高收入国家儿童时期的素食和限制动物源食物的饮食。
Vegetarian diets and diets which restrict animal-source foods during childhood in high-income countries.
机构信息
Paediatric Division of Nutrition and Gastro-Enterology, Department of Paediatric, Grenoble-Alpes University Hospital (CHUGA), Grenoble, France.
出版信息
Paediatr Int Child Health. 2023 Nov;43(4):57-82. doi: 10.1080/20469047.2023.2245186. Epub 2023 Aug 31.
Increasing numbers of populations in the West are restricting their intake of meat and other animal products for reasons relating to health or ethics; in many countries, these restrictions are already common for cultural, religious, or socio-economic reasons. By following their parent's diet, children are exposed in parallel. This narrative review aims at assessing current data regarding vegetarian diets in children from birth to 18 years of age, which include, by increasing degree of restriction, flexitarian, lacto-ovo-vegetarian, lacto-vegetarian, pescatarian, vegan and macrobiotic diets. The 202 references include 45 studies in children. The more restrictive the diet and the younger the child, the greater the risk of nutritional deficiency. Of particular concern are vitamin B, iron, zinc, calcium, -3 long-chain polyunsaturated fatty acids, and protein and energy intake, especially in pregnant and nursing women, infants and young children. Providing an adequate lacto-ovo-vegetarian diet is relatively easy, whereas the maintenance of more restrictive diets may be challenging. The benefits and risks of vegetarian diets in adults are relatively well documented, but data for children are scarce. Vegan and macrobiotic diets should be discouraged in pregnant and lactating mothers as well as in young children, who, otherwise, should pay careful attention to ensuring nutritional adequacy, blood testing and appropriate supplementation. The health consequences of a chosen diet should be discussed with parents and adolescents to ensure the best possible adherence to advice and prescriptions. There is a need for well conducted studies in children but also for better knowledge of nutrition in healthcare professionals. ALA: α-linolenic acid; ARA: arachidonic acid; ASF: animal source foods; BMC: bone mineral content; BMD: bone mineral density; DHA: docosahexaenoic acid; DRV: dietary reference value; EPA: eicosapentaenoic acid; FLD: flexitarian diet; LA: linoleic acid; LC-PUFA: long-chain polyunsaturated fatty acids; LOVD: lacto-ovo-vegetarian diet; LVD: lacto-vegetarian diet; MAD: macrobiotic diet; OMD: omnivorous diet; PSF: plant-source foods; SFA: saturated fatty acids; VGD: vegetarian diets; VND: vegan diet.
越来越多的西方人出于健康或伦理原因限制摄入肉类和其他动物产品;在许多国家,出于文化、宗教或社会经济原因,这种限制已经很常见。通过跟随父母的饮食,孩子也会受到同样的影响。本综述旨在评估目前有关 0-18 岁儿童素食饮食的数据,包括从限制程度较低的杂食、半素食、乳蛋素食、乳素食、鱼素食、纯素到极素食,共 202 篇参考文献,其中包括 45 项儿童研究。饮食限制越严格,孩子越小,营养缺乏的风险就越大。特别需要关注的是维生素 B、铁、锌、钙、-3 长链多不饱和脂肪酸以及蛋白质和能量的摄入,尤其是孕妇、哺乳期妇女、婴儿和幼儿。提供充足的乳蛋素食相对容易,但维持更严格的饮食可能具有挑战性。成人素食饮食的益处和风险已得到充分证实,但儿童的数据却很少。素食和极素食饮食应避免用于孕妇和哺乳期妇女以及幼儿,否则,他们应特别注意确保营养充足、进行血液检查和适当补充。应与父母和青少年讨论所选择的饮食对健康的影响,以确保尽可能遵循建议和处方。需要在儿童中进行良好的研究,也需要提高医疗保健专业人员对营养的认识。ALA:α-亚麻酸;ARA:花生四烯酸;ASF:动物源食品;BMC:骨矿物质含量;BMD:骨矿物质密度;DHA:二十二碳六烯酸;DRV:膳食参考值;EPA:二十碳五烯酸;FLD:半素食饮食;LA:亚油酸;LC-PUFA:长链多不饱和脂肪酸;LOVD:乳蛋素食饮食;LVD:乳素食饮食;MAD:极素食饮食;OMD:杂食饮食;PSF:植物源食品;SFA:饱和脂肪酸;VGD:素食饮食;VND:纯素饮食。