Skip to main content
Top
Published in: Nutrition Journal 1/2013

Open Access 01-12-2013 | Research

Dietary pattern analysis: a comparison between matched vegetarian and omnivorous subjects

Authors: Peter Clarys, Peter Deriemaeker, Inge Huybrechts, Marcel Hebbelinck, Patrick Mullie

Published in: Nutrition Journal | Issue 1/2013

Login to get access

Abstract

Background

Dietary pattern analysis, based on the concept that foods eaten together are as important as a reductive methodology characterized by a single food or nutrient analysis, has emerged as an alternative approach to study the relation between nutrition and disease. The aim of the present study was to compare nutritional intake and the results of dietary pattern analysis in properly matched vegetarian and omnivorous subjects.

Methods

Vegetarians (n = 69) were recruited via purposeful sampling and matched non-vegetarians (n = 69) with same age, gender, health and lifestyle characteristics were searched for via convenience sampling. Two dietary pattern analysis methods, the Healthy Eating Index-2010 (HEI-2010) and the Mediterranean Diet Score (MDS) were calculated and analysed in function of the nutrient intake.

Results

Mean total energy intake was comparable between vegetarians and omnivorous subjects (p > 0.05). Macronutrient analysis revealed significant differences between the mean values for vegetarians and omnivorous subjects (absolute and relative protein and total fat intake were significantly lower in vegetarians, while carbohydrate and fibre intakes were significantly higher in vegetarians than in omnivorous subjects). The HEI and MDS were significantly higher for the vegetarians (HEI = 53.8.1 ± 11.2; MDS = 4.3 ± 1.3) compared to the omnivorous subjects (HEI = 46.4 ± 15.3; MDS = 3.8 ± 1.4).

