Prostate Health

Home / Posts tagged "Prostate Health"
An in-depth look at the current state of mens health in the UK

An in-depth look at the current state of mens health in the UK

An in-depth look at the current state of men’s health in the UK

Regardless of what sex you are it’s been shown time and again that diet and lifestyle choices have a significant impact on your health and reduce the risk of disease.  Men and women share similar risk factors for ill health and weight is a concern for everyone, but some conditions are more sex-specific to men.  Targeting men’s health often requires a different approach to women and given the slight disparity in attitudes between the sexes, it’s important that awareness continues to grow to help break taboo’s and create an environment that men feel comfortable enough in to seek help when needed and make behaviour changes that can significantly improve their health.

Apologies as this is quite a hefty blog, but for my own curiosity I just wanted to put everything about men’s health into one place to provide insight and the latest research findings to give a good overview of the health landscape according to men.

This includes:

  1. What a typical male diet looks like in the UK?
  2. How overweight men are in the UK?
  3. What lifestyle choices men are making in the UK?
  4. The most common causes of premature death amongst men in the UK
  5. Heart disease amongst men in the UK
  6. Mental health amongst men in the UK
  7. Men’s attitudes towards health and how they access health services

1.What a typical male diet looks like in the UK?  

The National Diet and Nutrition Survey in the UK has shown that both men and women share similar dietary characteristics (1). Both groups eat enough protein and meet the guidelines for total fat but consume too much sugar and saturated fat.  Both sexes also fail to eat enough fibre and very few meet the recommended 5-a-day guidance or eat enough oily fish.  Fewer men than women have micronutrient insufficiencies, but low levels of vitamin D are shared between the sexes, especially during the winter months.

Dietary findings for men (1)

  • The average energy intake is 2091 calories.
  • The average intake of protein is 87.4g, which is 1.5 times the RNI of 55g per day. Protein requirements differ depending on health status and exercise, but the average is around 0.75g per kg of body weight.  Most of the protein in the diet comes from meat and meat dishes (37%).  Twenty three percent comes from cereals and cereal products, whilst 13% comes from milk and milk products.
  • The average intake of total fat is 76.6g per day, which equates to 32.6% of energy intake. This falls within the guidance of no more than 35% of energy intake.  Most of the fat in the diet comes from meat and meat products (24%).  A similar amount (21%) comes from cereals and cereal products including biscuits, cakes and puddings.  Milk and milk products account for 12% of total fat intake.
  • The average intake of saturated fat is 27.5g per day, which equates to 11.6% of energy intake.This exceeds the guidance of no more than 10% of energy intake.  The main source of saturated fat in the diet is from meat and meat products (24%). Twenty one percent comes from cereal and cereal products that includes biscuits, cakes and puddings.  The same percentage comes from milk and milk products, the majority of which comes from cheese.  Nine percent comes from fat spreads with 6% attributed to butter.
  • Sat fat (21% cereals and cereal products – 5% biscuits,4% cakes, 1% puddings), 21% (milk and milk products – 9% cheese), 3% (eggs and egg dishes), 9% (fat and fat spreads – 6% butter), 24% (meat and meat products), 3% (fish and fish dishes), 6% (veg and potatoes – 3% chips), 1% (savoury snacks), 2% (nuts and seeds), 5% (sugar and confectionary – 4% chocolate)
  • The average intake of ‘free’ sugars is 64.3g (12.8 tsp) per day. This is more than twice the guidance of no more than 30g (6 tsp) per day.  The main source of ‘free’ sugars in the diet is from sugar and confectionary (25%), most of which is from table sugar and sweet spreads.  Twenty four percent of ‘free’ sugars comes from cereals and cereal products that includes breakfast cereals, biscuits, cakes and puddings.  Non-alcoholic drinks are also a big contributor with 6% coming from fruit juice and 14% from soft drinks.
  • The average intake of fibre is 20.7g per day. This is just a third of the guidance of 30g per day and only 13% of men manage to achieve this.  The main source of fibre in the diet is from cereals and cereal products (38%), which includes pizza, pasta, rice and bread (more men choose white bread over wholemeal). Thirty eight percent of fibre in the diet comes from vegetables and potatoes, with 7% coming from chips. Twelve percent of fibre in the diet comes from meat products, which are breaded or include pastry or potatoes.
  • The average intake of fruit and vegetables is 4.2 portions, which is below the recommended 5-a-day. Only 29% of men manage to eat 5-a-day.

