VEGAN SPORCULARDA BESLENME VE SPORTİF PERFORMANS

Günümüzde hem genel popülasyon hem de sporcular arasında vegan beslenmeye olan ilgi artmıştır. Vegan beslenme, et, süt, deniz ürünleri, yumurta ve bal gibi hayvansal besinlerin tüketilmediği, sadece bitkisel besinlerin tüketildiği bitkisel kaynaklı beslenmenin bir modelidir. Teorik olarak, vegan beslenme ile alınan karbonhidratın fazla olmasının vücuttaki glikojen depolarını arttırabileceği, tüketimi artan fitokimyasallar ve antioksidanların uzun süreli egzersiz ile ilişkili oksidatif stresi azaltabileceği ve genel bağışıklığı arttırabileceği, meyve ve sebze tüketiminin fazla olmasından dolayı, kas pH’sındaki artışın alkali bir ortam oluşturarak kastaki asiditeyi dengeleyebileceği, böylece vegan beslenmenin sportif performansı arttıracağı belirtilmektedir. İyi planlanmamış vegan bir diyet ile günlük besin öğesi ihtiyaçları eksik kalabilir, sağlık ve performans olumsuz olarak etkilenebilir. Bu derleme, güncel literatür eşliğinde vegan sporcularda beslenmeyi ve vegan beslenmenin sportif performans üzerindeki etkilerini incelemeyi amaçlamaktadır.

Anahtar Kelimeler:

Vegan, vegan sporcu, sportif performans

EATING HABITS AND SPORTIVE PERFORMANCE OF VEGAN ATHLETES

The relevance of veganism has been increased nowadays both in the general population and athletes. The vegan diet is a type of plant-based diet that does not consume animal-sourced products such as meat, milk, seafood, eggs and honey. It has been argued that, in theory, the vegan diet could improve sportive performance because; high intake of carbohydrate may increase glycogen stores, high intake of phytochemicals and antioxidants may reduce oxidative stress and may improve the immune system. Increased fruit and vegetable consumption could result in higher muscle pH, thus balance muscle acidity. A poorly planned vegan diet may adversely affect health and sportive performance due to a lack of daily nutrient intake. This review aims to investigate the eating habits of vegan athletes and the effects of the vegan diet on sportive performance by make use of up-to-date literature.

Keywords:

: Vegan, vegan athletes, sportive performance,

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Agnoli, C., Baroni, L., Bertini, I., Ciappellano, S., Fabbri, A., Papa, M., ... Sieri, S. (2017). Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutrition, Metabolism and Cardiovascular Diseases, 27(12), 1037-1052.
Appleby, P., Roddam, A., Allen, N., Key, T. (2007). Comparative fracture risk in vegetarians and nonvegetarians in EPIC-Oxford. European journal of clinical nutrition, 61(12), 1400-1406.
Appleby, P. N., Key, T. J. (2016). The long-term health of vegetarians and vegans. Proceedings of the Nutrition Society, 75(3), 287-293.
Barnard, N. D., Cohen, J., Jenkins, D. J., Turner-McGrievy, G., Gloede, L., Jaster, B., ..., Talpers, S. (2006). A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes. Diabetes care, 29(8), 1777-1783.
Barnard, N. D., Goldman, D. M., Loomis, J. F., Kahleova, H., Levin, S. M., Neabore, S., Batts, T. C. (2019). Plant-based diets for cardiovascular safety and performance in endurance sports. Nutrients, 11(1), 130.
Benatar, J. R., Stewart, R. A. (2018). Cardiometabolic risk factors in vegans; A meta-analysis of observational studies. PloS one, 13(12), e0209086.
Berrazaga, I., Micard, V., Gueugneau, M., Walrand, S. (2019). The role of the anabolic properties of plant-versus animal-based protein sources in supporting muscle mass maintenance: a critical review. Nutrients, 11(8), 1825.
