Position of the Academy of Nutrition and Dietetics: Vegetarian Diets

Journal of the Academy of Nutrition and Dietetics

Volumn 116, Issue 12, 2016, Pages 1970-1980

  Melina, Vesanto ^a   Craig, Winston ^b   Levin, Susan ^c  

^a Consultant ^*  (Canada)

^b ANDREWS UNIVERSITY   (United States)

^c PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DIABETES MELLITUS, TYPE 2; DIETETICS; HEALTH CARE ORGANIZATION; HUMAN; HYPERTENSION; MYOCARDIAL ISCHEMIA; NEOPLASMS; NUTRITIONAL REQUIREMENT; OBESITY; VEGETARIAN DIET;

DIABETES MELLITUS, TYPE 2; DIET, VEGETARIAN; DIETETICS; HUMANS; HYPERTENSION; MYOCARDIAL ISCHEMIA; NEOPLASMS; NUTRITIONAL REQUIREMENTS; OBESITY; SOCIETIES, SCIENTIFIC;

EID: 84997545167     PISSN: 22122672     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jand.2016.09.025     Document Type: Article

References (117)

1. 1 Stahler C. How often do Americans eat vegetarian meals? And how many adults in the US are vegetarian? The Vegetarian Resource Group website. http://www.vrg.org/nutshell/Polls/2016_adults_veg.htm. Accessed June 23, 2016.
2. 2 Hoek, A.C., Luning, P.A., Weijzen, P., Engels, W., Kok, F.J., de Graaf, C., Replacement of meat by meat substitutes. A survey on person- and product-related factors in consumer acceptance. Appetite 56:3 (2011), 662–673.
3. 3 American Institute for Cancer Research. Recommendations for cancer prevention. http://www.aicr.org/reduce-your-cancer-risk/recommendations-for-cancer-prevention/recommendations_04_plant_based.html?gclid=CJ6__O7dpboCFcid4AodhkMAIA. Accessed June 23, 2016.
4. th ed., 2015, US Government Printing Office, Washington, DC http://health.gov/dietaryguidelines/2015 Accessed June 23, 2016.
5. 5 US Department of Agriculture. SuperTracker. https://www.supertracker.usda.gov/default.aspx. Accessed June 23, 2016.
6. 6 Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. http://www.nap.edu/download.php?record_id=10490. Accessed June 23, 2016.
7. 7 Mangels, R., Messina, V., Messina, M., The Dietitian's Guide to Vegetarian Diets. 3rd ed., 2011, Jones and Bartlett, Sudbury, MA.
8. 8 Davis, B., Melina, V., Becoming Vegan: Comprehensive Edition. 2014, Book Publishing Co, Summertown, TN.
9. 9 Messina, V., Nutritional and health benefits of dried beans. Am J Clin Nutr 100:suppl 1 (2014), 437S–442S.
10. 10 Saunders, A.V., Davis, B.C., Garg, M.L., Omega-3 polyunsaturated fatty acids and vegetarian diets. Med J Aust 199:4 suppl (2013), S22–S26.
11. 11 Sanders, T.A., DHA status of vegetarians. Prostaglandins Leukot Essent Fatty Acids 81:2-3 (2009), 137–141.
12. 12 Sarter, B., Kelsey, K.S., Schwartz, T.A., et al. Blood docosahexaenoic acid and eicosapentaenoic acid in vegans: Associations with age and gender and effects of an algal-derived omega-3 fatty acid supplement. Clin Nutr 34:2 (2015), 212–218.
13. 13 Gibson, R.A., Muhlhausler, B., Makrides, M., Conversion of linoleic acid and alpha-linolenic acid to long-chain polyunsaturated fatty acids (LCPUFAs), with a focus on pregnancy, lactation and the first 2 years of life. Matern Child Nutr 7:suppl 2 (2011), 17–26.
