Heiss S, Hormes JM (2018) Ethical concerns regarding animal use mediate the relationship between variety of pets owned in childhood and vegetarianism in adulthood. Appetite 123:43–48. https://doi.org/10.1016/j.appet.2017.12.005

    Article  PubMed  Google Scholar 

  52. Forestell CA, Nezlek JB (2018) Vegetarianism, depression, and the five factor model of personality. Ecol Food Nutr 00:1–14. https://doi.org/10.1080/03670244.2018.1455675

    Article  Google Scholar 

  53. Timko CA, Hormes JM, Chubski J (2012) Will the real vegetarian please stand up? An investigation of dietary restraint and eating disorder symptoms in vegetarians versus non-vegetarians. Appetite 58:982–990. https://doi.org/10.1016/j.appet.2012.02.005

    Article  PubMed  Google Scholar 

  54. Neufingerl N, Eilander A (2022) Nutrient intake and status in adults consuming plant-based diets compared to meat-eaters: a systematic review. Nutrients 14:29. https://doi.org/10.3390/nu14010029

    Article  CAS  Google Scholar 

  55. Yannakoulia M, Kontogianni M, Scarmeas N (2015) Cognitive health and mediterranean diet: just diet or lifestyle pattern? Ageing Res Rev 20:74–78. https://doi.org/10.1016/j.arr.2014.10.003

    Article  PubMed  Google Scholar 

  56. Bach-Faig A, Berry EM, Lairon D et al (2011) Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr 14:2274–2284. https://doi.org/10.1017/S1368980011002515

    Article  PubMed  Google Scholar 

  57. Esposito K, Giugliano D (2014) Mediterranean diet and type 2 diabetes. Diabetes Metab Res Rev 30:34–40. https://doi.org/10.1002/dmrr

    Article  CAS  PubMed  Google Scholar 

  58. Soltani S, Shirani F, Chitsazi MJ, Salehi-Abargouei A (2016) The effect of dietary approaches to stop hypertension (DASH) diet on weight and body composition in adults: a systematic review and meta-analysis of randomized controlled clinical trials. Obes Rev 17:442–454. https://doi.org/10.1111/obr.12391

    Article  PubMed  Google Scholar 

  59. Buettner D, Skemp S (2016) blue zones: lessons from the world’s longest lived. Am J Lifestyle Med 10:318–321. https://doi.org/10.1177/1559827616637066

    Article  PubMed  PubMed Central  Google Scholar 

  60. Morell SF, Rosenberg D (2018) Nourishing diets: how Paleo, ancestral and traditional peoples really ate unabridged. Grand Central Life & Style, Ashland

    Google Scholar 

  61. Craig WJ, Mangels AR, Fresán U et al (2021) The safe and effective use of plant-based diets with guidelines for health professionals. Nutrients 13:1–29. https://doi.org/10.3390/nu13114144

    Article  CAS  Google Scholar 

  62. Hemler EC, BHu F, (2019) Plant-based diets for personal, population, and planetary health. Adv Nutr 10:S275–S283. https://doi.org/10.1093/ije/dyy030

    Article  PubMed  PubMed Central  Google Scholar 

  63. Tuso PJ, Ismail MH, Ha BP, Bartolotto C (2013) Nutritional update for physicians: plant-based diets. Perm J 17:61–66. https://doi.org/10.7812/TPP/12-085

    Article  PubMed  PubMed Central  Google Scholar 

  64. British Dietetics Association (2021) Plant-based diet definition. In: Plant-based diet Defin. https://www.bda.uk.com/resource/vegetarian-vegan-plant-based-diet.html. Accessed 29 Mar 2021

  65. Kahleova H, Fleeman R, Hlozkova A et al (2018) A plant-based diet in overweight individuals in a 16-week randomized clinical trial: metabolic benefits of plant protein. Nutr Diabetes 8:58. https://doi.org/10.1038/s41387-018-0067-4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Wright N, Wilson L, Smith M et al (2017) The BROAD study: a randomised controlled trial using a whole food plant-based diet in the community for obesity, ischaemic heart disease or diabetes. Nutr Diabetes 7:1–10. https://doi.org/10.1038/nutd.2017.3

    Article  CAS  Google Scholar 

  67. Karlsen MC, Rogers G, Miki A et al (2019) Theoretical food and nutrient composition of whole-food plant-based and vegan diets compared to current dietary recommendations. Nutrients 11:1–13. https://doi.org/10.3390/nu11030625

    Article  CAS  Google Scholar 

  68. Greger M (2020) A whole food plant-based diet is effective for weight loss: the evidence. Am J Lifestyle Med 14:500–510. https://doi.org/10.1177/1559827620912400