The micronutrients (vitamins and minerals)

Nutrient Average intake % RNI % below LRNI Key food sources
Vitamin A 921mcg 132% 16% 28% vegetables, 15% milk and milk products, 16% meat and meat products, 11% cereals and cereal products
Vitamin B1 (riboflavin) 1.76mg 136% 6% 27% milk and milk products, 20% cereals and cereal products, 17% meat and meat products
Folate 267mcg 134% 3% 27% cereal and cereal products, 26% vegetables, 10% meat and meat products.
Vitamin D (food sources) 2.9mcg 29% 30% meat and meat products, 19% egg and egg dishes, 17% fish and fish dishes, 15% cereals and cereal products
Iron 11.6mg 134% 2% 38% cereals and cereal products, 21% meat and meat products, 15% vegetables
Calcium 897mg 107% 11% 31% cereals and cereal products, 15% meat and meat products, 9% milk and milk products
Magnesium 302mg 101% 14% 31% meat and meat products, 27% cereals and cereal products, 16% vegetables, 12% egg and egg dishes
Potassium 3145mg 90% 11% 24% vegetables, 18% meat and meat products, 15% cereals and cereal products, 10% milk and milk products
Iodine 172mcg 123% 9% 34% milk and milk products, 12% cereals and cereal products, 10% fish and fish products, 10% meat and meat products
Selenium 55mcg 74% 25% 32% meat and meat dishes, 27% cereal and cereal products, 15% fish and fish dishes, 9% egg and egg dishes
Zinc 9.7mg 102% 7% 34% meat and meat dishes, 25% cereals and cereal products, 14% milk and milk products, 11% vegetables

 

2.How overweight are men in the UK?

The majority of the male population in the UK are either overweight or obese (2,3,4,5).  Obesity is both a disease and risk factor for many other diseases.  Being overweight or obese increases the risk of having high cholesterol, high blood pressure and type 2 diabetes, which are all risk factors for cardiovascular disease (CVD).  Obesity also increases the risk of joint problems, lower back problems, deep vein thrombosis, colon cancer and erectile dysfunction.  Losing and maintaining a healthy weight can have a significant impact on health and reduce the risk of disease.

The prevalence of overweight and obesity vary throughout the UK but in general, rates are higher amongst men.

England (2)

  • Over 60% of men are overweight or obese.
  • Men (65.7%) are more likely to be overweight or obese than women (57.1%).

Wales (3)

  • Twenty three percent of adults are obese and 36% overweight.
  • Sixty five percent of men are obese or overweight compared to 53% women.

Scotland (4)

  • Sixty five percent of adults are overweight and 29% of these are obese.
  • Sixty seven percent of men were overweight or obese compared to 63% of women.

Northern Ireland (5)

  • Sixty percent of adults are overweight or obese (34% overweight and 26% obese).
  • Males (65%) were more likely to be overweight or obese compared to females (57%).

3.What lifestyle choices men are making in the UK?

Diet is important but in terms of health it co-exists with the lifestyle choices we make which include physical activity, smoking and drinking.  A sedentary lifestyle can increase the risk of being overweight, which is a risk factor for disease.  Exercise plays a key part in maintaining a healthy weight and also helps to maintain muscle mass, flexibility and bone strength as well as being good for mental health.

Smoking has been proven to cause cancer and respiratory conditions, whilst excessive drinking is known to be a risk factor for certain cancers and liver disease.

Physical activity in men

The government guidelines suggest that we do at least 150 minutes per week of moderate physical activity in bouts of at least 10 minutes, which equates to 30 minutes on at least 5 days.  Alternatively, it’s suggested that 75 minutes of vigorous activity spread over the week will have the same health benefits.  Moderate physical activity is defined as raising your heart beat whilst still being able to carry on a conversation such as brisk walking or cycling.  Vigorous activity is defined as increasing your heart to beat rapidly, making it much more difficult to carry on a conversation such as running, swimming or football (6).

In the UK, men:

71% met the guidelines

10% some activity1

3% low activity2

16% inactive3

  1. Some activity: 60-149 minutes MPA pw or 30-74 minutes VPA pw or an equivalent combination of these.
  2. Low activity: 30-59 minutes MPA pw or 15-29 minutes VPA pw or an equivalent combination of these
  3. Inactive: Less than 30 minutes MPA pw or less than 15 minutes VPA pw or an equivalent combination of these

Smoking amongst men in the UK

According to findings from the Office of National Statistics (7):

  • In the UK, 17% of men smoke compared to 13.3% of women.
  • The highest proportion of smokers are aged between 25 and 34 years (19.7%).
  • 1 in 4 people in routine and manual occupations smoke compared to just 1 in 10 people in managerial and professional occupations.
  • 5% of people in the UK currently use and e-cigarette (vape) – 2.8 million people
  • 5% of men report vaping compared to 4.6% of women and the highest proportion of vapers are aged between 35 and 49 years.
  • In the UK, 60.8% of people aged 16 years and over who currently smoke said they wanted to quit and 59.5% of those who have ever smoked said they had quit.
  • The main reason for vaping is to help stop smoking (48.8%).
  • Only 0.4% of people who have never smoked reported that they currently vape.

Drinking in the UK

Guidance around drinking is no more than 14 units per week for both men and women (8).