14. 14 Rosell, M.S., Lloyd-Wright, Z., Appleby, P.N., et al. Long-chain n-3 polyunsaturated fatty acids in plasma in British meat-eating, vegetarian, and vegan men. Am J Clin Nutr 82:2 (2005), 327–334.
15. 15 Orlich, M.J., Singh, P.N., Sabaté, J., et al. Vegetarian dietary patterns and mortality in Adventist Health Study 2. JAMA Intern Med 173:13 (2013), 1230–1238.
16. 16 Van Dokkum, W., Significance of iron bioavailability for iron recommendations. Biol Trace Elem Res 35:1 (1992), 1–11.
17. 17 Rizzo, N.S., Jaceldo-Siegl, K., Sabate, J., Fraser, G.E., Nutrient profiles of vegetarian and nonvegetarian dietary patterns. J Acad Nutr Diet 113:12 (2013), 1610–1619.
18. 18 Park, S.K., Ryoo, J.H., Kim, M.G., Shin, J.Y., Association of serum ferritin and the development of metabolic syndrome in middle-aged Korean men: A 5-year follow-up study. Diabetes Care 35:12 (2012), 2521–2526.
19. 19 Craig, W.J., Iron status of vegetarians. Am J Clin Nutr 59:5 suppl (1994), 1233S–1237S.
20. 20 Collings, R., Harvey, L.J., Hooper, L., et al. The absorption of iron from whole diets: A systematic review. Am J Clin Nutr 98:1 (2013), 65–81.
21. 21 Food and Nutrition Board, Institute of Medicine. Iron. Dietary References Intake for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium and Zinc, 2001, The National Academies Press, Washington, DC, 290–393.
22. 22 Hunt, J.R., Roughead, Z.K., Adaptation of iron absorption in men consuming diets with high or low iron bioavailability. Am J Clin Nutr 71:1 (2000), 94–102.
23. 23 Armah, S.M., Carriquiry, A., Sullivan, D., Cook, J.D., Reddy, M.B., A complete diet-based algorithm for predicting nonheme iron absorption in adults. J Nutr 143:7 (2013), 1136–1140.
24. 24 Hunt, J.R., Roughead, Z.K., Nonheme-iron absorption, fecal ferritin excretion, and blood indexes of iron status in women consuming controlled lactoovovegetarian diets for 8 weeks. Am J Clin Nutr 69:5 (1999), 944–952.
25. 25 Foster, M., Samman, S., Vegetarian diets across the lifecycle: Impact on zinc intake and status. Adv Food Nutr Res 74 (2015), 93–131.
26. 26 Lonnerdal, B., Dietary factors influencing zinc absorption. J Nutr 130:5 suppl (2000), 1378S–1383S.
27. 27 Leung, A.M., Lamar, A., He, X., et al. Iodine status and thyroid function of Boston-area vegetarians and vegans. J Clin Endocrinol Metab 96:8 (2011), E1303–E1307.
28. 28 Teas, J., Pino, S., Critchley, A., Braverman, L.E., Variability of iodine content in common commercially available edible seaweeds. Thyroid 14:10 (2004), 836–841.
29. 29 Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. www.iom.edu/Reports/2001/Dietary-Reference-Intakes-for-Vitamin-A-Vitamin-K-Arsenic-Boron-Chromium-Copper-Iodine-Iron-Manganese-Molybdenum-Nickel-Silicon-Vanadium-and-Zinc.aspx#sthash.gITnT436.dpuf Published 2010. Accessed June 23, 2016.
30. 30 Messina, M., Redmond, G., Effects of soy protein and soybean isoflavones on thyroid function in healthy adults and hypothyroid patients: A review of the relevant literature. Thyroid 16 (2006), 249–258.
31. 31 Weaver, C.M., Proulx, W.R., Heaney, R., Choices for achieving adequate dietary calcium with a vegetarian diet. Am J Clin Nutr 70:3 (1999), 543S–548S.
32. 32 Tang, A.L., Walker, K.Z., Wilcox, G., Strauss, B.J., Ashton, J.F., Stojanovska, L., Calcium absorption in Australian osteopenic post-menopausal women: An acute comparative study of fortified soymilk to cows’ milk. Asia Pac J Clin Nutr 19:2 (2010), 243–249.
33. 33 Zhao, Y., Martin, B.R., Weaver, C.M., Calcium bioavailability of calcium carbonate fortified soymilk is equivalent to cow's milk in young women. J Nutr 135:10 (2005), 2379–2382.
34. 34 Patrick, L., Comparative absorption of calcium sources and calcium citrate malate for the prevention of osteoporosis. Altern Med Rev 4:2 (1999), 74–85.
35. 35 Wacker, M., Holick, M.F., Sunlight and vitamin D: A global perspective for health. Dermatoendocrinol 5:1 (2013), 51–108.
36. 36 Mangels, A.R., Bone nutrients for vegetarians. Am J Clin Nutr 100:suppl 1 (2014), 469S–475S.
37. 37 Keegan, R.J., Lu, Z., Bogusz, J.M., Williams, J.E., Holick, M.F., Photobiology of vitamin D in mushrooms and its bioavailability in humans. Dermatoendocrinology 5:1 (2013), 165–176.
38. 38 Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. 2011, The National Academies Press, Washington, DC www.nap.edu/download.php?record_id=13050 Accessed June 23, 2016.
39. 39 Norris, J. Vitamin B12 recommendations. www.veganhealth.org/b12/rec. Accessed June 23, 2016.
40. 40 Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. 1998, The National Academies Press, Washington, DC http://www.ncbi.nlm.nih.gov/books/NBK114310/ Accessed June 23, 2016.
41. 41 Donaldson, M.S., Metabolic vitamin B12 status on a mostly raw vegan diet with follow-up using tablets, nutritional yeast, or probiotic supplements. Ann Nutr Metab 44:5-6 (2000), 229–234.
42. 42 Obeid, R., Fedosov, S.N., Nexo, E., Cobalamin coenzyme forms are not likely to be superior to cyano- and hydroxyl-cobalamin in prevention or treatment of cobalamin deficiency. Mol Nutr Food Res 59:7 (2015), 1364–1372.
43. 43 Moore, W.J., McGrievy, M.E., Turner-McGrievy, G.M., Dietary adherence and acceptability of five different diets, including vegan and vegetarian diets, for weight loss: The New DIETs study. Eat Behav 19 (2015), 33–38.
44. 44 US Department of Health and Human Services. Center for Disease Control and Prevention. Health, United States, 2012. http://www.cdc.gov/nchs/data/hus/hus12.pdf#063. Accessed June 23, 2016.
45. 45 National Institutes of Health; National Heart, Lung, and Blood Institute and National Institute of Diabetes and Digestive and Kidney Diseases. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. 1998, National Institutes of Health, Bethesda, MD.
46. 46 Schindler, T.H., Cardenas, J., Prior, J.O., Relationship between increasing body weight, insulin resistance, inflammation, adipocytokine leptin, and coronary circulatory function. J Am Coll Cardiol 47:6 (2006), 1188–1195.
47. 47 Tonstad, S., Butler, T., Yan, R., Fraser, G.E., Type of vegetarian diet, body weight and prevalence of type 2 diabetes. Diabetes Care 32:5 (2009), 791–796.
48. 48 Spencer, E.A., Appleby, P.N., Davey, G.K., Key, T.J., Diet and body mass index in 38000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans. Int J Obes Relat Metab Disord 27:6 (2003), 728–734.
49. 49 Newby, P.K., Tucker, K.L., Wolk, A., Risk of overweight and obesity among semivegetarian, lactovegetarian, and vegan women. Am J Clin Nutr 81:6 (2005), 1267–1274.