Conclusions

Our results indicate a more nutrient dense pattern, closer to the current dietary recommendations for the vegetarians compared to the omnivorous subjects. Both indexing systems were able to discriminate between the vegetarians and the non-vegetarians with higher scores for the vegetarian subjects.
Literature
1.
go back to reference Schwerin H, Stanton J, Smith J, Riley A, Brett B: Food, eating habits, and health: a further examination of the relationship between food eating patterns and nutritional health. Am J Clin Nutr. 1982, 35: 1319-1325.PubMed Schwerin H, Stanton J, Smith J, Riley A, Brett B: Food, eating habits, and health: a further examination of the relationship between food eating patterns and nutritional health. Am J Clin Nutr. 1982, 35: 1319-1325.PubMed
2.
go back to reference Randall E, Marshall J, Graham S, Brasure J: High-risk health behaviors associated with various dietary patterns. Nutr Cancer. 1991, 16: 135-151. 10.1080/01635589109514151.CrossRefPubMed Randall E, Marshall J, Graham S, Brasure J: High-risk health behaviors associated with various dietary patterns. Nutr Cancer. 1991, 16: 135-151. 10.1080/01635589109514151.CrossRefPubMed
3.
go back to reference van Lee L, Geelen A, Hooft van Huysduynen EJC, de Vries JHM, van’t Veer P, Feskens EJM: The Dutch Healthy Diet index (DHD-index): an instrument to measure adherence to the Dutch Guidelines for a Healthy Diet. Nutr J. 2012, 11: 49-10.1186/1475-2891-11-49.CrossRefPubMedPubMedCentral van Lee L, Geelen A, Hooft van Huysduynen EJC, de Vries JHM, van’t Veer P, Feskens EJM: The Dutch Healthy Diet index (DHD-index): an instrument to measure adherence to the Dutch Guidelines for a Healthy Diet. Nutr J. 2012, 11: 49-10.1186/1475-2891-11-49.CrossRefPubMedPubMedCentral
4.
go back to reference Hu FB: Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002, 13: 3-9. 10.1097/00041433-200202000-00002.CrossRefPubMed Hu FB: Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002, 13: 3-9. 10.1097/00041433-200202000-00002.CrossRefPubMed
5.
go back to reference Hoffmann K, Schulze MB, Schienkiewitz A, Nothlings U, Boeing H: Application of a new statistical method to derive dietary patterns in nutritional epidemiology. Am J Epidemiol. 2004, 159: 935-944. 10.1093/aje/kwh134.CrossRefPubMed Hoffmann K, Schulze MB, Schienkiewitz A, Nothlings U, Boeing H: Application of a new statistical method to derive dietary patterns in nutritional epidemiology. Am J Epidemiol. 2004, 159: 935-944. 10.1093/aje/kwh134.CrossRefPubMed
6.
go back to reference Schulze MB, Hoffmann K: Methodological approaches to study dietary patterns in relation to risk of coronary heart disease and stroke. Br J Nutr. 2006, 95: 860-869. 10.1079/BJN20061731.CrossRefPubMed Schulze MB, Hoffmann K: Methodological approaches to study dietary patterns in relation to risk of coronary heart disease and stroke. Br J Nutr. 2006, 95: 860-869. 10.1079/BJN20061731.CrossRefPubMed
7.
go back to reference Waijers PM, Feskens EJ, Ocke MC: A critical review of predefined diet quality scores. Br J Nutr. 2007, 97: 219-231. 10.1017/S0007114507250421.CrossRefPubMed Waijers PM, Feskens EJ, Ocke MC: A critical review of predefined diet quality scores. Br J Nutr. 2007, 97: 219-231. 10.1017/S0007114507250421.CrossRefPubMed
8.
go back to reference Arvaniti F, Panagiotakos DB: Healthy indexes in public health practice and research: a review. Crit Rev Food Sci Nutr. 2008, 48: 317-327. 10.1080/10408390701326268.CrossRefPubMed Arvaniti F, Panagiotakos DB: Healthy indexes in public health practice and research: a review. Crit Rev Food Sci Nutr. 2008, 48: 317-327. 10.1080/10408390701326268.CrossRefPubMed
9.
go back to reference Fransen HP, Ocke MC: Indices of diet quality. Curr Opin Clin Nutr Metab Care. 2008, 11: 559-565. 10.1097/MCO.0b013e32830a49db.CrossRefPubMed Fransen HP, Ocke MC: Indices of diet quality. Curr Opin Clin Nutr Metab Care. 2008, 11: 559-565. 10.1097/MCO.0b013e32830a49db.CrossRefPubMed
10.
go back to reference Kourlaba G, Panagiotakos DB: Dietary quality indices and human health: a review. Maturitas. 2009, 62: 1-8. 10.1016/j.maturitas.2008.11.021.CrossRefPubMed Kourlaba G, Panagiotakos DB: Dietary quality indices and human health: a review. Maturitas. 2009, 62: 1-8. 10.1016/j.maturitas.2008.11.021.CrossRefPubMed
