Skip to main content
Top
Published in: Journal of the International Society of Sports Nutrition 1/2018

Open Access 01-12-2018 | Research article

Quality of life of female and male vegetarian and vegan endurance runners compared to omnivores – results from the NURMI study (step 2)

Authors: Patrick Boldt, Beat Knechtle, Pantelis Nikolaidis, Christoph Lechleitner, Gerold Wirnitzer, Claus Leitzmann, Thomas Rosemann, Katharina Wirnitzer

Published in: Journal of the International Society of Sports Nutrition | Issue 1/2018

Login to get access

Abstract

Background

Health-related effects of a vegetarian or vegan diet are known to support parameters positively affecting exercise performance in athletes, whereas knowledge about psyche and wellbeing is sparse. Therefore, the aim of the Nutrition and Running High Mileage (NURMI) Study (Step 2) was to compare Quality of Life (QOL) scores among endurance runners following a vegetarian or vegan diet against those who adhere to an omnivorous diet.

Methods

The study was conducted following a cross-sectional design. A total of 281 recreational runners (159 women, 122 men) completed the WHOQOL-BREF questionnaire consisting of the domains physical health, psychological wellbeing, social relationships and environment, which generates scores on a scale from 4 to 20. Data analysis was performed using ANOVA.

Results

It was found that 123 subjects followed an omnivorous diet and 158 adhered to a vegetarian/vegan diet. There were 173 runners who met the inclusion criteria (‘NURMI-Runners’), among them 103 half-marathoners and 70 marathoners and ultramarathoners, as well as 108 10 km runners as control group. Overall QOL scores were high (~ 16.62 ± 1.91). Men had higher scores than women due to high scores in the physical health and psychological well-being dimensions. Adhering to an omnivorous diet affected environment scores for women and social relationships scores for men. A minor effect concerning race distance was observed in women, where half-marathoners had a higher environmental score than 10-km runners. A moderate diet×race distance interaction on environment scores was shown for men.

Conclusions

The results revealed that endurance runners had a high QOL regardless of the race distance or diet choice. These findings support the notion that adhering to a vegetarian or vegan diet can be an appropriate and equal alternative to an omnivorous diet.

