Alternative Ernährungsformen: Allgemeine Aspekte und vegetarische Kostformen

Abstract

Alternative diets (AD) differ from the current common mixed diet; AD are recommended as a permanent diet. These diets are based on ethical, philosophical and health promoting principles and lead to very different recommendations for food selection. Even within a particular AD there is usually a broad spectrum of versions, so that a general evaluation is only possible to a limited extent. This is also true for single AD. Vegetarian diets and partly paleo-diets have been investigated to a reasonable extent. Plant based diets are appropriate as permanent diets and offer health benefits as compared with currently practiced diets (risk reduction of cancers by 10–18% and of heart diseases by 30%; favorable effect on blood pressure and lipid profile; no risk reduction on cancer and total mortality). Vegan diets have to be critically assessed: they are linked to an increased risk of deficits for single nutrients (vitamin B₁₂, iodine and as the case may be. calcium and long chain omega-3 fatty acids), if suitable supplements or fortified foods are not consumed.

Key words

alternative diets - vegetarianism - veganism paleo diet - nutritional evaluation - Schlüsselwörter - alternative Ernährungsformen - Vegetarismus - Veganismus - Steinzeiternährung - ernährungsphysiologische Bewertung

• Literatur

• 1 Leitzmann C, Keller M, Hahn A. Alternative Ernährungsformen. 2. Aufl. Stuttgart: Hippokrates; 2007
• 2 Fox N, Ward K. Health, ethics and environment: a qualitative study of vegetarian motivations. Appetite 2008; 50: 422-429
• 3 Hahn A, Ströhle A, Wolters M. Alternative Ernährungsformen. In: Hahn A, Ströhle A, Wolters M. (Hrsg.) Ernährung – Physiologische Grundlagen, Prävention, Therapie. 3. Aufl. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2015: 654-685
• 4 Keller M, Leitzmann C. Vegetarische Ernährung. 3. Aufl. Stuttgart: UTB; 2013
• 5 Davey GK, Spencer EA, Appleby PN. et al. EPIC-Oxford: lifestyle characteristics and nutrient intakes in a co- hort of 33 883 meat-eaters and 31 546 non-meat-eaters in the UK. Public Health Nutr 2003; 6: 259-269
• 6 Hahn A, Leitzmann C. Alternative Ernährungsformen; Teil 1: Ursprung – Antike. ERNO 2000; 1: 176-186
• 7 Ströhle A, Hahn A. Essen wie in der Steinzeit – Darwin als ultimativer Ernährungsratgeber!? Teil 1: Vom Paleo-Konzept zum Anpassungsparadigma. Schweiz Z Ernährungsmed 2014; 2: 41-49
• 8 Sears B, Bell S. The zone diet: an anti-inflammatory, low glycemic-load diet. Metab Syndr Relat Disord 2004; 2: 24-38
• 9 Lara-Castro C, Garvey WT. Diet, insulin resistance, and obesity: zoning in on data for Atkins dieters living in South Beach. J Clin Endocrinol Metab 2004; 89: 4197-4205
• 10 Küpper C. Die LOGI-Methode. Ernährung im Fokus 2011; 10/11: 488-495
• 11 Ströhle A. Der moderne Mensch, ein Gefangener des Paläolithikums? Eine kritische Analyse der evolutionsmedizinischen Mismatch-Theorie. Naturw Rdsch 2012; 65: 1-13
• 12 Gilsing AM, Crowe FL, Lloyd-Wright Z. et al. Serum concentrations of vitamin B12 and folate in British male omnivores, vegetarians and vegans: results from a cross-sectional analysis of the EPIC-Oxford cohort study. Eur J Clin Nutr 2010; 64: 933-939
• 13 Cade JE, Burley VJ, Greenwood DC. UK Women’s Cohort Study Steering Group. The UK Women’s Cohort Study: comparison of vegetarians, fish-eaters and meat-eaters. Public Health Nutr 2004; 7: 871-878
