Mga rekomendasyon sa nutrisyon para sa mga vegan sa Pilipinas (Tagalog)

English     Other languages

Panimula

Ang mga sumusunod na rekomendasyon ay pangkalahatang gabay para sa iyong kaalaman Hindi kinakailangang sundin ang mga ito hanggang sa pinakamaliit na detalye. Gayundin, ang mga rekomendasyong ito ay mahalaga rin sa pangmatagalan. Halimbawa, walang mga negatibong epekto sa iyong kalusugan ang hindi ka pag-inom ng suplementong bitamina B12 sa loob ng ilang araw o linggo (o buwan).



Pagpapaikli

  • µg = mcg = microgram = one thousandth (1/1000) of a milligram
  • mg = miligram
  • g = gramo
  • IU = international unit
 
 

1) Bitamina B12 

Pumili ng isa sa mga sumusunod [1–4,121]:

  • 2–5 µg dalawang beses bawat araw (mula sa pinatibay na pagkain o isang suplemento) [5–11]
  • 10–50 µg bawat araw mula sa isang suplemento [6,9–14]
  • 2000–2500 µg bawat linggo mula sa isang suplemento [7,10,11,15–17]
          

 


2) Calcium (kaltsyum) 

Mainam na kumain ng mga pagkaing mayaman sa kaltsyum araw-araw. Sa mga teknikal na termino: dapat mong kamtin upang makonsumo ng hindi bababa sa 600 mg ng calciumbawat araw [2,18–27]Paano? Pumili ng kahit isa sa mga sumusunod na pagpipilian sa araw-araw [121]. Ang mga pagkaing ito ay magbibigay sa iyo ng ilang karagdagang calcium:

  • 1 baso ng soya milk na pinatibay ng kaltsyum (o ibang vegan na “gatas”; dapat nakasaad sa label na naglalaman ito ng 120 mg kaltsyum sa bawat 100 ML – tulad ng gatas ng baka) [3,22,27–30]
  • iba pang mga pagkaing pinatibay ng kaltsyum, halimbawa, juice, soya yogurt, rolled oats, tinapay, ...) [22,27,29,31]
  • 1 tasa ng tokwa (tofu) na gawa sa calcium [22,27–30]
  • 1 hanggang 2 tasa ng lutong matingkad na berdeng mga gulay, tulad ng:
    • pechay (pak choi, bok choy, Brassica rapa chinensis) [~90 mg calcium sa 100 g luto] 
    • choy sum (Brassica rapa parachinensis)
    • malunggay (moringa, drumstick leaves, Moringa oleifera) [~190 mg mg calcium sa 100 g luto]
    • kangkong (water spinach, river spinach, water convolvulus, Ipomoea aquatica) [~50 mg calcium sa 100 g luto]
    • mustasa (crispy mustard, mustard leaves, mustard cabbage, Brassica juncea) [~110 mg calcium sa 100 g luto]
    • alugbati (Malabar spinach, vine spinach, Basella alba) [~120 mg calcium sa 100 g luto] 
    • dahon ng taro (taro leaves) [~90-110 mg mg calcium sa 100 g luto]
    • okra [~10-90 mg calcium sa 100 g luto] [32] (Maaaring ang mga dahon ng okra ay maganda din na mapagkukunan ng calcium [~ 290 mg calcium sa 100 g luto [33]]. Ang okra ay tila mababa sa oxalic acid [32]. Mabuti ito sapagkat binabawasan ng oxalic acid ang bioavailability ng calcium.)
    • dahon ng kamote (sweet potato leaves) [~30 mg calcium sa 100 g luto]
    • pechay baguio (wombok, napa cabbage, Brassica rapa pekinensis) o 2 hanggang 3 tasa ng hilaw / hindi lutong pechay baguio [~30 mg calcium sa 100 g luto]
    • brokuli (broccoli) [22,27,30]
    • bersa, lunting kolardo, o kales (kale, Brassica oleracea palmifolia
    • mga collard greens (Collard greens, Spring greens, Brassica oleracea Pangkat Acephala)
    • dahon ng singkamas (turnip greens, Brassica rapa rapa
    • pako (vegetable fern, Diplazium esculentum, Athyrium esculentum) [~40–1300 mg calcium sa 100 g luto [34,35].] (Ang mga dahon ng pako ay tila mababa sa oxalic acid [36].)
    • dahon ng kalabasa (pumpkin leaves) [~ 40 mg calcium sa 100 g luto] 
    • dahon ng saluyot (Jute mallow leaves, Corchorus olitorius) [~40 mg calcium sa 100 g luto]
    • dahon ng ampalaya (bitter melon leaves, Momordica charantia) [~40 mg calcium sa 100 g luto]
    • rapini (broccoli rabe, Brassica rapa Pangkat Ruvo)
    • dahon ng dandelion (dandelion leaves
    • dahon ng nettle (nettle leaves

Ang espinaka (ispinats, spinach) at chard ay hindi mahusay na mapagkukunan ng calcium, dahil mababa ang bioavailability.
  • tubig na mayamang sa calcium / mineral na tubig na dapat magbigay ng hindi bababa sa 300 mg calcium bawat araw – suriin ang label [37,38]
  • ½ tasa ng pinatuyong igos + 3 mga dalandan [22]


 

3) Bitamina D

Sa Pilipinas maaari kang makakuha ng sapat na bitamina D mula sa sikat ng araw – ngunit kung regular mong ilalabas ang iyong balat sa sikat ng araw. Sa Pilipinas maaari kang makakuha ng sapat na bitamina D mula sa sikat ng araw – ngunit ito ay makakamit kung regular na magpapabilad sa araw. Sa pangkalahatang sabi, ang 10 minuto (tanghali) hanggang 30 minuto (umaga o gabi) ng direktang sikat ng araw sa iyong balat bawat araw ay dapat sapat. O maaari ibilad sa araw nang mas matagal (halimbawa 1 oras), ngunit hindi gaanong madalas (halimbawa, sa katapusan ng linggo). Iwasang masunog ang balat.

