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North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper: Plant-based Milks.
Merritt, Russell J; Fleet, Sarah E; Fifi, Amanda; Jump, Candi; Schwartz, Sally; Sentongo, Timothy; Duro, Debora; Rudolph, Jeffrey; Turner, Justine.
Afiliação
  • Merritt RJ; Intestinal Rehabilitation Team, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA.
  • Fleet SE; Harvard Medical School, Boston Children's Hospital, Boston, MA.
  • Fifi A; Division of Pediatric Gastroenterology, Hepatology & Nutrition, University of Miami Miller School of Medicine, Miami, FL.
  • Jump C; Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, The Medical University of South Carolina, Charleston, SC.
  • Schwartz S; Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL.
  • Sentongo T; NASPGHAN Nutrition Committee, Pediatric Nutrition Support and Pediatric Gastrointestinal Endoscopy, Section of Pediatric Gastroenterology, Hepatology and Nutrition Support, University of Chicago Medicine and Biological Sciences, Chicago, IL.
  • Duro D; Pediatric Gastroenterology Hepatology and Nutrition, Florida Intestinal Rehabilitation, Support and Treatment Program, Salah Foundation Children Hospital at Broward Health Medical Center, Fort Lauderdale, FL.
  • Rudolph J; NOVA Southeastern University, Fort Lauderdale, FL.
  • Turner J; University of Pittsburgh Medical Center Children's Hospital, Pittsburgh, PA.
J Pediatr Gastroenterol Nutr ; 71(2): 276-281, 2020 08.
Article em En | MEDLINE | ID: mdl-32732790
Parents and caretakers are increasingly feeding infants and young children plant-based "milk" (PBM) alternatives to cow milk (CM). The US Food and Drug Administration currently defines "milk" and related milk products by the product source and the inherent nutrients provided by bovine milk. Substitution of a milk that does not provide a similar nutritional profile to CM can be deleterious to a child's nutritional status, growth, and development. Milk's contribution to the protein intake of young children is especially important. For almond or rice milk, an 8 oz serving provides only about 2% or 8%, respectively, of the protein equivalent found in a serving of CM. Adverse effects from the misuse of certain plant-based beverages have been well-documented and include failure to gain weight, decreased stature, kwashiorkor, electrolyte disorders, kidney stones, and severe nutrient deficiencies including iron deficiency anemia, rickets, and scurvy. Such adverse nutritional outcomes are largely preventable. It is the position of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) Nutrition Committee, on behalf of the society, that only appropriate commercial infant formulas be used as alternatives to human milk in the first year of life. In young children beyond the first year of life requiring a dairy-free diet, commercial formula may be a preferable alternative to cow's milk, when such formula constitutes a substantial source of otherwise absent or reduced nutrients (eg, protein, calcium, vitamin D) in the child's restricted diet. Consumer education is required to clarify that PBMs do not represent an equivalent source of such nutrients. In this position paper, we provide specific recommendations for clinical care, labelling, and needed research relative to PBMs.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Gastroenterologia Tipo de estudo: Guideline Limite: Animals / Child / Child, preschool / Female / Humans / Infant País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Gastroenterologia Tipo de estudo: Guideline Limite: Animals / Child / Child, preschool / Female / Humans / Infant País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Gastroenterol Nutr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos