Objective: Evaluation of dietary intakes and lifestyle factors of German vegans.Design: Cross-sectional study. Settings: Germany. Subjects: Subjects were recruited through journal advertisements. Of 868 volunteers, only 154 participated in all study segments (pre-and main questionnaire, two 9-day food frequency questionnaires, blood sampling) and fulfilled the following study criteria: vegan dietary intake at least 1 year prior to study start, minimum age of 18 y, no pregnancy or childbirth during the last 12 months. Interventions: No interventions. Results: All the 154 subjects had a comparatively low BMI (median 21.2 kg/m 2 ), with an extremely low mean consumption of alcohol (0.7773.14 g/day) and tobacco (96.8% were nonsmokers). Mean energy intake (total collective: 8.2372.77 MJ) was higher in strict vegans than in moderate ones. Mean carbohydrate, fat, and protein intakes in proportion to energy (total collective: 57.1:29.7:11.6%) agreed with current recommendations. Recommended intakes for vitamins and minerals were attained through diet, except for calcium (median intake: 81.1% of recommendation), iodine (median: 40.6%), and cobalamin (median: 8.8%). For the male subgroup, the intake of a small amount of food of animal origin improved vitamin and mineral nutrient densities (except for zinc), whereas this was not the case for the female subgroup (except for calcium). Conclusion: In order to reach favourable vitamin and mineral intakes, vegans should consider taking supplements containing riboflavin, cobalamin, calcium, and iodine. Intake of total energy and protein should also be improved.

Background: As shown in previous studies vegetarians and especially vegans are at risk for iron deficiency. Our study evaluated the iron status of German female vegans. Methods: In this cross-sectional study, the dietary intakes of 75 vegan women were assessed by two 9-day food frequency questionnaires. The iron status was analyzed on the basis of blood parameters. Results: Mean daily iron intake was higher than recommended by the German Nutrition Society. Still 42% of the female vegans <50 years (young women, YW) had a daily iron intake of <18 mg/day, which is the recommended allowance by the US Food and Nutrition Board. The main dietary sources of iron were vegetables, fruits, cereals and cereal products. Median serum ferritin concentrations were 14 ng/ml for YW and 28 ng/ml for women ≧50 years (old women, OW). In all, 40% (tri-index model (TIM) 20%) of the YW and 12% (TIM 12%) of the OW were considered iron-deficient based on either serum ferritin levels of <12 ng/ml or a TIM. Only 3 women had blood parameters which are defined as iron deficiency anemia. Correlations between serum ferritin levels and dietary factors were not found. Conclusion: Although the mean iron intake was above the recommended level, 40% (TIM 20%) of the YW were considered iron-deficient. It is suggested that especially YM on a vegan diet should have their iron status monitored and should consider taking iron supplements in case of a marginal status.

Background/Aims:Dietary composition has been shown to affect acid-base homeostasis and bone health in humans. We investigated the potential renal acid load (PRAL) and the estimated diet-dependent net acid load (net endogenous acid production, NEAP) in adult vegans and evaluated the relationships between NEAP, food groups and intake of bone health-related nutrients. Methods: The German Vegan Study (GVS) is a cross-sectional study. Data from healthy men (n = 67) and women (n = 87), aged 21–75 years, who fulfilled the study criteria (vegan diet for ≧1 year prior to study start; age ≧18 years, and no pregnancy/childbirth during the last 12 months) were included in the analysis. NEAP values were calculated from diet composition using two models: one based on the protein/potassium quotient and another taking into account an anthropometry-based loss of urinary organic anions. Results:Mean daily intakes of phosphorus, potassium, sodium, magnesium and vitamin C were above, and vitamin D and calcium below Dietary Reference Intake (DRI). Regardless of the model used, the diet in the GVS was characterized by a nearly neutral NEAP. A strong correlation was observed between the NEAP values of the two models (r_s = 0.873, p < 0.001). Only the consumption of fruits decreased constantly across the increasing quartiles of NEAP. Conclusions: It can be hypothesized that vegan diets do not affect acid-base homeostasis. With respect to bone health, the significance of this finding needs further investigation.