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Vegan Athletes

Special Considerations for the Vegan Athlete

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Sideline Management in Sports

Abstract

Vegan diets are becoming more popular, including in the sports field, not only for health, animal welfare, and sustainability reasons but also for allegations of increased performance. However, despite this increasing interest, the literature regarding some important specifications in athletic populations is still scarce. In this chapter, we attempted to discuss the most important and challenging features, with a focus on health and performance, both physical and mental. Although vegan diets tend to be richer in polyphenols, carbohydrate-rich foods, and vitamins C and E, data suggest that there might be an increased deficiency risk for some nutrients. Topics like energy intake, protein, n-3 fatty acids, iron, zinc, calcium, and vitamin B12 have been addressed, as well as the noteworthy importance of creatine and beta-alanine supplementation. Given its rising popularity, there is the need to clarify some queries, especially in elite athletes, in which the literature is limited.

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References

  1. Rosenfeld DL. Why some choose the vegetarian option: are all ethical motivations the same? Motiv Emot. 2019;43:400–11.

    Article  Google Scholar 

  2. Pelly FE, Burkhart SJ. Dietary regimens of athletes competing at the Delhi 2010 Commonwealth Games. Int J Sport Nutr Exerc Metab. 2014;24(1):28–36. https://doi.org/10.1123/ijsnem.2013-0023.

    Article  PubMed  Google Scholar 

  3. Devrim-Lanpir A, Hill L, Knechtle B. Efficacy of popular diets applied by endurance athletes on sports performance: beneficial or detrimental? A narrative review. Nutrients. 2021;13(2):491. https://doi.org/10.3390/nu13020491.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Dinu M, Abbate R, Gensini GF, Casini A, Sofi F. Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies. Crit Rev Food Sci Nutr. 2017;57(17):3640–9. https://doi.org/10.1080/10408398.2016.1138447.

    Article  PubMed  Google Scholar 

  5. Iguacel I, Miguel-Berges ML, Gómez-Bruton A, Moreno LA, Julián C. Veganism, vegetarianism, bone mineral density, and fracture risk: a systematic review and meta-analysis. Nutr Rev. 2019;77(1):1–18. https://doi.org/10.1093/nutrit/nuy045.

    Article  PubMed  Google Scholar 

  6. Bakaloudi DR, Halloran A, Rippin HL, Oikonomidou AC, Dardavesis TI, Williams J, Wickramasinghe K, Breda J, Chourdakis M. Intake and adequacy of the vegan diet. A systematic review of the evidence. Clin Nutr. 2021;40(5):3503–21. https://doi.org/10.1016/j.clnu.2020.11.035.

    Article  CAS  PubMed  Google Scholar 

  7. Pohl A, Schünemann F, Bersiner K, Gehlert S. The impact of vegan and vegetarian diets on physical performance and molecular signaling in skeletal muscle. Nutrients. 2021;13(11):3884. https://doi.org/10.3390/nu13113884.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Loucks AB. Energy balance and body composition in sports and exercise. J Sports Sci. 2004;22(1):1–14.

    Article  PubMed  Google Scholar 

  9. Wirnitzer K. Vegan diet in sports and exercise—health benefits and advantages to athletes and physically active people: a narrative review. Int J Sports Exerc Med. 2020;6:65. https://doi.org/10.23937/2469-5718/1510165.

    Article  Google Scholar 

  10. Potgieter S. Sport nutrition: a review of the latest guidelines for exercise and sport nutrition from the American College of Sport Nutrition, the International Olympic Committee and the International Society for Sports Nutrition. S Afr J Clin Nutr. 2013;26(1):6–16.

    Google Scholar 

  11. Clarys P, Deliens T, Huybrechts I, Deriemaeker P, Vanaelst B, De Keyzer W, et al. Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients. 2014;6(3):1318–32.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Bratland-Sanda S, Sundgot-Borgen J. Eating disorders in athletes: overview of prevalence, risk factors and recommendations for prevention and treatment. Eur J Sport Sci. 2013;13(5):499–508.

    Article  PubMed  Google Scholar 

  13. La Bounty PM, Campbell BI, Wilson J, Galvan E, Berardi J, Kleiner SM, et al. International Society of Sports Nutrition position stand: meal frequency. J Int Soc Sports Nutr. 2011;8:4–4.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Drewnowski A, Almiron-Roig E, Marmonier C, Lluch A. Dietary energy density and body weight: is there a relationship? Nutr Rev. 2004;62(11):403.