50. 50 Barnard, N.B., Levin, S.M., Yokoyama, Y., A systematic review and meta-analysis of change in body weight in clinical trials of vegetarian diets. J Acad Nutr Diet 115:6 (2015), 954–969.
51. 51 Huang, R.Y., Huang, C.C., Hu, F.B., Chavarro, J.E., Vegetarian diets and weight reduction: A meta-analysis of randomized controlled trials. J Gen Intern Med 31:1 (2015), 109–116.
52. 52 Turner-McGrievy, G.M., Barnard, N.D., Scialli, A.R., A two-year randomized weight loss trial comparing a vegan diet to a more moderate low-fat diet. Obesity 15:9 (2007), 2276–2281.
53. 53 Crowe, F.L., Appleby, P.N., Travis, R.C., Key, T.J., Risk of hospitalization or death from ischemic heart disease among British vegetarians and nonvegetarians: Results from the EPIC-Oxford cohort study. Am J Clin Nutr 97:3 (2013), 597–603.
54. 54 Rizzo, N.S., Sabaté, J., Jaceldo-Siegl, K., Fraser, G.E., Vegetarian dietary patterns are associated with a lower risk of metabolic syndrome: The Adventist Health Study 2. Diabetes Care 34:5 (2011), 1225–1227.
55. 55 Pettersen, B.J., Anousheh, R., Fan, J., Jaceldo-Siegl, K., Fraser, G.E., Vegetarian diets and blood pressure among white subjects: Results from the Adventist Health Study-2 (AHS-2). Public Health Nutr 15:10 (2012), 1909–1916.
56. 56 Wang, F., Zheng, J., Yang, B., Jiang, J., Fu, Y., Li, D., Effects of vegetarian diets on blood lipids: A systematic review and meta-analysis of randomized controlled trials. J Am Heart Assoc, 4(10), 2015, e002408.
57. 57 Barnard, N.D., Katcher, H.I., Jenkins, D.J., Cohen, J., Turner-McGrievy, G., Vegetarian and vegan diets in type 2 diabetes management. Nutr Rev 67:5 (2009), 255–263.
58. 58 Yang, S.Y., Li, X.J., Zhang, W., et al. Chinese lacto-vegetarian diet exerts favorable effects on metabolic parameters, intima-media thickness, and cardiovascular risks in healthy men. Nutr Clin Pract 627:3 (2012), 392–398.
59. 59 Huang, T., Yang, B., Zheng, J., Li, G., Wahlqvist, M.L., Li, D., Cardiovascular disease mortality and cancer incidence in vegetarians: A meta-analysis and systematic review. Ann Nutr Metab 60:4 (2012), 233–240.
60. 60 Bradbury, K.E., Crowe, F.L., Appleby, P.N., Schmidt, J.A., Travis, R.C., Key, T.J., Serum concentrations of cholesterol, apolipoprotein A-I and apolipoprotein B in a total of 1694 meat-eaters, fish-eaters, vegetarians and vegans. Eur J Clin Nutr 68:2 (2014), 178–183.
61. 61 Ornish, D., Brown, S., Scherwitz, L., et al. Can lifestyle changes reverse coronary heart disease?. Lancet 336:15 (1990), 129–133.
62. 62 Appleby, P.N., Davey, G.K., Key, T.J., Hypertension and blood pressure among meat eaters, fish eaters, vegetarians and vegans in EPIC−Oxford. Public Health Nutr 5:5 (2002), 645–654.
63. 63 Yokoyama, Y., Nishimura, K., Barnard, N.D., et al. Vegetarian diets and blood pressure: A meta-analysis. JAMA Intern Med 174:4 (2014), 577–587.
64. 64 Tonstad, S., Stewart, K., Oda, K., Batech, M., Herring, R.P., Fraser, G.E., Vegetarian diets and incidence of diabetes in the Adventist Health Study-2. Nutr Metab Cardiovasc Dis 23:4 (2013), 292–299.
