Vegetarian Nutrition

VN: Scope of Guideline (2011)

Below, you will find a list of characteristics that describe the Scope of this Guideline.

Guideline Category  

Assessment of Therapeutic Effectiveness, Counseling, Evaluation, Management, Treatment

Clinical Specialty

Cardiology, Endocrinology, Family Practice, Internal Medicine, Nutrition, Obstetrics and Gynecology, Pediatrics

Intended Users

 Registered Dietitians, Advanced Practice Nurses, Health Care Providers, Nurses, Nurse Midwives, Physician Assistants, Physicians, Students

Guideline Objective(s)

Overall Objective

To provide MNT guidelines for individuals who follow or are interested in following a vegetarian dietary lifestyle.

Specific Objectives
  • To define evidence-based vegetarian nutrition recommendations for RDs that are carried out in collaboration with other healthcare providers
  • To guide practice decisions that integrate medical, nutritional and behavioral strategies into the overall medical management of people choosing or interested in a vegetarian dietary pattern
  • To reduce variations in practice among RDs
  • To provide RDs with data and insight to make recommendations to adjust MNT or recommend other therapies and strategies to achieve desired outcomes for treatment or prevention of disease
  • To enable RDs to help individuals identify dietary choices that not only support their clients' moral, ethical or religious views, but promote optimal health as well
  • To provide evidence-based findings to aid RDs in the design of healthy flesh-free and animal-free diets that meet the needs and interests of a broad range of individuals
  • To provide resources, derived from a systematic review of research, for RDs to enable their clients to make healthful vegetarian dietary choices
  • To promote self-management strategies that empower the patient to take responsibility for day-to-day management and provide RDs with data to make recommendations to adjust MNT or to recommend other therapies to achieve clinical outcomes
  • To enhance the quality of life for individual vegetarians, utilizing customized strategies based on the individual’s preferences, lifestyle and goals
  • To develop content for interventions that can be tested on clinical outcomes
  • To define the highest quality of care within cost constraints of the current healthcare environment. 

Target Population

 Pre-school Child (2 to 5 years), Child (6 to 12 years), Adolescent (13 to 18 years), Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years), Advanced Aged (80 years and over), Male, Female

Target Population Description

Children, adolescents and adults who follow or are interested in following a vegetarian dietary lifestyle.
 

Interventions and Practices Considered

 

This guideline is based on ADA’s Nutrition Care Process and Model, which involves the following steps:
  • Nutrition Assessment
  • Nutrition Diagnosis
  • Nutrition Intervention
  • Nutrition Monitoring and Evaluation.
This guideline addresses topics that correspond to the following areas of the Nutrition Care Process. Please refer to the Algorithms in this guideline for a more detailed view of the recommendations and their application within the Nutrition Care Process.

I. Referral to an RD
II. MNT.

A.     Nutrition Assessment

Below you will find the nutrition assessment terms related to effective MNT in the vegetarian nutrition from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition. 

1.      Client history

  • Medical/health history
  • Medication and supplement history
  • Social history
  • Personal history.
2.      Biochemical data—relevant laboratory values
3.      Anthropometric measurements
  • Height, weight and BMI, waist circumference
  • Weight change rate.
4.      Food/nutrition history
  • Food intake
  • Nutrition and health awareness
  • Physical activity and exercise
  • Food availability 
  • Psychosocial and economic issues impacting nutrition therapy
  • Consideration of co-morbid conditions and need for additional modifications in nutrition care plan.
5.      Physical examination findings

B.     Nutrition Diagnosis

Below you will find the nutrition diagnoses related to effective MNT in the vegetarian nutrition from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition. 

C.     Nutrition Intervention (Planning and Implementation)

Below you will find the nutrition interventions related to effective MNT in the vegetarian nutrition from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition. 

Individualized prescription based on:
1.      Food/Nutrition Intervention
2.      Physical activity Interventions
3.      Behavioral Interventions
4.      Pharmacotherapy, when indicated. 
D.    Monitoring and Evaluation  
The monitoring or progress, measuring of outcomes, and evaluating of outcomes against criteria to determine changes in specific indicators of MNT outcomes.
 
Below you will find the nutrition monitoring and evaluation terms related to effective MNT in the vegetarian nutrition from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.