    Article  PubMed  PubMed Central  Google Scholar 

  69. Piazza J, McLatchie N, Olesen C (2018) Are baby animals less appetizing? Tenderness toward baby animals and appetite for meat. Anthrozoos 31:319–335. https://doi.org/10.1080/08927936.2018.1455456

    Article  Google Scholar 

  70. Piazza J, Ruby MB, Loughnan S et al (2015) Rationalizing meat consumption. The 4Ns. Appetite 91:114–128. https://doi.org/10.1016/j.appet.2015.04.011

    Article  PubMed  Google Scholar 

  71. Rosenfeld DL (2019) A comparison of dietarian identity profiles between vegetarians and vegans. Food Qual Prefer 72:40–44. https://doi.org/10.1016/j.foodqual.2018.09.008

    Article  Google Scholar 

  72. Bradbury KE, Tong TYN, Key TJ (2017) Dietary intake of high-protein foods and other major foods in meat-eaters, poultry-eaters, fish-eaters, vegetarians, and vegans in UK biobank. Nutrients. https://doi.org/10.3390/nu9121317

    Article  PubMed  PubMed Central  Google Scholar 

  73. Mcevoy CT, Temple N, Woodside JV (2012) Vegetarian diets, low-meat diets and health: a review. Public Health Nutr 15:2287–2294. https://doi.org/10.1017/S1368980012000936

    Article  PubMed  Google Scholar 

  74. Medawar E, Huhn S, Villringer A, Witte AV (2019) The effects of plant-based diets on the body and the brain: a systematic review. Transl Psychiatry 9:226. https://doi.org/10.1038/s41398-019-0552-0

    Article  PubMed  PubMed Central  Google Scholar 

  75. Kim H, Rebholz CM, Hegde S et al (2021) Plant-based diets, pescatarian diets and COVID-19 severity: a population-based case-control study in six countries. BMJ Nutr Prev Heal. https://doi.org/10.1136/bmjnph-2021-000272

    Article  Google Scholar 

  76. Gehring J, Touvier M, Baudry J et al (2021) Consumption of ultra-processed foods by pesco-vegetarians, vegetarians, and vegans: associations with duration and age at diet initiation. J Nutr 151:120–131. https://doi.org/10.1093/jn/nxaa196

    Article  PubMed  Google Scholar 

  77. Gómez-Donoso M-G, Martínez, et al (2019) A provegetarian food pattern emphasizing preference for healthy plant-derived foods reduces the risk of overweight/obesity in the SUN cohort. Nutrients 11:1553. https://doi.org/10.3390/nu11071553

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Brathwaite N, Fraser H, Modeste N et al (2003) Obesity, diabetes, hipertention, and vegetarian status among Seventh-Day Adventists in Barbados: preliminary results. Ethn Dis 13:34–39. https://doi.org/10.1002/gj.2556

    Article  PubMed  Google Scholar 

  79. Kim MK, Cho SW, Park YK (2012) Long-term vegetarians have low oxidative stress, body fat, and cholesterol levels. Nutr Res Pract 6:155–161. https://doi.org/10.4162/nrp.2012.6.2.155

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. Vang A, Singh PN, Lee JW et al (2008) Meats, processed meats, obesity, weight gain and occurrence of diabetes among adults: findings from adventist health studies. Ann Nutr Metab 52:96–104. https://doi.org/10.1159/000121365

    Article  CAS  PubMed  Google Scholar 

  81. Zhang C, Björkman A, Cai K et al (2018) Impact of a 3-months vegetarian diet on the gut microbiota and immune repertoire. Front Immunol 9:1–13. https://doi.org/10.3389/fimmu.2018.00908

    Article  CAS  Google Scholar 

  82. Singh PN, Fraser GE (2003) Does low meat consumption increase life expectancy in humans? Am J Clin Nutr 78:526S-532S. https://doi.org/10.1093/ajcn/78.3.526S

    Article  CAS  PubMed  Google Scholar 

  83. Martin K, Jackson CF, Levy RG, Cooper PN (2016) Ketogenic diet and other dietary treatments for epilepsy. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001903.pub3

    Article  PubMed  PubMed Central  Google Scholar 

  84. Bellini M, Tonarelli S, Nagy AG et al (2020) Low FODMAP diet: evidence, doubts, and hopes. Nutrients 12:1–21. https://doi.org/10.3390/nu12010148

    Article  Google Scholar 

  85. Bosch AM, Burlina A, Cunningham A et al (2015) Assessment of the impact of phenylketonuria and its treatment on quality of life of patients and parents from seven European countries. Orphanet J Rare Dis 10:1–14. https://doi.org/10.1186/s13023-015-0294-x