125ml glass of wine = 1.4 units

25ml shot of spirit (37.5% ABV) = 1 unit

½ pint of lager (4%) = 1 units

According to the ONS (9):

  • Men are more likely to drink than women – 9% of men compared to 52.4% of women.
  • Men are also less likely to abstain from drinking as 17% of men and 22% of women said they had not drunk in the last year.
  • 53% of men said their alcohol consumption was no more than 14 units per week compared with 62% of women.
  • 10% of men said their alcohol consumption was more than 14 units per week but less than 21 units per week compared to 7% of women.
  • 12% of men said their average alcohol consumption was more than 21 units but less that 35 units per week compared to 6% of women
  • 4% of men said their average alcohol consumption was more than 35 units but less that 50 units per week compared with 2% of women.
  • 5% of men said their average alcohol consumption was more than 50 units per week compared to 2% of women.

4.The most common causes of premature death amongst men in the UK

  • More men than women die each year – 1156.5 compared with 863.8 deaths per 100K people (10)
  • In the UK one in five men (19%) dies before the age of 65 years (10)

Leading causes of death in 2015 – taken from findings published in 2017 (11)

Leading causes of death by age group for males in England, 2015 taken from findings published in 2017 (11)

 

5.Heart disease amongst men in the UK (12)

  • Heart and circulatory disease cause more than a quarter (26 per cent) of all deaths in the UK; that’s nearly 160,000 deaths each year – an average of 435 people each day or one death every three minutes.
  • There are around 7 million people living with heart and circulatory disease in the UK: 3.5 million men and 3.5 million women.
  • Coronary heart disease (CHD) is the most common type of cardiovascular disease.
  • Coronary heart disease is the most common cause of heart attack. In the UK there are 188,000 hospital visits each year due to heart attacks: that’s one every three minutes.
  • An estimated 915,000 people alive in the UK today (640,000 men and 275,000 women) have survived a heart attack.
  • Over half a million people in the UK are living with heart failure.
  • There are more than 30,000 out-of-hospital cardiac arrests in the UK each year. The overall survival rate in the UK is less than 1 in 10.

6.Mental health amongst men in the UK (13)

  • Over 40% of adults think they have had a diagnosable mental health condition at some point in their life (35.2% of men and 51.2% of women).
  • A fifth of men (19.5%) and a third of women (33.7%) have had diagnoses confirmed by professionals.
  • In 2014, 19.7% of people in the UK aged 16 and older showed symptoms of anxiety or depression – a 1.5% increase from 2013. This percentage was higher among females (22.5%) than males (16.8%).

As far as men are concerned:

  • Just over three out of four suicides (76%) are by men and suicide is the biggest cause of death for men under 35 (14).
  • 12.5% of men in the UK are suffering from one of the common mental health disorders (15).
  • Men are three times more likely than women to become alcohol dependent (8.7% of men are alcohol dependent compared to 3.3% of women (15).
  • Men are more likely to use (and die from) illegal drugs (15).
  • Men are less likely to access psychological therapies than women. Only 36% of referrals to IAPT (Increasing Access to Psychological Therapies) are men (16).
  • Over three quarters of people who kill themselves are men (17)
  • Men report significantly lower life satisfaction than women in the Government’s national well-being survey – with those aged 45 to 59 reporting the lowest levels of life satisfaction (17).
  • 73% of adults who ‘go missing’ are men (18).
  • 87% of rough sleepers are men (19).
  • Men are nearly three times more likely than women to become alcohol dependent (20).
  • Men are three times as likely to report frequent drug use than women (4.2% and 1.4% respectively) and more than two thirds of drug-related deaths occur in men.
  • Men make up 95% of the prison population 72% of male prisoners suffer from two or more mental disorders.
  • Men are nearly 50% more likely than women to be detained and treated compulsorily as psychiatric inpatients (21)
  • Men have measurably lower access to the social support of friends, relatives and community (21)
  • Men commit 86% of violent crime (21)
  • Boys are around three times more likely to receive a permanent or fixed period exclusion than girls (22).
  • Boys are performing less well than girls at all levels of education. In 2013 only 55.6% of boys achieved 5 or more grade A*-C gcses including English and mathematics, compared to 65.7% of girls (23)

The Men’s Health Forum suggests that these statistics indicate that male emotional and psychological distress may sometimes emerge in ways that do not fit comfortably within conventional approaches to diagnosis. They also show that men may be more likely to lack some of the known precursors of good mental health, such as a positive engagement with education or the emotional support of friends and family.

A picture begins to emerge of a potentially sizeable group of men who cope less well than they might:

  • These men may fail to recognise or act on warning signs and may be unable or unwilling to seek help from support services.
  • At the further end of the spectrum they may rely on unwise, unsustainable self-management strategies that are damaging not only to themselves but also to those around them.
  • Such a picture would broadly parallel what is already known about men’s poorer physical health.

7.Men’s attitudes towards health and how they access health services

Health literacy is the ability to obtain, read, understand, and use healthcare information in order to make appropriate health decisions and follow instructions for treatment.  There is evidence that men have lower levels of health literacy than women.

  • One study found that men were than twice as likely as women to have inadequate health literacy (24).
  • An analysis of people with coronary heart disease in south London found that those with low health literacy were more likely to be male, from a non-white ethnic group, live in a more deprived area, have spent fewer years in education, and were less likely to be employed (25).
  • A large study of British adults (970 males and 1246 females) found that women were more likely than men to recall seven out of nine cancer warning signs (26).
  • According to a National Pharmacy Association study, more men than women admit that their understanding of medicines is poor (23.1% against 15.6% women) (27).
  • Men are twice as likely as women to take a new prescription medicine without first reading the patient information leaflet or seeking professional advice (10.9% of men against 5.1% women) (27).
  • Men’s purchase of prescription-only drugs without medical advice, usually via the Internet, is of increasing concern because of the risks of toxicity and missed diagnoses (27).
  • The percentage of men purchasing prescription-only medications without a prescription via the Internet increases to 67% when considering medications for erectile dysfunction specifically (28).

Men and women display different attitudes towards health and illness.  We have a cultural script about masculinity that tells men they need to be tough, brave, strong and self-reliant. It’s exemplified in phrases like “be a man” and “man up”. Men learn from an early age if they don’t act in this tough, masculine way they lose their status and respect as men.

One study carried out in 2016 found men who buy into the traditional cultural script about masculinity and believe they must be brave and self-reliant in order to be respected, had more barriers to seeking care compared to those who did not endorse these beliefs.  Men validating these beliefs about masculinity and enacting them in their own lives were less likely to seek preventative care and are more likely to delay care when they experienced injury or illness (29).

This all has a huge influence on the attitude’s men have towards their health.

  • Health is often socially constructed as a feminine concern and men therefore have to behave as if they are unconcerned about their health if they wish to publicly sustain a ‘real’ male identity (30).
  • Many men appear to legitimise health service usage, only when a perceived threshold of ill health has been exceeded. There is also a tendency amongst men to play down symptoms or to view potentially serious symptoms as simply signs of growing old (30).
  • Fear surrounding the potential loss of masculinity may result in a façade of control and stoicism, instead of honesty about reporting symptoms and accepting interventions, or openness about feelings and insecurities associated with particular illnesses (30).
  • Risk-taking behaviour is associated with masculinity and is, therefore, more common in males than females (30).
  • A King’s Fund study that looked at four behaviours – smoking, drinking, diet and exercise – found that men were more likely to participate in a combination of three or four risky behaviours (31).

Men’s health is unique to their gender and as such the approach to tackling the issues men face needs to take account of their risk of disease and their attitudes towards their wellness.

 

References

  1. https://www.gov.uk/government/statistics/ndns-results-from-years-7-and-8-combined
  2. Https://www.gov.uk/government/statistics/health-survey-for-england-2016-findings-and-trend-tables
  3. Https://gov.wales/statistics-and-research/national-survey/?Tab=current&lang=en
  4. Https://www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey
  5. Https://www.health-ni.gov.uk/publications/health-survey-northern-ireland-first-results
  6. Https://www.gov.uk/government/publications/uk-physical-activity-guidelines
  7. Https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/bulletins/adultsmokinghabitsingreatbritain/2017
  8. https://www.drinkaware.co.uk/alcohol-facts/alcoholic-drinks-units/
  9. https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/drugusealcoholandsmoking/bulletins/opinionsandlifestylesurveyadultdrinkinghabitsingreatbritain/2017/previous/v1
  10. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregistrationsummarytables/2015
  11. https://www.gov.uk/government/publications/health-profile-for-england/chapter-2-major-causes-of-death-and-how-they-have-changed
  12. https://www.bhf.org.uk/for-professionals/press-centre/facts-and-figures
  13. https://www.mentalhealth.org.uk/sites/default/files/fundamental-facts-about-mental-health-2016.pdf
  14. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2016registration
  15. https://digital.nhs.uk/catalogue/PUB17712/alc-eng-2015-rep.pdf
  16. https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/improving-access-to-psychological-therapies-data-set/improving-access-to-psychological-therapies-data-set-reports
  17. http://webarchive.nationalarchives.gov.uk/20160107060820/http:/www.ons.gov.uk/ons/dcp171778_351100.pdf
  18. https://www.york.ac.uk/inst/spru/pubs/pdf/MissingPersons.pdf
  19. https://www.crisis.org.uk/ending-homelessness/rough-sleeping/
  20. https://digital.nhs.uk/catalogue/PUB14184/alc-eng-2014-rep.pdf
  21. https://digital.nhs.uk/catalogue/PUB12994/drug-misu-eng-2013-rep.pdf
  22. http://webarchive.nationalarchives.gov.uk/20160106231734/http://www.ons.gov.uk/ons/rel/crime-stats/crime-statistics/focus-on-violent-crime-and-sexual-offences–2012-13/rpt-chapter-1—overview-of-violent-crime-and-sexual-offences.html#tab-Profile-of-Offenders-Involved-in-Violent-Crimes
  23. http://webarchive.nationalarchives.gov.uk/20130320141729/http://www.education.gov.uk/researchandstatistics/statistics/a00195931/
  24. https://jech.bmj.com/content/61/12/1086
  25. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549254/
  26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790705/
  27. https://www.npa.co.uk
  28. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069491/
  29. https://www.ncbi.nlm.nih.gov/pubmed/25293967
  30. https://www.bmj.com/content/343/bmj.d7397
  31. https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/clustering-of-unhealthy-behaviours-over-time-aug-2012.pdf