65. 65 Ley, S.H., Hamdy, O., Mohan, v, Hu, F.B., Prevention and management of type 2 diabetes: Dietary components and nutritional strategies. Lancet 383:9933 (2014), 1999–2007.
66. 66 Aune, D., Norat, T., Romundstad, P., Vatten, L.J., Whole grain and refined grain consumption and the risk of type 2 diabetes: A systematic review and dose-response. Eur J Epidemiol 28:11 (2013), 845–858.
67. 67 Brighenti, F., Benini, L., Del Rio, D., et al. Colonic fermentation of indigestible carbohydrates contributes to the second-meal effect. Am J Clin Nutr 83:4 (2006), 817–822.
68. 68 Li, M., Fan, Y., Zhang, X., et al. Fruit and vegetable intake and risk of type 2 diabetes mellitus: Meta-analysis of prospective cohort studies. BMJ Open, 4(11), 2014, e005497.
69. 69 Pan, A., Sun, Q., Mason, J.E., et al. Walnut consumption is associated with lower risk of type 2 diabetes in women. J Nutr 143:4 (2013), 512–518.
70. 70 Kim, Y., Keogh, J., Clifton, P., A review of potential metabolic etiologies of the observed association between red meat consumption and development of type 2 diabetes. Metabolism 64:7 (2015), 768–779.
71. 71 Barnard, N., Cohen, J., Jenkins, D.J., et al. A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes Care 29:8 (2006), 1777–1783.
72. 72 Kahleova, H., Matoulek, M., Malinska, O., et al. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with type 2 diabetes. Diabet Med 28:5 (2011), 549–559.
73. 73 Yokoyama, Y., Barnard, N.D., Levin, S.M., Watanabe, M., Vegetarian diets and glycemic control in diabetes: A systematic review and meta-analysis. Cardiovasc Diagn Ther 4:5 (2014), 373–382.
74. 74 Tantamango-Bartley, Y., Jaceldo-Siegl, K., Fan, J., Fraser, G., Vegetarian diets and the incidence of cancer in a low-risk population. Cancer Epidemiol Biomarkers Prev 22:2 (2013), 286–294.
75. 75 Tantamango-Bartley, Y., Knutsen, S.F., Knutsen, R., et al. Are strict vegetarians protected against prostate cancer?. Am J Clin Nutr 103:1 (2016), 153–160.
76. 76 World Cancer Research Fund. Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective. 2007, American Institute for Cancer Research, Washington, DC.
77. 77 Anand, P., Kunnumakkara, A.B., Sundaram, C., et al. Cancer is a preventable disease that requires major lifestyle changes. Pharm Res 25:9 (2008), 2097–2116.
78. 78 Zhang, Y., Gan, R., Li, S., et al. Antioxidant phytochemicals for prevention and treatment of chronic diseases. Molecules 20:12 (2015), 21138–21156.
79. 79 Thakur, V.S., Deb, G., Babcook, M.A., Gupta, S., Plant phytochemicals as epigenetic modulators: Role in cancer chemoprevention. AAPS J 16:1 (2014), 151–163.
80. 80 Bingham, S.A., Day, N.E., Luben, R., et al. Dietary fibre in food and protection against colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC): An observational study. Lancet 361:9368 (2003), 1496–1501.
81. 81 Bernstein, A.M., Song, M., Zhang, X., et al. Processed and unprocessed red meat and risk of colorectal cancer: Analysis by tumor location and modification by time. PLoS One, 10(8), 2015, e0135959.
82. 82 Rohrmann, S., Overvad, K., Bueno-de-Mesquita, H.B., et al. Meat consumption and mortality—Results from the European Prospective Investigation into Cancer and Nutrition. BMC Med, 2013,11, 63.
83. 83 Aune, D., Chan, D.S., Vieira, A.R., et al. Red and processed meat intake and risk of colorectal adenomas: A systematic review and meta-analysis of epidemiological studies. Cancer Causes Control 24:4 (2013), 611–627.