Boutros, G. H., Landry-Duval, M. A., Garzon, M., Karelis, A. D. (2020). Is a vegan diet detrimental to endurance and muscle strength?. European journal of clinical nutrition, 74(11), 1550-1555.
Brantsæter, A. L., Knutsen, H. K., Johansen, N. C., Nyheim, K. A., Erlund, I., Meltzer, H. M., Henjum, S. (2018). Inadequate iodine intake in population groups defined by age, life stage and vegetarian dietary practice in a norwegian convenience sample. Nutrients, 10(2), 230.
Brown, D. D. (2018). Nutritional considerations for the vegetarian and vegan dancer. Journal of Dance Medicine & Science, 22(1), 44-53.
Burke, D. G., Chilibeck, P. D., Parise, G. I. A. N. N. I., Candow, D. G., Mahoney, D. O. U. G. L. A. S., Tarnopolsky, M. (2003). Effect of creatine and weight training on muscle creatine and performance in vegetarians. Medicine & Science in Sports & Exercise, 35(11), 1946-1955.
Burke, L. M., Castell, L. M., Casa, D. J., Close, G. L., Costa, R. J., Desbrow, B., ... Stellingwerff, T. (2019). International association of athletics federations consensus statement 2019: nutrition for athletics. International Journal of Sport Nutrition and Exercise Metabolism, 29(2), 73-84.
Bytomski, J. R. (2018). Fueling for performance. Sports health, 10(1), 47-53.
Carr, A. J., Hopkins, W. G., Gore, C. J. (2011). Effects of acute alkalosis and acidosis on performance. Sports medicine, 41(10), 801-814.
ÇETİNER, M.,BİLEK, S. E. (2018). Bitkisel protein kaynakları. Çukurova Tarım ve Gıda Bilimleri Dergisi, 33(2), 111-126.
Cialdella-Kam, L., Kulpins, D., Manore, M. M. (2016). Vegetarian, gluten-free, and energy restricted diets in female athletes. Sports, 4(4), 50.
Clarys, P., Deliens, T., Huybrechts, I., Deriemaeker, P., Vanaelst, B., De Keyzer, W., ...Mullie, P. (2014). Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients, 6(3), 1318-1332.
Craddock, J. C., Neale, E. P., Peoples, G. E., Probst, Y. C. (2020). Plant‐based eating patterns and endurance performance: A focus on inflammation, oxidative stress and immune responses. Nutrition Bulletin, 45(2), 123-132.
Craddock, J. C., Probst, Y. C.,Peoples, G. E. (2016). Vegetarian and omnivorous nutrition—Comparing physical performance. International journal of sport nutrition and exercise metabolism, 26(3), 212-220.
Craig, W. J. (2009). Health effects of vegan diets. The American journal of clinical nutrition, 89(5), 1627S-1633S.
Craig, W. J.,Mangels, A. R. (2009). Position of the American Dietetic Association: vegetarian diets. Journal of the American dietetic association, 109(7), 1266.
Cramer, H., Kessler, C. S., Sundberg, T., Leach, M. J., Schumann, D., Adams, J.,Lauche, R. (2017). Characteristics of Americans choosing vegetarian and vegan diets for health reasons. Journal of nutrition education and behavior, 49(7), 561-567.
Crowe, F. L., Steur, M., Allen, N. E., Appleby, P. N., Travis, R. C.,Key, T. J. (2011). Plasma concentrations of 25-hydroxyvitamin D in meat eaters, fish eaters, vegetarians and vegans: results from the EPIC–Oxford study. Public health nutrition, 14(2), 340-346.
Cui, X., Wang, B., Wu, Y., Xie, L., Xun, P., Tang, Q., ...Shen, X. (2019). Vegetarians have a lower fasting insulin level and higher insulin sensitivity than matched omnivores: A cross-sectional study. Nutrition, Metabolism and Cardiovascular Diseases, 29(5), 467-473.
Cullum-Dugan, D.,Pawlak, R. (2015). Removed: position of the academy of nutrition and dietetics: vegetarian diets. Journal of the Academy of Nutrition and Dietetics, 115(5), 801-810.