    Article  Google Scholar 

  86. De OM, Zandonadi RP, Moreira A et al (2022) Eating competence and aspects related to a gluten-free diet in brazilian adults with gluten-related disorders. Nutrients 14:1–14. https://doi.org/10.3390/nu14142815

    Article  CAS  Google Scholar 

  87. Cazzorla C, Cegolon L, Burlina AP et al (2014) Quality of Life (QoL) assessment in a cohort of patients with Phenylketonuria. BMC Public Health 14:1243. https://doi.org/10.1186/1471-2458-14-1243

    Article  PubMed  PubMed Central  Google Scholar 

  88. Kaukinen K, Lindfors K, Mäki M (2014) Advances in the treatment of coeliac disease: an immunopathogenic perspective. Nat Rev Gastroenterol Hepatol 11:36–44. https://doi.org/10.1038/nrgastro.2013.141

    Article  CAS  PubMed  Google Scholar 

  89. Hargreaves SM, Nakano EY, Zandonadi RP (2020) Brazilian vegetarian population—influence of type of diet, motivation and sociodemographic variables on quality of life measured by specific tool (VEGQOL). Nutrients 12:1406. https://doi.org/10.3390/nu12051406

    Article  PubMed  PubMed Central  Google Scholar 

  90. Oxford Languages (2021) “Restrictive” definition - Dictionary. In: “Restrictive” Defin.—Dict. https://languages.oup.com/google-dictionary-en/. Accessed 23 Jan 2021

  91. Hemler EC, Hu FB (2019) Plant-based diets for personal, population, and planetary health. Adv Nutr 10:S275–S283. https://doi.org/10.1093/advances/nmy117

    Article  PubMed  PubMed Central  Google Scholar 

  92. Budhathoki S, Sawada N, Iwasaki M et al (2019) Association of animal and plant protein intake with all-cause and cause-specific mortality in a Japanese cohort. JAMA Intern Med 179:1509–1518. https://doi.org/10.1001/jamainternmed.2019.2806

    Article  PubMed  PubMed Central  Google Scholar 

  93. Seidelmann SB, Claggett B, Cheng S et al (2018) Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. Lancet Public Heal 3:e419–e428. https://doi.org/10.1016/S2468-2667(18)30135-X

    Article  Google Scholar 

  94. Azemati B, Rajaram S, Jaceldo-Siegl K et al (2017) Animal-protein intake is associated with insulin resistance in adventist health study 2 (AHS-2) calibration substudy participants: a cross-sectional analysis. Curr Dev Nutr 1:1–7. https://doi.org/10.3945/cdn.116.000299

    Article  CAS  Google Scholar 

  95. Sluijs I, Beulens JWJ, Van Der ADL et al (2010) Dietary intake of total, animal, and vegetable protein and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-NL study. Diabetes Care 33:43–48. https://doi.org/10.2337/dc09-1321

    Article  CAS  PubMed  Google Scholar 

  96. Adeva-Andany MM, González-Lucán M, Fernández-Fernández C et al (2019) Effect of diet composition on insulin sensitivity in humans. Clin Nutr ESPEN 33:29–38. https://doi.org/10.1016/j.clnesp.2019.05.014

    Article  PubMed  Google Scholar 

  97. Srour B, Fezeu LK, Kesse-Guyot E et al (2019) Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ. https://doi.org/10.1136/bmj.l1451

    Article  PubMed  PubMed Central  Google Scholar 

  98. Bonaccio M, Di Castelnuovo A, Costanzo S et al (2020) Ultra-processed food consumption is associated with increased risk of all-cause and cardiovascular mortality in the Moli-sani Study. Am J Clin Nutr 113:446–455. https://doi.org/10.1093/ajcn/nqaa299

    Article  Google Scholar 

  99. Tharrey M, Mariotti F, Mashchak A et al (2018) Patterns of plant and animal protein intake are strongly associated with cardiovascular mortality: the adventist health study-2 cohort. Int J Epidemiol 47:1603–1612. https://doi.org/10.1093/ije/dyy030

    Article  PubMed  PubMed Central  Google Scholar 

  100. Snel M, Sleddering MA, VdPeijl ID et al (2012) Quality of life in type 2 diabetes mellitus after a very low calorie diet and exercise. Eur J Intern Med 23:143–149. https://doi.org/10.1016/j.ejim.2011.07.004

    Article  PubMed  Google Scholar 

  101. Chaveepojnkamjorn W, Pichainarong N, Schelp F-P, Mahaweerawat U (2008) Quality of life and compliance among type 2 diabetic patients. Southeast Asian J Trop Med Public Health 39:328–334

