Skip to main content
Top
Published in: BMC Women's Health 1/2014

Open Access 01-12-2014 | Research article

Vegan diet and blood lipid profiles: a cross-sectional study of pre and postmenopausal women

Authors: Yee-Wen Huang, Zhi-Hong Jian, Hui-Chin Chang, Oswald Ndi Nfor, Pei-Chieh Ko, Chia-Chi Lung, Long-Yau Lin, Chien-Chang Ho, Yi-Chen Chiang, Yung-Po Liaw

Published in: BMC Women's Health | Issue 1/2014

Login to get access

Abstract

Background

Vegan diet has been associated with lower risk of cardiovascular diseases and mortality, partly due to its effects on serum lipid profiles. Lipid profiles [high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C) and triglycerides (TG)] have not been fully elucidated either in pre and postmenopausal vegans or in ovo-lacto vegetarians. This study aimed to compare lipid profiles among vegans, ovo-lacto vegetarians and omnivores.

Methods

Demographic data and lipid profiles were obtained from the 2002 Taiwanese Survey on Hypertension, Hyperglycemia and Hyperlipidemia. Multivariate linear regression analysis was used to examine factors significantly and independently associated with different categories of veganism and to estimate the β value of lipid profiles in the dietary types.

Results

A total of 2397 premenopausal and 1154 postmenopausal participants who did not receive lipid lowering drugs were enrolled. Premenopausal vegans had significantly lower HDL-C and higher TG, LDL-C/HDL-C, total cholesterol (TC)/HDL-C and TG/HDL-C compared with omnivores. For postmenopausal women, vegans had lower TC while ovo-lacto vegetarians were observed with low HDL-C when compared with omnivores. Multivariate linear regression analyses showed that vegan and ovo-lacto vegetarian diets decreased HDL-C levels in premenopausal women (β = -7.63, p = 0.001 and β = -4.87, p = 0.001, respectively). There were significant associations between lower LDL-C and ovo-lacto vegetarian diets (β = -7.14, p = 0.008) and also between TG and vegan diet (β = 23.37, p = 0.008), compared with omnivorous diet. Post-menopausal women reported to have consumed either a vegan or an ovo-lacto vegetarian diet were at the risk of having low HDL-C unlike those that consumed omnivorous diets (β = -4.88, p = 0.015 and β = -4.48, p = 0.047). There were no significant changes in LDL-C in both pre and postmenopausal vegans.