Davey, G. K., Spencer, E. A., Appleby, P. N., Allen, N. E., Knox, K. H.,Key, T. J. (2003). EPIC–Oxford: lifestyle characteristics and nutrient intakes in a cohort of 33 883 meat-eaters and 31 546 non meat-eaters in the UK. Public health nutrition, 6(3), 259-268.
Deriemaeker, P., Aerenhouts, D., Hebbelinck, M.,Clarys, P. (2010). Nutrient based estimation of acid-base balance in vegetarians and non-vegetarians. Plant foods for human nutrition, 65(1), 77-82.
Devrim-Lanpir, A., Hill, L.,Knechtle, B. (2021). Efficacy of popular diets applied by endurance athletes on sports performance: beneficial or detrimental? A narrative review. Nutrients, 13(2), 491.
Dinu, M., Abbate, R., Gensini, G. F., Casini, A., Sofi, F. (2017). Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies. Critical reviews in food science and nutrition, 57(17), 3640-3649.
Eveleigh, E. R., Coneyworth, L. J., Avery, A.,Welham, S. J. (2020). Vegans, Vegetarians, and Omnivores: How Does Dietary Choice Influence Iodine Intake? A Systematic Review. Nutrients, 12(6), 1606.
Everaert, I., Mooyaart, A., Baguet, A., Zutinic, A., Baelde, H., Achten, E., ... Derave, W. (2011). Vegetarianism, female gender and increasing age, but not CNDP1 genotype, are associated with reduced muscle carnosine levels in humans. Amino acids, 40(4), 1221-1229.
Farrokhyar, F., Tabasinejad, R., Dao, D., Peterson, D., Ayeni, O. R., Hadioonzadeh, R.,Bhandari, M. (2015). Prevalence of vitamin D inadequacy in athletes: a systematic-review and meta-analysis. Sports medicine, 45(3), 365-378.
Fuhrman, J., Ferreri, D. M. (2010). Fueling the vegetarian (vegan) athlete. Current sports medicine reports, 9(4), 233-241.
Gibson-Smith, E., Storey, R.,Ranchordas, M. (2020). Dietary intake, body composition and iron status in experienced and elite climbers. Frontiers in Nutrition, 7.
Gilani, G. S., Cockell, K. A., Sepehr, E. (2005). Effects of antinutritional factors on protein digestibility and amino acid availability in foods. Journal of AOAC International, 88(3), 967-987.
Groufh-Jacobsen, S., Hess, S. Y., Aakre, I., Folven Gjengedal, E. L., Blandhoel Pettersen, K.,Henjum, S. (2020). Vegans, vegetarians and pescatarians are at risk of iodine deficiency in Norway. Nutrients, 12(11), 3555.
Haghighatdoost, F., Bellissimo, N., de Zepetnek, J. O. T., Rouhani, M. H. (2017). Association of vegetarian diet with inflammatory biomarkers: a systematic review and meta-analysis of observational studies. Public health nutrition, 20(15), 2713-2721.
Harris, R. C., Wise, J. A., Price, K. A., Kim, H. J., Kim, C. K., Sale, C. (2012). Determinants of muscle carnosine content. Amino acids, 43(1), 5-12.
Heller, S. (2019). Micronutrient needs of athletes eating plant-based diets. Nutrition Today, 54(1), 23-30.
Hernández-Martínez, C., Fernández-Rodríguez, L., Soriano, M. A.,Martínez-Sanz, J. M. (2020). Case Study: Body Composition Changes Resulting from a Nutritional Intervention on a Professional Vegan Powerlifter. Applied Sciences, 10(23), 8675.
