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未补充营养的儿童纯素饮食的后果：肾结石和营养性钙缺乏性佝偻病。

Consequences of a non-supplemented pediatric vegan diet: Nephrolithiasis & nutritional calcipenic rickets.

作者信息

Bedore Stacy R, van der Eerden Joshua, Sakhalkar Om, Alexander Sung, SantaMaria Pablo J, Terris Martha K, Morganstern Bradley

机构信息

Medical College of Georgia, 1120 15th St, Augusta, GA, 30912, United States of America.

Loyola University Medical Center, Department of Urology, 2160 S 1st Ave, Maywood, IL, 60153, United States of America.

出版信息

Urol Case Rep. 2025 Apr 9;60:103035. doi: 10.1016/j.eucr.2025.103035. eCollection 2025 May.

DOI:10.1016/j.eucr.2025.103035
PMID:40276709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12019573/
Abstract

Rickets and other nutritional deficiencies have largely been eradicated in the industrialized world. However, strict adherence to modern diet trends such as veganism may leave individuals vulnerable to nutritional deficiencies if proper supplementation is not followed. The effects of such deficiencies due to diet trends, particularly in children, is not well documented as occurrences are rare. Here we present a case of a 3-year-old female fed a strict vegan diet which led to the development of nutritional calcipenic rickets, failure to thrive, and nephrolithiasis.

摘要

佝偻病和其他营养缺乏症在工业化国家已基本根除。然而，如果不进行适当的补充，严格遵循纯素食主义等现代饮食趋势可能会使个体易患营养缺乏症。由于饮食趋势导致的此类缺乏症的影响，尤其是在儿童中，由于病例罕见，相关记录并不充分。在此，我们报告一例3岁女童的病例，该女童食用严格的纯素饮食，导致营养性钙缺乏性佝偻病、生长发育迟缓及肾结石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/12019573/d7e7a587cf9a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/12019573/3adea27e79a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/12019573/d7e7a587cf9a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/12019573/3adea27e79a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/12019573/d7e7a587cf9a/gr2.jpg

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本文引用的文献

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Acta Paediatr. 2025 Mar;114(3):498-504. doi: 10.1111/apa.17463. Epub 2024 Oct 20.
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Vegan Diets for Children: A Narrative Review of Position Papers Published by Relevant Associations.儿童素食饮食：相关协会发布的立场文件的叙述性综述。
Nutrients. 2023 Nov 7;15(22):4715. doi: 10.3390/nu15224715.
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Health aspects of vegan diets among children and adolescents: a systematic review and meta-analyses.
儿童和青少年素食饮食的健康问题：系统评价和荟萃分析。
Crit Rev Food Sci Nutr. 2024;64(33):13247-13258. doi: 10.1080/10408398.2023.2263574. Epub 2023 Oct 9.
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The importance of vitamin B for individuals choosing plant-based diets.维生素 B 对于选择植物性饮食的个体的重要性。
Eur J Nutr. 2023 Apr;62(3):1551-1559. doi: 10.1007/s00394-022-03025-4. Epub 2022 Dec 5.
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The Relationship between Modern Fad Diets and Kidney Stone Disease: A Systematic Review of Literature.现代时尚饮食与肾结石病的关系：文献系统综述。
Nutrients. 2021 Nov 26;13(12):4270. doi: 10.3390/nu13124270.
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Rickets guidance: part I-diagnostic workup.佝偻病指南：第 I 部分-诊断检查。
Pediatr Nephrol. 2022 Sep;37(9):2013-2036. doi: 10.1007/s00467-021-05328-w. Epub 2021 Dec 15.
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Pediatrics. 2021 Sep;148(3). doi: 10.1542/peds.2021-050947.
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