The 7 Habits of Happy, Healthy Vegans. Ginny Messina, MPH, RD Valley Vegfest Northampton, MA April 2, 2016

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The 7 Habits of Happy, Healthy Vegans Ginny Messina, MPH, RD Valley Vegfest Northampton, MA April 2, 2016

Veganism is A way of living that seeks to exclude, as far as possible and practical, all forms of exploitation of, and cruelty to, animals for food, clothing and any other purpose. The Vegan Society, 1944

Vegetarian

Vegetarian

Vegan Diets: No Cultural or Historical Habits

7 Habits of Happy, Healthy Vegans 1. Eat legumes 2. Choose healthy fats 3. Identify important supplements 4. Eat a rainbow 5. Get adequate calcium 6. Enjoy vegan foods 7. Celebrate veganism

1. Eat Legumes

Where do you get your protein? Grains Vegetables Nuts Seeds Legumes

Amino Acids Building blocks of protein Used to build new proteins in the body 9 are essential & must come from food Grains, legumes, vegetables, nuts, and seeds provide all 9 essential amino acids, but are low in one or more

Vegan Protein: Importance of Legumes Legumes are the only good plant sources of the essential amino acid lysine Peanuts Soyfoods Beans, Peas, Lentils

3 Daily Servings of Legumes ½ cup cooked beans, tofu, tempeh ¼ cup soy nuts, peanuts 2 tbsp peanut butter 1 cup soymilk 1 oz veggie meat

Pistachios and Quinoa (honorary legumes)

Legume Serving Sizes ½ cup cooked beans, tofu, tempeh ¼ cup soy nuts, peanuts 2 tbsp peanut butter 1 cup soymilk 1 oz veggie meat ¼ cup pistachios 1 cup quinoa

A Serving of Legumes PB& J sandwich Scrambled tofu Veggie burger Barbecued tempeh Hummus wrap Lentil soup Quinoa pilaf Trail mix with pistachios Vegetables with peanut sauce Salad with soynuts Bean burrito Taco with veggie ground beef

2. Choose Healthy Fats

Essential Omega-3 Fatty Acid Alpha-linolenic acid (ALA) Ground flaxseed (1 tbsp) Flaxseed oil (1 tsp) Walnuts (4 halves) Walnut, hempseed, soy or canola oil (1 tbsp) Chia seeds (2 tsp)

DHA & EPA: Long-chain Omega-3 Fats

DHA and EPA Found in fatty fish May reduce risk for heart disease, dementia, depression

Alphalinolenic acid (essential fatty acid) Conversion is relatively poor DHA and EPA (long chain omega-3 fats) Vegans typically have low blood and tissue levels of DHA and EPA

Fish Get DHA and EPA from Algae We Can, Too

Vegan Omega-3 Fats from Algae 200-300 mg DHA + EPA 2-3 times per week

Healthy Sources of Fats Nuts Seeds Avocado Olives Vegetable oils

Benefits of High-Fat Plant Foods Nuts and seeds provide zinc Nuts reduce risk for heart disease Nuts/monounsaturated fats helpful for controlling diabetes Replacing saturated fat with plant fats improves cholesterol levels

Vegan Diet with Healthy Fats Breakfast Miso soup w/ ½ C tofu, 1 C vegetables ½ C brown rice 1 C honey dew melon Lunch Raw vegetable salad Vinaigrette (1 tsp oil) 1 ½ C lentil soup + tomatoes 2 slices whole grain bread Banana Dinner 1 C quinoa 1 C black beans 1 ½ C greens in 2 tsp oil Snacks: 1 C fruit topped w/ ¼ C walnuts Air popped popcorn Total calories: 1800 Saturated fat: <3% 0 grams cholesterol

3. Take the right supplements All Vegans Vitamin B12 Some Vegans Vitamin D Iodine

Vitamin B12 Made by bacteria Does not occur naturally in plants

Vitamin B12 Analogues Similar structure to B12, but no vitamin activity Fermented soyfoods Sourdough bread Sea vegetables Chlorella, spirulina Shiitake mushrooms

Can we get adequate B12 from unwashed organic produce?

Endogenous B12 Production

Vitamin B12 Storage In liver and muscle Size of B12 stores determined by your pre-vegan diet

Vitamin B12 Deficiency Anemia Neurological Symptoms Tingling Weakness Paralysis Dementia, Depression

Vitamin B12-Fortified Foods

Nutritional Yeast Red Star Vegetarian Support Formula (VSF)

Recommendations for B12 Supplements (Cyanocobalamin) 2 fortified foods per day; at least 1.5 micrograms each or 25-100 micrograms daily or 1,000 micrograms 2-3x per week

Supplemental Vitamin B12: Not Just for Vegans Health conscious omnivores Everyone over the age of 50

Food sources of vitamin D Fish Fortified foods

Factors that reduce vitamin D synthesis Smog, clouds Sunscreen Darker skin Age Weak sunlight (northern latitudes in winter)

Two Forms of Vitamin D D3: Cholecalciferol is animalderived (fish, sheep s wool) D2: Ergocalciferol is plant-derived (yeast)

Vitamin D RDA 600 IU per day

Iodine in vegetables depends on iodine in soil

Iodine Sources Iodized salt Dairy Fish Vegetables

Iodine from Sea Vegetables?