    Article  PubMed  Google Scholar 

  15. Durkalec-Michalski K, Domagalski A, Główka N, Kamińska J, Szymczak D, Podgórski T. Effect of a four-week vegan diet on performance, training efficiency and blood biochemical indices in crossfit-trained participants. Nutrients. 2022;14(4):894. https://doi.org/10.3390/nu14040894.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Barnard ND, Goldman DM, Loomis JF, Kahleova H, Levin SM, Neabore S, Batts TC. Plant-based diets for cardiovascular safety and performance in endurance sports. Nutrients. 2019;11:130.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Vitale K, Hueglin S. Update on vegetarian and vegan athletes: a review. J Phys Fitness Sports Med. 2021;2021(10):1–11. https://doi.org/10.7600/jpfsm.10.1.

    Article  Google Scholar 

  18. Venderley A, Campbell W. Vegetarian diets. Sports Med. 2006;36(4):293–305.

    Article  PubMed  Google Scholar 

  19. Phillips SM. The impact of protein quality on the promotion of resistance exercise- induced changes in muscle mass. Nutr Metab. 2016;13(1):1–9.

    Article  Google Scholar 

  20. Bradbury KE, Tong TYN, Key TJ. Dietary intake of high-protein foods and other major foods in meat-eaters, poultry-eaters, fish-eaters, vegetarians, and vegans in UK biobank. Nutrients. 2017;9:1317.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Columbus DA, Fiorotto ML, Davis TA. Leucine is a major regulator of muscle protein synthesis in neonates. Amino Acids. 2015;47(2):259–70. https://doi.org/10.1007/s00726-014-1866-0.

    Article  CAS  PubMed  Google Scholar 

  22. Desbrow B, Burd NA, Tarnopolsky M, Moore DR, Elliott-Sale KJ. Nutrition for special populations: young, female, and masters athletes. Int J Sport Nutr Exerc Metab. 2019;29(2):220–7. https://doi.org/10.1123/ijsnem.2018-0269.

    Article  PubMed  Google Scholar 

  23. Trommelen J, Holwerda AM, Pinckaers PJM, Van Loon LJC. Comprehensive assessment of post-prandial protein handling by the application of intrinsically labelled protein in vivo in human subjects. Proc Nutr Soc. 2021;80(2):221–9.

    Article  CAS  PubMed  Google Scholar 

  24. Pinckaers PJM, Trommelen J, Snijders T, van Loon LJC. The anabolic response to plant-based protein ingestion. Sports Med. 2021;51(Suppl. 1):59–74. https://doi.org/10.1007/s40279-021-01540-8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Rogerson D. Vegan diets: practical advice for athletes and exercisers. J Int Soc Sports Nutr. 2017;14:36. https://doi.org/10.1186/s12970-017-0192-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Berning J. The vegetarian athlete. In: Maughan RJ, editor. Nutrition in sport. Oxford: Blackwell Science; 2000. p. 442–56.

    Chapter  Google Scholar 

  27. Phillips F. Vegetarian nutrition. Nutr Bull. 2005;30(2):132–67.

    Article  Google Scholar 

  28. Woolf PJ, Fu LL, Basu A. vProtein: identifying optimal amino acid complements from plant-based foods. PLoS One. 2011;6(4):e18836. https://doi.org/10.1371/journal.pone.0018836.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Philpott JD, Witard OC, Galloway SDR. Applications of omega-3 polyunsaturated fatty acid supplementation for sport performance. Res Sports Med. 2019;27(2):219–37. https://doi.org/10.1080/15438627.2018.1550401.

    Article  PubMed  Google Scholar 

  30. Lane KE, Wilson M, Hellon TG, Davies IG. Bioavailability and conversion of plant based sources of omega-3 fatty acids—a scoping review to update supplementation options for vegetarians and vegans. Crit Rev Food Sci Nutr. 2021;2021(62):1–16. https://doi.org/10.1080/10408398.2021.1880364.

    Article  CAS  Google Scholar 

  31. Williams CM, Burdge G. Long-chain n-3 PUFA: plant vs. marine sources. Proc Nutr Soc. 2006;65(1):42–50. https://doi.org/10.1079/pns2005473.

    Article  CAS  PubMed  Google Scholar 

  32. Craig WJ. Health effects of vegan diets. Am J Clin Nutr. 2009;89(5):1627S–33S.

    Article  CAS  PubMed  Google Scholar 

  33. Conquer JA, Holub BJ. Supplementation with an algae source of docosahexaenoic acid increases (n-3) fatty acid status and alters selected risk factors for heart disease in vegetarian subjects. J Nutr. 1996;126(12):3032.

