DOI QR코드

DOI QR Code

Long-term vegetarians have low oxidative stress, body fat, and cholesterol levels

  • Kim, Mi-Kyung (Department of Medical Nutrition, Graduate School of East-West Medical Science,Kyung Hee University) ;
  • Cho, Sang-Woon (Department of Medical Nutrition, Graduate School of East-West Medical Science,Kyung Hee University) ;
  • Park, Yoo-Kyoung (Department of Medical Nutrition, Graduate School of East-West Medical Science,Kyung Hee University)
  • Received : 2011.12.01
  • Accepted : 2012.01.06
  • Published : 2012.04.30

Abstract

Excessive oxidative stress and abnormal blood lipids may cause chronic diseases. This risk can be reduced by consuming an antioxidant- and fiber-rich vegetarian diet. We compared biomarkers of oxidative stress, antioxidant capacity, and lipid profiles of sex- and age-matched long-term vegetarians and omnivores in Korea. Forty-five vegetarians (23 men and 22 women; mean age, $49.5{\pm}5.3$ years), who had maintained a vegetarian diet for a minimum of 15 years, and 30 omnivores (15 men and 15 women; mean age, $48.9{\pm}3.6$ years) participated in this study. Their 1-day, 24-h recall, and 2-day dietary records were analyzed. Oxidative stress was measured by the levels of diacron reactive oxygen metabolites (d-ROM). Antioxidant status was determined by the biological antioxidant potential (BAP) and levels of endogenous antioxidant enzymes such as superoxide dismutase, catalase, and glutathione peroxidase. We observed that vegetarians had a significantly lower body fat percentage ($21.6{\pm}6.4%$) than that of omnivores ($25.4{\pm}4.6%$; $P$ < 0.004). d-ROM levels were significantly lower in vegetarians than those in omnivores ($331.82{\pm}77.96$ and $375.80{\pm}67.26$ Carratelli units; $P$ < 0.011). Additionally, total cholesterol levels in the vegetarians and omnivores were $173.73{\pm}31.42$ mg/dL and $193.17{\pm}37.89$ mg/dL, respectively ($P$ < 0.018). Low-density lipoprotein cholesterol was $101.36{\pm}23.57$ mg/dL and $120.60{\pm}34.62$ mg/dL ($P$ < 0.005) in the vegetarians and omnivores, respectively, indicating that vegetarians had significantly lower lipid levels. Thus, oxidative stress, body fat, and cholesterol levels were lower in long-term vegetarians than those in omnivores.