11.
go back to reference Kennedy ET, Ohls J, Carlson S, Fleming K: The Healthy Eating Index: design and applications. J Am Diet Assoc. 1995, 95: 1103-1108. 10.1016/S0002-8223(95)00300-2.CrossRefPubMed Kennedy ET, Ohls J, Carlson S, Fleming K: The Healthy Eating Index: design and applications. J Am Diet Assoc. 1995, 95: 1103-1108. 10.1016/S0002-8223(95)00300-2.CrossRefPubMed
12.
go back to reference Farmer B, Larson BT, Fulgoni VL, Rainville AJ, Liepa GU: A vegetarian dietary pattern as a nutrient-dense approach to weight management: an analysis of the National Health and Nutrition Examination Survey 1999–2004. J Am Diet Assoc. 2011, 111: 819-827. 10.1016/j.jada.2011.03.012.CrossRefPubMed Farmer B, Larson BT, Fulgoni VL, Rainville AJ, Liepa GU: A vegetarian dietary pattern as a nutrient-dense approach to weight management: an analysis of the National Health and Nutrition Examination Survey 1999–2004. J Am Diet Assoc. 2011, 111: 819-827. 10.1016/j.jada.2011.03.012.CrossRefPubMed
13.
go back to reference Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, Kahle LL, Krebs-Smith SM: Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013, 113 (4): 569-580. 10.1016/j.jand.2012.12.016.CrossRefPubMed Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, Kahle LL, Krebs-Smith SM: Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013, 113 (4): 569-580. 10.1016/j.jand.2012.12.016.CrossRefPubMed
14.
go back to reference Deriemaeker P, Aerenhouts D, Hebbelinck M, Clarys P: Nutrient based estimation of acid–base balance in vegetarians and non-vegetarians. Plant Foods Hum Nutr. 2010, 65 (1): 77-82. 10.1007/s11130-009-0149-5.CrossRefPubMed Deriemaeker P, Aerenhouts D, Hebbelinck M, Clarys P: Nutrient based estimation of acid–base balance in vegetarians and non-vegetarians. Plant Foods Hum Nutr. 2010, 65 (1): 77-82. 10.1007/s11130-009-0149-5.CrossRefPubMed
15.
go back to reference Deriemaeker P, Alewaeters K, Hebbelinck M, Clarys P: Nutritional intake of various groups of Flemish vegetarians. Arch Public Health. 2010, 68: 121-133.CrossRef Deriemaeker P, Alewaeters K, Hebbelinck M, Clarys P: Nutritional intake of various groups of Flemish vegetarians. Arch Public Health. 2010, 68: 121-133.CrossRef
16.
go back to reference Deriemaeker P, Alewaeters K, Hebbelinck M, Lefevre J, Phillipaerts R, Clarys P: Nutritional Status of Flemish Vegetarians: A Matched Samples Study. Nutrients. 2010, 7 (2): 770-780.CrossRef Deriemaeker P, Alewaeters K, Hebbelinck M, Lefevre J, Phillipaerts R, Clarys P: Nutritional Status of Flemish Vegetarians: A Matched Samples Study. Nutrients. 2010, 7 (2): 770-780.CrossRef
17.
go back to reference Deriemaeker P, Aerenhouts D, De Ridder D, Hebbelinck M, Clarys P: Health aspects, nutrition and physical characteristics in matched samples of institutionalized vegetarian and non-vegetarian elderly (> 65yrs). Nutr Metab. 2011, 14;8 (1): 37-CrossRef Deriemaeker P, Aerenhouts D, De Ridder D, Hebbelinck M, Clarys P: Health aspects, nutrition and physical characteristics in matched samples of institutionalized vegetarian and non-vegetarian elderly (> 65yrs). Nutr Metab. 2011, 14;8 (1): 37-CrossRef
18.
go back to reference Sofi F, Cesari F, Abbate R, Gensini GF, Casini A: Adherence to Mediterranean diet and health status: meta-analysis. BMJ. 2008, 337: a1344-10.1136/bmj.a1344.CrossRefPubMedPubMedCentral Sofi F, Cesari F, Abbate R, Gensini GF, Casini A: Adherence to Mediterranean diet and health status: meta-analysis. BMJ. 2008, 337: a1344-10.1136/bmj.a1344.CrossRefPubMedPubMedCentral
19.
go back to reference Reedy J, Mitrou PN, Krebs-Smith SM, Wirfalt E, Flood A, Kipnis V, Leitzmann M, Mouw T, Hollenbeck A, Schatzkin A, Subar AF: Index-based Dietary Patterns and Risk of Colorectal Cancer. The NIH-AARP Diet and Health Study. Am J Epidemiol. 2008, 168 (1): 38-48. 10.1093/aje/kwn097.CrossRefPubMed Reedy J, Mitrou PN, Krebs-Smith SM, Wirfalt E, Flood A, Kipnis V, Leitzmann M, Mouw T, Hollenbeck A, Schatzkin A, Subar AF: Index-based Dietary Patterns and Risk of Colorectal Cancer. The NIH-AARP Diet and Health Study. Am J Epidemiol. 2008, 168 (1): 38-48. 10.1093/aje/kwn097.CrossRefPubMed
20.