• 14 Rizzo NS, Jaceldo-Siegl K, Sabate J. et al. Nutrient profiles of vegetarian and non-vegetarian dietary patterns. J Acad Nutr Diet 2013; 113: 1610-1619
• 15 Key TJ, Appleby PN, Rosell MS. Health effects of vegetarian and vegan diets. Proc Nutr Soc 2006; 65: 35-41
• 16 Lane K, Derbyshire E, Li W. et al. Bioavailability and potential uses of vegetarian sources of omega-3 fatty acids: a review of the literature. Crit Rev Food Sci Nutr 2014; 54: 572-579
• 17 Brenna JT, Salem Jr N, Sinclair AJ. et al. International Society for the Study of Fatty Acids and Lipids, ISSFAL. Alpha-Linolenic acid supplementation and conversion to n-3 long-chain polyunsaturated fatty acids in humans. Prostaglandins Leukot Essent Fatty Acids 2009; 80: 85-91
• 18 Kornsteiner M, Singer I, Elmadfa I. Very low n-3 long-chain polyunsaturated fatty acid status in Austrian vegetarians and vegans. Ann Nutr Metab 2008; 52: 37-47
• 19 Rosell MS, Lloyd-Wright Z, Appleby PN. et al. Long-chain n-3 polyunsaturated fatty acids in plasma in British meat-eating, vegetarian, and vegan men. Am J Clin Nutr 2005; 82: 327-334
• 20 Waldmann A, Koschizke JW, Leitzmann C. et al. Dietary intakes and lifestyle factors of a vegan population in Germany: results from the German Vegan Study. Eur J Clin Nutr 2003; 57: 947-955
• 21 Obersby D, Chappell DC, Dunnett A. et al. Plasma total homocysteine status of vegetarians compared with omnivores: a systematic review and meta-analysis. Br J Nutr 2013; 109: 785-794
• 22 Ströhle A, Hahn A. Essen wie in der Steinzeit – Darwin als ultimativer Ernährungsratgeber!? Teil 2: Auf der Suche nach der paleolithischen Ernährung – paläoökologische Befunde. Schweiz Z Ernährungsmed 2014; 2: 1-7
• 23 Matte JJ, Guay F, Girard CL. Bioavailability of vitamin B12 in cows’ milk. Br J Nutr 2012; 107: 61-66
• 24 Watanabe F. Vitamin B12 sources and bioavailability. Exp Biol Med (Maywood) 2007; 232: 1266-1274
• 25 Pawlak R, Parrott SJ, Raj S. et al. How prevalent is vitamin B (12) deficiency among vegetarians?. Nutr Rev 2013; 71: 110-117
• 26 Krajcovicovä-Kudläckovä M, Buckovä K, Klimes I. et al. Iodine deficiency in vegetarians and vegans. Ann Nutr Metab 2003; 47: 183-185
• 27 Leung AM, Lamar A, He X. et al. Iodine status and thyroid function of Boston-area vegetarians and vegans. J Clin Endocrinol Metab 2011; 96: E1303-E1307
• 28 Waldmann A, Koschizke JW, Leitzmann C. et al. Dietary iron intake and iron status of German female vegans: results of the German vegan study. Ann Nutr Metab 2004; 48: 103-108
• 29 Haddad EH, Tanzman JS. What do vegetarians in the United States eat?. Am J Clin Nutr 2003; 78 (Suppl. 03) 626S-632S
• 30 Clarys P, Deliens T, Huybrechts I. et al. Comparison of nutritional quality of the vegan, vegetarian, semivegetarian, pesco-vegetarian and omnivorous diet. Nutrients 2014; 6: 1318-1332
• 31 Orlich MJ, Fraser GE. Vegetarian diets in the Adventist Health Study 2: a review of initial published findings. Am J Clin Nutr 2014; 100 (Suppl. 01) 353S-358S
• 32 Li D. Effect of the vegetarian diet on non-communicable diseases. J Sci Food Agric 2014; 94: 169-173
• 33 Kahleova H, Pelikanova T. Vegetarian diets in the prevention and treatment of Type 2 diabetes. J Am Coll Nutr 2015; 27: 1-11 [Epub ahead of print] PubMed PMID: 25915002