Hietavala, E. M., Puurtinen, R., Kainulainen, H.,Mero, A. A. (2012). Low-protein vegetarian diet does not have a short-term effect on blood acid–base status but raises oxygen consumption during submaximal cycling. Journal of the International Society of Sports Nutrition, 9(1), 1-9. Hietavala, E. M., Stout, J. R., Hulmi, J. J., Suominen, H., Pitkänen, H., Puurtinen, R., ...Mero, A. A. (2015). Effect of diet composition on acid–base balance in adolescents, young adults and elderly at rest and during exercise. European journal of clinical nutrition, 69(3), 399-404.
Ho-Pham, L. T., Vu, B. Q., Lai, T. Q., Nguyen, N. D.,Nguyen, T. V. (2012). Vegetarianism, bone loss, fracture and vitamin D: a longitudinal study in Asian vegans and non-vegans. European journal of clinical nutrition, 66(1), 75-82.
Ho-Pham, L. T., Nguyen, N. D.,Nguyen, T. V. (2009). Effect of vegetarian diets on bone mineral density: a Bayesian meta-analysis. The American journal of clinical nutrition, 90(4), 943-950.
Hsu, E. (2020). Plant-based diets and bone health: Sorting through the evidence. Current Opinion in Endocrinology, Diabetes and Obesity, 27(4), 248-252.
Huang, R. Y., Huang, C. C., Hu, F. B.,Chavarro, J. E. (2016). Vegetarian diets and weight reduction: a meta-analysis of randomized controlled trials. Journal of general internal medicine, 31(1), 109-116.
Hunt, J. R. (2002). Moving toward a plant-based diet: are iron and zinc at risk?. Nutrition reviews, 60(5), 127-134.
Iannotti, L. L., Lutter, C. K., Bunn, D. A.,Stewart, C. P. (2014). Eggs: the uncracked potential for improving maternal and young child nutrition among the world's poor. Nutrition reviews, 72(6), 355-368.
Jäger, R., Kerksick, C. M., Campbell, B. I., Cribb, P. J., Wells, S. D., Skwiat, T. M., ...Antonio, J. (2017). International society of sports nutrition position stand: protein and exercise. Journal of the International Society of Sports Nutrition, 14(1), 1-25.
Janssen, M., Busch, C., Rödiger, M., Hamm, U. (2016). Motives of consumers following a vegan diet and their attitudes towards animal agriculture. Appetite, 105, 643-651.
Wirnitzer, K. C. (2020). Vegan diet in sports and exercise—health benefits and advantages to athletes and physically active people: A narrative review. Int. J. Sports Exerc. Med, 6, 165.
Kerksick, C. M.,Kulovitz, M. (2013). Requirements of energy, carbohydrates, proteins and fats for athletes. In Nutrition and enhanced sports performance (pp. 355-366). Academic Press.
Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., ... Kreider, R. B. (2018). ISSN exercise & sports nutrition review update: research & recommendations. Journal of the International Society of Sports Nutrition, 15(1), 1-57.
Król, W., Price, S., Śliż, D., Parol, D., Konopka, M., Mamcarz, A., ...Braksator, W. (2020). A vegan athlete’s heart—is it different? Morphology and function in echocardiography. Diagnostics, 10(7), 477.
Kunstel, K. (2005). Calcium requirements for the athlete. Current sports medicine reports, 4(4), 203-206.
Larson-Meyer, E. (2018). Vegetarian and vegan diets for athletic training and performance. Sports Science Exchange, 29(188), 1-7.
Le, L. T.,Sabaté, J. (2014). Beyond meatless, the health effects of vegan diets: findings from the Adventist cohorts. Nutrients, 6(6), 2131-2147.
Lee, Y. M., Kim, S. A., Lee, I. K., Kim, J. G., Park, K. G., Jeong, J. Y., ...Lee, D. H. (2016). Effect of a brown rice based vegan diet and conventional diabetic diet on glycemic control of patients with type 2 diabetes: a 12-week randomized clinical trial. PloS one, 11(6), e0155918.
Leischik, R.,Spelsberg, N. (2014). Vegan triple-ironman (raw vegetables/fruits). Case reports in cardiology, 2014.