O maaari kang kumuha ng suplemento sa bitamina D – ngunit huwag iwasang ganap ang araw.

Kung iinom ka ng suplemento sa bitamina D, kumuha ng:
  • ~10–25 µg (~400–1000 IU) bitamina D bawat araw [2,3,22,27,47–55]
Huwag lalabis ng higit sa 50 µg (2000 IU) bawat araw, maliban kung payuhan ka ng isang medikal na doktor na gawin ito.

Ang Pilipinas ay matatagpuan sa isang latitude na humigit-kumulang 18° hilaga hanggang 6° hilaga. Dahil sa lapit nIto sa ekwador ang iyong katawan ay maaaring makabuo ng bitamina D mula sa sikat ng araw sa buong taon [56].



4) Iodine

Pumili ng isa sa mga sumusunod (o isang halo ng mga pagpipiliang ito) [2,3,49,57–65,121]:
  • 70–150 µg ng yodo bawat araw mula sa isang suplemento - hindi hihigit sa 200 µg bawat araw
  • Seaweed – tulad ng lato (arosep, sea grapes, berde na "caviar", Caulerpa lentillifera), guso (Eucheuma cottonii), nori, o (well-rinsed) wakame – maraming beses bawat linggo
100 µg ng yodo ay matatagpuan sa:
    • ~50–200 g ng sariwang guso (ang guso ay tila mababa sa sodyum (sodyo) - na mabuti.) [66–69] ... o ...
    • ~50–200 g ng sariwang lato (Ang lato ay tila mataas sa sodyum - iwasang kumain ng maraming lato lalo na kung may mataas kang presyon ng dugo.) [68,70] ... o ...
    • ~1–2 sheet ng nori (~ 2.5 g) (Ang Nori ay tila mababa sa sodyum - na mabuti.) ... o ...
    • ~0.5–30 g ng pinatuyong wakame (Gumamit ng maliit na halaga - tulad ng isang maliit na dakot - banlawan-balon, singaw o pakuluan, at itapon ang tubig. Ang wakame ay malamang na mataas din sa sodyum.)
  • Asin na pinatibay ng yodo (iodized salt; Ang 1 kutsarita ay naglalaman ng 40–240 µg ng yodo – suriin ang label [71–73].)
Iwasan ang labis na paggamit ng asin, lalo na kung may mataas kang presyon ng dugo. Inirerekumenda ng Mga Alituntunin sa Pandiyeta sa 2015–2020 para sa mga Amerikano na ubusin mas mababa sa 2300 mg ng sodyum (~5.8 g ng asin) bawat araw. Ang lahat ng iba pang mga pagkain na iyong kinakain ay naglalaman din ng mas maliit na halaga ng yodo. Para sa mga matatanda ang rekomendasyon ay ubusin ang tungkol sa 150 µg ng yodo bawat araw. Iwasang ubusin ang sobrang yodo. Ang regular na pag-ubos ng higit sa ~1000 µg ng yodo bawat araw ay itinuturing na labis.



5) Omega-3 fatty acids

Pumili ng isa sa mga pagpipiliang ito araw-araw [18,29,74–79,121]. Ang mga sumusunod na rekomendasyon ay para sa mga kalalakihan – na sa pangkalahatan ay kumukunsumo ng mas maraming calories. Para sa mga kababaihan, ang mas kaunti na dami ay sapat na.
  • 1–2 tablespoons ng chia seed [79–82]
  • ~10 mga walnuts (= 20 mga walnut halves; ~ 40 g) [74]
  • 1–2 kutsarita ng langis na linseed oil (flaxseed oil) [74]
  • 2 kutsarang ground lino (linseeds, flaxseeds) [74,83,84]
  • 1–2 kutsarang langis ng binhi ng abaka [74]
  • ¼ tasa ng mga binhi ng abaka, o 1-2 kutsarang mga naka-kulong na buto ng abaka
  • 2–3 tablespoons ng rapeseed oil (canola oil) [74]
Opsyonal (walang gaanong katibayan para sa pagrerekomenda nito para sa average na vegan):
Gumamit ng kalahati ng mga rekomendasyon sa itaas – at magdagdag ng isang vegan supplement ng EPA/DHA (eicosapentaenoic acid at docosahexaenoic acid):
  • 200–300 mg EPA/DHA bawat dalawa o tatlong araw (o araw-araw kung nais mo) [74,77–79,85–87,121]



6) Iron

Kumain ng mga legume araw-araw o halos araw-araw [25,88,89,121].

Mga karagdagang tip:
  • Ang pag-ubos ng bitamina C kasabay ng mga pagkaing mayaman sa iron ay nagdaragdag ng pagsipsip ng iron mula sa mga mapagkukunan ng halaman [88,90–93].
  • Ang pag-inom ng kape o tsaa kasabay sa pagkain ay nagpapababa ng bisa ng iron [90–94].
  • Ang pagluluto ng sarsa ng kamatis (o iba pang mga sarsa na medyo acidic) sa cast iron cookware ay nagdaragdag ng dami ng iron sa sarsa [93–96].



7) Zinc (sink)

Kumain ng mga legume, mani at buto araw-araw o halos araw-araw [2,29,97,98,121].



8) Selenium (siliniyum, selenyo)

Sa Pilipinas ang mga lupa sa pangkalahatan ay mataas sa selenium [99]. Samakatuwid, ang mga vegan sa Pilipinas ay hindi dapat mag-alala tungkol sa mababang paggamit ng selenium [99,100].

Ang mga seaweeds gaya ng lato at guso ay mayaman din sa selenium.

Ang mga vegan na naninirahan sa Unites States o Canada ay hindi dapat mag-alala tungkol sa selenium [101–104]. Ang mga Vegan na naninirahan sa Europa ay dapat pagtuunan ng pansin ang selenium [49,58,105–116]).