• 34 Kwok CS, Umar S, Myint PK. et al. Vegetarian diet, Seventh Day Adventists and risk of cardiovascular mortality: a systematic review and meta-analysis. Int J Cardiol 2014; 176: 680-686
• 35 Yokoyama Y, Nishimura K, Barnard ND. et al. Vegetarian diets and blood pressure: a meta-analysis. JAMA Intern Med 2014; 174: 577-587
• 36 Li D, Sinclair A, Mann N. et al. The association of diet and thrombotic risk factors in healthy male vegetarians and meat-eaters. Eur J Clin Nutr 1999; 53: 612-619
• 37 Zhang Z, Ma G, Chen S. et al. Comparison of plasma triacylglycerol levels in vegetarians and omnivores: a meta-analysis. Nutrition 2013; 29: 426-430
• 38 McCarty MF. Sub-optimal taurine status may promote platelet hyperaggregability in vegetarians. Med Hypotheses 2004; 63: 426-433
• 39 Li D. Chemistry behind Vegetarianism. J Agric Food Chem 2011; 59: 777-784
• 40 Huang T, Yang B, Zheng J. et al. Cardiovascular disease mortality and cancer incidence in vegetarians: a meta-analysis and systematic review. Ann Nutr Metab 2012; 60: 233-240
• 41 Balarajan R. Ethnicity and health: the challenges ahead. Ethn Health 1996; 1: 3-5
• 42 Balarajan R, Raleigh VS. Patterns of mortality among Bangladeshis in England and Wales. Ethn Health 1997; 2: 5-12
• 43 Obeid OA, Mannan N, Perry G. et al. Homocysteine and folate in healthy east London Bangladeshis. Lancet 1998; 352: 1829-1830
• 44 Key TJ, Appleby PN, Crowe FL. et al. Cancer in British vegetarians: updated analyses of 4998 incident cancers in a cohort of 32,491 meat eaters, 8612 fish eaters, 18,298 vegetarians, and 2246 vegans. Am J Clin Nutr 2014; 100 (Suppl. 01) 378S-385S
• 45 Chang-Claude J, Hermann S, Eilber U. et al. Lifestyle determinants and mortality in German vegetarians and health-conscious persons: results of a 21-year follow-up. Cancer Epidemiol Biomarkers Prev 2005; 14: 963-968
• 46 Key TJ, Fraser GE, Thorogood M. et al. Mortality in vegetarians and nonvegetarians: detailed findings from a collaborative analysis of 5 prospective studies. Am J Clin Nutr 1999; 70 (Suppl. 03) 516S-524S
• 47 Ho-Pham LT, Nguyen ND, Nguyen TV. Effect of vegetarian diets on bone mineral density: a Bayesian metaanalysis. Am J Clin Nutr 2009; 90: 943-950
• 48 Appleby P, Roddam A, Allen N. et al. Comparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford. Eur J Clin Nutr 2007; 61: 1400-1406
• 49 Tucker KL. Vegetarian diets and bone status. Am J Clin Nutr 2014; 100 (Suppl. 01) 329S-335S
• 50 Ströhle A, Hahn A. Essen wie in der Steinzeit – Darwin als ultimativer Ernährungsratgeber!? Teil 3: Auf der Suche nach «der» paläolithischen Ernährung – ethnologische Befunde. Schweiz Z Ernährungsmed 2014; 14: 34-41
• 51 Ströhle A, Hahn A. Essen wie in der Steinzeit – Darwin als ultimativer Ernährungsratgeber!? Teil 4: Fragen der Evolutionsgenetik und präventiv-medizinisches Potenzial der Paleodiät. Schweiz Z Ernährungsmed 2015; 2: 1-7
• 52 Jacobs Jr DR, Tapsell LC. What an anticardiovascular diet should be in 2015. Curr Opin Lipidol 2015; 26: 270-275
• 53 Ströhle A, Waldmann A, Wolters M. et al. Vegetarische Ernährung: Präventives Potenzial und mögliche Risiken. Teil 2: Lebensmittel tierischer Herkunft und Empfehlungen. Wien Klin Wochenschr 2006; 118: 728-737
• 54 Saunders AV, Davis BC, Garg ML. Omega-3 polyunsaturated fatty acids and vegetarian diets. Med J Aust 2013; 199 (Suppl. 04) S22-S26