 

The blokes guide to going vegan

The blokes guide to going vegan

The blokes guide to going vegan

Veganism is on the rise and research commissioned by the vegan society in 2016 showed that the number of vegans in the UK has increased by 360% over the last 10 years as a record number of people are choosing to avoid food derived from animals. Over 500,000 people aged 15 or over (more than one per cent of the population) have adopted this plant-based way of eating, making this one of the fasted growing lifestyle movements according to the Vegan Society.  Most vegans live in urban areas, with a quarter residing in London. A Mintel survey carried out in 2017 found that 11% of Britons had tried to follow a vegan diet at some point (1), whilst a previous report found that 33% of Brits had tried eating less meat to be healthier (2).

Vegan men

It wasn’t that long ago that Formula One superhero Lewis Hamilton said he was planning to go vegan full-time in an attempt to function at his healthiest and avoid damaging the planet.  “I stopped eating red meat two years ago”, he told the BBC.  Continuing, he said, “I think it’s the right direction and by letting people who are following me know, maybe that will encourage a couple of people to do the same thing”.  Other male vegan sports people include the footballers, Jermain Defoe and Dean Howell, and even heavyweights such as the British boxer David Hayes have made the switch to this plant-based way of eating. Hollywood celebrities have also followed suit with actors and musicians such as Jared Leto, Chris Martin, Woody Harrelson and Casey Affleck all reported to follow a vegan way of eating.

It still stands that more women are vegan but 37% are still made up of men (3) and the increase awareness of health and body weight amongst men may equally be driven these days by celebrity influence as it has always been amongst women. Recent research has suggested that even men who don’t like meat, find it upsets their digestion, or have been asked by a doctor to reduce consumption, still find it difficult to choose the vegetarian or vegan option when in public with other men.

Vegans in the UK

The growing trend towards veganism is reflected in the demand for meat-free food, which has increased by over 900% with this way of eating predicted by some sources to be one of the biggest food trends in 2018 (4,5).  Food industry insight provided by Foodable Labs reported that in 2018, fifty one percent of chefs in the US added vegan items to their menus.  The same report suggests that this rise is in part due to the influence of social media food and health bloggers as it showed a 79% increase in photos tagged as being vegan (6).

High street food outlets have recognised the increase and responded by offering more vegan options and certain branches of Pret are now solely offering vegetarian and vegan food. Dietary food labelling (including dairy and eggs) has also made it easier for vegans to choose their food when looking for something to eat on the High Street, although some restaurant options are still limited.

Benefits of veganism

Whilst some people choose to go vegan for ethical reasons (environmental damage from methane gases and deforestation, water scarcity and land degradation), others see this is a great way to improve their health and rightly so.  Research shows that non-meat eaters have healthier lifestyles compared to a typical omnivore diet. Plus, a well-balanced vegan diet is more likely to contain a greater quantity of fibre-rich wholegrain foods and pulses. It’s also been shown that vegans are more likely to exceed the daily recommended fruit and vegetable intake, which means gleaning a greater quantity of certain key vitamins and phytonutrients that help to protect the body from disease (7).

Studies also show associations between meat-free eating and a lower incidence of obesity (8), heart disease (9), high blood pressure (10), type 2 diabetes (11) and digestive disorders such as constipation (12).  Lifestyle habits do play a key role here and this doesn’t mean that following a vegan diet will definitely prevent you from developing these conditions.

Anecdotally, people who have gone vegan report better energy levels and overall wellness, but this could in part be to do with the fact that vegans have been shown to be healthier in general, more likely to exercise and less likely to smoke (13).

Men going vegan

Going vegan may pose challenges to certain men especially those programmed towards a ‘meat and two veg’ way of eating.  The vegan diet can be quite calorie restrictive, which means careful planning for men trying to maintain their body weight.  Men following a demanding fitness regime will also need to adjust their thinking towards how they source their increased requirement for protein. Certain nutrients are also more important for men’s health such as zinc, which is typically found in meat and seafood but easy to source from plant foods once you know which ones to include in your diet.

There’s absolutely no reason why anyone can’t glean everything they need on a vegan diet. The issue of nutrient sufficiency has nothing to do with the food and is more a case of people understanding what foods they should be including in their diet and how to incorporate them. Following a vegan diet does take a little more thought and planning, especially when you first start out, but once you begin to understand what this diet looks like in terms of food, then it’s no different to any other way of eating and the same basic principles of healthy eating apply.

What to expect and how to start

Firstly, you may find yourself feeling hungrier once you switch to a vegan diet, so you may need to be prepared to include a couple of snacks during the day and think about including certain more nutrient dense foods.  Switching to eating solely plants means you may be eating a larger volume of food but fewer calories so choosing the right foods to supply you with enough energy is key.

