Vegetarian diet focuses on plant-derived foods such as fruits, vegetables, legumes, whole grains, seeds and nuts, while excluding some or all animal-derived foods. People choose this way of eating for many reasons — environmental concerns, ethical values, religious beliefs, or health considerations.
Types of Vegetarian Diets
- Vegan diets — Exclude meat, poultry, fish, eggs, dairy and all products containing them.
- Lacto-vegetarian diets — Exclude meat, fish, poultry and eggs, but include dairy products.
- Lacto-ovo vegetarian diets — Exclude meat, fish and poultry, but include dairy and eggs.
- Ovo-vegetarian diets — Exclude meat, poultry, seafood and dairy, but include eggs.
Health Benefits of a Vegetarian Diet
When carefully planned, vegetarian and vegan diets are nutritionally adequate and may offer health benefits. They are associated with lower risk of heart disease, obesity, hypertension, type 2 diabetes and certain cancers.
These benefits are largely due to lower saturated fat intake and higher intake of fibre and phytonutrients, which help improve cholesterol levels, blood glucose control and overall metabolic health.
Key Nutrients to Watch
A restrictive diet can make it harder to obtain certain nutrients. Pay special attention to the following:
Calcium and Vitamin D
Good plant sources include dark green vegetables (kale, broccoli, collard greens), fortified plant milks, and fortified foods. Vitamin D may also need to come from sunlight or supplements.
Vitamin B12
Found almost exclusively in animal products. Vegans should use fortified foods (fortified nutritional yeast, breakfast cereals, plant milks) or take a reliable B12 supplement.
Protein
Include a variety of beans, lentils, peas, nuts, seeds, tofu, tempeh and edamame to meet protein needs. Combining different plant proteins throughout the day provides a complete amino acid profile.
Omega-3 Fatty Acids (EPA & DHA)
These are lower in vegetarian diets and largely absent in vegan diets. Include plant sources of ALA such as flaxseeds, chia seeds, walnuts and soybean oil. Conversion to EPA and DHA is limited, so some people benefit from algae-based supplements.
Iron and Zinc
Phytates in whole grains, legumes and nuts can reduce absorption. Pair iron-rich plant foods with vitamin C sources, and use soaking, sprouting or fermenting methods to improve bioavailability of both iron and zinc.
Iodine
Plant foods are often low in iodine. Reliable sources include iodised salt and sea vegetables (nori, wakame, kombu) in moderate amounts.
Who Can Follow a Vegetarian Diet?
Well-planned vegetarian and vegan diets are suitable for all life stages, including pregnancy, childhood and older adulthood. The key is variety and attention to the nutrients listed above.
References
- Academy of Nutrition and Dietetics. Nutrition Care Manual. 2018.
- Harvard Health Publishing. Becoming a Vegetarian. 2020.
- National Institutes of Health. Omega-3 Fatty Acids.
- Krajcovicová-Kudlácková M, et al. Iodine deficiency in vegetarians and vegans. Ann Nutr Metab. 2003.
- Melina V, Craig W, Levin S. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 2016.
- Walczyk T, et al. Inhibition of iron absorption by calcium. J Nutr. 2014.
- Kahleova H, et al. Vegetarian dietary patterns and cardiovascular disease. Prog Cardiovasc Dis. 2018.
- Leitzmann C. Vegetarian diets: What are the advantages? Forum Nutr. 2005.
- Greupner T, et al. Effects of a high-α-linolenic acid intervention. Food Funct. 2018.
- Harvard T.H. Chan School of Public Health. Iodine. 2021.
- Maares M, Haase H. A guide to human zinc absorption. Nutrients. 2020.