9) Bitamina A

Kumain ng maraming berdeng gulay, kulay kahel na prutas at gulay [3,49,117]. Magandang mapagkukunan ng beta-carotene (provitamin A) ay, halimbawa: lutong karot, katas ng carrot, kalabasa, kulay kahel na kamote, anumang berdeng malabay na gulay, siling-pula – at mga kahel na prutas tulad ng mangga, papaya o kaki.
 


10) Protina

Kumain ng mga legume, buong butil, mani at buto [3,118–120,121].
 
Kumain ng mga legume (sitaw, patani, munggo, bataw, soya milk, tokwa, gisantes, mani, peanut butter, soya na harina) o pistachios o hemp seed o quinoa o amaranth araw-araw.

Kumain ng sapat na calories. Karamihan sa mga vegan ay kumakain ng sapat na calories. Ngunit kung hindi ka kumain ng sapat na calorie ang iyong katawan ay gagamit ng protina na iyong kinakain bilang calorie, at maaari kang magkulang sa protina na maaaring maging dahilan ng pagnipis o pagkawala ng iyong kalamnan. Ang kaunting protina ay maaari ding masama sa iyong mga buto.



 

Malusog na lifestyle ng vegan 🍌🍍🍉🌽🌿🍆🍅








Mga sanggunian

1. Johnsen, J.B.; Fønnebø, V. Vitamin B12-mangel ved strengt vegetabilsk kosthold. Hvorfor følger noen et slikt kosthold, og hva vil de gjøre ved B12-mangel? Abstract. Tidsskr. Nor. Laegeforen. 1991, 111, 62–64.

2. Schüpbach, R.; Wegmüller, R.; Berguerand, C.; Bui, M.; Herter-Aeberli, I. Micronutrient status and intake in omnivores, vegetarians and vegans in Switzerland. Eur. J. Nutr. 2017, 56, 283–293, doi:10.1007/s00394-015-1079-7.

3. Sobiecki, J.G.; Appleby, P.N.; Bradbury, K.E.; Key, T.J. High compliance with dietary recommendations in a cohort of meat eaters, fish eaters, vegetarians, and vegans: results from the European Prospective Investigation into Cancer and Nutrition-Oxford study. Nutr. Res. 2016, 36, 464–477, doi:10.1016/j.nutres.2015.12.016.

4. Woo, K.S.; Kwok, T.C.Y.; Celermajer, D.S. Vegan diet, subnormal vitamin B-12 status and cardiovascular health. Nutrients 2014, 6, 3259–3273, doi:10.3390/nu6083259.

5. Bor, M.V.; Castel-Roberts, K.M. von; Kauwell, G.P.; Stabler, S.P.; Allen, R.H.; Maneval, D.R.; Bailey, L.B.; Nexo, E. Daily intake of 4 to 7 microg dietary vitamin B-12 is associated with steady concentrations of vitamin B-12-related biomarkers in a healthy young population. Am. J. Clin. Nutr. 2010, 91, 571–577, doi:10.3945/ajcn.2009.28082.

6. Carmel, R. Cobalamin (Vitamin B12). In Modern nutrition in health and disease, 10th edition; Shils ME, Shike M, Ross AC, Caballero B, Cousins RJ, Eds.; Lippincott Williams & Wilkins: Philadelphia, 2006; pp 482–497.

7. IOM. Institute of Medicine (IOM): Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline; Washington (DC), 1998, ISBN 0309064112.

8. Luhby, A.L.; Cooperman, J.M.; Donnenfeld, AM: Herrero, JM; Teller, D.N.; Wenig, J.B. Observations on transfer of vitamin B12 from mother to fetus and newborn. Am J Dis Child 1958, 96, 532–533.

9. Haddad, E.H.; Berk, L.S.; Kettering, J.D.; Hubbard, R.W.; Peters, W.R. Dietary intake and biochemical, hematologic, and immune status of vegans compared with nonvegetarians. Am. J. Clin. Nutr. 1999, 70, 586S-593S.

10. Heyssel, R.M.; Bozian, R.C.; Darby, W.J.; Bell, M.C. Vitamin B12 turnover in man. The assimilation of vitamin B12 from natural foodstuff by man and estimates of minimal daily dietary requirements. Am. J. Clin. Nutr. 1966, 18, 176–184.

11. Obeid, R.; Fedosov, S.N.; Nexo, E. Cobalamin coenzyme forms are not likely to be superior to cyano- and hydroxyl-cobalamin in prevention or treatment of cobalamin deficiency. Mol. Nutr. Food Res. 2015, 59, 1364–1372, doi:10.1002/mnfr.201500019.

12. Adams, J.F.; Ross, S.K.; Mervyn, L.; Boddy, K.; King, P. Absorption of cyanocobalamin, coenzyme B 12 , methylcobalamin, and hydroxocobalamin at different dose levels. Scand. J. Gastroenterol. 1971, 6, 249–252.

13. Carmel, R. Mandatory fortification of the food supply with cobalamin: an idea whose time has not yet come. J. Inherit. Metab. Dis. 2011, 34, 67–73, doi:10.1007/s10545-010-9150-2.

14. Deshmukh, U.S.; Joglekar, C.V.; Lubree, H.G.; Ramdas, L.V.; Bhat, D.S.; Naik, S.S.; Hardikar, P.S.; Raut, D.A.; Konde, T.B.; Wills, A.K.; et al. Effect of physiological doses of oral vitamin B12 on plasma homocysteine: a randomized, placebo-controlled, double-blind trial in India. Eur. J. Clin. Nutr. 2010, 64, 495–502, doi:10.1038/ejcn.2010.15.

15. Berlin, H.; Berlin, R.; Brante, G. Oral treatment of pernicious anemia with high doses of vitamin B12 without intrinsic factor. Acta Med. Scand. 1968, 184, 247–258.

16. Donaldson, M.S. Metabolic vitamin B12 status on a mostly raw vegan diet with follow-up using tablets, nutritional yeast, or probiotic supplements. Ann. Nutr. Metab. 2000, 44, 229–234.