It’s essential to include foods such as nut butters, avocados, oils, nuts and seeds to your diet to maintain adequate energy levels. Try and make your meals up of a protein (see below), grain, and healthy fats (nut, seed, oil, tahini, avocado, nut or seed). Explore dressings and sauces to accompany your meals. If you do get hungry then fill the gap with dips (bean or veggie based), nuts, seeds, soya yoghurt with toppings, smoothies (try adding oats for extra protein) or breads (topped with nut butter, avocado or banana).

Secondly, there’s likely to be a greater burden on cooking and preparing meals so work out your go-to meals to make things a little easier.  This might be a tofu or vegan Quorn stir-fry or one pot dishes such as a bean-based chilli that can be batch cooked and frozen for future meals.

Thirdly, you may experience bloating and gas when you make the switch to eating more beans, pulses and other high fibre foods. This will pass as your body adapts to this way of eating.

You may want to ease yourself in gently to veganism by starting with eliminating animal flesh then after a few weeks cutting out eggs and dairy.

Nutrients you may want to focus on as you begin vegan eating

A balanced diet is bedrock to good nutrition but if you’re used to eating animal foods as the main component of your diet then you may want to consider how you source certain nutrients in your diet.

Protein

There’s a current obsession with protein and whilst the richest sources are found in animal foods, there’s no reason you can’t get everything you need from plants. The trick is to include a source of vegan protein with every meal.  The richest sources are tofu, beans, lentils, pulses and vegan Quorn but other sources include quinoa, nuts, nut butters and seeds.  You will also glean a little protein from foods such as breads, pasta and rice.  The idea of pairing proteins is outdated so just mix and match them across the day to get a good intake of all the amino acids that make up this macronutrient.

Zinc

Zinc is an important part of many enzymes and has a role to play in immunity, processing carbohydrates, fats and proteins from foods and wound healing. The recommended daily intake for zinc is set higher for men as it plays a key role in maintaining prostate health, testosterone levels and overall reproductive health.

There’s a suggestion that vegans may fall short of this mineral in their diet but there are plenty of plant foods containing zinc. There’s also the issue of absorption, which is thought to be less from plant sources so just being mindful to include plenty of zinc-rich foods in your diet such as spinach, nuts, seeds, cocoa powder, mushrooms, beans, breads and cereal products will do the trick.

Vitamin B12

Vitamin B12 is mostly found in foods of animal origin so vegans should try to include fortified products such as plant milks and breakfast cereals in the diet. Yeast extract is one of the few vegan-friendly natural sources of vitamin B12. Contrary to popular belief, spirulina and other algae products are not reliable sources of this vitamin

Iron

Low intakes of iron can lead to tiredness, fatigue and low mood as this mineral is required to make red blood cells that carry oxygen around the body. The type of iron found in meat is more easily absorbed by the body than plant-based sources, but you can increase the uptake by partnering them with a source of vitamin C such as serving fruit juice with your breakfast cereals or combining red peppers with pulses, beans and lentils. Avoiding tea with meals can also help maximise the absorption of iron from your food. Good sources include pulses, nuts, seeds, fortified breakfast cereals, tofu, tempeh, dark green leafy vegetables, dried fruit, molasses and dried spices.

Calcium

Calcium is essential for the good health of your bones and is also required for proper muscle and nerve function. Although dairy is often (falsely) thought to be one of the only sources of this mineral, you can glean more than enough from foods such as tofu, almonds, dark green leafy vegetables, sesame seeds, tahini and fortified plant-milks. Try eating two or three servings of calcium-rich foods on a daily basis.

Omega 3

Omega 3 fatty acids cannot be made in the body. The two most important are called eicosapentaenoic acid (EPA) and docosahexeanoic acid (DHA), which are predominantly found in oily fish.  Another type of Omega 3 called alphalinolenic acid (ALA) can be found in foods such as dark green leafy vegetables, quinoa, walnuts and chia seed oil.  This Omega 3 fatty acid is converted to EPA and DHA in the body, but the conversion rate is poor, so you may want to consider supplementing your diet with a vegan Omega 3 supplement (sourced from algae).

Store cupboard essentials for all vegans

  • Nuts
  • Seeds
  • Nut butters
  • Oils (extra virgin olive, rapeseed, sesame, chia)
  • Soy (tofu, miso, tempeh)
  • Fortified plant milks
  • Yeast extract
  • Dried spices
  • Cocoa powder
  • Quinoa
  • Canned beans, pulses and lentils
  • Tahini
  • Avocado
  • Hummus
  • Dried fruit
  • Wholegrains (oats, barley, brown rice, spelt)
  • Wholemeal pasta and breads
  • Vegan Quorn
  • Yeast extract
  • Fortified cereals

There’s no reason why anyone can’t get everything they need from a vegan diet.  Certain nutrients such as zinc are particularly important for men and they may also need to consider their overall energy and protein intake if they are trying to gain or maintain body weight alongside a heavy training regime.  They key is planning and understanding how to create quick and easy vegan meals to reduce the burden of cooking.  Supplements such as a multivitamin and mineral or omega 3 may be worth investing in as you begin the transition to vegan eating to insure you are getting everything your body needs.