    Article  CAS  PubMed  Google Scholar 

  34. Clénin G, Cordes M, Huber A, Schumacher YO, Noack P, Scales J, Kriemler S. Iron deficiency in sports—definition, influence on performance and therapy. Swiss Med Wkly. 2015;145:w14196. https://doi.org/10.4414/smw.2015.14196.

    Article  PubMed  Google Scholar 

  35. Burden RJ, Morton K, Richards T, Whyte GP, Pedlar CR. Is iron treatment beneficial in iron- deficient but non-anaemic (IDNA) endurance athletes? A systematic review and meta-analysis. Br J Sports Med. 2015;49(21):1389–97.

    Article  PubMed  Google Scholar 

  36. Borrione P, Grasso L, Quaranta F, et al. Vegetarian diet and athletes. Sportmed Präventivmed. 2009;39:20–4. https://doi.org/10.1007/s12534-009-0017-y.

    Article  Google Scholar 

  37. Waldmann A, Koschizke JW, Leitzmann C, Hahn A. Dietary iron intake and iron status of German female vegans: results of the German vegan study. Ann Nutr Metab. 2004;48(2):103.

    Article  CAS  PubMed  Google Scholar 

  38. Longo DL, Camaschella C. Iron-deficiency anemia. N Engl J Med. 2015;372(19):1832–43.

    Article  Google Scholar 

  39. Hunt JR. Bioavailability of iron, zinc, and other trace minerals from vegetarian diets. Am J Clin Nutr. 2003;78(Suppl. 3):633S–9S.

    Article  CAS  PubMed  Google Scholar 

  40. Haider LM, Schwingshackl L, Hoffmann G, Ekmekcioglu C. The effect of vegetarian diets on iron status in adults: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2018;58(8):1359–74. https://doi.org/10.1080/10408398.2016.1259210. Epub 2017 Jul 5

    Article  CAS  PubMed  Google Scholar 

  41. Ross AC, Taylor CL, Yaktine AL, Del Valle HB, Institute of Medicine (US), editors. Committee to review dietary reference intakes for vitamin D and calcium. Washington (DC): National Academies Press (US); 2011.

    Google Scholar 

  42. Davey GK, Spencer EA, Appleby PN, Allen NE, Knox KH, Key TJ. EPIC–Oxford: lifestyle characteristics and nutrient intakes in a cohort of 33 883 meat- eaters and 31 546 non-meat eaters in the UK. Public Health Nutr. 2003;6(3):259–68.

    Article  PubMed  Google Scholar 

  43. Weaver CM. Nutrition and bone health. Oral Dis. 2017;23(4):412–5. https://doi.org/10.1111/odi.12515.

    Article  CAS  PubMed  Google Scholar 

  44. Ho-Pham L, Nguyen N, Nguyen T. Effect of vegetarian diets on bone mineral density: a Bayesian meta- analysis. Am J Clin Nutr. 2009;90(4):943.

    Article  CAS  PubMed  Google Scholar 

  45. Heaney RP, Weaver CM, Fitzsimmons ML, Recker RR. Calcium absorptive consistency. J Bone Miner Res. 1990;5(11):1139–42.

    Article  CAS  PubMed  Google Scholar 

  46. Truswell AS. Vitamin B12. Nutr Diet. 2007;64(s4):S120–5.

    Article  Google Scholar 

  47. Crane MG, Register UD, Lukens RH, Gregory R. Cobalamin (CBL) studies on two total vegetarian (vegan) families. Vegetarian Nutr. 1998;2:87–92.

    Google Scholar 

  48. Donaldson MS. Metabolic vitamin B(12) status on a mostly raw vegan diet with follow-up using tablets, nutritional yeast, or probiotic supplements. Ann Nutr Metab. 2000;44(5–6):229–34.

    Article  CAS  PubMed  Google Scholar 

  49. VanDusseldorp M, Schneede J, Refsum H, Ueland PM, Thomas CM, deBoer E, vanStaveren WA. Risk of persistent cobalamin deficiency in adolescents fed a macrobiotic diet in early life. Am J Clin Nutr. 1999;69:664–71.

    Article  CAS  Google Scholar 

  50. Pawlak R, Babatunde SELT. The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. Eur J Clin Nutr. 2016;70(7):866.

    Article  CAS  PubMed  Google Scholar 

  51. Lönnerdal B. Dietary factors influencing zinc absorption. J Nutr. 2000;130(Suppl. 5S):1378S–83S. https://doi.org/10.1093/jn/130.5.1378S.

