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News & Views on Child Nutrition
For Parents, Educators, and Health Professionals
by Connie Evers, MS, RD
Issue 40, April/May 2002

IN THIS ISSUE:
ASK CONNIE: My Teen is "Vegging Out"
FOR KIDS ONLY: What's your body need?
RECIPE: Tuna Mandarin Roll-ups
NEWS IN BRIEF:
"Adult" Diabetes in Kids
Recommended Site: Food Allergy Network

There's really no reason for worry simply because your teen no longer wants to eat meat, chicken or fish.

 

 

 

 

 

 

 

 

ASK CONNIE: My Teen is "Vegging Out"

Q. Help! My teenage daughter has declared herself a "vegetarian." It seems to be a fad among her friends. Is this a safe diet?

A. An increasing number of teens are adopting a meat-free lifestyle. While for some it may be a passing fad, many other adolescents take this lifestyle choice very seriously. There's really no reason for worry simply because your teen no longer wants to eat meat, chicken or fish. Like all teens though, diet variety and quality are always an issue – this age group tends to miss out on many key nutrients at a time when their body needs them the most!

Kids and teens adopt vegetarian diets for a variety of reasons, including health, animal rights, the environment or religious reasons. Most vegetarian diets fall into one of the following categories:

• Vegans eat only foods of plant origin, including fruits, vegetables, grains, nuts, seeds and legumes (e.g. beans, peas, lentils, tofu, and peanuts).
• Lacto-vegetarians include milk and dairy products in their diet, as well as all plant-based foods.
• Lacto-ovo-vegetarians consume eggs, dairy products, and all plant-based foods in their diets.

The diet of a vegetarian child is often closer to the model of the Food Guide Pyramid than that of their meat-eating peers. If they continue to follow a plant-based diet into adulthood, vegetarian children can expect to have a lowered incidence of obesity, high blood pressure, heart disease and cancer.

Teens can achieve adequate amounts of the protein, vitamins and minerals needed for proper growth and development if they include a variety of plant-based foods and include sources of key nutrients such as iron, calcium, zinc, vitamin B12 and protein. Teens who adopt a strict vegan lifestyle have to pay particular attention to these nutrients, since a deficiency can affect growth and development. The table below lists the best sources for meeting nutrient needs.

The American Dietetic Association's vegetarian nutrition practice group offers the following advice for helping vegetarian children meet their nutritional needs in healthful and tasty ways:

Calories and fat: Vegetarian children's diets sometimes tend to be high in fiber, filling their stomachs but making it difficult for them to consume the levels of energy they need. Avocados, nuts, seeds, dried fruits and soy products can provide concentrated sources of calories.

Protein: Protein needs generally can be met by eating a variety of plant foods and having an adequate intake of calories. Foods high in protein include legumes, grains, soy products, nuts, dairy products and eggs. Grains such as rice, pasta, breads and cereals provide the same protein.

Calcium: Good sources of calcium, especially for vegans, include calcium-fortified soy and rice milks and orange juice, tofu and dark green leafy vegetables.

Vitamin D: Children regularly exposed to appropriate levels of sunlight -- 20 to 30 minutes per day on the hands and face, two to three times per week -- apparently have no dietary requirement for vitamin D. Children with darker skin or who have limited exposure to sunlight may require vitamin supplements. Dietary sources of vitamin D include fortified cow's milk, some brands of soy or rice milk and most dry cereals.

Iron: Iron-deficiency anemia is the most common childhood nutritional problem, but it's no more likely to occur in vegetarian children than non-vegetarians. Good sources of iron include whole or enriched grains, iron-fortified cereals, legumes, green leafy vegetables and dried fruits.

Vitamin B12: Vegan children should eat foods fortified with vitamin B12, including fortified soy milk, fortified nutritional yeast and some breakfast cereals.

Zinc: Sources include legumes, hard cheeses, whole grain products, wheat germ, nuts and tofu.