    PubMed  Google Scholar 

  102. Kahleova H, Hrachovinova T, Hill M, Pelikanova T (2013) Vegetarian diet in type 2 diabetes—improvement in quality of life, mood and eating behaviour. Diabet Med 30:127–129. https://doi.org/10.1111/dme.12032

    Article  CAS  PubMed  Google Scholar 

  103. Lea E, Worsley A (2003) Benefits and barriers to the consumption of a vegetarian diet in Australia. Public Health Nutr 6:505–511. https://doi.org/10.1079/PHN2002452

    Article  PubMed  Google Scholar 

  104. Geerts R, De BC, Erreygers S (2019) Meat consumption and vegaphobia: an exploration of the characteristics of meat eaters, vegaphobes, and their social environment. Sustainability 11:3936

    Article  Google Scholar 

  105. Rudloff S, Bührer C, Jochum F et al (2018) Vegetarian diets in childhood and adolescence: statement of the Nutrition Committee of the German Society for Pediatric and Adolescent Medicine (DGKJ). Mol Cell Pediatr 166:999–1005. https://doi.org/10.1007/s00112-018-0547-6

    Article  Google Scholar 

  106. American Vegan Society (2021) American Vegan Society. In: Veganism—Defin. https://americanvegan.org/. Accessed 2 Apr 2021

  107. Bulgarian Veg Society (2021) Bulgarian Veg Society. In: What is Veggie? https://vegebg.org/2019/vege/. Accessed 2 Apr 2021

  108. Dutch Society for Veganism (2021) Dutch Society for Veganism. In: What is Veganism? https://www.veganisme.org/english/what-is-veganism/. Accessed 2 Apr 2021

  109. Fedération Vegane (2021) Fedération Vegane. In: Terminol. - Veg. veganism. https://www.federationvegane.fr/documentation/terminologie/vegetarisme-veganisme/. Accessed 2 Apr 2021

  110. Associazione Vegetariana Italiana (2021) Associazione Vegetariana Italiana. In: Chi siamo. http://www.vegetariani.it/chi-siamo/. Accessed 2 Apr 2021

  111. North American Vegetarian Society (2021) North American Vegetarian Society. In: Freq. Asked Quest. https://navs-online.org/faq/. Accessed 2 Apr 2021

  112. Physicians Committee for Responsible Medicine (2021) Physicians Committee for Responsible Medicine. In: Plant-based diets.

  113. ProVeg International (2021) ProVeg International. In: Vegan diet. https://proveg.com/plant-based-food-and-lifestyle/vegan-diet/. Accessed 2 Apr 2021

  114. Toronto Vegetarian Association (2021) Toronto Vegetarian Association. In: Freq. Asked Quest. Diets. https://veg.ca/faq/#diets. Accessed 2 Apr 2021

  115. The Vegan Society of Ireland (2021) The Vegan Society of Ireland. In: Home page. http://irishvegan.ie/. Accessed 2 Apr 2021

  116. Vegane Gesellschaft Österreich (2021) Vegane Gesellschaft Österreich. In: Defin. Veganismus. https://www.vegan.at/inhalt/definition-veganismus#:~:text=Veganismus ist eine Lebensweise%2C die,Gunsten von Mensch%2C Tier und. Accessed 2 Apr 2021

  117. Dietitians Australia (2021) Dietitians Australia. In: Veg. diets - basics. https://dietitiansaustralia.org.au/smart-eating-for-you/smart-eating-fast-facts/healthy-eating/vegetarian-diets-the-basics/. Accessed 2 Apr 2021

  118. RedecillaFerreiro S, Moráis López A, Moreno Villares JM et al (2020) Position paper on vegetarian diets in infants and children. Committee on Nutrition and Breastfeeding of the Spanish Paediatric Association. An Pediatr 92:306.e1-306.e6. https://doi.org/10.1016/j.anpedi.2019.10.013

    Article  Google Scholar 

  119. American Dietetic Association and Dietitians of Canada (2003) Position of the American Dietetic Association and Dietitians of Canada: Vegetarian diets. J Am Diet Assoc 103:748–765. https://doi.org/10.1053/jada.2003.50142

    Article  Google Scholar 

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Conceptualization, SMH, DLR and RPZ; investigation, SMH and DR; writing—original draft preparation, SMH; writing—review and editing, DLR, RPZ and AVBMoreira; supervision, R. P. Zandonadi. All authors have approved the final article.

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Hargreaves, S.M., Rosenfeld, D.L., Moreira, A.V.B. et al. Plant-based and vegetarian diets: an overview and definition of these dietary patterns. Eur J Nutr 62, 1109–1121 (2023). https://doi.org/10.1007/s00394-023-03086-z

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