Adolescent vegetarians. A behavioral profile of a school-based population in Minnesota.

OBJECTIVE To compare a population-based sample of vegetarian and nonvegetarian adolescents regarding food intake patterns, disordered eating, and a range of other non-food-related health-compromising and health-promoting behaviors. DESIGN A cross-sectional school-based survey. SETTING Public schools within nonurban areas of Minnesota. PARTICIPANTS Adolescents (n = 107) aged 12 to 20 years who reported on the Minnesota Adolescent Health Survey that they follow a vegetarian diet and a comparison group of nonvegetarian youth (n = 214) matched for sex, age, and ethnicity. The percentage of self-identified vegetarians in the study population was relatively low (0.6%); most of the vegetarians were female (81%). MAIN OUTCOME MEASURES Food intake patterns, disordered eating (frequent dieting, binge eating, self-induced vomiting, and laxative use), health-compromising behaviors (tobacco, alcohol, and marijuana use and suicide attempts), and health-promoting behaviors (seat belt use, physical activity, and brushing teeth regularly). RESULTS Vegetarian adolescents were twice as likely to consume fruits and vegetables (P < .001), one third as likely to consume sweets (P < .001), and one fourth as likely to eat salty snack foods (P < .001) more than once a day compared with nonvegetarians. Vegetarians were almost twice as likely to report frequent dieting (P < .001), 4 times as likely to report intentional vomiting (P < .001), and 8 times as likely to report laxative use (P < .001) than nonvegetarians. Overall, associations with other health-compromising and health-promoting behaviors were not apparent. CONCLUSIONS A vegetarian diet may be beneficial because of increased fruit and vegetable consumption and decreased consumption of foods high in fat, salt, and sugar. However, adolescents following a vegetarian diet need to be screened for adequate food intake and potential disordered eating behaviors.

[1]  D. Jacobs,et al.  Patterns of health-compromising behaviors among Minnesota adolescents: sociodemographic variations. , 1996, American journal of public health.

[2]  R. Gibson,et al.  Dietary intakes of adolescent females consuming vegetarian, semi-vegetarian, and omnivorous diets. , 1996, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[3]  D. Neumark-Sztainer,et al.  Body dissatisfaction and unhealthy weight-control practices among adolescents with and without chronic illness: a population-based study. , 1995, Archives of pediatrics & adolescent medicine.

[4]  S. Barr,et al.  Nutrient intakes and eating behavior scores of vegetarian and nonvegetarian women. , 1995, Journal of the American Dietetic Association.

[5]  C. Weaver,et al.  Dietary calcium: adequacy of a vegetarian diet. , 1994, The American journal of clinical nutrition.

[6]  W. Dietz,et al.  Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. , 1994, The American journal of clinical nutrition.

[7]  M. Resnick,et al.  The impact of caring and connectedness on adolescent health and well‐being , 1993, Journal of paediatrics and child health.

[8]  Johnston,et al.  The Vegetarian Adolescent. , 1992, Adolescent medicine.

[9]  W. Dietz,et al.  Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2)—a correction , 1991 .

[10]  D. Jacobs,et al.  Meat consumption and its associations with other diet and health factors in young adults: the CARDIA study. , 1991, The American journal of clinical nutrition.

[11]  R. Blum,et al.  Demographic and risk factors associated with chronic dieting in adolescents. , 1991, American journal of diseases of children.

[12]  W. Dietz,et al.  Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. , 1991, The American journal of clinical nutrition.

[13]  J. Dwyer Nutritional consequences of vegetarianism. , 1991, Annual review of nutrition.

[14]  J. Sabaté,et al.  Anthropometric parameters of schoolchildren with different life-styles. , 1990, American journal of diseases of children.

[15]  K. Stanek,et al.  Anthropometric and dietary assessment of omnivore and lacto-ovo-vegetarian children. , 1989, Journal of the American Dietetic Association.

[16]  J. Freeland-Graves Mineral adequacy of vegetarian diets. , 1988, The American journal of clinical nutrition.

[17]  P. Beumont,et al.  Vegetarianism in anorexia nervosa? A review of 116 consecutive cases. , 1987, The Medical journal of Australia.

[18]  Albert Sanchez,et al.  The association of dietary factors with the age of menarche , 1987 .

[19]  J. Freeland-Graves,et al.  Health practices, attitudes, and beliefs of vegetarians and nonvegetarians. , 1987, Journal of the American Dietetic Association.

[20]  J. Freeland-Graves,et al.  A demographic and social profile of age- and sex-matched vegetarians and nonvegetarians. , 1986, Journal of the American Dietetic Association.

[21]  A. Rotstein,et al.  Physical fitness, anthropometric and metabolic parameters in vegetarian athletes. , 1986, The Journal of sports medicine and physical fitness.

[22]  A. R. Lucas,et al.  Dietary patterns in anorexia nervosa. , 1984, The American journal of clinical nutrition.

[23]  Shultz Td,et al.  Dietary status of Seventh-day Adventists and nonvegetarians. , 1983 .

[24]  J. Treuherz Possible Inter-Relationship Between Zinc and Dietary Fibre in a Group of Lacto-Ovo Vegetarian Adolescents , 1982 .

[25]  J. Freeland-Graves,et al.  Zinc status of vegetarians. , 1980, Journal of the American Dietetic Association.