title: Long-term ovo-lacto vegetarian diet impairs vitamin B-12 status in pregnant women.
abstract: A well-planned vegetarian diet has been stated to be adequate during pregnancy. The aim of the present study was to compare serum vitamin B-12 and homocysteine concentrations in pregnant women (n = 109) consuming vegetarian and Western diets and to evaluate the adequacy of current dietary reference intakes of vitamin B-12 for these women. Pregnant women adhering to vegetarian diets for at least 3 y, with subgroups of ovo-lacto vegetarians (OLVs; n = 27), low-meat eaters (LME, n = 43), and women eating an average Western diet (control group, n = 39), were recruited. Dietary vitamin B-12 intake, serum vitamin B-12, and plasma total homocysteine (tHcy) concentrations were measured in wk 9-12, 20-22, and 36-38 of pregnancy. During pregnancy serum vitamin B-12 concentrations of ovo-lacto vegetarians (P < 0.001) and low-meat eaters (P = 0.050) were lower than those of the control group. We observed the combination of low serum vitamin B-12 concentrations and elevated plasma tHcy in 22% of ovo-lacto vegetarians, in 10% of low-meat eaters, and in 3% of controls (P = 0.003). In OLVs, serum vitamin B-12 predicted 60% of the plasma tHcy variation (P < 0.001), but in LMEs and controls only <10% (NS). Serum vitamin B-12 concentrations increased and plasma tHcy decreased sharply with increasing dietary intake of vitamin B-12 toward a cutoff point of 3 mug/d. Pregnant women consuming a long-term predominantly vegetarian diet have an increased risk of vitamin B-12 deficiency. Current recommended dietary intakes urgently need reevaluation.
authors.affiliation: German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany. Koebnick@mail.dife.de
authors.forename: Corinna
authors.initials: C
authors.lastname: Koebnick
authors.forename: Ingrid
authors.initials: I
authors.lastname: Hoffmann
authors.forename: Pieter C
authors.initials: PC
authors.lastname: Dagnelie
authors.forename: Ulrike A
authors.initials: UA
authors.lastname: Heins
authors.forename: Sunitha N
authors.initials: SN
authors.lastname: Wickramasinghe
authors.forename: Indrika D
authors.initials: ID
authors.lastname: Ratnayaka
authors.forename: Sindy
authors.initials: S
authors.lastname: Gruendel
authors.forename: Jan
authors.initials: J
authors.lastname: Lindemans
authors.forename: Claus
authors.initials: C
authors.lastname: Leitzmann
mesh_terms: D000328:Adult; D000818:Animals; D014676:Diet, Vegetarian / Q000009:adverse effects*; D004531:Eggs; D005260:Female; D006801:Humans; D008892:Milk; D011247:Pregnancy / Q000097:blood*; D011248:Pregnancy Complications / Q000097:blood*; D014805:Vitamin B 12 / Q000097:blood*; D014806:Vitamin B 12 Deficiency / Q000097:blood*
chemical_list: D014805:Vitamin B 12