Trial registration

ISRCTN73074080. Registered 12th June 2015, retrospectively registered.
Literature
3.
go back to reference Wirnitzer KC, Leitzmann C, Knechtle B, Nikolaidis P, Wirnitzer G, Lechleitner C, Seyfart T, Boldt P. The NURMI study: methodology and first results of the prevalence of vegetarians and vegans in running events. Forsch Komplementmed. 2016;23(1):1–13. Wirnitzer KC, Leitzmann C, Knechtle B, Nikolaidis P, Wirnitzer G, Lechleitner C, Seyfart T, Boldt P. The NURMI study: methodology and first results of the prevalence of vegetarians and vegans in running events. Forsch Komplementmed. 2016;23(1):1–13.
4.
go back to reference Wirnitzer K, Seyfart T, Leitzmann C, Keller M, Wirnitzer G, Lechleitner C, Rüst C, Rosemann T, Knechtle B. 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. Springerplus. 2016; https://doi.org/10.1186/s40064-016-2126-4. Wirnitzer K, Seyfart T, Leitzmann C, Keller M, Wirnitzer G, Lechleitner C, Rüst C, Rosemann T, Knechtle B. 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. Springerplus. 2016; https://​doi.​org/​10.​1186/​s40064-016-2126-4.
7.
go back to reference Williams PT. Interactive effects of exercise, alcohol, and vegetarian diet on coronary artery disease risk factors in 9242 runners: the National Runners' health study. Am J Clin Nutr. 1997;66:1197–206.CrossRefPubMed Williams PT. Interactive effects of exercise, alcohol, and vegetarian diet on coronary artery disease risk factors in 9242 runners: the National Runners' health study. Am J Clin Nutr. 1997;66:1197–206.CrossRefPubMed
10.
go back to reference Agarwal U, Mishra S, Xu J, Levin S, Gonzales J, Barnard ND. A multicenter randomized controlled trial of a nutrition intervention program in a multiethnic adult population in the corporate setting reduces depression and anxiety and improves quality of life: the GEICO study. Am J Health Promot. 2015;29:245–54.CrossRefPubMed Agarwal U, Mishra S, Xu J, Levin S, Gonzales J, Barnard ND. A multicenter randomized controlled trial of a nutrition intervention program in a multiethnic adult population in the corporate setting reduces depression and anxiety and improves quality of life: the GEICO study. Am J Health Promot. 2015;29:245–54.CrossRefPubMed
11.
go back to reference Gallicchio L, Hoffman SC, Helzlsouer KJ. The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County Maryland. Qual Life Res. 2007;16:777–86.CrossRefPubMed Gallicchio L, Hoffman SC, Helzlsouer KJ. The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County Maryland. Qual Life Res. 2007;16:777–86.CrossRefPubMed
12.
go back to reference Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, Lange EH, Becofsky K, Rodriguez E, Shang YT. Physical activity and quality of life. J Prev Med Public Health. 2013;46(1):28–34.CrossRef Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, Lange EH, Becofsky K, Rodriguez E, Shang YT. Physical activity and quality of life. J Prev Med Public Health. 2013;46(1):28–34.CrossRef
16.
go back to reference Gholami A, Jahromi LM, Zarei E, Dehghan A. Application of WHOQOL-BREF in measuring quality of life in health-care staff. Int J Prev Med. 2013;4:809–17.PubMedPubMedCentral Gholami A, Jahromi LM, Zarei E, Dehghan A. Application of WHOQOL-BREF in measuring quality of life in health-care staff. Int J Prev Med. 2013;4:809–17.PubMedPubMedCentral
18.
go back to reference Naumann VJ, Byrne GJ. WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr. 2004;16:159–73.CrossRefPubMed Naumann VJ, Byrne GJ. WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr. 2004;16:159–73.CrossRefPubMed
19.
go back to reference Liu X, Yan Y, Li F, Zhang D. Fruit and vegetable consumption and the risk of depression: a meta-analysis. Nutrition. 2016;32:296–302.CrossRefPubMed Liu X, Yan Y, Li F, Zhang D. Fruit and vegetable consumption and the risk of depression: a meta-analysis. Nutrition. 2016;32:296–302.CrossRefPubMed
20.
go back to reference Opie RS, O'Neil A, Itsiopoulos C, Jacka FN. The impact of whole-of-diet interventions on depression and anxiety: a systematic review of randomised controlled trials. Public Health Nutr. 2015;18:2074–93.CrossRefPubMed Opie RS, O'Neil A, Itsiopoulos C, Jacka FN. The impact of whole-of-diet interventions on depression and anxiety: a systematic review of randomised controlled trials. Public Health Nutr. 2015;18:2074–93.CrossRefPubMed
24.
go back to reference Allen MW, Wilson M, Ng SH, Dunne M. Values and beliefs of vegetarians and omnivores. J Soc Psychol. 2000;140:405–22.CrossRefPubMed Allen MW, Wilson M, Ng SH, Dunne M. Values and beliefs of vegetarians and omnivores. J Soc Psychol. 2000;140:405–22.CrossRefPubMed
26.
go back to reference Beniamini Y, Rubenstein JJ, Zaichkowsky LD, Crim MC. Effects of high-intensity strength training on quality-of-life parameters in cardiac rehabilitation patients. Am J Cardiol. 1997;80:841–6.CrossRefPubMed Beniamini Y, Rubenstein JJ, Zaichkowsky LD, Crim MC. Effects of high-intensity strength training on quality-of-life parameters in cardiac rehabilitation patients. Am J Cardiol. 1997;80:841–6.CrossRefPubMed
28.