84. 84 Appleby, P., Roddam, A., Allen, N., Key, T., Comparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford. Eur J Clin Nutr 61:12 (2007), 1400–1406.
85. 85 Lousuebsakul-Matthews, V., Thorpe, D.L., Knutsen, R., Beeson, W.L., Fraser, G.E., Knutsen, S.F., Legumes and meat analogues consumption are associated with hip fracture risk independently of meat intake among Caucasian men and women: The Adventist Health Study-2. Public Health Nutr 17:10 (2014), 2333–2343.
86. 86 Evidence Analysis Library. Pregnancy and nutrition-vegetarian nutrition. 2007. http://andevidencelibrary.com/topic.cfm?cat=4322. Accessed June 23, 2016.
87. 87 Piccoli, G.B., Clari, R., Vigotti, F.N., et al. Vegan-vegetarian diets in pregnancy: Danger or panacea? A systematic narrative review. BJOG 122:5 (2015), 623–633.
88. 88 Stuebe, A.M., Oken, E., Gillman, M.W., Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. Am J Obstet Gynecol, 201(1), 2009 58.e1-e8.
89. 89 Pistollato, F., Sumalla Cano, S., Elio, I., et al. Plant-based and plant-rich diet patterns during gestation: Beneficial effects and possible shortcomings. Adv Nutr 6:5 (2015), 581–591.
90. 90 Procter, S.B., Campbell, C.G., Position of the Academy of Nutrition and Dietetics: Nutrition and lifestyle for a healthy pregnancy outcome. J Acad Nutr Diet 114:7 (2014), 1099–1103 www.andjrnl.org/article/S2212-2672%2814%2900501-2/pdf Accessed June 23, 2016.
91. 91 Kaiser, L.L., Campbell, C.G., Academy Positions Committee Workgroup. Practice paper of the Academy of Nutrition and Dietetics abstract: Nutrition and lifestyle for a healthy pregnancy outcome. J Acad Nutr Diet, 114(9), 2014, 1447.
92. 92 Alwan, N.A., Greenwood, D.C., Simpson, N.A., McArdle, H.J., Godfrey, K.M., Cade, J.E., Dietary iron intake during early pregnancy and birth outcomes in a cohort of British women. Hum Reprod 26:4 (2011), 911–919.
93. 93 Centers for Disease Control and Prevention. Recommendations to prevent and control iron deficiency in the United States. Morb Mortal Wkly Rep 47:RR-3 (1998), 1–29.
94. 94 Breastfeeding and the use of human milk. Pediatrics 129:3 (2012), e827–e841.
95. 95 Mangels, A.R., Messina, V., Considerations in planning vegan diets: Infants. J Am Diet Assoc 101:6 (2001), 670–677.
96. 96 Sabaté, J., Wien, M., Vegetarian diets and childhood obesity prevention. Am J Clin Nutr 91:5 (2010), 1525S–1529S http://ajcn.nutrition.org/content/91/5/1525S.long Accessed June 23, 2016.
97. 97 Evidence Analysis Library. Vegetarian nutrition: Adolescence. 2009. http://www.andeal.org/topic.cfm?menu=5271&pcat=3105&cat=4019. Accessed June 23, 2016.
98. 98 Gibson, R.S., Heath, A.L., Szymlek-Gay, E.A., Is iron and zinc nutrition a concern for vegetarian infants and young children in industrialized countries?. Am J Clin Nutr 100:suppl 1 (2014), 459S–468S.
99. 99 Brants, H.A., Lowik, M.R., Westenbrink, S., Hulshof, K.F., Kistemaker, C., Adequacy of a vegetarian diet at old age (Dutch Nutrition Surveillance System). J Am Coll Nutr 9:4 (1990), 292–302.
100. 100 Kurpad, A.V., Vaz, M., Protein and amino acid requirements in the elderly. Eur J Clin Nutr 54:suppl 3 (2000), S131–S142.
