Vegetarian diet: How to get the best nutrition
A well-planned vegetarian diet is a healthy way to meet your nutritional needs. Find out what you need to know about a plant-based diet.
Adopting a healthy vegetarian diet isn’t as simple as scraping meat off your plate and eating what’s left. You need to take extra steps to ensure you’re meeting your daily nutritional needs.
Many vegetarian eating plans exist. At the very least, they exclude red meat, chicken and fish. Some vegetarian diets also exclude eggs and milk products. The Vegetarian Diet Pyramid shows a lacto-ovo vegetarian diet. It features whole grains, legumes, fruits and vegetables and includes moderate amounts of nuts and seeds, soy, egg whites, dairy products and plant oils.

A healthy vegetarian diet consists primarily of plant-based foods, such as fruits, vegetables, whole grains, legumes, nuts and seeds. Because the emphasis is on nonmeat food sources, a vegetarian diet generally contains less fat and cholesterol, and typically includes more fiber.
Vegetarians fall into groups defined by the types of animal-derived foods they eat:
- Vegans eat only plant-based foods. They don’t eat foods from animals, including meat, poultry, fish, milk, eggs and cheese.
- Lacto-vegetarians consume milk and milk products along with plant-based foods. They omit eggs as well as meat, fish and poultry.
- Lacto-ovo vegetarians eat eggs, milk and milk products, such as cheese and yogurt, in addition to plant-based foods. They omit red meat, fish and poultry.
- Flexitarians (semivegetarians) primarily follow a plant-based diet but occasionally eat small amounts of meat, poultry or fish.
To keep your vegetarian diet on track, you may find using a vegetarian food pyramid helpful. This pyramid outlines various food groups and food choices that, if eaten in the right quantities, form the foundation of a healthy vegetarian diet.
No matter what your age or situation, a well-planned vegetarian diet can meet your nutritional needs. Even children and teenagers can do well on a plant-based diet, as can older people, and pregnant or breast-feeding women. If you’re unsure whether a vegetarian diet is right for you, talk to your doctor or a registered dietitian.
Meat alternatives
Meatless products, such as tofu dogs, soy burgers, nut loaves or texturized vegetable protein, add variety to your vegetarian diet. These products, found in many grocery stores and health food markets, simulate the taste and texture of meat and usually have less fat and fewer calories. Many of the meatless products, such as tofu or tempeh, are made from soybeans.
If you follow a vegan diet, you may need to find alternatives for eggs and dairy products. Try these suggestions when meal planning or cooking:
Milk. Drink fortified soymilk, rice milk or almond milk in place of cow’s milk.
Butter. When sauteing, use olive oil, water, vegetable broth, wine or fat-free cooking spray instead of butter. In baked goods, use canola oil.
Cheese. Use soy cheese or nutritional yeast flakes, which are available in health food stores.
Eggs. In baked goods, try commercial egg replacers — a dry product made mostly of potato starch. Or you can use the following to replace one egg: 1/4 cup whipped tofu or 1 tablespoon milled flaxseed mixed with 3 tablespoons of water. For an egg-free omelet use tofu instead of eggs.
Ensuring adequate nutrition
The more restrictive a diet is, the more difficult it is to get all the nutrients your body needs. A vegan diet, for example, eliminates food sources of vitamin B-12, as well as milk products, which are a good source of calcium. Other nutrients, such as iron and zinc, are available in a meatless diet, but you need to make an extra effort to ensure they’re in yours.
Here are nutrients that may be deficient in a vegetarian diet and how you can get these nutrients from nonmeat sources:
- Protein. Your body needs protein to maintain healthy skin, bones, muscles and organs. Vegetarians who eat eggs or dairy products have convenient sources of protein. Other sources of protein include soy products, meat substitutes, legumes, lentils, nuts, seeds and whole grains.
- Calcium. This mineral helps build and maintain strong teeth and bones. Low-fat dairy foods and dark green vegetables, such as spinach, turnip and collard greens, kale, and broccoli, are good sources of calcium. Tofu enriched with calcium and fortified soy milk and fruit juices are other options.
- Vitamin B-12. Your body needs vitamin B-12 to produce red blood cells and prevent anemia. This vitamin is found almost exclusively in animal products, including milk, eggs and cheese. Vegans can get vitamin B-12 from some enriched cereals, fortified soy products or by taking a supplement that contains this vitamin. - Iron. Like vitamin B-12, iron is a crucial component of red blood cells. Dried beans and peas, lentils, enriched cereals, whole-grain products, dark leafy green vegetables, and dried fruit are good sources of iron. To help your body absorb nonanimal sources of iron, eat foods rich in vitamin C — such as strawberries, citrus fruits, tomatoes, cabbage and broccoli — at the same time you consume iron-containing foods.
- Zinc. This mineral is an essential component of many enzymes and plays a role in cell division and in the formation of proteins. Good sources of zinc include whole grains, soy products, nuts and wheat germ.
The key to a healthy vegetarian diet — or any diet for that matter — is to enjoy a wide variety of foods. Since no single food provides all of the nutrients that your body needs, eating a wide variety helps ensure that you get the necessary nutrients and other substances that promote good health.
Getting started
If you’re thinking of switching to a vegetarian diet but aren’t sure where to begin, start with menu planning.
- Start with what you know. Make a list of meatless meals you already prepare regularly, such as spaghetti with tomato sauce or vegetable stir-fry.
- Make meatless substitutions. Select meals that could easily become meat-free with a couple of substitutions. For example, you can make vegetarian chili by leaving out the ground beef and adding an extra can of black beans or soy crumbles. Or make fajitas using extra-firm tofu rather than chicken. You may be surprised to find that some dishes require only simple substitutions.