Lemale, J., Mas, E., Jung, C., Bellaiche, M., Tounian, P.,Hepatology, F. S. P. (2019). Vegan diet in children and adolescents. Recommendations from the French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Archives de Pédiatrie, 26(7), 442-450.
Li, D. (2011). Chemistry behind vegetarianism. Journal of agricultural and food chemistry, 59(3), 777-784.
Lynch, H., Johnston, C.,Wharton, C. (2018). Plant-based diets: Considerations for environmental impact, protein quality, and exercise performance. Nutrients, 10(12), 1841.
Lynch, H. M., Wharton, C. M.,Johnston, C. S. (2016). Cardiorespiratory fitness and peak torque differences between vegetarian and omnivore endurance athletes: a cross-sectional study. Nutrients, 8(11), 726.
Marsh, K., Zeuschner, C.,Saunders, A. (2012). Health implications of a vegetarian diet: a review. American Journal of Lifestyle Medicine, 6(3), 250-267.
McAfee, A. J., McSorley, E. M., Cuskelly, G. J., Moss, B. W., Wallace, J. M., Bonham, M. P.,Fearon, A. M. (2010). Red meat consumption: An overview of the risks and benefits. Meat science, 84(1), 1-13.
Medawar, E., Huhn, S., Villringer, A.,Witte, A. V. (2019). The effects of plant-based diets on the body and the brain: a systematic review. Translational psychiatry, 9(1), 1-17.
Mensink, R. P. (2005). Effects of stearic acid on plasma lipid and lipoproteins in humans. Lipids, 40(12), 1201-1205.
Menzel, J., Biemann, R., Longree, A., Isermann, B., Mai, K., Schulze, M. B., ...Weikert, C. (2020). Associations of a vegan diet with inflammatory biomarkers. Scientific reports, 10(1), 1-8.
Nebl, J., Haufe, S., Eigendorf, J., Wasserfurth, P., Tegtbur, U.,Hahn, A. (2019). Exercise capacity of vegan, lacto-ovo-vegetarian and omnivorous recreational runners. Journal of the International Society of Sports Nutrition, 16(1), 1-8.
Nebl, J., Schuchardt, J. P., Ströhle, A., Wasserfurth, P., Haufe, S., Eigendorf, J., ...Hahn, A. (2019). Micronutrient status of recreational runners with vegetarian or non-vegetarian dietary patterns. Nutrients, 11(5), 1146.
Nebl, J., Schuchardt, J. P., Ströhle, A., Wasserfurth, P., Haufe, S., Eigendorf, J., ...Hahn, A. (2019). Micronutrient status of recreational runners with vegetarian or non-vegetarian dietary patterns. Nutrients, 11(5), 1146.
Nebl, J., Schuchardt, J. P., Wasserfurth, P., Haufe, S., Eigendorf, J., Tegtbur, U.,Hahn, A. (2019). Characterization, dietary habits and nutritional intake of omnivorous, lacto-ovo vegetarian and vegan runners–a pilot study. BMC nutrition, 5(1), 1-14.
Norris, J. (2012). Iron in Vegetarian Diets. Vegetarian Nutrition 5–6.
Novakova, K., Kummer, O., Bouitbir, J., Stoffel, S. D., Hoerler-Koerner, U., Bodmer, M., ...Krähenbühl, S. (2016). Effect of l-carnitine supplementation on the body carnitine pool, skeletal muscle energy metabolism and physical performance in male vegetarians. European journal of nutrition, 55(1), 207-217.
Orlich, M. J., Singh, P. N., Sabaté, J., Jaceldo-Siegl, K., Fan, J., Knutsen, S., ...Fraser, G. E. (2013). Vegetarian dietary patterns and mortality in Adventist Health Study 2. JAMA internal medicine, 173(13), 1230-1238.
Oussalah, A., Levy, J., Berthezène, C., Alpers, D. H.,Guéant, J. L. (2020). Health outcomes associated with vegetarian diets: An umbrella review of systematic reviews and meta-analyses. Clinical Nutrition, 39(11), 3283-3307.