Iodine Sources for Vegans Iodized salt (¼ teaspoon per day) 90-150 micrograms iodine from supplement 3-4 times per week

Supplements Vitamin B12 Vitamin D Iodine DHA/EPA (omega-3 fats)

Supplements for Vegans and Omnivores Vitamin B12 Vitamin D Iodine DHA/EPA Vegans Supplements Fortified foods Supplements Fortified foods sunshine Supplements Iodized salt Supplements Omnivores Animal foods Supplements (after age 50) Fortified foods Supplements Fortified foods Sunshine Milk contaminated with cleaning solution Iodized salt Fish Supplements

4. Eat a Rainbow

Fruits and Vegetables

Vitamin C and Iron

Dietary Iron Mg of iron Salmon, 3 oz 0.6 Chicken, ½ breast 0.6 Beef, 3 oz 1.3 Soymilk, 1 C 1.6 Black-eyed peas, ½ C 2.2 Tofu, 3 oz 3.0 Lentils, ½ C cooked 3.3

Phytate Iron

Iron and Vitamin C IRON Legumes Whole and enriched grains + VITAMIN C Citrus fruits Strawberries Green leafy vegetables Peppers Cauliflower Cabbage

Iron + Vitamin C Oatmeal with orange juice Brown rice topped with steamed broccoli Bean soup with leafy greens

Fruits and Vegetables for Vitamin A

Vitamin A Superstars Amount providing 100% of RDA for vitamin A Carrot juice Sweet potatoes, pumpkin Butternut squash, carrots Spinach, collards, kale 1/4 cup 1/2 cup cooked 2/3-3/4 cup cooked 1 cup cooked

Fruits and Vegetables for Calcium

5. Get Adequate Calcium

Vegans typically have lower calcium intakes than omnivores and lacto-ovo vegetarians.

Hip Fracture Rates & Animal Protein Intake Hip fracture rate/100,000 Animal protein intake (grams/day)

Hip Fracture Data Ecological Study Studies that pool data from different groups and compare the averages rather than comparing information from individuals Don t control for other variables Miss important factors that might affect the comparisons

Genetic Differences Asians have a shorter hip axis length which protects against fractures

Cultural Differences Balance Strength

Even where hip fracture rates are low, osteoporosis is common

3500 2500 1500 500 3500 2500 1500 500 Hip 50-54 60-64 70-74 80-84 Spine 50-54 60-64 70-74 80-84 Sweden Japan Hong Kong Osteoporosis Int 23: 879, 2012

3500 2500 1500 500 3500 2500 1500 500 Hip 50-54 60-64 70-74 80-84 Spine 50-54 60-64 70-74 80-84 Sweden Japan Hong Kong Osteoporosis Int 23: 879, 2012

3500 2500 1500 500 3500 2500 1500 500 Hip 50-54 60-64 70-74 80-84 Spine 50-54 60-64 70-74 80-84 Sweden Japan Hong Kong Osteoporosis Int 23: 879, 2012

EPIC-Oxford 2007 Findings Vegans were 37% more likely to fracture a bone than meat-eaters or lacto-ovo vegetarians

Calcium Intake in the EPIC-Oxford Calcium Omnivores 1,057 Pesco-vegetarian 1,081 Lacto-ovo 1,087 Vegan 610 Public Health Nutrition: 6(3), 259 268

Protein protects bone health Improves calcium absorption Contributes to bone structure Promotes muscle strength

Adventist Health Study

+ = We need protein and calcium for strong bones. And both are in plants.

Calcium without cows Wild greens supplied abundant calcium to early humans

All vegan food groups provide calcium

Best Plant Sources of Calcium Legumes Tofu Soybeans Milks Any fortified plant milk Nuts/Seeds Almonds Almond butter Tahini Fruits Figs Fortified juices Vegetables Leafy greens

Calcium from Leafy Greens Good sources: Bok choy, collards, kale, turnip greens Poor sources: Spinach, Swiss chard, beet greens

7 Habits of Happy, Healthy Vegans 1. Eat legumes 2. Choose healthy fats 3. Identify important supplements 4. Eat a rainbow 5. Get adequate calcium

Characteristics of the Optimal Vegan Diet Meets nutrient needs Reduces risk for chronic disease Practical, easy, realistic Appealing

7 Habits of Happy, Healthy Vegans 1. Eat legumes 2. Choose healthy fats 3. Identify important supplements 4. Eat a rainbow 5. Get adequate calcium 6. Enjoy vegan foods 7. Celebrate veganism

6. Enjoy vegan foods

What people think vegans eat Granola Grass Tofu

What vegans really eat What people think vegans eat Granola Grass Tofu

Demonizing foods is fear-based nutrition: never, ever eat this food Science-based nutrition: emphasize certain foods, eat others less frequently, use some foods as occasional treats.

7. Celebrate Veganism

Findings from EPIC/Oxford Meat eaters Vegan Total fat intake 34% 30% Saturated fat intake 12% 5% Blood Cholesterol 191 158

Vegan = Compassion

Vegan = Compassion; Guaranteed

1. Eat legumes 3 or more servings per day of beans, peanuts/peanut butter, soyfoods, quinoa, pistachios

2. Choose Healthy Fats Omega-3 fats from flaxseeds, walnuts, flax, walnut or canola oil, chia seeds. DHA/EPA? 200-300 milligrams Moderate use of higher fat foods like nuts, seeds, avocado and vegetable oils

3. Supplement Appropriately 600 to 1,000 IUs of vitamin D (if sun exposure isn t adequate) 25-100 micrograms of vitamin B12 90 ug iodine or ¼ tsp iodized salt

4. Eat a Rainbow Vitamin C Vitamin A Calcium

5. Choose Calcium-Rich Foods Kale, collards, fortified plant milks and juices, tofu, figs, almond butter, tahini.

6. Enjoy Vegan Foods Emphasize whole plant foods No plant foods are off limits

7. Celebrate Veganism Vegan diets always deliver on their promise of compassion Health benefits vary among individuals and are a wonderful bonus

TheVeganRD.com @TheVeganRD ginnymessina@gmail.com