101. 101 Hedenus, F., Wirsenius, S., Johansson, D.J.A., The importance of reduced meat and dairy consumption for meeting stringent climate change targets. Climatic Change 124:1 (2014), 79–91.
102. 102 Hallström, E., Carlsson-Kanyama, A., Börjesson, P., Environmental impact of dietary change: A systematic review. J Cleaner Prod 91 (2015), 1–11.
103. 103 Davidson, E.A., Representative concentration pathways and mitigation scenarios for nitrous oxide. Environ Res Lett, 7(2), 2012, 024005.
104. 104 Stehfest, E.B.L., van Vuuren, D.P., den Elzen, M.G.J., Eickhout, B., Kabat, P., Climate benefits of changing diet. Climate Change 95:1-2 (2009), 83–102.
105. 105 Raphaely, T., Marinova, D., Impact of Meat Consumption on Health and Environmental Sustainability. 2016, IGI Global, Hershey, PA.
106. 106 Dietary Guidelines Advisory Committee. Scientific Report of the 2015 Dietary Guidelines Advisory Committee—Part D. Chapter 5: Food Sustainability and Safety. https://health.gov/dietaryguidelines/2015-scientific-report/PDFs/10-Part-D-Chapter-5.pdf. Updated January 28, 2015. Accessed September 19, 2016.
107. 107 Marlow, H.J., Harwatt, H., Soret, S., Sabaté, J., Comparing the water, energy, pesticide and fertilizer usage for the production of foods consumed by different dietary types in California. Public Health Nutr 18:13 (2015), 2425–2432.
108. 108 Sranacharoenpong, K., Soret, S., Harwatt, H., Wien, M., Sabate, J., The environmental cost of protein food choices. Public Health Nutr 18:11 (2015), 2067–2073.
109. 109 Environmental Protection Agency. Environmental assessment of proposed revisions to the national pollutant discharge elimination system regulation and the effluent guidelines for concentrated animal farming operations. Environmental Protection Agency, Office of Water. EPA Number 821B01001. https://www3.epa.gov/npdes/pubs/cafo_proposed_env_assess_ch1-3.pdf. Published January 2001. Accessed September 14, 2016.
110. 110 Machovina, B., Feeley, K.J., Ripple, W.J., Biodiversity conservation: The key is reducing meat consumption. Sci Total Environ 536 (2015), 419–431.
111. 111 Ripple, W.J., Smith, P., Haberl, H., Montzka, S.A., McAlpine, C., Boucher, D.H., Ruminants, climate change and climate policy. Nat Climate Change 4:1 (2014), 2–5.
112. 112 Soret, S., Mejia, A., Batech, M., Jaceldo-Siegl, K., Harwatt, H., Sabate, J., Climate change mitigation and health effects of varied dietary patterns in real-life settings throughout North America. Am J Clin Nutr 100:suppl 1 (2014), 490S–495S.
113. 113 Cederberg, C., Hedenus, F., Wirsenius, S., Sonesson, U., Trends in greenhouse gas emissions from consumption and production of animal food products—Implications for long-term climate targets. Animal 7:2 (2013), 330–340.
114. 114 Economou, V., Gousia, P., Agriculture and food animals as a source of antimicrobial-resistant bacteria. Infect Drug Resist 8 (2015), 49–61.
115. 115 US Department of Agriculture. All about the protein foods group. http://www.choosemyplate.gov/protein-foods. Updated July 29, 2016. Accessed September 14, 2016.
116. 116 US Department of Agriculture. All about the dairy group. http://www.choosemyplate.gov/dairy. Updated July 29, 2016. Accessed September 14, 2016.
117. 117 US Department of Agriculture. Non-dairy sources of calcium. http://www.choosemyplate.gov/dairy-calcium-sources. Updated January 12, 2016. Accessed September 14, 2016.