Keywords

References

  1. Li Y, Ambrosone CB, McCullough MJ, Ahn J, Stevens VL, Thun MJ, Hong CC. Oxidative stress-related genotypes, fruit and vegetable consumption and breast cancer risk. Carcinogenesis 2009;30:777-84. https://doi.org/10.1093/carcin/bgp053
  2. Krajcovicova-Kudlackova M, Valachovicova M, Paukova V, Dusinska M. Effects of diet and age on oxidative damage products in healthy subjects. Physiol Res 2008;57:647-51.
  3. Komatsu F, Kagawa Y, Sakuma M, Kawabata T, Kaneko Y, Otgontuya D, Chimedregzen U, Narantuya L, Purvee B. Investigation of oxidative stress and dietary habits in Mongolian people, compared to Japanese people. Nutr Metab (Lond) 2006;3:21. https://doi.org/10.1186/1743-7075-3-21
  4. Valko M, Rhodes CJ, Moncol J, Izakovic M, Mazur M. Free radicals, metals and antioxidants in oxidative stress-induced cancer. Chem Biol Interact 2006;160:1-40. https://doi.org/10.1016/j.cbi.2005.12.009
  5. Rauma AL, Mykkanen H. Antioxidant status in vegetarians versus omnivores. Nutrition 2000;16:111-9. https://doi.org/10.1016/S0899-9007(99)00267-1
  6. Hu Y, Block G, Norkus EP, Morrow JD, Dietrich M, Hudes M. Relations of glycemic index and glycemic load with plasma oxidative stress markers. Am J Clin Nutr 2006;84:70-6; quiz 266-7. https://doi.org/10.1093/ajcn/84.1.70
  7. Roberts CK, Vaziri ND, Barnard RJ. Effect of diet and exercise intervention on blood pressure, insulin, oxidative stress, and nitric oxide availability. Circulation 2002;106:2530-2. https://doi.org/10.1161/01.CIR.0000040584.91836.0D
  8. Sabate J, Duk A, Lee CL. Publication trends of vegetarian nutrition articles in biomedical literature, 1966-1995. Am J Clin Nutr 1999;70:601S-607S. https://doi.org/10.1093/ajcn/70.3.601s
  9. Key TJ, Thorogood M, Appleby PN, Burr ML. Dietary habits and mortality in 11,000 vegetarians and health conscious people: results of a 17 year follow up. BMJ 1996;313:775-9. https://doi.org/10.1136/bmj.313.7060.775
  10. Barnard ND, Gloede L, Cohen J, Jenkins DJ, Turner-McGrievy G, Green AA, Ferdowsian H. A low-fat vegan diet elicits greater macronutrient changes, but is comparable in adherence and acceptability, compared with a more conventional diabetes diet among individuals with type 2 diabetes. J Am Diet Assoc 2009;109:263-72. https://doi.org/10.1016/j.jada.2008.10.049
  11. Rizzo NS, Sabate J, Jaceldo-Siegl K, Fraser GE. Vegetarian dietary patterns are associated with a lower risk of metabolic syndrome: the adventist health study 2. Diabetes Care 2011;34:1225-7. https://doi.org/10.2337/dc10-1221
  12. Key TJ, Appleby PN, Davey GK, Allen NE, Spencer EA, Travis RC. Mortality in British vegetarians: review and preliminary results from EPIC-Oxford. Am J Clin Nutr 2003;78:533S-538S. https://doi.org/10.1093/ajcn/78.3.533S
  13. Key TJ, Appleby PN, Spencer EA, Travis RC, Roddam AW, Allen NE. Mortality in British vegetarians: results from the European Prospective Investigation into Cancer and Nutrition (EPIC-Oxford). Am J Clin Nutr 2009;89:1613S-1619S. https://doi.org/10.3945/ajcn.2009.26736L
  14. Szeto YT, Kwok TC, Benzie IF. Effects of a long-term vegetarian diet on biomarkers of antioxidant status and cardiovascular disease risk. Nutrition 2004;20:863-6. https://doi.org/10.1016/j.nut.2004.06.006
  15. Garcia AL, Koebnick C, Dagnelie PC, Strassner C, Elmadfa I, Katz N, Leitzmann C, Hoffmann I. Long-term strict raw food diet is associated with favourable plasma beta-carotene and low plasma lycopene concentrations in Germans. Br J Nutr 2008;99:1293-300.
  16. Koebnick C, Garcia AL, Dagnelie PC, Strassner C, Lindemans J, Katz N, Leitzmann C, Hoffmann I. Long-term consumption of a raw food diet is associated with favorable serum LDL cholesterol and triglycerides but also with elevated plasma homocysteine and low serum HDL cholesterol in humans. J Nutr 2005;135:2372-8. https://doi.org/10.1093/jn/135.10.2372
  17. Huang CJ, Fan YC, Liu JF, Tsai PS. Characteristics and nutrient intake of Taiwanese elderly vegetarians: evidence from a national survey. Br J Nutr 2011;106:451-60. https://doi.org/10.1017/S0007114511000195
  18. Yen CE, Yen CH, Huang MC, Cheng CH, Huang YC. Dietary intake and nutritional status of vegetarian and omnivorous preschool children and their parents in Taiwan. Nutr Res 2008;28:430-6. https://doi.org/10.1016/j.nutres.2008.03.012