go back to reference Kell RT, Bell G, Quinney A. Musculoskeletal fitness, health outcomes and quality of life. Sports Med. 2001;31:863–73.CrossRefPubMed Kell RT, Bell G, Quinney A. Musculoskeletal fitness, health outcomes and quality of life. Sports Med. 2001;31:863–73.CrossRefPubMed
30.
go back to reference Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38:427–49.CrossRefPubMed Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38:427–49.CrossRefPubMed
31.
go back to reference Gerber M, Pühse U. Do exercise and fitness protect against stress-induced health complaints? A review of the literature. Scand J Public Health. 2009;37:801–19.CrossRefPubMed Gerber M, Pühse U. Do exercise and fitness protect against stress-induced health complaints? A review of the literature. Scand J Public Health. 2009;37:801–19.CrossRefPubMed
32.
go back to reference Wegner M, Helmich I, Machado S, Nardi AE, Arias-Carrion O, Budde H. Effects of exercise on anxiety and depression disorders: review of meta- analyses and neurobiological mechanisms. CNS Neurol Disord Drug Targets. 2014;13:1002–14.CrossRefPubMed Wegner M, Helmich I, Machado S, Nardi AE, Arias-Carrion O, Budde H. Effects of exercise on anxiety and depression disorders: review of meta- analyses and neurobiological mechanisms. CNS Neurol Disord Drug Targets. 2014;13:1002–14.CrossRefPubMed
33.
go back to reference Knechtle B, Quarella A. Running helps--or how you escape depression without a psychiatrist and end up running a marathon. Praxis (Bern 1994). 2007;96:1351–6.CrossRef Knechtle B, Quarella A. Running helps--or how you escape depression without a psychiatrist and end up running a marathon. Praxis (Bern 1994). 2007;96:1351–6.CrossRef
35.
go back to reference Nørholm V, Bech P. The WHO quality of life (WHOQOL) questionnaire: Danish validation study. Nord J Psychiatry. 2001;55:229–35.CrossRefPubMed Nørholm V, Bech P. The WHO quality of life (WHOQOL) questionnaire: Danish validation study. Nord J Psychiatry. 2001;55:229–35.CrossRefPubMed
36.
go back to reference WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef
37.
go back to reference Backovic DV, Zivojinovic JI, Maksimovic J, Maksimovic M. Gender differences in academic stress and burnout among medical students in final years of education. Psychiatr Danub. 2012;24:175–81.PubMed Backovic DV, Zivojinovic JI, Maksimovic J, Maksimovic M. Gender differences in academic stress and burnout among medical students in final years of education. Psychiatr Danub. 2012;24:175–81.PubMed
38.
go back to reference Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38:482–91.CrossRefPubMed Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38:482–91.CrossRefPubMed
40.
go back to reference Kroenke K, Spitzer RL. Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med. 1998;60:150–5.CrossRefPubMed Kroenke K, Spitzer RL. Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med. 1998;60:150–5.CrossRefPubMed
41.
go back to reference Brannon RC. No ‘Sissy stuff’: the stigma of anything vaguely feminine. In: David D, Brannon RC, editors. The forty-nine percent majority. Reading: MA: Addison-Wesley; 1976. p. 49–50. Brannon RC. No ‘Sissy stuff’: the stigma of anything vaguely feminine. In: David D, Brannon RC, editors. The forty-nine percent majority. Reading: MA: Addison-Wesley; 1976. p. 49–50.
42.
go back to reference Sieverding M. Gender and health-related attitudes: The role of a ‘Macho’ Self/Concept. In: Weidner, et al., editors. Heart disease: environment, stress and gender. Amsterdam: IOS Press; 2002. p. 237–50. Sieverding M. Gender and health-related attitudes: The role of a ‘Macho’ Self/Concept. In: Weidner, et al., editors. Heart disease: environment, stress and gender. Amsterdam: IOS Press; 2002. p. 237–50.
45.
go back to reference Pucci G, Reis RS, Rech CR, Hallal PC. Quality of life and physical activity among adults: population-based study in Brazilian adults. Qual Life Res. 2012;21:1537–43.CrossRefPubMed Pucci G, Reis RS, Rech CR, Hallal PC. Quality of life and physical activity among adults: population-based study in Brazilian adults. Qual Life Res. 2012;21:1537–43.CrossRefPubMed
47.
go back to reference Correia RF, Ribeiro AN, Barbieri JF, Brasil D, Motta L, Castaño LAA, Salve MGC. Quality of life levels in Brazilian elite female college volleyball players. Int J Sport Sci. 2017;7(1):6–9. Correia RF, Ribeiro AN, Barbieri JF, Brasil D, Motta L, Castaño LAA, Salve MGC. Quality of life levels in Brazilian elite female college volleyball players. Int J Sport Sci. 2017;7(1):6–9.
48.
50.
go back to reference Fox N, Ward KJ. Health, ethics and environment: a qualitative study of vegetarian motivations. Appetite. 2008;50:422–9.CrossRefPubMed Fox N, Ward KJ. Health, ethics and environment: a qualitative study of vegetarian motivations. Appetite. 2008;50:422–9.CrossRefPubMed
56.
