This is currently on the Yahoo! Canada home page, under the highly misleading heading Big Risks to a Vegetarian Diet? A big downside to the green diet:
A joint Australian-Vietnamese study of links between the bones and diet of more than 2,700 people found that vegetarians [in four groups, combined: semivegetarian (which excludes meat, but not seafood, e.g., pescetarianism), ovolacto veg, lacto veg, and vegan] had bones five percent less dense than meat-eaters, said lead researcher Tuan Nguyen.
The issue was most pronounced in vegans, who excluded all animal products from their diet and whose bones were six percent weaker, Nguyen said.
There was “practically no difference” between the bones of meat-eaters and ovolactovegetarians, who excluded meat and seafood but ate eggs and dairy products, he said.
“The results suggest that vegetarian diets, particularly vegan diets, are associated with lower bone mineral density,” Nguyen wrote in the study, which was published Thursday in the American Journal of Clinical Nutrition.
“But the magnitude of the association is clinically insignificant,” he added.
It’s not actually new research, being rather a meta-analysis of nine previous studies (out of 922 candidates) that met the authors’ criteria for inclusion.
The first problem is that meat eaters tend to be heavier, so they naturally have denser bones. You need to control for that.
The second, lesser problem with taking this study as definitive is that a mere two and a half months ago, in a different study (with a much smaller sample size), the same authors found no difference in bone density between carnivores and vegans:
A study comparing the bone health of 105 post-menopausal vegan Buddhist nuns and 105 non-vegetarian women, matched in every other physical respect, has produced a surprising result. Their bone density was identical.
The original news release for the more-recent study actually stated that “We found there was practically no difference between meat eaters and ovolactovegetarians…. While there is a difference between meat eaters and vegans, that difference is small.”
And whatever difference there is could surely be erased simply by taking a daily multivitamin, which we should all be doing anyway (and which I actually do, along with time-released iron, after being mildly anemic last summer—ah, the joys of aging).
So overall, this is really a non-story … unless you choose to see the fact that (non-vegan) vegetarian bone density is essentially equal to that of meat-eaters, in spite of the latter’s higher average weight, as a confirmation of the fact that the “typical” vegetarian diet is actually better for your bones than is the typical meat-eating one. Which, you know, in spite of the spin which our PC-except-when-it’s-bashing-vegetarians media is putting on it, is actually in line (at least in terms of the positive end results, whatever the mechanism may be) with what John Robbins and others have been saying for decades now:
The calcium-losing effect of animal protein on the human body is not a matter of controversy in scientific circles. [Robbins is actually overstating his case here; see below] Researchers who conducted a recent survey of diet and hip fractures in 33 countries said they found “an absolutely phenomenal correlation” between the percentage of plant foods in people’s diets, and the strength of their bones. The more plant foods people eat (particularly fruits and vegetables), the stronger their bones, and the fewer fractures they experience. The more animal foods people eat, on the other hand, the weaker their bones and the more fractures they experience.
Similarly, in January 2001, the American Journal of Clinical Nutrition published a study that reported a dramatic correlation between the ratio of animal to vegetable protein in the diets of elderly women and their rate of bone loss. In this seven-year study funded by the National Institutes of Health, more than 1,000 women, ages 65 to 80, were grouped into three categories: those with a high ratio of animal to vegetable protein, a middle range, and a low range. The women in the high ratio category had three times the rate of bone loss as the women in the low group, and nearly four times the rate of hip fractures.
Might this have been due to other factors than the ratio of animal to vegetable protein? According to the study’s lead author, Deborah Sellmeyer, M.D., Director of the Bone Density Clinic at the University of California, San Francisco, Medical Center, researchers found this to be true even after adjusting for age, weight, estrogen use, tobacco use, exercise, calcium intake, and total protein intake. “We adjusted for all the things that could have had an impact on the relationship of high animal protein intake to bone loss and hip fractures,” Sellmeyer said. “But we found the relationship was still there.”
* * * * *
From the published study itself:
The association between vegetarianism and BMD has been a subject of contention primarily because of inconsistent findings from previous studies. All previous studies showed that vegetarians had a lower BMD than did omnivores; however, only 2 studies showed a statistically significant difference (20, 22)….
For each study [of the nine in the meta-analysis], relevant data, including details of study design, mean age, sex, dietary type (e.g., vegetarian or nonvegetarian diet), BMD measurement, and the number of participants, were extracted….
The difference in mean BMD values between vegetarians and omnivores for each study was expressed as the ratio of the mean value in the vegetarian group to the mean value in the nonvegetarian group.
