Pediatr. praxi. 2020;21(6):409-413 | DOI: 10.36290/ped.2020.085

Plant based diets: breastfeeding and complementary feeding

MUDr. Martin Světnička1,4, MUDr. Eliška Selinger2,3,4, MUDr. Jan Gojda2,4, MUDr. Eva El‑Lababidi, Ph.D.1,4
1 Klinika dětí a dorostu, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy v Praze
2 II. interní klinika, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy v Praze
3 Oddělení hygieny dětí a mladistvých, Státní zdravotnický ústav, Praha
4 Centrum pro výzkum výživy, metabolismu a diabetu, 3. lékařská fakulta Univerzity Karlovy v Praze

Popularity of plant-based diets, vegetarianism and veganism, is growing nowdays. This dietetic style is also spreading among young families, who also lead their children to leave out animal products from their diet even during the time of pregnancy and breastfeeding. With the wrong composition of the diet and lack of information, the exclusion of all animal products could cause nutritional deficiencies and affect the physiological development of the child. The major potential problem may arise from the absolute absence of vitamin B12 in a strict plant-based diet, the problem the most common yet simple to handle. It is also necessary to focus on vitamin D, calories, protein, calcium, iron, fatty acids and iodine intake. The newest reviews shows that all the deficits can be prevented by a well balanced composition of the plant-based diet and the inclusion of the nutritional supplements.

Keywords: vegan, vegetarian diet, vitamin B12, breastfeeding, complementary food, infant.

Published: January 6, 2021  Show citation

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Světnička M, Selinger E, Gojda J, El‑Lababidi E. Plant based diets: breastfeeding and complementary feeding. Pediatr. praxi. 2020;21(6):409-413. doi: 10.36290/ped.2020.085.
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References

  1. Weder S, Hoffmann M, Becker K, Alexy U, Keller M. Energy, macronutrient intake, and anthropometrics of vegetarian, vegan, and omnivorous children (1-3 years) in Germany (VeChi diet study). Nutrients. 2019; 11(4): 1-18. Go to original source... Go to PubMed...
  2. Agnoli C, Baroni L, Bertini I, Ciappellano S, Fabbri A, Papa M, et al. Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutr Metab Cardiovasc, DiS. 1. prosinec 2017; 27(12): 1037-1052. Go to original source... Go to PubMed...
  3. Baroni L, Goggi S, Battaglino R, Berveglieri M, Fasan I, Filippin D, et al. Vegan nutrition for mothers and children: Practical tools for healthcare providers. Nutrients. 2019; 11(1): 1-16. Go to original source... Go to PubMed...
  4. Mangels AR, Messina V. Considerations in planning vegan diets: Infants. 670-677.
  5. Setchell KDR, Zimmer‑Nechemias L, Cai J, Heubi JE. Exposure of infants to phyto‑oestrogens from soy‑based infant formula. Lancet. 1997; 350(9070): 23-27. Go to original source... Go to PubMed...
  6. Lemale J, Mas E, Jung C, Bellaiche M, Tounian P. Vegan diet in children and adolescents. Recommendations from the French‑speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr [Internet]. 2019; 26(7): 442-450. Dostupné z: https://doi.org/10.1016/j.arcped.2019. 09. 001. Go to original source...
  7. Kniskern MA, Johnston CS. Protein dietary reference intakes may be inadequate for vegetarians if low amounts of animal protein are consumed. Nutrition. červen 2011; 27(6): 727-730. Go to original source... Go to PubMed...
  8. Karcz K, Królak‑Olejnik B. Vegan or vegetarian diet and breast milk composition - a systematic review. Crit Rev Food Sci Nutr [Internet]. 2020;0(0):1-18. Dostupné z: https://doi.org/10.1080/10408398.2020.1753650. Go to original source... Go to PubMed...
  9. Specker BL, Wey HE, Miller D. Differences in fatty acid composition of human milk in vegetarian and nonvegetarian women: Long, term effect of diet. J Pediatr Gastroenterol Nutr. 1987; 6(5): 764-768. Go to original source... Go to PubMed...
  10. Specker BL, Black A, Allen L, Morrow F. Vitamin B-12: Low milk concentrations are related to low serum concentrations in vegetarian women and to methylmalonic aciduria in their infants1-3. Am J Clin Nutr. 1990; 52(6): 1073-1076. Go to original source... Go to PubMed...
  11. Pawlak R, Vos P, Shahab‑Ferdows S, Hampel D, Allen LH, Perrin MT. Vitamin B-12 content in breast milk of vegan, vegetarian, and nonvegetarian lactating women in the United States. Am J Clin Nutr. 2018; 108(3): 525-531. Go to original source... Go to PubMed...
  12. Pawlak R, Lester SE, Babatunde T. The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: A review of literature. Eur J Clin Nutr. 2014; 68(5): 541-548. Go to original source... Go to PubMed...
  13. Codazzi D, Sala F, Parini R, Langer M. Coma and respiratory failure in a child with severe vitamin B12 deficiency [Internet]. Roč. 6, Pediatric Critical Care Medicine. 2005. 483-485. Dostupné z: http://www.embase.com/search/results?subaction=viewrecord & from=export & id=L40980834%0Ahttp://dx.doi.org/10.1097/01.PCC.0000167565.30084.84 Go to original source... Go to PubMed...
  14. Fogarasi A, Neuwirth M, Békési A, Bocskai E. Macrocytic anemia and neurological signs due to vitamin B-12 deficiency in a breast‑fed infant of a strict vegetarian mother. Roč. 142, Orvosi hetilap. 2001. 2581-2585.
  15. Rizzo G, Laganà AS, Rapisarda AMC, La Ferrera GMG, Buscema M, Rossetti P, et al. Vitamin B12 among vegetarians: Status, assessment and supplementation. Nutrients. 2016; 8(12): 1-23. Go to original source... Go to PubMed...
  16. Cesareo R, Attanasio R, Caputo M, Castello R, Chiodini I, Falchetti A, et al. Italian Association of Clinical Endocrinologists (AME) and Italian Chapter of the American Association of Clinical Endocrinologists (AACE) Position Statement: Clinical Management of Vitamin D Deficiency in Adults. Nutrients [Internet]. 27. duben 2018 [citován 24. květen 2020]; 10(5): 546. Dostupné z: http://www.mdpi.com/2072-6643/10/5/546
  17. Schmidt JA, Rinaldi S, Scalbert A, Ferrari P, Achaintre D, Gunter MJ, et al. Plasma concentrations and intakes of amino acids in male meat‑eaters, fish‑eaters, vegetarians and vegans: A cross‑sectional analysis in the EPIC‑Oxford cohort. Eur J Clin Nutr [Internet]. 2016; 70(3): 306-312. Dostupné z: http://dx.doi.org/10.1038/ejcn.2015.144. Go to original source... Go to PubMed...
  18. Dumrongwongsiri O, Chatvutinun S, Phoonlabdacha P, Sangcakul A, Chailurkit L or, Siripinyanond A, et al. High Urinary Iodine Concentration Among Breastfed Infants and the Factors Associated with Iodine Content in Breast Milk. Biol Trace Elem Res. 1. listopad 2018; 186(1): 106-113. Go to original source... Go to PubMed...
  19. Di Matola T, Zeppa P, Gasperi M, Vitale M. Thyroid dysfunction following a kelp‑containing marketed diet. BMJ Case Rep. 2014; 2014: 1-4. Go to original source... Go to PubMed...
  20. Fewtrell M, Bronsky J, Campoy C, Domellöf M, Embleton N, Mis NF, et al. Complementary feeding: A position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) committee on nutrition. J Pediatr Gastroenterol Nutr [Internet]. 2017 [citován 13. září 2020]; 64(1): 119-132. Dostupné z: https://pubmed.ncbi.nlm.nih.gov/28027215/. Go to original source... Go to PubMed...
  21. Vandenplas Y, Castrellon PG, Rivas R, Gutiérrez CJ, Garcia LD, Jimenez JE, et al. Safety of soya‑based infant formulas in children. Br J Nutr. 2014; 111(8): 1340-1360. Go to original source... Go to PubMed...
  22. Lasekan JB, Ostrom KM, Jacobs JR, Blatter MM, Ndife LI, Gooch WM, et al. Growth of newborn, term infants fed soy formulas for 1 year. Clin Pediatr (Phila). 1999; 38(10): 563-571.Další literatura u autora a na www.pediatriepropraxi.cz Go to original source... Go to PubMed...
  23. Setchell KD. Phytoestrogens: the biochemistry, physiology, and implications for human health of soy isoflavones. Am J Clin Nutr [Internet]. 1998 [citován 29. květen 2020]; 68(6 Suppl): 1333S-1346S. Dostupné z: http://www.ncbi.nlm.nih.gov/pubmed/9848496. Go to original source... Go to PubMed...
  24. Baroni L, Goggi S, Battino M. Planning Well‑Balanced Vegetarian Diets in Infants, Children, and Adolescents: The VegPlate Junior. J Acad Nutr Diet [Internet]. 2019; 119(7): 1067-74. Dostupné z: http://dx.doi.org/10.1016/j.jand.2018. 06. 008 Go to original source...
  25. Melina V, Craig W, Levin S. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 1. prosinec 2016; 116(12): 1970-1980. Go to original source... Go to PubMed...
  26. Smith MM, Lifshitz F. Excess fruit juice consumption as a contributing factor in nonorganic failure to thrive. Pediatrics. 1994; 93(3): 438-443. Go to original source... Go to PubMed...
  27. Halpern SR, Sellers WA, Johnson RB, Anderson DW, Saperstein S, Reisch JS. Development of childhood allergy in infants fed breast, soy, or cow milk. J Allergy Clin Immunol. 1973; 51(3): 139-151. Go to original source... Go to PubMed...
  28. Bronský J, Kalvachová B, Kutílek Š, Šebková A, Škvor J, Šumník Z, et al. Doporučený postup České pediatrické společnosti a Odborné společnosti praktických dětských lékařů ČLS JEP pro suplementaci dětí a dospívajících vitaminem D. Čes‑slov Pediat. 2019; 74(8): 473-482.
  29. Rev A, Sci F, Downloaded T. Omega-3 Polyunsaturated Fatty Acids and Their Health Benefits. 2018.
  30. Segovia‑Siapco G, Sabaté J. Health and sustainability outcomes of vegetarian dietary patterns: a revisit of the EPIC‑Oxford and the Adventist Health Study-2 cohorts. European Journal of Clinical Nutrition. 2018. Go to original source... Go to PubMed...
  31. Kersting M, Kalhoff H, Melter M, Lücke T. Vegetarian Diets in Children?: An Assessment from Pediatrics and Nutrition Science. Roč. 143, Deutsche Medizinische Wochenschrift. 2018. 279-86. Go to original source... Go to PubMed...
  32. Bělohlávková S, Bronský J, Burianová I, Frühauf P, Fuchs M, Kotalová R, et al. Doporučení Pracovní skupiny dětské Gastroenterologie a výživy ČPS pro výživu kojenců a btolat. 2014 [citován 25. březen 2020]; 69(1): 35-38. Dostupné z: http://www.cls.cz




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