Outila, T. A., KÄRKKÄINEN, M. U. M., SEPPÄNEN, R. H.,Lamberg-Allardt, C. J. E. (2000). Dietary intake of vitamin D in premenopausal, healthy vegans was insufficient to maintain concentrations of serum 25-hydroxyvitamin D and intact parathyroid hormone within normal ranges during the winter in Finland. Journal of the American Dietetic Association, 100(4), 434-441.
Owens, D. J.,Close, G. L. (2013). Vitamin D and athletic performance. Agro FOOD Industry Hi Tech, 24.
Pawlak, R., Lester, S. E.,Babatunde, T. (2014). The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. European journal of clinical nutrition, 68(5), 541-548.
Pedlar, C. R., Newell, J.,Lewis, N. A. (2019). Blood biomarker profiling and monitoring for high-performance physiology and nutrition: current perspectives, limitations and recommendations. Sports Medicine, 49(2), 185-198.
Phillips, F. (2005). Vegetarian nutrition. Nutrition Bulletin, 30(2), 132-167.
Phillips, S. M. (2016). The impact of protein quality on the promotion of resistance exercise-induced changes in muscle mass. Nutrition & metabolism, 13(1), 1-9.
Phillips, S. M.,Van Loon, L. J. (2011). Dietary protein for athletes: from requirements to optimum adaptation. Journal of sports sciences, 29(sup1), S29-S38.
Read, S.,Grundy, E. (2012). Allostatic load–a challenge to measure multisystem physiological dysregulation. Pathways Node at NCRM.
Rocha, J. P., Laster, J., Parag, B.,Shah, N. U. (2019). Multiple health benefits and minimal risks associated with vegetarian diets. Current nutrition reports, 8(4), 374-381.
Rogerson, D. (2017). Vegan diets: practical advice for athletes and exercisers. Journal of the International Society of Sports Nutrition, 14(1), 1-15.
Rosell, M. S., Lloyd-Wright, Z., Appleby, P. N., Sanders, T. A., Allen, N. E.,Key, T. J. (2005). Long-chain n–3 polyunsaturated fatty acids in plasma in British meat-eating, vegetarian, and vegan men–. The American journal of clinical nutrition, 82(2), 327-334.
Sahlin, K., Tonkonogi, M.,Söderlund, K. (1998). Energy supply and muscle fatigue in humans. Acta Physiologica Scandinavica, 162(3), 261-266.
Sakkas, H., Bozidis, P., Touzios, C., Kolios, D., Athanasiou, G., Athanasopoulou, E., ...Gartzonika, C. (2020). Nutritional status and the influence of the vegan diet on the gut microbiota and human health. Medicina, 56(2), 88.
San-Millán, I. (2019). Blood biomarkers in sports medicine and performance and the future of metabolomics. In High-Throughput Metabolomics (pp. 431-446). Humana, New York, NY.
Saunders, A. V., Davis, B. C.,Garg, M. L. (2013). Omega‐3 polyunsaturated fatty acids and vegetarian diets. Medical journal of Australia, 199, S22-S26.
Schoenfeld, M. L. (2020). Nutritional considerations for the female vegan athlete. Strength & Conditioning Journal, 42(4), 68-76.
Shomrat, A., Weinstein, Y.,Katz, A. (2000). Effect of creatine feeding on maximal exercise performance in vegetarians. European journal of applied physiology, 82(4), 321-325.
Shuler, F. D., Wingate, M. K., Moore, G. H.,Giangarra, C. (2012). Sports health benefits of vitamin D. Sports health, 4(6), 496-501.
Laidlaw, S. A., Shultz, T. D., Cecchino, J. T., Kopple, J. D. (1988). Plasma and urine taurine levels in vegans. The American journal of clinical nutrition, 47(4), 660-663.
Simopoulos, A. P. (2007). Omega-3 fatty acids and athletics. Current sports medicine reports, 6(4), 230-236.
