tarians who consume only plant proteins could
become protein deficient unless they balance
their amino acids. Plant proteins are incomplete
and lack one or more essential amino acid. While
it was once thought that all the amino acids must
be consumed in one meal, it is now agreed that
timing of the amino acid intake is less critical and
that amino acid intake must be balanced over
days rather than hours. Research now shows that
the liver monitors the amino acid composition of
proteins consumed in a meal: if the meal is low in
an essential amino acid, the liver can break down
its own proteins to supply it. When the amino
acid is once again plentiful, the liver will replen-
ish its protein source.
Because individual plant foods do not contain
all the essential amino acids, it is recommended
that vegetarians complement their proteins. For
example, cereals are very low in the essential
amino acid lysine, while legumes are slightly
deficient in the sulphur-containing amino acids.
By combining these two groups of foods (i.e.
refried beans and corn tortillas), a vegetarian
could provide a mixture of amino acids similar to
that of a complete or high-quality protein food.
Figure 33.1 illustrates different combinations of
incomplete proteins to make a complete protein
as well as demonstrating the fact that when an
animal protein is combined with an incomplete
446 special considerations
protein, the result is a complete, high-quality
protein.
Protein requirements for vegetarian athletes
A major concern for vegetarian athletes is to
make sure that they have consumed enough food
so that their protein requirement will be met. The
total protein intake of athletes consuming a vege-
tarian diet may have to be increased slightly to
take account of the lower digestibility, lower
energy density and lower protein quality of plant
foods consumed. This may lead to problems with
the volume of food to be consumed, because ath-
letes with high energy requirements may find it
difficult to consume sufficient volume of foods to
maintain energy balance on a purely vegetarian
diet. Generally, if vegetarian athletes consume
between 0.8 and 1.7 g protein · kg–1body mass ·
day–1and maintain energy balance, they should
meet their protein requirement for exercise and
health.
Vitamin B 12
Another nutrient that may be low in a vegetarian
diet is vitamin B 12 , especially for those individu-
als on a strict plant-based diet (vegans). Rauma et
al.(1995) studied the vitamin B 12 status of long-
Grains
Rice with sesame seeds Nuts
and
seeds
Milk Milk in legume soups
products Legumes
Peanut butter sandwich
Rice and bean casserole
Sunflower seed
peanutsand
Macaroni and cheese
cereal with milk Fig. 33.1The concept of mutual
supplementation, which is the strategy of
combining two incomplete sources of
protein so that the amino acids in each food
make up for those lacking in other foods.
Such protein combinations are sometimes
called complementary proteins.