Conclusions

Vegan diet was associated with reduced HDL-C level. Because of its effects on lowering HDL-C and LDL-C, ovo-lacto vegetarian diet may be more appropriate for premenopausal women.
Literature
1.
go back to reference Villablanca AC, Jayachandran M, Banka C: Atherosclerosis and sex hormones: current concepts. Clin Sci. 2010, 119 (12): 493-513. 10.1042/CS20100248.CrossRefPubMed Villablanca AC, Jayachandran M, Banka C: Atherosclerosis and sex hormones: current concepts. Clin Sci. 2010, 119 (12): 493-513. 10.1042/CS20100248.CrossRefPubMed
2.
go back to reference Mendelsohn ME, Karas RH: The protective effects of estrogen on the cardiovascular system. N Engl J Med. 1999, 340 (23): 1801-1811. 10.1056/NEJM199906103402306.CrossRefPubMed Mendelsohn ME, Karas RH: The protective effects of estrogen on the cardiovascular system. N Engl J Med. 1999, 340 (23): 1801-1811. 10.1056/NEJM199906103402306.CrossRefPubMed
3.
go back to reference Colpani V, Oppermann K, Spritzer PM: Causes of death and associated risk factors among climacteric women from Southern Brazil: a population based-study. BMC public health. 2014, 14 (1): 194-10.1186/1471-2458-14-194.CrossRefPubMedPubMedCentral Colpani V, Oppermann K, Spritzer PM: Causes of death and associated risk factors among climacteric women from Southern Brazil: a population based-study. BMC public health. 2014, 14 (1): 194-10.1186/1471-2458-14-194.CrossRefPubMedPubMedCentral
4.
go back to reference Stevenson JC, Crook D, Godsland IF: Influence of age and menopause on serum lipids and lipoproteins in healthy women. Atherosclerosis. 1993, 98 (1): 83-90. 10.1016/0021-9150(93)90225-J.CrossRefPubMed Stevenson JC, Crook D, Godsland IF: Influence of age and menopause on serum lipids and lipoproteins in healthy women. Atherosclerosis. 1993, 98 (1): 83-90. 10.1016/0021-9150(93)90225-J.CrossRefPubMed
5.
6.
go back to reference Gravena AA, Brischiliari SC, Lopes TC, Agnolo CM, Carvalho MD, Pelloso SM: Excess weight and abdominal obesity in postmenopausal Brazilian women: a population-based study. BMC women's health. 2013, 13: 46-10.1186/1472-6874-13-46.CrossRefPubMedPubMedCentral Gravena AA, Brischiliari SC, Lopes TC, Agnolo CM, Carvalho MD, Pelloso SM: Excess weight and abdominal obesity in postmenopausal Brazilian women: a population-based study. BMC women's health. 2013, 13: 46-10.1186/1472-6874-13-46.CrossRefPubMedPubMedCentral
7.
go back to reference Arthur FK, Adu-Frimpong M, Osei-Yeboah J, Mensah FO, Owusu L: The prevalence of metabolic syndrome and its predominant components among pre-and postmenopausal Ghanaian women. BMC Res Notes. 2013, 6: 446-10.1186/1756-0500-6-446.CrossRefPubMed Arthur FK, Adu-Frimpong M, Osei-Yeboah J, Mensah FO, Owusu L: The prevalence of metabolic syndrome and its predominant components among pre-and postmenopausal Ghanaian women. BMC Res Notes. 2013, 6: 446-10.1186/1756-0500-6-446.CrossRefPubMed
9.
go back to reference Barnard ND, Cohen J, Jenkins DJ, Turner-McGrievy G, Gloede L, Jaster B, Seidl K, Green AA, Talpers S: A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes care. 2006, 29 (8): 1777-1783. 10.2337/dc06-0606.CrossRefPubMed Barnard ND, Cohen J, Jenkins DJ, Turner-McGrievy G, Gloede L, Jaster B, Seidl K, Green AA, Talpers S: A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes care. 2006, 29 (8): 1777-1783. 10.2337/dc06-0606.CrossRefPubMed
10.
go back to reference Dominique Ashen M: Vegetarian Diets in Cardiovascular Prevention. Curr Treat Options Cardiovasc Med. 2013, 15 (6): 735-745. 10.1007/s11936-013-0266-1.CrossRefPubMed Dominique Ashen M: Vegetarian Diets in Cardiovascular Prevention. Curr Treat Options Cardiovasc Med. 2013, 15 (6): 735-745. 10.1007/s11936-013-0266-1.CrossRefPubMed
11.