  19. Lee Y, Krawinkel M. The nutritional status of iron, folate, and vitamin B-12 of Buddhist vegetarians. Asia Pac J Clin Nutr 2011;20:42-9.
  20. Lee Y, Krawinkel M. Body composition and nutrient intake of Buddhist vegetarians. Asia Pac J Clin Nutr 2009;18:265-71.
  21. Kim MH, Choi MK, Sung CJ. Bone mineral density of Korean postmenopausal women is similar between vegetarians and nonvegetarians. Nutr Res 2007;27:612-7. https://doi.org/10.1016/j.nutres.2007.07.006
  22. Lee MJ, Popkin BM, Kim S. The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutr 2002;5:197-203.
  23. Jang SN, Kim DH. Trends in the health status of older Koreans. J Am Geriatr Soc 2010;58:592-8. https://doi.org/10.1111/j.1532-5415.2010.02744.x
  24. Hirose H, Kawabe H, Komiya N, Saito I. Relations between serum reactive oxygen metabolites (ROMs) and various inflammatory and metabolic parameters in a Japanese population. J Atheroscler Thromb 2009;16:77-82. https://doi.org/10.5551/jat.E265
  25. Cornelli U, Terranova R, Luca S, Cornelli M, Alberti A. Bioavailability and antioxidant activity of some food supplements in men and women using the D-Roms test as a marker of oxidative stress. J Nutr 2001;131:3208-11. https://doi.org/10.1093/jn/131.12.3208
  26. Komatsu F, Kagawa Y, Ishiguro K, Kawabata T, Purvee B, Otgon J, Chimedregzen U. The association of very high hair manganese accumulation and high oxidative stress in Mongolian people. Curr Aging Sci 2009;2:28-42. https://doi.org/10.2174/1874609810902010028
  27. Komatsu F, Kagawa Y, Kawabata T, Kaneko Y, Ishiguro K. Relationship of dietary habits and obesity to oxidative stress in Palauan people: compared with Japanese and Mongolian people. Curr Aging Sci 2009;2:214-22. https://doi.org/10.2174/1874609810902030214
  28. Nakayama K, Terawaki H, Nakayama M, Iwabuchi M, Sato T, Ito S. Reduction of serum antioxidative capacity during hemodialysis. Clin Exp Nephrol 2007;11:218-24. https://doi.org/10.1007/s10157-007-0486-3
  29. Lea EJ, Crawford D, Worsley A. Public views of the benefits and barriers to the consumption of a plant-based diet. Eur J Clin Nutr 2006;60:828-37. https://doi.org/10.1038/sj.ejcn.1602387
  30. Kim MH, Bae YJ, Lee DH, Cho HK, Choi SH, Sung CJ. An evaluation study on nutrient intake status and diet quality of middle and old aged vegetarian women in Korea. Korean J Community Nutr 2005;10:869-79.
  31. Kim SY, Kim HH, Nam CM, Kim HC, Suh I, Kang BY. Association of estrogen receptor-alpha gene polymorphism with pathogenesis of osteoporosis in Korean vegetarian men. Med Princ Pract 2010;19:200-5. https://doi.org/10.1159/000285288
  32. Miller WC, Niederpruem MG, Wallace JP, Lindeman AK. Dietary fat, sugar, and fiber predict body fat content. J Am Diet Assoc 1994;94:612-5. https://doi.org/10.1016/0002-8223(94)90155-4
  33. Spencer EA, Appleby PN, Davey GK, Key TJ. Diet and body mass index in 38000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans. Int J Obes Relat Metab Disord 2003;27:728-34. https://doi.org/10.1038/sj.ijo.0802300
  34. Willcox DC, Willcox BJ, Todoriki H, Suzuki M. The Okinawan diet: health implications of a low-calorie, nutrient-dense, antioxidantrich dietary pattern low in glycemic load. J Am Coll Nutr 2009;28 Suppl:500S-516S. https://doi.org/10.1080/07315724.2009.10718117
  35. Wilson AK, Ball MJ. Nutrient intake and iron status of Australian male vegetarians. Eur J Clin Nutr 1999;53:189-94. https://doi.org/10.1038/sj.ejcn.1600696
  36. Crujeiras AB, Parra MD, Rodriguez MC, Martinez de Morentin BE, Martinez JA. A role for fruit content in energy-restricted diets in improving antioxidant status in obese women during weight loss. Nutrition 2006;22:593-9. https://doi.org/10.1016/j.nut.2006.03.008
  37. Vassalle C, Novembrino C, Maffei S, Sciarrino R, De Giuseppe R, Vigna L, de Liso F, Mercuri A, Bamonti F. Determinants of oxidative stress related to gender: relevance of age and smoking habit. Clin Chem Lab Med 2011;49:1509-13.
  38. Haldar S, Rowland IR, Barnett YA, Bradbury I, Robson PJ, Powell J, Fletcher J. Influence of habitual diet on antioxidant status: a study in a population of vegetarians and omnivores. Eur J Clin Nutr 2007;61:1011-22. https://doi.org/10.1038/sj.ejcn.1602615