17. Gomollón, F.; Gargallo, C.J.; Muñoz, J.F.; Vicente, R.; Lue, A.; Mir, A.; García-Alvarado, M.; Gracia, M.; García-López, S. Oral cyanocobalamin is effective in the treatment of vitamin B12 deficiency in Crohn’s disease. Nutrients 2017, 9, doi:10.3390/nu9030308.

18. Appleby, P.N.; Key, T.J. The long-term health of vegetarians and vegans. Proc. Nutr. Soc. 2016, 75, 287–293, doi:10.1017/S0029665115004334.

19. Appleby, P.; Roddam, A.; Allen, N.; Key, T. Comparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford. Eur. J. Clin. Nutr. 2007, 61, 1400–1406, doi:10.1038/sj.ejcn.1602659.

20. Dyett, P.; Rajaram, S.; Haddad, E.H.; Sabate, J. Evaluation of a validated food frequency questionnaire for self-defined vegans in the United States. Nutrients 2014, 6, 2523–2539, doi:10.3390/nu6072523.

21. Fang, A.; Li, K.; Guo, M.; He, J.; Li, H.; Shen, X.; Song, J. Long-term low intake of dietary calcium and fracture risk in older adults with plant-based diet: a longitudinal study from the China Health and Nutrition Survey. J. Bone Miner. Res. 2016, 31, 2016–2023, doi:10.1002/jbmr.2874.

22. Mangels, A.R. Bone nutrients for vegetarians. Am. J. Clin. Nutr. 2014, 100 Suppl 1, 469S-75S, doi:10.3945/ajcn.113.071423.

23. Morales-Torres, J.; Gutiérrez-Ureña, S. The burden of osteoporosis in Latin America. Osteoporos. Int. 2004, 15, 625–632, doi:10.1007/s00198-004-1596-3.

24. Nachshon, L.; Katz, Y. [The importance of “milk bones” to “wisdom bones” - cow milk and bone health - lessons from milk allergy patients]. Abstract. Harefuah 2016, 155, 163-6, 195-6.

25. Rizzo, N.S.; Jaceldo-Siegl, K.; Sabate, J.; Fraser, G.E. Nutrient profiles of vegetarian and nonvegetarian dietary patterns. J. Acad. Nutr. Diet. 2013, 113, 1610–1619, doi:10.1016/j.jand.2013.06.349.

26. Thorpe, D.L.; Knutsen, S.F.; Beeson, W.L.; Rajaram, S.; Fraser, G.E. Effects of meat consumption and vegetarian diet on risk of wrist fracture over 25 years in a cohort of peri- and postmenopausal women. Public Health Nutr. 2008, 11, 564–572, doi:10.1017/S1368980007000808.

27. Tucker, K.L. Vegetarian diets and bone status. Am. J. Clin. Nutr. 2014, 100 Suppl 1, 329S–35S, doi:10.3945/ajcn.113.071621.

28. Messina, V.; Messina, M. Soy products as sources of calcium in the diets of Chinese americans. J. Am. Diet. Assoc. 2010, 110, 1812-3; author reply 1813, doi:10.1016/j.jada.2010.10.020.

29. Reid, M.A.; Marsh, K.A.; Zeuschner, C.L.; Saunders, A.V.; Baines, S.K. Meeting the nutrient reference values on a vegetarian diet. Med. J. Aust. 2013, 199, S33-40.

30. Weaver, C.M.; Proulx, W.R.; Heaney, R. Choices for achieving adequate dietary calcium with a vegetarian diet. Am. J. Clin. Nutr. 1999, 70, 543S-548S.

31. de Abajo, Francisco J. de; Rodríguez-Martín, S.; Rodríguez-Miguel, A.; Gil, M.J. Risk of Ischemic Stroke Associated With Calcium Supplements With or Without Vitamin D: A Nested Case-Control Study. J. Am. Heart Assoc. 2017, 6, doi:10.1161/JAHA.117.005795.

32. Gemede, H.F.; Haki, G.D.; Beyene, F.; Woldegiorgis, A.Z.; Rakshit, S.K. Proximate, mineral, and antinutrient compositions of indigenous Okra (Abelmoschus esculentus) pod accessions: implications for mineral bioavailability. Food Sci. Nutr. 2016, 4, 223–233, doi:10.1002/fsn3.282.

33. Boukari, I.; Shier, N.W.; Fernandez R., X.E.; Frisch, J.; Watkins, B.A.; Pawloski, L.; Fly, A.D. Calcium Analysis of Selected Western African Foods. Journal of Food Composition and Analysis 2001, 14, 37–42, doi:10.1006/jfca.2000.0967.

34. Greeshma, A.A.; Sridhar, K.R. Nutraceutical and Bioactive Significance of Ferns with Emphasis on the Medicinal Fern Diplazium. In Medically Important Plant Biomes: Source of Secondary Metabolites; Egamberdieva, Ed.; Springer Singapore: Singapore, 2019; pp 115–131, ISBN 978-981-13-9565-9.

35. Pradhan, S.; Manivannan, S.; Tamang, J.P. Chemical composition of some underutilized green leafy vegetables of Sonitpur district of Assam, India. Journal of Scientific and Industrial Research 2015, 74.

36. Saha, J.; Biswal, A.K.; Deka, S.C. Chemical composition of some underutilized green leafy vegetables of Sonitpur district of Assam, India. International Food Research Journal 2015, 22, 1466–1473.

37. Böhmer, H.; Müller, H.; Resch, K.L. Calcium supplementation with calcium-rich mineral waters: a systematic review and meta-analysis of its bioavailability. Osteoporos. Int. 2000, 11, 938–943, doi:10.1007/s001980070032.

38. Vitoria, I.; Maraver, F.; Ferreira-Pêgo, C.; Armijo, F.; Moreno Aznar, L.; Salas-Salvadó, J. The calcium concentration of public drinking waters and bottled mineral waters in Spain and its contribution to satisfying nutritional needs. Nutr. Hosp. 2014, 30, 188–199, doi:10.3305/nh.2014.30.1.7491.