 

  1. https://store.mintel.com/uk-meat-free-foods-market-report
  2. https://store.mintel.com/healthy-lifestyles-uk-october-2016
  3. https://www.ipsos.com/sites/default/files/migrations/en-uk/files/Assets/Docs/Polls/vegan-society-poll-2016-topline.pdf
  4. https://www.just-eat.ie/blog/plant-based-diet-2018/
  5. https://foodrevolution.org/blog/vegan-statistics-global/
  6. https://www.independent.co.uk/life-style/food-and-drink/vegan-dishes-chefs-restaurant-menus-added-2018-veganism-trend-us-a8511526.html
  7. https://www.ncbi.nlm.nih.gov/pubmed/26707634
  8. https://www.ncbi.nlm.nih.gov/pubmed/26138004
  9. https://www.ncbi.nlm.nih.gov/pubmed/24636393
  10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466938/
  11. https://www.ncbi.nlm.nih.gov/pubmed/21983060
  12. https://www.ncbi.nlm.nih.gov/pubmed/10466166
  13. https://www.ncbi.nlm.nih.gov/pubmed/23583444

 

Foods high in zinc

Foods high in zinc

Highest foods and greatest sources of zinc (download as a PDF Foods high in zinc)

Zinc is an essential mineral so you need to obtain it from the diet as your body cannot make it.  This mineral is involved in approximately 100 enzymatic reactions in the body and plays a role in immunity, protein synthesis, wound healing, DNA synthesis and cell division.  Zinc is also required for a proper sense of taste and smell as well as growth and development during pregnancy, childhood and adolescence.

This mineral is essential for men’s health.  Zinc plays a role in fertility by helping to improve the quality of sperm (1).  Research has shown that men with lower levels of seminal zinc had lower sperm counts as well as more abnormal sperm, which may be due to the protection of zinc against oxidative damage.

Zinc may also help to protect the health of the prostate.  Men with low levels of zinc in their diet tend to have higher chances of developing and enlarged prostate, which is known as benign prostate hyperplasia or BHP (2).

Zinc has long been associated with immunity and the common cold and some evidence points towards the benefits of this mineral in lessoning the symptoms by way of zinc lozenges (3).  Zinc also not only increases the production of white blood cells that fight infection, but also helps them fight more aggressively. It also increases killer cells that fight against cancer and helps white cells release more antibodies.  Zinc increases the number of infection-fighting T-cells, especially in elderly people who are often deficient in zinc and whose immune system may weaken with age (4).

Skin and hair health may also benefit from gleaning enough zinc from your diet.  Zinc plays an important role in overall skin health, and it may also treat eczema, psoriasis, dandruff, burns and boils (5).  This essential mineral also helps skin wounds heal faster.  Low intake of zinc has also been associated with hair loss (6)

Like many nutrients, zinc also acts as an antioxidant in the body.  Antioxidants help to reduce the damage done by excess free radicals that can increase cell aging and build up as a result of a poor diet, lifestyle and environmental factors. Antioxidants also play a role in reducing inflammation in the body.  Prolonged inflammation is thought to be at the root of many serious health conditions such as heart disease and cancer.

 

How much do you need?

UK Adult men require 9.5mg per day

UK Adult women require 7mg per day

 

Average intakes in the UK

Women consume more zinc than men

Most men and women have intakes above 100% of the RNI for zinc

9% of adult men have very low intakes of zinc

10% of teenage boys have very low intakes of zinc

 

Groups most at risk of deficiency  

The bioavailability of zinc from vegetarian diets is lower than from non-vegetarian diets because vegetarians do not eat meat, which is high in bioavailable zinc. Vegetarians and vegans also typically eat high levels of legumes and whole grains, which contain phytates that bind zinc and can inhibit its absorption.

Vegetarians can sometimes require more zinc than non-vegetarians. Certain food preparation techniques can help to reduce the binding of zinc by phytates and increase its bioavailability such as soaking beans, grains, and seeds in water for several hours before cooking them and allowing them to sit after soaking until sprouts form. Vegetarians and vegans can also increase their zinc intake by consuming more leavened grain products (such as bread) than unleavened products (such as crackers) because leavening partially breaks down the phytates; thus, the body absorbs more zinc from leavened grains than unleavened grains.

Alcoholics can have low levels of zinc because alcohol decreases intestinal absorption and increases urinary excretion of zinc.  Alcoholism can also affect food intake, which can limit the amount of zinc consumed.

Be aware that high intakes of zinc intakes can inhibit copper absorption, sometimes producing copper deficiency and associated anemia so be wary of supplement containing very high doses of this mineral.