Cited by

  1. Higher insulin sensitivity in vegans is not associated with higher mitochondrial density vol.67, pp.12, 2013, https://doi.org/10.1038/ejcn.2013.202
  2. Acute effect of brisk walking with graduated compression stockings on vascular endothelial function and oxidative stress pp.14750961, 2013, https://doi.org/10.1111/cpf.12052
  3. The Health Advantage of a Vegan Diet: Exploring the Gut Microbiota Connection vol.6, pp.11, 2014, https://doi.org/10.3390/nu6114822
  4. Effect of Peaches, Pears and Green Tea on Plasma Lipids Profile and Antioxidant Content in Rats Fed High Sucrose Diet vol.06, pp.10, 2015, https://doi.org/10.4236/fns.2015.610094
  5. The effect of macrobiotic Ma-Pi 2 diet on systemic inflammation in patients with type 2 diabetes: a post hoc analysis of the MADIAB trial vol.3, pp.1, 2015, https://doi.org/10.1136/bmjdrc-2014-000079
  6. Prevalence in running events and running performance of endurance runners following a vegetarian or vegan diet compared to non-vegetarian endurance runners: the NURMI Study vol.5, pp.1, 2016, https://doi.org/10.1186/s40064-016-2126-4
  7. Vegetarian diets and gut microbiota: important shifts in markers of metabolism and cardiovascular disease vol.74, pp.7, 2016, https://doi.org/10.1093/nutrit/nuw012
  8. Impaired Oxidative Status Is Strongly Associated with Cardiovascular Risk Factors vol.2017, pp.1942-0994, 2017, https://doi.org/10.1155/2017/6480145
  9. Association between plant-based diets and plasma lipids: a systematic review and meta-analysis vol.75, pp.9, 2017, https://doi.org/10.1093/nutrit/nux030
  10. Serum Biomarkers of (Anti)Oxidant Status for Epidemiological Studies vol.16, pp.11, 2015, https://doi.org/10.3390/ijms161126032
  11. Vegetarian diet may ameliorate uremic pruritus in hemodialysis patients vol.40, pp.1, 2018, https://doi.org/10.1080/0886022X.2018.1512871
  12. Cholesterol Absorption and Synthesis in Vegetarians and Omnivores vol.62, pp.6, 2018, https://doi.org/10.1002/mnfr.201700689
  13. Vegetarian diets and chronic kidney disease vol.34, pp.2, 2018, https://doi.org/10.1093/ndt/gfy164
  14. Oxidative Balance and Inflammation in Hemodialysis Patients: Biomarkers of Cardiovascular Risk? vol.2019, pp.1942-0994, 2019, https://doi.org/10.1155/2019/8567275
  15. Cardiovascular Disease Risk Factors Profile Among Australian Vegetarian and Nonvegetarian Teenagers pp.1559-8284, 2019, https://doi.org/10.1177/1559827619829000
  16. Association of Vegetarian Diet with Chronic Kidney Disease vol.11, pp.2, 2019, https://doi.org/10.3390/nu11020279
  17. The impact of the lacto-ovo vegetarian diet on the erythrocyte superoxide dismutase activity: a study in the Romanian population vol.68, pp.2, 2012, https://doi.org/10.1038/ejcn.2013.179
  18. Anthropometric and physiologic characteristics in white and British Indian vegetarians and nonvegetarians in the UK Biobank vol.107, pp.6, 2018, https://doi.org/10.1093/ajcn/nqy042
  19. Heart Failure and a Plant-Based Diet. A Case-Report and Literature Review vol.6, pp.None, 2012, https://doi.org/10.3389/fnut.2019.00082
  20. Impact of Supplementary Amino Acids, Micronutrients, and Overall Diet on Glutathione Homeostasis vol.11, pp.5, 2012, https://doi.org/10.3390/nu11051056
  21. Vegetable-Based Diets for Chronic Kidney Disease? It Is Time to Reconsider vol.11, pp.6, 2012, https://doi.org/10.3390/nu11061263
  22. Place des recommandations hygiéno-diététiques dans la prévention de l’accumulation des produits de glycation avancée vol.15, pp.7, 2012, https://doi.org/10.1016/j.nephro.2019.05.005
  23. Importance of Redox Equilibrium in the Pathogenesis of Psoriasis—Impact of Antioxidant-Rich Diet vol.12, pp.6, 2012, https://doi.org/10.3390/nu12061841
  24. Impact of the vegan diet on sperm quality and sperm oxidative stress values: A preliminary study vol.14, pp.4, 2012, https://doi.org/10.4103/jhrs.jhrs_90_21
  25. Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential vol.22, pp.4, 2012, https://doi.org/10.3390/ijms22041668
  26. Vegetarian Diet: An Overview through the Perspective of Quality of Life Domains vol.18, pp.8, 2012, https://doi.org/10.3390/ijerph18084067
  27. Vegetarian Diet Is Associated with Lower Risk of Depression in Taiwan vol.13, pp.4, 2021, https://doi.org/10.3390/nu13041059
  28. 표준화된 곰피추출물의 항산화 활성 및 콜레스테롤 개선 효과 vol.36, pp.4, 2012, https://doi.org/10.13103/jfhs.2021.36.4.353