39. Bressani, R.; Turcios, J.C.; Colmenares de Ruiz, A.S.; Palomo, P.P. de. Effect of processing conditions on phytic acid, calcium, iron, and zinc contents of lime-cooked maize. J. Agric. Food Chem. 2004, 52, 1157–1162, doi:10.1021/jf030636k.

40. Hambidge, K.M.; Krebs, N.F.; Westcott, J.L.; Sian, L.; Miller, L.V.; Peterson, K.L.; Raboy, V. Absorption of calcium from tortilla meals prepared from low-phytate maize. Am. J. Clin. Nutr. 2005, 82, 84–87.

41. Islas-Rubio, A.R.; La Barca, A.M.C. de; Molina-Jacott, L.E.; Del Carmen Granados-Nevárez, M.; Vasquez-Lara, F. Development and evaluation of a nutritionally enhanced multigrain tortilla snack. Plant Foods Hum. Nutr. 2014, 69, 128–133, doi:10.1007/s11130-014-0408-y.

42. Monárrez-Espino, J.; Béjar-Lío, G.I.; Vázquez-Mendoza, G. Adecuación de la dieta servida a escolares en albergues indigenistas de la Sierra Tarahumara, México. Salud Pública de México 2010, 52, 23–29.

43. Rosado, J.L.; López, P.; Morales, M.; Munoz, E.; Allen, L.H. Bioavailability of energy, nitrogen, fat, zinc, iron and calcium from rural and urban Mexican diets. Br. J. Nutr. 1992, 68, 45–58.

44. Pappa, M.R.; Palomo, P.P. de; Bressani, R. Effect of lime and wood ash on the nixtamalization of maize and tortilla chemical and nutritional characteristics. Plant Foods Hum. Nutr. 2010, 65, 130–135, doi:10.1007/s11130-010-0162-8.

45. Rosado, J.L.; Díaz, M.; Rosas, A.; Griffit, I.; García, O.P. Calcium absorption from corn tortilla is relatively high and is dependent upon calcium content and liming in Mexican women. J. Nutr. 2005, 135, 2578–2581.

46. Serna-Saldivar, S.O.; Amaya Guerra, C.A.; Herrera Macias, P.; Melesio Cuellar, J.L.; Preciado Ortiz, R.E.; Terron Ibarra, A.D.; Vazquez Carrillo, G. Evaluation of the lime-cooking and tortilla making properties of quality protein maize hybrids grown in Mexico. Plant Foods Hum. Nutr. 2008, 63, 119–125, doi:10.1007/s11130-008-0080-1.

47. Holick, M.F. The vitamin D deficiency pandemic: approaches for diagnosis, treatment and prevention. Rev. Endocr. Metab. Disord. 2017, doi:10.1007/s11154-017-9424-1.

48. Ho-Pham, L.T.; Vu, B.Q.; Lai, T.Q.; Nguyen, N.D.; Nguyen, T.V. Vegetarianism, bone loss, fracture and vitamin D: a longitudinal study in Asian vegans and non-vegans. Eur. J. Clin. Nutr. 2012, 66, 75–82, doi:10.1038/ejcn.2011.131.

49. Kristensen, N.B.; Madsen, M.L.; Hansen, T.H.; Allin, K.H.; Hoppe, C.; Fagt, S.; Lausten, M.S.; Gøbel, R.J.; Vestergaard, H.; Hansen, T.; et al. Intake of macro- and micronutrients in Danish vegans. Nutr. J. 2015, 14, 115, doi:10.1186/s12937-015-0103-3.

50. Outila, T.A.; Kärkkäinen, M.U.; Seppänen, R.H.; Lamberg-Allardt, C.J. Dietary intake of vitamin D in premenopausal, healthy vegans was insufficient to maintain concentrations of serum 25-hydroxyvitamin D and intact parathyroid hormone within normal ranges during the winter in Finland. J. Am. Diet. Assoc. 2000, 100, 434–441, doi:10.1016/S0002-8223(00)00134-6.

51. Plehwe, W.E.; Carey, R.P.L. Spinal surgery and severe vitamin D deficiency. Med. J. Aust. 2002, 176, 438–439.

52. Smith, T.J.; Tripkovic, L.; Damsgaard, C.T.; Mølgaard, C.; Ritz, C.; Wilson-Barnes, S.L.; Dowling, K.G.; Hennessy, Á.; Cashman, K.D.; Kiely, M.; et al. Estimation of the dietary requirement for vitamin D in adolescents aged 14-18 y: a dose-response, double-blind, randomized placebo-controlled trial. Am. J. Clin. Nutr. 2016, 104, 1301–1309, doi:10.3945/ajcn.116.138065.

53. Ustianowski, A.; Shaffer, R.; Collin, S.; Wilkinson, R.J.; Davidson, R.N. Prevalence and associations of vitamin D deficiency in foreign-born persons with tuberculosis in London. J. Infect. 2005, 50, 432–437, doi:10.1016/j.jinf.2004.07.006.

54. Vidailhet, M.; Mallet, E.; Bocquet, A.; Bresson, J.-L.; Briend, A.; Chouraqui, J.-P.; Darmaun, D.; Dupont, C.; Frelut, M.-L.; Ghisolfi, J.; et al. Vitamin D: still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics. Arch. Pediatr. 2012, 19, 316–328, doi:10.1016/j.arcped.2011.12.015.

55. Dewansingh, P.; Melse-Boonstra, A.; Krijnen, W.P.; van der Schans, C.P.; Jager-Wittenaar, H.; van den Heuvel, E.G.H.M. Supplemental protein from dairy products increases body weight and vitamin D improves physical performance in older adults: A systematic review and meta-analysis. Nutr. Res. 2018, 49, 1–22, doi:10.1016/j.nutres.2017.08.004.

56. Jäpelt, R.B.; Jakobsen, J. Vitamin D in plants: a review of occurrence, analysis, and biosynthesis. Front. Plant Sci. 2013, 4, 136, doi:10.3389/fpls.2013.00136.

57. Davidsson, L. Are vegetarians an ‘at risk group’ for iodine deficiency? Br. J. Nutr. 1999, 81, 3–4.

58. Elorinne, A.-L.; Alfthan, G.; Erlund, I.; Kivimäki, H.; Paju, A.; Salminen, I.; Turpeinen, U.; Voutilainen, S.; Laakso, J. Food and nutrient intake and nutritional status of Finnish vegans and non-vegetarians. PLoS ONE 2016, 11, e0148235, doi:10.1371/journal.pone.0148235.

59. Fields, C.; Dourson, M.; Borak, J. Iodine-deficient vegetarians: a hypothetical perchlorate-susceptible population? Regul. Toxicol. Pharmacol. 2005, 42, 37–46, doi:10.1016/j.yrtph.2005.01.001.

60. Krajcovicová-Kudlácková, M.; Bucková, K.; Klimes, I.; Seboková, E. Iodine deficiency in vegetarians and vegans. Ann. Nutr. Metab. 2003, 47, 183–185.

61. Leung, A.M.; Lamar, A.; He, X.; Braverman, L.E.; Pearce, E.N. Iodine status and thyroid function of Boston-area vegetarians and vegans. J. Clin. Endocrinol. Metab. 2011, 96, E1303-7, doi:10.1210/jc.2011-0256.

62. Lightowler, H.J.; Davies, G.J. Assessment of iodine intake in vegans: weighed dietary record vs duplicate portion technique. Eur. J. Clin. Nutr. 2002, 56, 765–770, doi:10.1038/sj.ejcn.1601392.

63. Lightowler, H.J.; Davies, G.J. Iodine intake and iodine deficiency in vegans as assessed by the duplicate-portion technique and urinary iodine excretion. Br. J. Nutr. 1998, 80, 529–535.

64. Kanaka, C.; Schütz, B.; Zuppinger, K.A. Risks of alternative nutrition in infancy: a case report of severe iodine and carnitine deficiency. Eur. J. Pediatr. 1992, 151, 786–788.

65. Remer, T.; Neubert, A.; Manz, F. Increased risk of iodine deficiency with vegetarian nutrition. Br. J. Nutr. 1999, 81, 45–49.

66. Namvar, F.; Mohamed, S.; Fard, S.G.; Behravan, J.; Mustapha, N.M.; Alitheen, N.B.M.; Othman, F. Polyphenol-rich seaweed (Eucheuma cottonii) extract suppresses breast tumour via hormone modulation and apoptosis induction. Food Chem. 2012, 130, 376–382, doi:10.1016/j.foodchem.2011.07.054.

67. Firdaus, M.; Yahya; Raditya Hardany Nugraha, G.; Dwi Utari, D. Fortification of seaweed (Eucheuma cottonii ) flour on nutrition, iodine, and glycemic index of pasta. IOP Conf. Ser.: Earth Environ. Sci. 2017, 89, 12011, doi:10.1088/1755-1315/89/1/012011.

68. Matanjun, P.; Mohamed, S.; Mustapha, N.M.; Muhammad, K. Nutrient content of tropical edible seaweeds, Eucheuma cottonii, Caulerpa lentillifera and Sargassum polycystum. J. Appl. Phycol. 2009, 21, 75–80, doi:10.1007/s10811-008-9326-4.

69. Dulanlebit, Y.H.; Hattu, N.; Bora, G. Bioconcentration analysis of iodine species in seaweed (Eucheuma cottonii) from Maluku marine as alternative food source. International Journal of Chemical and Molecular Engineering 2020, 14.

70. Ratana-arporn, P.; Chirapart, A. Nutritional evaluation of tropical green seaweeds Caulerpa lentillifera and Ulva reticulata. Kasetsart Journal - Natural Science 2006.

71. García-Casal, M.N.; Landaeta, M.; Adrianza de Baptista, G.; Murillo, C.; Rincón, M.; Bou Rached, L.; Bilbao, A.; Anderson, H.; García, D.; Franquiz, J.; et al. Valores de referencia de hierro, yodo, zinc, selenio, cobre, molibdeno, vitamina C, vitamina E, vitamina K, carotenoides y polifenoles para la población venezolana. Arch. Latinoam. Nutr. 2013, 63, 338–361.

72. Rohner, F.; Zimmermann, M.; Jooste, P.; Pandav, C.; Caldwell, K.; Raghavan, R.; Raiten, D.J. Biomarkers of nutrition for development—iodine review. J. Nutr. 2014, 144, 1322S–1342S, doi:10.3945/jn.113.181974.

73. Zimmermann, M.B.; Andersson, M. Assessment of iodine nutrition in populations: past, present, and future. Nutr. Rev. 2012, 70, 553–570, doi:10.1111/j.1753-4887.2012.00528.x.

74. Davis, B.C.; Kris-Etherton, P.M. Achieving optimal essential fatty acid status in vegetarians: current knowledge and practical implications. Am. J. Clin. Nutr. 2003, 78, 640S-646S.

75. Domenichiello, A.F.; Chen, C.T.; Trepanier, M.-O.; Stavro, P.M.; Bazinet, R.P. Whole body synthesis rates of DHA from α-linolenic acid are greater than brain DHA accretion and uptake rates in adult rats. J. Lipid Res. 2014, 55, 62–74, doi:10.1194/jlr.M042275.

76. Fayet-Moore, F.; Baghurst, K.; Meyer, B.J. Four models including fish, seafood, red meat and enriched foods to achieve Australian dietary recommendations for n-3 LCPUFA for all life-stages. Nutrients 2015, 7, 8602–8614, doi:10.3390/nu7105413.