Again, no mention of controlling for weight, there (or anywhere else in the 8-page study paper). Plus, more than 60% of vegetarians are women. Not controlled for, either (drastically; see below).
And oddly, while the news release for the study states that it “showed that people on vegetarian diets have BMD roughly 5% lower than non-vegetarians,” the study paper itself gave a figure of “Overall, BMD was [approximately] 4% lower in vegetarians than in omnivores.” Blame the P.R. Dept., I guess, maybe for rounding to the nearest 5%?
It is important to distinguish between vegan and lactoovovegetarian diets, because the latter includes dairy products and eggs in the diet. In this analysis, we found that much of the effect of vegetarian diets on bone density was mainly due to a vegan diet and that a lactoovovegetarian diet did not exert a markedly negative effect on bone density. Because vegetarians usually have lower intakes of dietary calcium and protein intakes than do omnivores (49, 50), the present study’s finding raises the issue of the role of dietary calcium and protein intakes in bone health. Dietary calcium is mainly found in dairy foods and vegetables. Several studies have found that higher intakes of dietary calcium were associated with higher bone density (6, 51) and reduced hip fracture risk (52). However, a meta-analysis of 33 studies found that the correlation between dietary calcium intakes and bone density was 0.13 (53), which suggests that the contribution of calcium to bone density is modest. This seems to suggest that differences in calcium intakes or sources of intake (i.e., animal or plant) do not have a significant effect on the observed variance in BMD. The average dietary calcium intake in the 9 studies reviewed varied from 200 to 1200 mg/d, with little difference between vegetarians and nonvegetarians. Therefore, it is unlikely that the lower BMD in vegetarians observed in this analysis was due to differences in dietary calcium intake.
The relation between protein intake, particularly animal protein, and bone health has been controversial. It has long been hypothesized that a high animal protein diet exerts a negative effect on bone health, because it generated a high endogenous acid load that would require buffering from bone, thus increasing bone resorption (54). However, empirical data are not consistent. On the one hand, there are data suggesting that higher dietary protein intakes are associated with a lower risk of fragility fracture (55) and hip fracture (56). On the other hand, other studies showed that higher dietary protein intakes were associated with increases in bone loss (57) and with a greater risk of fragility fracture (57, 58). Of the 9 studies reviewed herein, only 5 reported dietary protein intakes (22, 39, 41, 42, 47), but only 2 studies (22, 39) found that dietary protein intakes in vegans were lower than in omnivores. In these 2 studies, there was no significant difference in BMD between vegans and omnivores. On the basis of these data, it seems that dietary protein intakes could not account for the lower BMD in vegetarians observed in this analysis….
The complexity and possible interaction between dietary calcium and protein makes it difficult to attribute the modest effect of vegetarianism on bone density to either dietary factor. Indeed, it has been suggested that protein and calcium act synergistically on bone if both are present in sufficient quantities in the diet; however, protein may exert detrimental effect on bone density when calcium is low (16). Moreover, vegetarian diets often contain more phytoestrogens than do nonvegetarian diets, particularly non-Western vegetarian diets. The average intake of isoflavones in vegans has been estimated at 75 mg/d (59), which is higher than that in Western consumers (average intake: ,2 mg/d; 60) and in vegetarians (12 mg/d; 61). It has been suggested that these compounds can help prevent postmenopausal bone loss, although the case is not clear cut (62, 63) and there are less data as to how this might be relevant to vegetarians. The present study’s results are largely applicable to women, because only 2 original studies included data for men. In fact, a subgroup analysis for men showed that the effect of vegetarian diets on femoral neck BMD was not significant.
This was not mentioned in the news release, so not surprisingly it has not been mentioned in any of the MSM articles I’ve seen on the study. Only goes to show, you can’t afford to believe a word of what those scientifically illiterate, shit-lazy, news-release-regurgitating hacks write. And then they get all bitchy and pre-emptively defensive when you call them on it!
All studies included in this analysis were observational; therefore, no cause-and-effect relation between vegetarian diets and BMD can be drawn from the finding.
I have neither the time, the interest, nor the expertise to go through all of those studies on the effects of animal protein intake on bone health, and try to untangle them for bad experimental design (which I’d already be expecting to find a lot of) and confounding factors. For my purposes, it’s sufficient that even this latest, much-misrepresented study supports the contention that vegetarian (not unsupplemented vegan) diets are fully comparable to meat-based ones, for maintaining bones and teeth.