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Effects of vegetarian diet on bone mineral density
Abstract
Factors, such as hormonal changes in postmenopausal women, natural aging degeneration, race, gender, body size, lifestyle, physical activity, sunlight, dietary intake, medications, or other environmental issues, can affect the rate of bone formation or reabsorption, cause changes in bone mineral content, and influence the development of osteoporosis. Do vegetarian diets adversely affect bone mineral density (BMD)? Among postmenopausal Buddhists, long-term practitioners of vegan vegetarian were found to have a higher risk exceeding the lumbar fracture threshold and a lower level of hip BMD after controlling for other variables. However, results of several prospective longitudinal studies failed to show a harmful effect of vegetarianism on bone health. In the Taiwanese adult population, researchers also did not find that a vegetarian diet significantly affects age-related BMD decline. Due to the various levels of nutrients in the diet (such as protein, alkali, calcium, Vitamin K, and phytoestrogens) and major lifestyle factors (such as smoking and physical exercise), determining the impact of a vegetarian diet on bone health is very complex. Good-quality vegetarian food can provide a healthy foundation for building and maintaining healthy bones and preventing fractures.
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“Revealed that vegetarians had nearly 4% lower BMD at both the femoral neck and lumbar spine than did individuals in the normal diet control group28.”
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Dietary fiber and health outcomes: an umbrella review of systematic reviews and meta-analyses
Veronese, N., Solmi, M., Caruso, M. G., Giannelli, G., Osella, A. R., Evangelou, E., Maggi, S., Fontana, L., Stubbs, B., & Tzoulaki, I. (2018) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqx082 · Cited by 536
Fraser, G. E. (1999) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/70.3.532s · Cited by 489
Nutrition concerns and health effects of vegetarian diets
Craig, W. J. (2010) · Nutrition in Clinical Practice · doi:10.1177/0884533610385707 · Cited by 370
Iguacel, I., Miguel-Berges, M. L., Gómez-Bruton, A., Moreno, L. A., & Julián, C. (2019) · Nutrition Reviews · doi:10.1093/nutrit/nuy045 · Cited by 222 · cited 4×
“The different results of various studies may be partly attributed to the differences in the studied populations (different races, genders, age, or menstrual status), different intervals of following a vegetarian diet (long-term or short-term), different degree of strictness in adhering to a vegetarian diet (vegan, lac…”
BackgroundResultInfluentialComparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford
Appleby, P., Roddam, A., Allen, N., & Key, T. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602659 · Cited by 217
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Cited by
Kopiczko, A., Bałdyka, J., Adamczyk, J. G., Nyrć, M., & Gryko, K. (2025) · Scientific Reports · doi:10.1038/s41598-025-93891-9 · Cited by 6
Metadata
- Authors
- Chuang, T.-L., Lin, C.-H., & Wang, Y.-F.
- Venue
- Tzu Chi Medical Journal
- Published
- 2021-04
- Volume
- 33
- Issue
- 2
- Pages
- 128-134
- ISSN
- 1016-3190
- Cited by
- 28
- References
- 6
- Language
- en
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