77. Harris, W.S. Achieving optimal n-3 fatty acid status: the vegetarian’s challenge… or not. Am. J. Clin. Nutr. 2014, 100 Suppl 1, 449S–52S, doi:10.3945/ajcn.113.071324.

78. Sanders, T.A.B. DHA status of vegetarians. Prostaglandins Leukot. Essent. Fatty Acids 2009, 81, 137–141, doi:10.1016/j.plefa.2009.05.013.

79. Saunders, A.V.; Davis, B.C.; Garg, M.L. Omega-3 polyunsaturated fatty acids and vegetarian diets. Med. J. Aust. 2013, 199, S22-6.

80. EFSA. Opinion on the safety of ‘Chia seeds (Salvia hispanica L.) and ground whole Chia seeds’ as a food ingredient. EFSA Journal 2009, 7, 996, doi:10.2903/j.efsa.2009.996.

81. Mohd Ali, N.; Yeap, S.K.; Ho, W.Y.; Beh, B.K.; Tan, S.W.; Tan, S.G. The promising future of chia, Salvia hispanica L. J. Biomed. Biotechnol. 2012, 2012, 171956, doi:10.1155/2012/171956.

82. Ullah, R.; Nadeem, M.; Khalique, A.; Imran, M.; Mehmood, S.; Javid, A.; Hussain, J. Nutritional and therapeutic perspectives of Chia (Salvia hispanica L.): a review. J. Food Sci. Technol. 2016, 53, 1750–1758, doi:10.1007/s13197-015-1967-0.

83. Demark-Wahnefried, W.; Polascik, T.J.; George, S.L.; Switzer, B.R.; Madden, J.F.; Ruffin, M.T.; Snyder, D.C.; Owzar, K.; Hars, V.; Albala, D.M.; et al. Flaxseed supplementation (not dietary fat restriction) reduces prostate cancer proliferation rates in men presurgery. Cancer Epidemiol. Biomarkers Prev. 2008, 17, 3577–3587, doi:10.1158/1055-9965.EPI-08-0008.

84. Hackshaw-McGeagh, L.E.; Perry, R.E.; Leach, V.A.; Qandil, S.; Jeffreys, M.; Martin, R.M.; Lane, J.A. A systematic review of dietary, nutritional, and physical activity interventions for the prevention of prostate cancer progression and mortality. Cancer Causes Control 2015, 26, 1521–1550, doi:10.1007/s10552-015-0659-4.

85. Cottin, S.C.; Sanders, T.A.; Hall, W.L. The differential effects of EPA and DHA on cardiovascular risk factors. Proc. Nutr. Soc. 2011, 70, 215–231, doi:10.1017/S0029665111000061.

86. Geppert, J.; Kraft, V.; Demmelmair, H.; Koletzko, B. Microalgal docosahexaenoic acid decreases plasma triacylglycerol in normolipidaemic vegetarians: a randomised trial. Br. J. Nutr. 2006, 95, 779–786.

87. Sarter, B.; Kelsey, K.S.; Schwartz, T.A.; Harris, W.S. Blood docosahexaenoic acid and eicosapentaenoic acid in vegans: associations with age and gender and effects of an algal-derived omega-3 fatty acid supplement. Clin. Nutr. 2015, 34, 212–218, doi:10.1016/j.clnu.2014.03.003.

88. Waldmann, A.; Koschizke, J.W.; Leitzmann, C.; Hahn, A. Dietary iron intake and iron status of German female vegans: results of the German vegan study. Ann. Nutr. Metab. 2004, 48, 103–108, doi:10.1159/000077045.

89. Gorczyca, D.; Prescha, A.; Szeremeta, K.; Jankowski, A. Iron status and dietary iron intake of vegetarian children from Poland. Ann. Nutr. Metab. 2013, 62, 291–297, doi:10.1159/000348437.

90. Craig, W.J. Iron status of vegetarians. Am. J. Clin. Nutr. 1994, 59, 1233S-1237S.

91. Gibson, R.S.; Heath, A.-L.M.; Szymlek-Gay, E.A. Is iron and zinc nutrition a concern for vegetarian infants and young children in industrialized countries? Am. J. Clin. Nutr. 2014, 100 Suppl 1, 459S–68S, doi:10.3945/ajcn.113.071241.

92. Hurrell, R.; Egli, I. Iron bioavailability and dietary reference values. Am. J. Clin. Nutr. 2010, 91, 1461S–1467S, doi:10.3945/ajcn.2010.28674F.

93. Hunt, J.R. Moving toward a plant-based diet: are iron and zinc at risk? Nutr. Rev. 2002, 60, 127–134.

94. Hunt, J.R. Bioavailability of iron, zinc, and other trace minerals from vegetarian diets. Am. J. Clin. Nutr. 2003, 78, 633S-639S.

95. Quintaes, K.D.; Amaya-Farfan, J.; Tomazini, F.M.; Morgano, M.A.; Almeyda Hajisa, N.M. de; Neto, J.T. Mineral migration and influence of meal preparation in iron cookware on the iron nutritional status of vegetarian students. Ecology of Food and Nutrition 2007, 46, 125–141, doi:10.1080/03670240701285079.

96. Sanders, T.A. Vegetarian diets. In Human nutrition, 12th edition; Geissler CA, Powers HJ, Eds.; Churchill Livingstone Elsevier: Edinburgh, 2012; pp 355–363.

97. Saunders, A.V.; Craig, W.J.; Baines, S.K. Zinc and vegetarian diets. Med. J. Aust. 2013, 199, S17-21.

98. Ball, M.J.; Ackland, M.L. Zinc intake and status in Australian vegetarians. Br. J. Nutr. 2000, 83, 27–33.

99. Gibson, R.S.; Bailey, K.B.; Romano, A.B.A.; Thomson, C.D. Plasma selenium concentrations in pregnant women in two countries with contrasting soil selenium levels. J. Trace Elem. Med. Biol. 2011, 25, 230–235, doi:10.1016/j.jtemb.2011.10.001.