 

How to increase your intake of zinc 

  • Add seeds as a topping to salads, cereals and porridge
  • Include plenty of dried herbs and spices to your meals
  • Include shellfish in your diet, which can be used to make salads, stews and stir-fry’s
  • Include plenty of pulses and lentils in your diet, which can be added to salads, stews, casseroles, soups or made into dips
  • Cocoa powder is high in zinc so the occasional treat of high cocoa dark chocolate is a good source of try making a cup of cocoa or homemade nut milks flavoured with this ancient ingredient
  • Try switching to wholegrains such as breads, rice and pseudo grains such as quinoa
  • Oats are high in zinc and make great breakfasts or toppings for sweet dishes such as crumbles and even savoury toppings
  • Nuts and seeds are high in zinc so try making your own healthy granola or flapjacks
  • Go veggie a few times each week and swap meat for tofu or Quorn
  • Eggs are the breakfast of champions and also make a great snack when boiled (try serving with smoked paprika, celery salt or tabasco sauce)
  • Don’t skip breakfast! Even a small bowl of your favourite wholegrain cereal can add a useful source of zinc to the diet. You can also use cereals as savoury topping

 

Foods highest in zinc (data taken from McCance and Widdowson)

 

Food Portion size (g) Mg per serving Mg per 100g
Shellfish
Raw oysters 80 47.4 59.2
Boiled lobster 100 5.5 5.5
Boiled lobster 100 2.5 2.5
Cooked mussels 100 2.3 2.3
Boiled prawns 100 2.2 2.2
Sardines canned in oil 50 1.1 2.2
Anchovies canned in oil 10 0.3 3
Meat and offal
Fried calf’s liver 100 15.9 15.9
Lamb neck fillet grilled 100 6.4 6.4
Grilled sirloin steak 100 4.3 4.3
Fried chicken liver 100 3.8 3.8
Grilled pork steak 100 2.9 2.9
Roast turkey 100 2.5 2.5
Grilled gammon steak 100 2.2 2.2
Ham 100 1.8 1.8
Grilled back bacon 50 1.6 3.1
Roast chicken 100 1.5 1.5
Pulses
Cooked aduki beans 80 1.8 2.3
Tempeh 100 1.8 1.8
Cooked chickpeas 80 1.0 1.2
Cooked red kidney beans 80 0.8 1
Cooked pinto beans 80 0.8 1
Cooked lentils 80 0.8 1
Tofu 100 0.7 0.7
Miso 30 1.0 3.3
Grains
Quinoa 180 5.9 3.3
Wheatgerm 30 5.1 17
Wholegrain rice(boiled) 180 3.2 1.8
Wholemeal bread 80 1.3 1.6
Oats 50 1.2 2.3
Oatcakes 40 1.3 3.3
Dark rye flour 30 0.9 3
Cereals
All bran 40 2.4 6
Bran flakes 40 1.0 2.5
Shredded wheat 40 0.9 2.3
Muesli 40 0.9 2.3
Weetabix 40 0.8 2
Special K 40 0.8 2
Fruit n fibre 40 0.6 1.5
Cheese and eggs
Parmesan cheese 30 1.5 5.1
Eggs 100 1.3 1.3
Edam 30 1.1 3.8
Cheddar cheese 30 0.7 2.3
Brie 30 0.6 2
Goats cheese 30 0.3 1
Nuts and seeds
Cashew nuts 25 1.5 5.9
Pecan nuts 25 1.3 5.3
Brazil nuts 25 1.1 4.2
Peanut butter 30 1.1 3.5
Peanuts 25 0.9 3.5
Tahini 15 0.8 5.4
Almonds 25 0.8 3.2
Poppy seeds 5 0.4 8.5
Pumpkin seeds 5 0.3 6.6
Pine nuts  5 0.3 6.5
Cocoa powder 15 1.0 6.9
Sesame seeds  5 0.3 5.3
Sunflower seeds 5 0.3 5.1
Vegetables
Quorn 100 7.0 7
Dried mushrooms 40 1.9 4.8
Frozen peas 80 0.7 0.9
Seaweed (nori) 10 0.6 6.4
Asparagus 80 0.6 0.7
Spinach 80 0.6 0.7
Okra 80 0.5 0.6
Brussels sprouts 80 0.4 0.5
Sundried tomatoes  40 0.3 0.8
Mushrooms 80 0.3 0.4
Parsnips 80 0.2 0.3
Endive 80 0.2 0.2
Herbs and spices
Dried chervil 5 0.4 8.8
Fenugreek 5 0.3 6.9
Dried thyme 5 0.3 6.2
Dried basil 5 0.3 5.8
Mustard seeds 5 0.2 4.7
Dried oregano 5 0.2 4.4
Cumin seeds 5 0.2 4.2
Curry powder 5 0.2 3.7
Dried cardamom 5 0.1 2.6

 

    References

  1. https://www.ncbi.nlm.nih.gov/pubmed/19285597
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114577/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136969/
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702361/
  5. https://www.hindawi.com/journals/drp/2014/709152/
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3870206/

 

Download this document as a PDF  Foods high in zinc