Nutritional, Cardiovascular Health and Lifestyle Status of 'Health Conscious' Adult Vegans and Non-Vegans from Slovenia: A Cross-Sectional Self-Reported Survey.

The study aim was to investigate differences in nutritional, cardiovascular and lifestyle status of 'health conscious' subjects. In a partial 'lock-down' during the COVID-19 pandemic period, we performed a web-based, cross-sectional study. We compared 80 self-selected subjects (51 vegans, 67% females, and 29 non-vegans, 55% females, p = 0.344). Nutritional status was assessed by bio-electrical impedance and standardized food frequency questionnaires (i.e., contribution of nutrients from foods and supplementation, combined and separate). Serum lipid concentrations and blood pressure (BP) were assessed from annual or initial examination reports, while sociodemographic, economic, and lifestyle statuses were obtained by standardized questionnaires. Finally, a multivariate linear regression model was used to estimate the relationship between total fiber and saturated fatty acid (SFA) intake and low-density lipoprotein cholesterol (LDL cholesterol) values. The vegans had a significantly lower body mass index (22.8 ± 2.4 vs. 26.6 ± 3.6 kg/m2, p < 0.001) and body fat % (19.3 ± 7.3 vs. 25.8 ± 8.2%, p < 0.001) than the non-vegans. There were significant differences between vegans and non-vegans in energy intake, and most macronutrient (10/12) and micronutrient (15/23) intakes in units/day. Both diets were well designed, with high fiber and low SFA and free sugar intake but remained insufficient in n-3 long chain polyunsaturated fatty acids (for vegans), vitamin D, calcium, sodium (for vegans) and iodine. Vegans also had a significantly lower lipid profile and BP than non-vegans, except for high-density lipoprotein cholesterol. However, both groups met targeted recommendations. Furthermore, fiber and SFA intake and age explained 47% of the variance in LDL cholesterol. In conclusion, 'health conscious' vegans and non-vegans with comparable lifestyle statuses had significant differences in dietary intake, body composition and cardiovascular health status.

Nutrient and Food Intake of Participants in a Whole-Food Plant-Based Lifestyle Program.

OBJECTIVE: We evaluated the nutrient adequacy of a well-planned supplemented whole-food plant-based (WFPB) diet as a component of an ongoing community lifestyle optimization program. We investigated the contributions of nutrients from foods and supplements and plant-based meal replacement (SMR) separately (foods, SMR) and combined (vs recommendations) as well as food group intake, both according to sex. METHOD: Our cross-sectional study included 151 healthy, active participants (aged 39.6 years) who were on a Western-type diet when they voluntarily joined our WFPB lifestyle program (0.5-10 years ago). We assessed diet using 3-day weighed dietary records (foods, S, and MR). After we standardized nutrient intake to 2000 kcal/d, we calculated the contribution of macro- and micronutrients from foods and SMR separately and combined (foods + SMR) (vs central European Recommendations), as well as food group intake, both according to sex. RESULTS: All macro- and micronutrient intake (total: from foods plus SMR) exceeded the reference values, except for calcium (95% and 82% in females and males) and vitamin D (both sexes, in summertime). Compared with male participants, female participants consumed (i.e., from foods and SMR together) significantly larger amounts of 23 (/25) micronutrients (8 [/25] from foods and 22 [/25] from SMR). The diet was primarily composed of the following (by mass in descending order): unprocessed vegetables/fruits, whole grains, legumes, potatoes, nuts/seeds, MR, and spices/herbs. CONCLUSIONS: Participants in our WFPB lifestyle program ingested a nutrient-rich WFPB diet and targeted supplementation. The presented ongoing community WFPB lifestyle program ensures a healthy, balanced, and environment-friendly dietary pattern for participants who are compliant.

Bone health among indoor female athletes and associated factors; a cross-sectional study.

This study aimed to compare the bone-mineral-density (BMD), vitamin-D (25(OH)D), serum-calcium and serum-phosphorus levels between female athletes engaged in weight-bearing and non-weight-bearing-sport, and to evaluate possible associations among studied variables. Study involved top-level female athletes (age: 16.9 ± 4.4 years) involved in non-weight-bearing- (swimming; n = 14)), and weight-bearing-sport (artistic gymnastic; n = 17). The variables included the BMD of left femoral neck (measured by dual-energy X-ray absorptiometry), 25-hydroxyvitamin D levels (25(OH)D), body height, body mass, body-mass-index, serum-phosphorus, and serum-calcium levels. Sufficiency for 25(OH)D (>75 nmol/L) was observed in 32.3% of the studied athletes (43% and 23% for swimmers and gymnasts, respectively). The studied athletes had appropriate BMD, with higher BMD in gymnasts compared to swimmers (1.24 ± 0.11 and 0.85 ± 0.09 g/cm2; t-test: 10.26, p < 0.01). Serum-phosphorus was higher in gymnasts (1.46 ± 0.17 and 1.27 ± 1.36 mmol/L, t-test: 2.78, p < 0.01. Serum-phosphorus levels were lower in athletes with 25(OH)D sufficiency (t-test: 2.31, p = 0.03). The 25(OH)D was not correlated to BMD (Pearson's r = -0.18, -0.14, -0.28, all p > 0.05, for total sample, gymnasts and swimmers, respectively). Although 25(OH)D was not correlated with BMD, in further investigations other assays of vitamin-D status (i.e. the bioavailability of the vitamin-D) should be included.