go back to reference Appleby PN, Allen NE, Key TJ: Diet, vegetarianism, and cataract risk. Am J Clin Nutr. 2011, 93: 1128-1135. 10.3945/ajcn.110.004028.CrossRefPubMed Appleby PN, Allen NE, Key TJ: Diet, vegetarianism, and cataract risk. Am J Clin Nutr. 2011, 93: 1128-1135. 10.3945/ajcn.110.004028.CrossRefPubMed
21.
go back to reference Appleby PN, Thorogood M, Mann JI, Key TJ: The Oxford vegetarian study: an overview. Am J Clin Nutr. 1999, 70: 525S-531S.PubMed Appleby PN, Thorogood M, Mann JI, Key TJ: The Oxford vegetarian study: an overview. Am J Clin Nutr. 1999, 70: 525S-531S.PubMed
22.
go back to reference Kennedy ET, Bowman SA, Spence JT, Freedman M, King J: Popular diets: correlation to health, nutrition, and obesity. J Am Diet Assoc. 2001, 101: 411-420. 10.1016/S0002-8223(01)00108-0.CrossRefPubMed Kennedy ET, Bowman SA, Spence JT, Freedman M, King J: Popular diets: correlation to health, nutrition, and obesity. J Am Diet Assoc. 2001, 101: 411-420. 10.1016/S0002-8223(01)00108-0.CrossRefPubMed
23.
go back to reference Costacou T, Bamia C, Ferrari P, Riboli E, Trichopoulos D, Trichopoulou A: Tracing the Mediterranean diet through principal components and cluster analyses in the Greek population. Eur J Clin Nutr. 2003, 57 (11): 1378-1385. 10.1038/sj.ejcn.1601699.CrossRefPubMed Costacou T, Bamia C, Ferrari P, Riboli E, Trichopoulos D, Trichopoulou A: Tracing the Mediterranean diet through principal components and cluster analyses in the Greek population. Eur J Clin Nutr. 2003, 57 (11): 1378-1385. 10.1038/sj.ejcn.1601699.CrossRefPubMed
24.
go back to reference Alewaeters K, Clarys P, Hebbelinck M, Deriemaeker P, Clarys JP: Cross-sectional analysis of BMI and some lifestyle variables in Flemish vegetarians compared with non-vegetarians. Ergonomics. 2005, 48 (11–14): 1433-1444.CrossRefPubMed Alewaeters K, Clarys P, Hebbelinck M, Deriemaeker P, Clarys JP: Cross-sectional analysis of BMI and some lifestyle variables in Flemish vegetarians compared with non-vegetarians. Ergonomics. 2005, 48 (11–14): 1433-1444.CrossRefPubMed
25.
go back to reference Nathan I, Hackett AF, Kirby S: The dietary intake of a group of vegetarian children aged 7–11 years compared with matched omnivores. Br J Nutr. 1996, 75 (4): 533-544. 10.1079/BJN19960157.CrossRefPubMed Nathan I, Hackett AF, Kirby S: The dietary intake of a group of vegetarian children aged 7–11 years compared with matched omnivores. Br J Nutr. 1996, 75 (4): 533-544. 10.1079/BJN19960157.CrossRefPubMed
26.
go back to reference Serra-Majem L, Roman B, Estruch R: Scientific Evidence of Interventions Using the Mediterranean Diet: A Systematic Review. Nutr Rev. 2006, 64 (2): S27-S47. 10.1301/nr.2006.feb.S27-S47.CrossRefPubMed Serra-Majem L, Roman B, Estruch R: Scientific Evidence of Interventions Using the Mediterranean Diet: A Systematic Review. Nutr Rev. 2006, 64 (2): S27-S47. 10.1301/nr.2006.feb.S27-S47.CrossRefPubMed
27.
go back to reference Vandevijvere S, De Vriese S, Huybrechts I, Moreau M, Temme E, De Henauw S, De Backer G, Kornitzer M, Leveque A, Van Oyen H: The gap between food-based dietary guidelines and usual food consumption in Belgium, 2004. Public Health Nutr. 2009, 12 (3): 423-431.PubMed Vandevijvere S, De Vriese S, Huybrechts I, Moreau M, Temme E, De Henauw S, De Backer G, Kornitzer M, Leveque A, Van Oyen H: The gap between food-based dietary guidelines and usual food consumption in Belgium, 2004. Public Health Nutr. 2009, 12 (3): 423-431.PubMed
28.
go back to reference Vanhauwaert E: De actieve voedingsdriehoek (The Active Food Guide Pyramid). 2012, Leuven: Acco Vanhauwaert E: De actieve voedingsdriehoek (The Active Food Guide Pyramid). 2012, Leuven: Acco
29.
go back to reference Mullie P, Clarys P, Hulens M, Vansant G: Dietary patterns and socioeconomic position. Eur J Clin Nutr. 2010, 64 (3): 231-238. 10.1038/ejcn.2009.145.CrossRefPubMed Mullie P, Clarys P, Hulens M, Vansant G: Dietary patterns and socioeconomic position. Eur J Clin Nutr. 2010, 64 (3): 231-238. 10.1038/ejcn.2009.145.CrossRefPubMed
Metadata
Title
Dietary pattern analysis: a comparison between matched vegetarian and omnivorous subjects
Authors
Peter Clarys
Peter Deriemaeker
Inge Huybrechts
Marcel Hebbelinck
Patrick Mullie
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2013
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-12-82

Other articles of this Issue 1/2013

Nutrition Journal 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine