Problemi correnti
Lo svezzamento vegetariano
Vegetarian weaning
Maria Luisa Ferrari1, Mario Berveglieri2
1Pediatra di libera scelta, Bondeno (Ferrara); 2Pediatra di libera scelta, Cento (Ferrara)
Aprile 2015 - pagg. 235 -238
Abstract
Vegetarian weaning is widespread and increasingly in demand because vegetarian
families are increasing. Literature informs that, to be appropriate and healthy, vegetarian
weaning must be “well-planned”. A well-balanced lacto-ovo-vegetarian diet, including
dairy products, can satisfy all nutritional needs of the growing child. In contrast, a
vegan diet, excluding all animal food sources, has at least to be supplemented with vitamin
B12, with special attention to adequate intakes of calcium and zinc and energydense
food containing enough high-quality protein for young children. The paediatrician
plays a very important and professional role in welcoming, following and advising families
who wish to adopt this type of diet.
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Classificazione MeSH
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Bibliografia
1. AAP. Policy Statement: Allattamento al seno e
uso del latte umano. Pediatrics 2005;17(1):105-11.
2. Ferrari ML, Berveglieri M. Alimentazione vegetariana
in pediatria. Medico e Bambino 2015;34
(3):165-9.
3. Academy of Nutrition and Dietetics. Vegetarian
Diets. J Am Diet Assoc 2009;109:1266-82.
4. Committee on Nutrition. Nutritional aspects of
vegetarianism, helath foods and fad diets. Pediatrics
1977;59:460.
5. Messina V, Mangels AR, Messina M. The dietitian’s
guide to vegetarian diets: issues and applications.
In: Sudbury MA. Jones & Bartlett
Learning, Paperback book, 596 pp, Third Edition,
2011.
6. Pilis W, Stec K, Zych M, Pilis A. Health benefits
and risk associated with adopting a vegetarian diet.
Rocz Panstw Zakl Hig 2014;65(1):9-14.
7. Laskowska-Klita T, Chełchowska M, Ambroszkiewicz
J, Gajewska J, Klemarczyk W. The
effect of vegetarian diet on selected essential nutrients
in children. Med Wieku Rozwoj 2011;15
(3):318-25.
8. Ingenbleek Y, McCully KS. Vegetarianism produces
subclinical malnutrition, hyperhomocysteinemia
and atherogenesis. Nutrition 2012;28
(2):148-53.
9. Kirby M, Danner E. Nutritional deficiencies in
children on restricted diets. Pediatr Clin North
Am 2009;56(5):1085-103.
10. PAHO/WHO. Guiding principles for complementary
feeding of the breastfed child. Division
of Health Promotion and Protection. Food and
Nutrition Program. Washington/Geneva: s.n.,
2003.
11. Agostoni C, Decsi T, Fewtrell M, et al.;
ESPGHAN Committee on Nutrition. Complementary
feeding: a commentary by the
ESPGHAN Committee on Nutrition. J Pediatr
Gastroenterol Nutr 2008;46:99-110.
12. Piermarini L. Alimentazione complementare a
richiesta: oltre lo svezzamento. Medico e Bambino
2006;25(7):439-42.
13. Kleinman RE. Complementary Feeding and
Neuromuscular Development. Pediatrics 2000;
106:1279.
14. Davis CM. Results of the self-selection of diets
by young children. Can Med Assoc J 1939;
41:257-61.
15. Satter EM. The feeding relationship: problems
and intervention. J Pediatr 1990;117(S):
181-9.
16. Piermarini L. Autosvezzamento. Medico e
Bambino 2002;21(7):468-71.
17. Messina V, Mangels AR. Considerations in
planning vegetarian diets: Children. J Am Diet Assoc
2001;101:661-9.
18. Academy of Nutrition and Dietetics. Position
of the Academy of Nutrition and Dietetics: vegetarian
diets. J Acad Nutr Diet 2015;115:801-10.
19. Haddad EH, Sabaté J, Whitten CG. Vegetarian
food guide pyramid: a conceptual framework. Am
J Clin Nutr 1999;70(3 suppl):615S-619S.
20. Jacobs DR Jr, Haddad EH, Lanou AJ, Messina
MJ. Food, plant food, and vegetarian diets in the
US dietary guidelines: conclusions of an expert
panel. Am J Clin Nutr 2009;89 (5):1549S-1552S.
21. Van Winckel M, Vande Velde S, De Bruyne R,
Van Biervliet S. Clinical practice: vegetarian infant
and child nutrition. Eur J Pediatr 2011;170
(12):1489-94.
22. Academy of Nutrition and Dietetics. http://
www.guideline.gov/content.aspx? id= 35174&
search=vegetarian+diet. Vegetarian nutrition
(VN) evidence based nutrition guideline. [Online]
National Guideline Clearinghouse, 2011.
23. Messina V, Melina V, Mangels AR. A new food
guide for North American vegetarians. J Am Diet
Assoc 2003;103(6):771-5.
24. Mangels AR, Messina V. Consideration on
planning vegan diets: infants. J Am Dietetic Ass
2001;101:670-77.
25. Committee on Nutrition, American Academy
of Pediatrics. Pediatric Nutrition Handbook. Elk
Grove Village, IL: Kleinman RE, Greer MD FR,
2013. 7th ed.
26. Volta A, Panza C, Capuano, C, Ferraroni E,
Novelli D. Alimentazione complementare nel primo
anno di vita. Medico e Bambino 2006;25(7):
445-50.
27. Bosscher D, Van Cauwenbergh R, Van der
Auwera JC, Robberecht H, Deelstra H. Calcium,
iron and zinc availability from weaning meals. Acta
Paediatr 2002;91(7):761-8.
28. Foster-Powell K, Holt SHA, and Brand-Miller
JC. International table of glycemic index and
glycemic load. Am J Clin Nutr 2002;76:5-56.
29. Carnovale E, Marletta L (INRAN). Tabelle di
composizione degli alimenti. Milano: EDRA,
1997.
30. Fasano A, Catassi C. Clinical practice. Celiac
disease. N Engl J Med 2012;367(25):2419-26.
31. Harland BF, Morris E R,. Phytate a good or
bad food component. Nutr Res 1995;15:733-54.
32. Young VR, Pellett PL. Plant proteins in relation
to human protein and amino acid nutrition.
Am J Clin Nutr 1994;59(suppl):1203S-1212S.
33. FAO/WHO/UNU. Expert Consultation on
Protein and Amino Acid Requirements in Human
Nutrition. Protein and Amino Acid Requirements
in Human Nutrition: Report of a Joint FAO/
WHO/UNU Expert Consultation. Geneva, Switzerland:
World Health Organization; 2002. WHO
Technical Report Series No. 935, 2002.
34. Abate MV, Bruno I, Perco A. M&B Pagine
elettroniche. http://www.medicoebambino.com
/?id=NEWS1103_10.html.
35. Specker BL, Miller D, Norman EJ, Greene
H, Hayes KC. Increased urinary methylmalonic
acid excretion in breast-fed infants of vegetarian
mothers and identification of an acceptable dietary
source of vitamin B12. Am J Clin Nutr
1988;47:89-92.
36. Specker BL, Black A, Allen L, Morrow F. Vitamin
B12: Low milk concentrations are related to
low serum concentrations in vegetarian women
and to methylmalonic aciduria in their infants.
Am J Clin Nutr 1990;52:1073-6.
37. Specker BL, Tsang RC. Cyclical serum 25 hydroxyvitamin
D concentrations paralleling sunshine
exposure in exclusively breast-fed infants. J
Pediatr 1987;110:744-7.
38. Dunn-Emke SR, Weidner G, Pettenall EB,
Marlin RO, Chi C, Ornish DM. Nutrient adequacy
of a very low-fat vegan diet. J Am Diet Assoc
2005;105:1442-6.
39. Appleby P, Roddam A, Allen N, Key T. Comparative
fracture in vegetarians and nonvegetarians
in EPIC-Oxford. Eur J Clin Nutr 2007;61:
1400-6.
40. Rosell MS, Lloyd-Wright Z, Appleby PN,
Sanders TA, Allen NE, Key TJ. Longchain n-3
polyunsatuurated fatty acids in plasma in British
meat-eating, vegetarian, and vegan men. Am J
Clin Nutr 2005;82:327-34.
41. Hallberg L, Hulthen L. Prediction of dietary
iron absorption: an algorithm for calculating absorption
and bioavailability of dietary iron. Am J
Clin Nutr 2000;71:1147-60.
42. Hunt JR. Bioavailability of iron, zinc, and other
trace minerals from vegetarian diets. Am J Clin
Nutr 2003;78(3 Suppl):633S-639S.
43. ADA. Position of the American Dietetic Association:
Vegetarian Diets. http://www.vrg.
org/nutrition/2009_ADA_position_paper.pdf.
44. Institute of Medicine, Food and Nutrition
Board. Dietary Reference Intakes for Vitamin A,
Vitamin K, Arsenic, Boron, Chromium, Copper,
Iodine, Iron, Manganese, Molybdenum, Nickel,
Silicon, Vanadium, and Zinc. Washington, DC:
National Academies Press, 2001.
45. Lonnerdal B. Dietary factors influencing zinc
absorption. J Nutr 2000;130(5S Suppl):1378S-
1383S.
Corrispondenza: marialuisaferrari@yahoo.it