4.7 Article

Religious dietary rules and their potential nutritional and health consequences

Journal

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
Volume 50, Issue 1, Pages 12-26

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ije/dyaa182

Keywords

Asian philosophies; breast feeding; iron deficiency; nutritional inadequacies; religions; vegan diet; vitamin D deficiency

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Most religious dietary rules, when followed according to traditions, are not harmful to health. However, strict adherence to some rules may result in nutritional deficiencies, particularly in populations facing unfavorable socio-economic or environmental conditions.
Background: The vast majority of the world population declares affiliation to a religion, predominantly Christianity and Islam. Many religions have special dietary rules, which may be more or less strictly adhered to. Methods: Religious food rules were collected from holy books and religious websites as well as their translation into dietary practices. The literature was searched for potential associations between these rules and potential nutritional consequences. Results: Jewish, Islamic and Indian religions support prolonged breastfeeding. Religious avoidance of alcohol is probably beneficial to health. When strictly applied, a few rules may lead to nutritional inadequacies, mainly in populations living in unfavourable socio-economic or environmental conditions. In Jewish and Muslim observants, animal slaughtering procedures may increase the risk of iron deficiency. Jews may be at risk of excess sodium intake related to home-prepared foods. A vegan diet, as observed by some believers, often by drifting fromoriginal precepts, or by some Hindus or Buddhists, may result in vitamin B12, calcium, iron, zinc, seleniumand n-3 fatty acids deficiencies. Conclusion: When implemented in accordance with the rules, most religious food precepts are not detrimental to health, as suggested by the fact that they have more or less been followed for millennia. Nevertheless, some practices may lead to nutritional inadequacies, such as iron, calcium, vitamin D and vitamin B12 deficiencies. Patients with low socio-economic status, children and women of childbearing age are of particular risk of such deficiencies. Being aware of them should help health professionals to take an individualized approach to decide whether to supplement or not.

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