100. Mak, T.-N.; Angeles-Agdeppa, I.; Tassy, M.; Capanzana, M.V.; Offord, E.A. The Nutritional Impact of Milk Beverages in Reducing Nutrient Inadequacy among Children Aged One to Five Years in the Philippines: A Dietary Modelling Study. Nutrients 2020, 12, doi:10.3390/nu12113330.

101. Combs, G. F.; Combs, S.B. The role of selenium in nutrition; Academic Press: Orlando, 1986.

102. Combs, G.F. Selenium in global food systems. Br. J. Nutr. 2001, 85, 517–547.

103. Mondragón, M.C.; Jaffé, W.G. Consumo de selenio en la ciudad de Caracas en comparación con el de otras ciudades del mundo. Abstract. Arch. Latinoam. Nutr. 1976, 26, 343–352.

104. Surai, P.F. Selenium in nutrition and health; Nottingham University Press: Nottingham, 2006.

105. Hildbrand, S.M. Bedeutung des Jod/Selen-Quotienten und des Ferritins für das Auftreten einer Autoimmunthyreoiditis (AIT) bei omnivor, lakto-vegetarisch und vegan sich ernährenden Personen: Eine epidemiologische klinische Querschnittstudie. Dissertation zum Erwerb des Doktorgrades der Medizin. Dissertation; Ludwig-Maximilians-Universität, München, 2015.

106. Hoeflich, J.; Hollenbach, B.; Behrends, T.; Hoeg, A.; Stosnach, H.; Schomburg, L. The choice of biomarkers determines the selenium status in young German vegans and vegetarians. Br. J. Nutr. 2010, 104, 1601–1604, doi:10.1017/S0007114510002618.

107. Lightowler, H.J.; Davies, G.J. Micronutrient intakes in a group of UK vegans and the contribution of self-selected dietary supplements. J. R. Soc. Promot. Health 2000, 120, 117–124.

108. Thomson, C.D.; Chisholm, A.; McLachlan, S.K.; Campbell, J.M. Brazil nuts: an effective way to improve selenium status. Am. J. Clin. Nutr. 2008, 87, 379–384.

109. Colpo, E.; Vilanova, C.D.d.A.; Brenner Reetz, L.G.; Medeiros Frescura Duarte, M.M.; Farias, I.L.G.; Irineu Muller, E.; Muller, A.L.H.; Moraes Flores, E.M.; Wagner, R.; da Rocha, J.B.T. A single consumption of high amounts of the Brazil nuts improves lipid profile of healthy volunteers. J. Nutr. Metab. 2013, 2013, 11348568653185, doi:10.1155/2013/653185.

110. Martens, I.B.G.; Cardoso, B.R.; Hare, D.J.; Niedzwiecki, M.M.; Lajolo, F.M.; Martens, A.; Cozzolino, S.M.F. Selenium status in preschool children receiving a Brazil nut-enriched diet. Nutrition 2015, 31, 1339–1343, doi:10.1016/j.nut.2015.05.005.

111. Dumont, E.; Vanhaecke, F.; Cornelis, R. Selenium speciation from food source to metabolites: a critical review. Anal. Bioanal. Chem. 2006, 385, 1304–1323, doi:10.1007/s00216-006-0529-8.

112. Benstoem, C.; Goetzenich, A.; Kraemer, S.; Borosch, S.; Manzanares, W.; Hardy, G.; Stoppe, C. Selenium and its supplementation in cardiovascular disease - What do we know? Nutrients 2015, 7, 3094–3118, doi:10.3390/nu7053094.

113. Ogawa-Wong, A.N.; Berry, M.J.; Seale, L.A. Selenium and metabolic disorders: an emphasis on type 2 diabetes risk. Nutrients 2016, 8, 80, doi:10.3390/nu8020080.

114. Thomson, C.D. Assessment of requirements for selenium and adequacy of selenium status: a review. Eur. J. Clin. Nutr. 2004, 58, 391–402, doi:10.1038/sj.ejcn.1601800.

115. Wrobel, J.K.; Power, R.; Toborek, M. Biological activity of selenium: revisited. IUBMB Life 2016, 68, 97–105, doi:10.1002/iub.1466.

116. Xia, Y.; Hill, K.E.; Byrne, D.W.; Xu, J.; Burk, R.F. Effectiveness of selenium supplements in a low-selenium area of China. Am. J. Clin. Nutr. 2005, 81, 829–834.

117. PAHO. Nutritional situation in the Americas. Epidemiol. Bull. 1994, 15, 1–6.

118. Lousuebsakul-Matthews, V.; Thorpe, D.L.; Knutsen, R.; Beeson, W.L.; Fraser, G.E.; Knutsen, S.F. Legumes and meat analogues consumption are associated with hip fracture risk independently of meat intake among Caucasian men and women: the Adventist Health Study-2. Public Health Nutr. 2014, 17, 2333–2343, doi:10.1017/S1368980013002693.

119. Shams-White, M.M.; Chung, M.; Du, M.; Fu, Z.; Insogna, K.L.; Karlsen, M.C.; LeBoff, M.S.; Shapses, S.A.; Sackey, J.; Wallace, T.C.; et al. Dietary protein and bone health: a systematic review and meta-analysis from the National Osteoporosis Foundation. Am. J. Clin. Nutr. 2017, 105, 1528–1543, doi:10.3945/ajcn.116.145110.

120. Marsh, K.A.; Munn, E.A.; Baines, S.K. Protein and vegetarian diets. Med. J. Aust. 2013, 199, S7-S10.

121. Koeder C, Perez-Cueto FJA: Vegan nutrition: a preliminary guide for health professionals. Crit Rev Food Sci Nutr. 2022 Aug 12;1-38. doi: 10.1080/10408398.2022.2107997

122. Food and Nutrition Research Institute of the Department of Science and Technology (FNRI-DOST): Philippine Dietary Reference Intakes (PDRI), Philippines, 2015, revised September 2018