go back to reference Chiang JK, Lin YL, Chen CL, Ouyang CM, Wu YT, Chi YC, Huang KC, Yang WS: Reduced risk for metabolic syndrome and insulin resistance associated with ovo-lacto-vegetarian behavior in female Buddhists: a case–control study. PloS one. 2013, 8 (8): e71799-10.1371/journal.pone.0071799.CrossRefPubMedPubMedCentral Chiang JK, Lin YL, Chen CL, Ouyang CM, Wu YT, Chi YC, Huang KC, Yang WS: Reduced risk for metabolic syndrome and insulin resistance associated with ovo-lacto-vegetarian behavior in female Buddhists: a case–control study. PloS one. 2013, 8 (8): e71799-10.1371/journal.pone.0071799.CrossRefPubMedPubMedCentral
12.
go back to reference Chen CW, Lin YL, Lin TK, Lin CT, Chen BC, Lin CL: Total cardiovascular risk profile of Taiwanese vegetarians. Eur J Clin Nutr. 2008, 62 (1): 138-144. 10.1038/sj.ejcn.1602689.CrossRefPubMed Chen CW, Lin YL, Lin TK, Lin CT, Chen BC, Lin CL: Total cardiovascular risk profile of Taiwanese vegetarians. Eur J Clin Nutr. 2008, 62 (1): 138-144. 10.1038/sj.ejcn.1602689.CrossRefPubMed
13.
go back to reference Wu L, Ma D, Walton-Moss B, He Z: Effects of low-fat diet on serum lipids in premenopausal and postmenopausal women: a meta-analysis of randomized controlled trials. Menopause. 2014, 21 (1): 89-99. 10.1097/GME.0b013e318291f5c2.CrossRefPubMed Wu L, Ma D, Walton-Moss B, He Z: Effects of low-fat diet on serum lipids in premenopausal and postmenopausal women: a meta-analysis of randomized controlled trials. Menopause. 2014, 21 (1): 89-99. 10.1097/GME.0b013e318291f5c2.CrossRefPubMed
14.
go back to reference Fu CH, Yang CC, Lin CL, Kuo TB: Alteration of cardiovascular autonomic functions by vegetarian diets in postmenopausal women is related to LDL cholesterol levels. Chin J Physiol. 2008, 51 (2): 100-105.PubMed Fu CH, Yang CC, Lin CL, Kuo TB: Alteration of cardiovascular autonomic functions by vegetarian diets in postmenopausal women is related to LDL cholesterol levels. Chin J Physiol. 2008, 51 (2): 100-105.PubMed
15.
go back to reference Pan WH, Chin CJ, Sheu CT, Lee MH: Hemostatic factors and blood lipids in young Buddhist vegetarians and omnivores. Am J Clin Nutr. 1993, 58 (3): 354-359.PubMed Pan WH, Chin CJ, Sheu CT, Lee MH: Hemostatic factors and blood lipids in young Buddhist vegetarians and omnivores. Am J Clin Nutr. 1993, 58 (3): 354-359.PubMed
16.
go back to reference Lu SC, Wu WH, Lee CA, Chou HF, Lee HR, Huang PC: LDL of Taiwanese vegetarians are less oxidizable than those of omnivores. J Nutr. 2000, 130 (6): 1591-1596.PubMed Lu SC, Wu WH, Lee CA, Chou HF, Lee HR, Huang PC: LDL of Taiwanese vegetarians are less oxidizable than those of omnivores. J Nutr. 2000, 130 (6): 1591-1596.PubMed
17.
go back to reference Shih YT HY CH, Liu JP, Lin HS, Chang MC: The design, contents, operation and the characteristics of the respondents of the 2001 National Health Interview Survey in Taiwan. Taiwan J Public Health. 2004, 22: 419-430. Shih YT HY CH, Liu JP, Lin HS, Chang MC: The design, contents, operation and the characteristics of the respondents of the 2001 National Health Interview Survey in Taiwan. Taiwan J Public Health. 2004, 22: 419-430.
18.
go back to reference Su TC, Bai CH, Chang HY, You SL, Chien KL, Chen MF, Chen HJ, Pan WH, Tseng CH, Cheng SH, Hurng BS, Hwang LC, Chen CJ: Evidence for improved control of hypertension in Taiwan: 1993–2002. J Hypertens. 2008, 26 (3): 600-606. 10.1097/HJH.0b013e3282f3b352.CrossRefPubMed Su TC, Bai CH, Chang HY, You SL, Chien KL, Chen MF, Chen HJ, Pan WH, Tseng CH, Cheng SH, Hurng BS, Hwang LC, Chen CJ: Evidence for improved control of hypertension in Taiwan: 1993–2002. J Hypertens. 2008, 26 (3): 600-606. 10.1097/HJH.0b013e3282f3b352.CrossRefPubMed
19.
go back to reference WHO: Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation. 2008, Geneva: WHO WHO: Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation. 2008, Geneva: WHO
20.
21.
go back to reference Alberti KG, Zimmet P, Shaw J: The metabolic syndrome–a new worldwide definition. Lancet. 2005, 366 (9491): 1059-1062. 10.1016/S0140-6736(05)67402-8.CrossRefPubMed Alberti KG, Zimmet P, Shaw J: The metabolic syndrome–a new worldwide definition. Lancet. 2005, 366 (9491): 1059-1062. 10.1016/S0140-6736(05)67402-8.CrossRefPubMed