Slavin, J. (2012). Dietary guidelines: Are we on the right path?. Nutrition Today, 47(5), 245-251.
Spencer, E. A., Appleby, P. N., Davey, G. K.,Key, T. J. (2003). Diet and body mass index in 38 000 EPIC-Oxford meat-eaters, fish-eaters, vegetarians and vegans. International journal of obesity, 27(6), 728-734.
Spriet, L. L.,Whitfield, J. (2015). Taurine and skeletal muscle function. Current Opinion in Clinical Nutrition & Metabolic Care, 18(1), 96-101.
Storz, M. A.,Helle, P. (2019). Atrial fibrillation risk factor management with a plant‐based diet: A review. Journal of arrhythmia, 35(6), 781-788.
Thomas, D. T., Erdman, K. A.,Burke, L. M. (2016). Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: nutrition and athletic performance. Journal of the Academy of Nutrition and Dietetics, 116(3), 501-528.
Trexler, E. T., Smith-Ryan, A. E., Stout, J. R., Hoffman, J. R., Wilborn, C. D., Sale, C., ...Antonio, J. (2015). International society of sports nutrition position stand: Beta-Alanine. Journal of the International Society of Sports Nutrition, 12(1), 1-14.
T.C. Sağlık Bakanlığı (2016). Türkiye Beslenme Rehberi TÜBER 2015, Yayın No: 1031 , Ankara
Vanacore, D., Messina, G., Lama, S., Bitti, G., Ambrosio, P., Tenore, G., ... Stiuso, P. (2018). Effect of restriction vegan diet's on muscle mass, oxidative status, and myocytes differentiation: a pilot study. Journal of cellular physiology, 233(12), 9345-9353.
Veleba, J., Matoulek, M., Hill, M., Pelikanova, T.,Kahleova, H. (2016). “A vegetarian vs. conventional hypocaloric diet: The effect on physical fitness in response to aerobic exercise in patients with type 2 diabetes.” A parallel randomized study. Nutrients, 8(11), 671.
van Vliet, S., Burd, N. A.,van Loon, L. J. (2015). The skeletal muscle anabolic response to plant-versus animal-based protein consumption. The Journal of nutrition, 145(9), 1981-1991.
Waldmann, A., Koschizke, J. W., Leitzmann, C., Hahn, A. (2004). Dietary iron intake and iron status of German female vegans: results of the German vegan study. Annals of nutrition and metabolism, 48(2), 103-108.
Watanabe, F., Yabuta, Y., Bito, T.,Teng, F. (2014). Vitamin B12-containing plant food sources for vegetarians. Nutrients, 6(5), 1861-1873.
Williams, C.,Rollo, I. (2015). Carbohydrate nutrition and team sport performance. Sports Medicine, 45(1), 13-22.
Wirnitzer, K., Boldt, P., Lechleitner, C., Wirnitzer, G., Leitzmann, C., Rosemann, T., Knechtle, B. (2019). Health Status of Female and Male Vegetarian and Vegan Endurance Runners Compared to Omnivores—Results from the NURMI Study (Step 2). Nutrients, 11(1), 29.
Yokoyama, Y., Levin, S. M.,Barnard, N. D. (2017). Association between plant-based diets and plasma lipids: a systematic review and meta-analysis. Nutrition reviews, 75(9), 683-698.
Yokoyama, Y., Nishimura, K., Barnard, N. D., Takegami, M., Watanabe, M., Sekikawa, A., ... Miyamoto, Y. (2014). Vegetarian diets and blood pressure: a meta-analysis. JAMA internal medicine, 174(4), 577-587.
Zhou, Jing, Jia Li, and W. Wayne Campbell. (2014). Vegetarian Athletes. Elsevier Inc.
Zimmer, J., Lange, B., Frick, J. S., Sauer, H., Zimmermann, K., Schwiertz, A., ...Enck, P. (2012). A vegan or vegetarian diet substantially alters the human colonic faecal microbiota. European journal of clinical nutrition, 66(1), 53-60.