    Article  PubMed  Google Scholar 

  52. Foster M, Chu A, Petocz P, Samman S. Effect of vegetarian diets on zinc status: a systematic review and meta-analysis of studies in humans. J Sci Food Agric. 2013;93(10):2362–71. https://doi.org/10.1002/jsfa.6179.

    Article  CAS  PubMed  Google Scholar 

  53. Micheletti A, Rossi R, Rufini S. Zinc status in athletes: relation to diet and exercise. Sports Med. 2001;31(8):577–82. https://doi.org/10.2165/00007256-200131080-00002.

    Article  CAS  PubMed  Google Scholar 

  54. Hunt J. Moving toward a plant- based diet: are iron and zinc at risk? Nutr Rev. 2002;60(5):127–34.

    Article  PubMed  Google Scholar 

  55. Fuhrman J, Ferreri DM. Fueling the vegetarian (vegan) athlete. Curr Sports Med Rep. 2010;9(4):233–41.

    Article  PubMed  Google Scholar 

  56. Institute of Medicine (US). Panel on micronutrients. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, Copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington, DC: National Academies Press (US); 2001.

    Google Scholar 

  57. Hall M, Manetta E, Tupper K. Creatine supplementation: an update. Curr Sports Med Rep. 2021;20(7):338–44. https://doi.org/10.1249/JSR.0000000000000863.

    Article  PubMed  Google Scholar 

  58. Burke DG, Chilibeck PD, Parise G, Candow DG, Mahoney D, Tarnopolsky M. Effect of creatine and weight training on muscle creatine and performance in vegetarians. Med Sci Sports Exerc. 2003;35:1946–55.

    Article  CAS  PubMed  Google Scholar 

  59. Brosnan ME, Brosnan JT. The role of dietary creatine. Amino Acids. 2016;48:1785–91.

    Article  CAS  PubMed  Google Scholar 

  60. Kaviani M, Shaw K, Chilibeck PD. Benefits of creatine supplementation for vegetarians compared to omnivorous athletes: a systematic review. Int J Environ Res Public Health. 2020;17(9):3041. https://doi.org/10.3390/ijerph17093041.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Solis MY, Artioli GG, Otaduy MCG, Leite CDC, Arruda W, Veiga RR, Gualano B. Effect of age, diet, and tissue type on PCr response to creatine supplementation. J Appl Physiol (1985). 2017;123(2):407–14. https://doi.org/10.1152/japplphysiol.00248.2017.

    Article  CAS  PubMed  Google Scholar 

  62. Benton D, Donohoe R. The influence of creatine supplementation on the cognitive functioning of vegetarians and omnivores. Br J Nutr. 2011;105(7):1100–5. https://doi.org/10.1017/S0007114510004733.

    Article  CAS  PubMed  Google Scholar 

  63. Rae C, Digney AL, McEwan SR, Bates TC. Oral creatine monohydrate supplementation improves brain performance: a double-blind, placebo-controlled, cross-over trial. Proc Biol Sci. 2003;270(1529):2147–50. https://doi.org/10.1098/rspb.2003.2492.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Saunders B, Elliott-Sale K, Artioli GG, Swinton PA, Dolan E, Roschel H, Sale C, Gualano B. β-alanine supplementation to improve exercise capacity and performance: a systematic review and meta-analysis. Br J Sports Med. 2017;51(8):658–69. https://doi.org/10.1136/bjsports-2016-096396.

    Article  PubMed  Google Scholar 

  65. Wu G. Important roles of dietary taurine, creatine, carnosine, anserine and 4-hydroxyproline in human nutrition and health. Amino Acids. 2020;52(3):329–60. https://doi.org/10.1007/s00726-020-02823-6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Everaert I, Mooyaart A, Baguet A, Zutinic A, Baelde H, Achten E, Taes Y, De Heer E, Derave W. Vegetarianism, female gender and increasing age, but not CNDP1 genotype, are associated with reduced muscle carnosine levels in humans. Amino Acids. 2011;40(4):1221–9. https://doi.org/10.1007/s00726-010-0749-2.

    Article  CAS  PubMed  Google Scholar 

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Mendes, A.P., Pereira, F., Teixeira, V.H. (2023). Vegan Athletes. In: Rocha Piedade, S., Hutchinson, M.R., Parker, D., Espregueira-Mendes, J., Neyret, P. (eds) Sideline Management in Sports. Springer, Cham. https://doi.org/10.1007/978-3-031-33867-0_5

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  • DOI: https://doi.org/10.1007/978-3-031-33867-0_5

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