go back to reference Estaquio C, Druesne-Pecollo N, Latino-Martel P, Dauchet L, Hercberg S, Bertrais S. Socioeconomic differences in fruit and vegetable consumption among middle-aged French adults: adherence to the 5 a day recommendation. J Am Diet Assoc. 2008;108:2021–30.CrossRefPubMed Estaquio C, Druesne-Pecollo N, Latino-Martel P, Dauchet L, Hercberg S, Bertrais S. Socioeconomic differences in fruit and vegetable consumption among middle-aged French adults: adherence to the 5 a day recommendation. J Am Diet Assoc. 2008;108:2021–30.CrossRefPubMed
57.
go back to reference Lindeman M, Sirelius M. Food choice ideologies: the modern manifestations of normative and humanist views of the world. Appetite. 2001;37:175–84.CrossRefPubMed Lindeman M, Sirelius M. Food choice ideologies: the modern manifestations of normative and humanist views of the world. Appetite. 2001;37:175–84.CrossRefPubMed
59.
go back to reference Sato M, Jordan JS, Funk DC. Distance running events and life satisfaction: a longitudinal study. J Sport Manage. 2015;29:347–61.CrossRef Sato M, Jordan JS, Funk DC. Distance running events and life satisfaction: a longitudinal study. J Sport Manage. 2015;29:347–61.CrossRef
60.
go back to reference Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med. 2007;45:401–15.CrossRefPubMed Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med. 2007;45:401–15.CrossRefPubMed
61.
go back to reference Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH. Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 behavioral risk factor surveillance system (BRFSS) survey. Prev Med. 2003;37:520–8.CrossRefPubMed Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH. Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 behavioral risk factor surveillance system (BRFSS) survey. Prev Med. 2003;37:520–8.CrossRefPubMed
62.
go back to reference Knechtle B. Influence of physical activity on mental well-being and psychiatric disorders. Praxis (Bern 1994). 2004;93:1403–11.CrossRef Knechtle B. Influence of physical activity on mental well-being and psychiatric disorders. Praxis (Bern 1994). 2004;93:1403–11.CrossRef
63.
go back to reference Boecker H, Sprenger T, Spilker ME, Henriksen G, Koppenhoefer M, Wagner KJ, Valet M, Berthele A, Tolle TR. The runner's high: opioidergic mechanisms in the human brain. Cereb Cortex. 2008;18:2523–31.CrossRefPubMed Boecker H, Sprenger T, Spilker ME, Henriksen G, Koppenhoefer M, Wagner KJ, Valet M, Berthele A, Tolle TR. The runner's high: opioidergic mechanisms in the human brain. Cereb Cortex. 2008;18:2523–31.CrossRefPubMed
64.
go back to reference Salmon P. Effects of physical exercise on anxiety, depression, and sensitivity to stress a unifying theory. Clin Psychol Rev. 2001;21:33–61.CrossRefPubMed Salmon P. Effects of physical exercise on anxiety, depression, and sensitivity to stress a unifying theory. Clin Psychol Rev. 2001;21:33–61.CrossRefPubMed
65.
go back to reference Skrinar GS, Bullen BA, Cheek JM, McArthur JW, Vaughan LK. Effects of endurance training on body-consciousness in women. Percept Mot Skills. 1986;62:483–90.CrossRefPubMed Skrinar GS, Bullen BA, Cheek JM, McArthur JW, Vaughan LK. Effects of endurance training on body-consciousness in women. Percept Mot Skills. 1986;62:483–90.CrossRefPubMed
66.
go back to reference Boudreau AL, Giorgi B. The experience of self-discovery and mental change in female novice athletes in connection to marathon running. J Phenomenol Psychol. 2010;41:234–67.CrossRef Boudreau AL, Giorgi B. The experience of self-discovery and mental change in female novice athletes in connection to marathon running. J Phenomenol Psychol. 2010;41:234–67.CrossRef
68.
70.
go back to reference Egloff B, Gruhn AJ. Personality and endurance sports. Pers Individ Dif. 1996;21:223–9.CrossRef Egloff B, Gruhn AJ. Personality and endurance sports. Pers Individ Dif. 1996;21:223–9.CrossRef
71.
go back to reference Hartung GH, Farge EJ. Personality and physiological traits in middle-aged runners and joggers. J Gerontol. 1977;32:541–8.CrossRefPubMed Hartung GH, Farge EJ. Personality and physiological traits in middle-aged runners and joggers. J Gerontol. 1977;32:541–8.CrossRefPubMed
76.
go back to reference Gale CR, Deary IJ, Schoon I, Batty GD. IQ in childhood and vegetarianism in adulthood: 1970 British cohort study. BMJ. 2007;334:245.CrossRefPubMed Gale CR, Deary IJ, Schoon I, Batty GD. IQ in childhood and vegetarianism in adulthood: 1970 British cohort study. BMJ. 2007;334:245.CrossRefPubMed
79.
go back to reference Pollard J, Greenwood D, Kirk S, Cade J. Lifestyle factors affecting fruit and vegetable consumption in the UK Women's cohort study. Appetite. 2001;37:71–9.CrossRefPubMed Pollard J, Greenwood D, Kirk S, Cade J. Lifestyle factors affecting fruit and vegetable consumption in the UK Women's cohort study. Appetite. 2001;37:71–9.CrossRefPubMed
Metadata
Title
Quality of life of female and male vegetarian and vegan endurance runners compared to omnivores – results from the NURMI study (step 2)
Authors
Patrick Boldt
Beat Knechtle
Pantelis Nikolaidis
Christoph Lechleitner
Gerold Wirnitzer
Claus Leitzmann
Thomas Rosemann
Katharina Wirnitzer
Publication date
01-12-2018
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s12970-018-0237-8

Other articles of this Issue 1/2018

Journal of the International Society of Sports Nutrition 1/2018 Go to the issue