- Experiment with new meal ideas. Buy or borrow vegetarian cookbooks. Scan the Internet for vegetarian menus or for tips about making meatless substitutions. Check out ethnic restaurants to sample new vegetarian cuisine. The more variety you bring to your vegetarian diet, the better the chance you’ll meet all your nutritional needs.
By Mayo Clinic Staff
Jan 5, 2008
A look at the role of chiropractors in the NFL by Dr. Spencer Baron
Well, for all of you fans out there, week one of the NFL is done…hope you enjoyed it. Do you ever wonder how it is these guys keep coming back, week after week, tackle after tackle? Perhaps the chiropractic angle has played a larger role than what you suspected.
One thing professional athletes do not have to worry about is healthcare. Teams want their players healthy; they want to get their money’s worth. Longevity on the playing field is paramount, because for every year a player remains competitive, millions of dollars may be earned.
A perfect example is the $35 million salary of quarterback Peyton Manning. His healthcare team would not use the “no pain, no gain” treatment principles depicted in the 1979 motion picture North Dallas Forty.
Scenes in that movie showed players receiving multiple shots of anesthetics for torn ligaments and tendons so that they could continue playing.
Today, athletes, their agents, athletic trainers, and medical doctors understand the consequences of disabling the pain mechanism and have come to align themselves with the chiropractic perspective — treat the cause of the pain.
All but one of the 32 teams in the National Football League (NFL) utilize the services of a chiropractor as part of the triage in managing and preventing injuries. (Only one team does not publicly admit to using chiropractic care — the Oakland Raiders.)
Three teams have two chiropractors who adjust players, and a few teams engage DCs to perform only soft-tissue work, independent of the adjusting DC.
The average pro football chiropractor renders 30 to 50 treatments per week during the season. With the in-season (game-playing) duration lasting 16 weeks (not including quarterback camp, mini-camp, and pre- and post-season), 34 chiropractors conservatively give 16,320 to 27,200 adjustments to America’s superstars in just 120 days.
The diversity of relationships among the 31 teams and their chiropractors has generated the formation of the Professional Football Chiropractic Society (PFCS). Our main goal is to provide consistency among constituents, as we take the best practices from each alliance and create a template to apply to chiropractors who work with other pro sports.
With professional football — namely, the NFL — as the best-run business in sports (next to auto racing), these parameters bear a critical view for chiropractic to position itself as an indispensable tool in the wellness care, improved sports performance, and injury rehabilitation of professional athletes.
A PRO TEAM DC PROFILE
Recently, the PFCS surveyed its members about their team relationships. A compilation of statistics from the survey reveals some interesting information:
• Titles vary. Of the 32 teams, 24 chiropractors are referred to as the “official chiropractor.” Three are specifically considered “chiropractic consultants,” while 24 are listed as the “team chiropractor.”
• In the media. Ten team chiropractors are listed in the media guide, which is sent to every media outlet in the country and beyond. Three are listed on their team’s Web site, which is the property of the NFL.
• Shared quarters. War stories whispered throughout our profession indicated that in the past, players who wanted chiropractic adjustments had to meet with a chiropractor in hotel bathrooms, parking lots, or back alleys.
Now, 26 chiropractors share the training room with athletic trainers and team physicians, while 10 give adjustments in the locker room, and three treat in the weight room.
• Have table, will travel. Thirteen team chiropractors participate in the arduous task of traveling with their teams and treat players in hotel rooms or at the home team’s stadium.
• Some contractors, few employees. Sixteen (16) provide services as (1099) contractors, while four are salaried employees of the teams.
• Varied compensation. The compensation for team chiropractors ranges considerably. Twenty of the doctors receive paraphernalia (logo-laden clothing, shoes, and caps) in exchange for services. Some are given season tickets, while others receive a stipend ranging from $5,000 to $30,000 for a year’s contract that maintains and spells out the relationship.
• Insurance reimbursements accepted. The fees charged by team chiropractors vary from $40 to $220. NFL players are covered by Cigna PPO; 12 chiropractors accept reimbursements for treatment. These reimbursements can generate $40,000 to $60,000 annually.
• Many techniques. Most of the doctors use diversified adjusting techniques, although four use low-force methods, and one uses sacro occipital technique (SOT).
• Much soft-tissue work. Approximately 84 percent of the practitioners utilize one or a combination of soft-tissue techniques. Seventeen use trigger point; 13, myofascial release; 11, ART; seven, Graston; four, Nimmo; and two, MRT.
• Game-day work. Catering to the needs of a team’s management requires 16 chiropractors to render service on game day. The most common weekday for treatment is Friday.
• Men only. Currently no women provide chiropractic services to the NFL.
PERSONAL CHARACTERISTICS
Surprisingly, perhaps, the survey does not support the assumption that acquiring certification as a chiropractic sports physician (CCSP) or earning a diplomate in sports chiropractic would be career-enhancing prerequisites.
Instead, respondents say the most important characteristics to win a place on a pro team are a teamwork mindset and the ability to communicate with players and other healthcare staff.
Team chiropractors anecdotally report that referral was a key to working with the team. For example, they said, “I treated one player and he brought the others in.” and “I became friends with the athletic trainer (or medical doctor or owner) and they allowed me to come on board.”
If you have aspirations of becoming a team chiropractor — regardless of the sport — developing your professional expertise and honing your communication skills are essential. And being in the right place at the right time doesn’t hurt.
The important thing is that positioning of a chiropractor on a professional team will continue to put this profession in a high profile and very credible atmosphere —advertising we just can’t buy.