22.
go back to reference Ridker PM, Rifai N, Cook NR, Bradwin G, Buring JE: Non-HDL cholesterol, apolipoproteins A-I and B100, standard lipid measures, lipid ratios, and CRP as risk factors for cardiovascular disease in women. JAMA. 2005, 294 (3): 326-333. 10.1001/jama.294.3.326.CrossRefPubMed Ridker PM, Rifai N, Cook NR, Bradwin G, Buring JE: Non-HDL cholesterol, apolipoproteins A-I and B100, standard lipid measures, lipid ratios, and CRP as risk factors for cardiovascular disease in women. JAMA. 2005, 294 (3): 326-333. 10.1001/jama.294.3.326.CrossRefPubMed
23.
go back to reference Gaziano JM, Hennekens CH, O'Donnell CJ, Breslow JL, Buring JE: Fasting triglycerides, high-density lipoprotein, and risk of myocardial infarction. Circulation. 1997, 96 (8): 2520-2525. 10.1161/01.CIR.96.8.2520.CrossRefPubMed Gaziano JM, Hennekens CH, O'Donnell CJ, Breslow JL, Buring JE: Fasting triglycerides, high-density lipoprotein, and risk of myocardial infarction. Circulation. 1997, 96 (8): 2520-2525. 10.1161/01.CIR.96.8.2520.CrossRefPubMed
24.
go back to reference Barter P: HDL-C: role as a risk modifier. Atheroscler Suppl. 2011, 12 (3): 267-270. 10.1016/S1567-5688(11)70885-6.CrossRefPubMed Barter P: HDL-C: role as a risk modifier. Atheroscler Suppl. 2011, 12 (3): 267-270. 10.1016/S1567-5688(11)70885-6.CrossRefPubMed
25.
go back to reference Barnard ND, Scialli AR, Bertron P, Hurlock D, Edmonds K, Talev L: Effectiveness of a low-fat vegetarian diet in altering serum lipids in healthy premenopausal women. Am J Cardiol. 2000, 85 (8): 969-972. 10.1016/S0002-9149(99)00911-X.CrossRefPubMed Barnard ND, Scialli AR, Bertron P, Hurlock D, Edmonds K, Talev L: Effectiveness of a low-fat vegetarian diet in altering serum lipids in healthy premenopausal women. Am J Cardiol. 2000, 85 (8): 969-972. 10.1016/S0002-9149(99)00911-X.CrossRefPubMed
26.
go back to reference Fu CH, Yang CC, Lin CL, Kuo TB: Effects of long-term vegetarian diets on cardiovascular autonomic functions in healthy postmenopausal women. Am J Cardiol. 2006, 97 (3): 380-383. 10.1016/j.amjcard.2005.08.057.CrossRefPubMed Fu CH, Yang CC, Lin CL, Kuo TB: Effects of long-term vegetarian diets on cardiovascular autonomic functions in healthy postmenopausal women. Am J Cardiol. 2006, 97 (3): 380-383. 10.1016/j.amjcard.2005.08.057.CrossRefPubMed
27.
go back to reference Su TC, Jeng JS, Wang JD, Torng PL, Chang SJ, Chen CF, Liau CS: Homocysteine, circulating vascular cell adhesion molecule and carotid atherosclerosis in postmenopausal vegetarian women and omnivores. Atherosclerosis. 2006, 184 (2): 356-362. 10.1016/j.atherosclerosis.2005.04.022.CrossRefPubMed Su TC, Jeng JS, Wang JD, Torng PL, Chang SJ, Chen CF, Liau CS: Homocysteine, circulating vascular cell adhesion molecule and carotid atherosclerosis in postmenopausal vegetarian women and omnivores. Atherosclerosis. 2006, 184 (2): 356-362. 10.1016/j.atherosclerosis.2005.04.022.CrossRefPubMed
28.
go back to reference Lin CK, Lin DJ, Yen CH, Chen SC, Chen CC, Wang TY, Chou MC, Chang HR, Lee MC: Comparison of renal function and other health outcomes in vegetarians versus omnivores in Taiwan. J Health Popul Nutr. 2010, 28 (5): 470-475.CrossRefPubMedPubMedCentral Lin CK, Lin DJ, Yen CH, Chen SC, Chen CC, Wang TY, Chou MC, Chang HR, Lee MC: Comparison of renal function and other health outcomes in vegetarians versus omnivores in Taiwan. J Health Popul Nutr. 2010, 28 (5): 470-475.CrossRefPubMedPubMedCentral
Metadata
Title
Vegan diet and blood lipid profiles: a cross-sectional study of pre and postmenopausal women
Authors
Yee-Wen Huang
Zhi-Hong Jian
Hui-Chin Chang
Oswald Ndi Nfor
Pei-Chieh Ko
Chia-Chi Lung
Long-Yau Lin
Chien-Chang Ho
Yi-Chen Chiang
Yung-Po Liaw
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2014
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-14-55

Other articles of this Issue 1/2014

BMC Women's Health 1/2014 Go to the issue