Source: Raising Children As Vegetarians: Planning And Variety Are The Keys (press release) http://www.eatright.org/Public/Media/PublicMedia_10879.cfm

Vegetarian Diets and Eating Disorders
There has been concern that a plant-based diet may place children at higher risk of eating disorders. This concern stems from the observation that vegetarian diets are more common among teens with disordered eating patterns.

But many experts agree that adopting a vegetarian diet does not lead to eating disorders. Instead, teens who are predisposed to disordered eating often use vegetarianism as another tool to legitimize an overly restrictive diet.

Family Meals
Just because your teen is vegetarian, it doesn't mean you have to prepare an entirely different meal. The best strategy is to offer several easy side dishes so that your child has something to choose when the family is eating a meat-based meal. Examples include salads, yogurt, tofu, baked beans, fruit and vegetables that the entire family enjoys.

Who knows? You may find that everyone starts including more healthful plant-based foods in their diet. Celebrate the positive!

Sources:
Vegetarian Diets – Position of the American Dietetic Association, J Am Diet Assoc. 1997;97:1317-1321.

Vegetarian Nutrition for Teenagers, by Reed Mangels, Ph.D., RD
http://www.vrg.org/nutrition/teennutrition.htm


This feature is one part of the "Dying to Be Thin" series on eating disorders produced by PBS.

 

FOR KIDS ONLY: What's Your Body Need?

This Internet-based interactive program features a mouse roll-over to show you how foods, parts of the body and nutrients work together in your body. This is a great resource for school research projects or to satisfy your own curiosity. Access the program at http://www.pbs.org/wgbh/nova/thin/needs.html


Mandarin oranges add sweetness and moistness to ordinary tuna salad. A touch of curry can be added for the more adventurous or exotic.

Tuna-Mandarin Roll-ups

Ingredients:
1 can (12 ounces) solid white albacore tuna in water, drained
1/4 cup reduced-fat mayonnaise
1/4 teaspoon curry powder (optional)
1 can (11 ounces) Mandarin orange segments, drained
1/3 cup finely chopped celery or chopped, rinsed and drained
canned water chestnuts
4 small flour tortillas
2 cups loosely packed torn lettuce or baby spinach leaves

Preparation:
In medium bowl, using fork, combine tuna, mayonnaise and curry powder, if desired; mix well. Stir in oranges and celery. Spread 1/2 cup tuna mixture onto each tortilla to within 1 inch of edge; top with 1/2 cup lettuce. Roll up; serve immediately.
Servings: 4
Recipe courtesy of the Canned Food Alliance


 

News in Brief

"Adult" Diabetes in Kids
Many obese children and adolescents have impaired glucose tolerance, a condition that often appears before the development of type 2 diabetes, according to researchers funded by the National Institutes of Health (NIH).
The researchers tested for impaired glucose tolerance in 55 obese children from 4 to 10 years of age, and 112 obese adolescents from 11 to 18 years of age. In all, 25 percent of the children and 21 percent of the adolescents had impaired glucose tolerance. The researchers also found that four of the adolescents in the study had silent type 2 diabetes, a form of diabetes that doesn't cause any symptoms.
Source: Sinha, R, et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity.N Engl J Med. 2002 Mar 14;346(11):802-10. http://content.nejm.org/cgi/content/abstract/346/11/802

RECOMMENDED SITE:
Food Allergy Network (FAN) http://www.foodallergy.org/
Anyone with a food allergy in the family should know about this website. FAN is a nonprofit organization providing education about food allergy to peanuts, nuts, eggs, milk, wheat, soy, fish and shellfish. The site also features sections designed just for children and teens – the FANKID and FANTEEN sections can be accessed directly at http://www.fankids.org/


The information contained in this newsletter is not intended as a substitute for medical and/or nutrition advice. See your physician and/or registered dietitian for individual health and/or dietary concerns.

©2002, by Connie Evers, All Rights Reserved. There is a modest reprint fee for reproducing the material in this newsletter in either print or electronic publications. Please send an email to reprint@nutritionforkids.com for details and rates.


Connie Evers, MS, RD, is the author of How to Teach Nutrition to Kids, the companion LEADER/ACTIVITY guide and a number of additional resources located at http://nutritionforkids.com.

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