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Pediatric Healthy Eating: Vegetarian Diet for Children and Adolescents HF#198

Nutrition




 



A well-planned vegetarian diet provides all the calories, protein, vitamins and minerals needed for growth and development.  This handout will help you plan such a diet for your child.

 

Vegetarian diets are usually named for the foods that are eaten.

 

  • Lacto-ovo vegetarians eat plants, dairy products and eggs, but avoid all red meat, fish, and poultry.
  • Lacto vegetarians eat plants and dairy products but avoid eggs, red meat, fish and poultry.
  • Vegans eat only plant foods; they avoid all foods of animal origin including meats, fish, poultry, eggs, and dairy products.
  • Pesco-vegetarians eat dairy products, eggs and fish.
  • People who avoid red meats refer to themselves as semi-vegetarians.

 

Because a vegan diet is much more limited in food choices, it takes more planning than the lacto-ovo or lacto vegetarian diets to assure that it provides all essential nutrients.

 

The following nutrients deserve attention in vegetarian diets:

 

Calories

Children following vegetarian diets may have a hard time getting enough calories and protein for normal growth and development because many vegetarian diets are high in fiber. A high fiber diet may cause a child to feel full more quickly. To estimate how much fiber your child needs, take their age (in years) and add 5. For example, a child that is 7 years old needs 12 grams of fiber daily because 5+7=12.

 

It is usually not a problem for a child to get sufficient calories if he/she is routinely drinking milk and/or eating cheese products.  Other options to increase calories and protein include:

  • Add avocados, olives, and salad dressings to dishes.
  • Use nuts and seeds in cooking (care should be used if giving nuts and/or seeds to children under 5 years of age to prevent choking).
  • Offer granola cereals and dried fruits.
  • Use dried beans and peas in stews, casseroles, and soups.
  • Use cream cheese and nut butters on breads, vegetables and fruits.

 

**It is also important to note that a vegetarian diet that contains too many full fat dairy products and refined starches may be too high in calories and too low in fiber.

 

Protein

Your body needs complete proteins for building and maintaining body tissues.  Complete proteins contain all of the needed building blocks called amino acids.

  • Animal proteins are complete because they contain all of the necessary amino acids in the amounts needed by the body.
  • Plant proteins are not complete as they do not have enough of one or more of these amino acids.

 

Carefully selected foods will complement each other to form a complete protein.  For example, when plant proteins are eaten in combination with proteins of animal origin, such as milk or eggs, or when different plant proteins are eaten together, the foods will complement each other to form a complete protein. These proteins do not have to be eaten at the same meal. Eat a variety of grains and legumes throughout the day for adequate protein.

 

Protein Content of Selected Foods

                                                                                   

Food

Protein in grams

Food

Protein in grams

1 cup milk

8

1 soy/veggie burger

10-15

1 cup yogurt

8

½ cup cottage cheese

13

1 egg

8

½ cup legumes (pinto, kidney, etc)

8-10

2 Tablespoons peanut butter

8

½ cup lentils, split peas

8-10

¼ cup nuts

8

¼ cup seeds    

6

 

Calcium

Milk and other dairy products are the most common source of calcium. Some dark green vegetables, such as kale, spinach and greens, contain calcium.  However, not all of this calcium is available to your body; oxalates in these foods bind calcium so it is not absorbed.  Almonds, filberts and legumes also contain fair amounts of calcium.  Calcium fortified soy or rice milk, juices, cereals, and pastas are also a good addition to a vegan diet.

 

Daily Recommended Intake for Calcium

Age 1-3 years 

500 mg

Age 4-8 years 

800 mg

Age 9-18 years

1300 mg

Pregnant or Lactating women < 19 yrs

1300 mg

 

Calcium Content of Selected Foods

 

Food

Calcium (mg per serving)

Food

Calcium (mg per serving)

Dairy

 

Soy foods

 

Cow’s milk, 1 c.

300

Fortified soymilk, 1 c.

300

Yogurt, 1 c.

300

Soynuts, ½ c.

250

Cheese, 1 oz.

200

Soybeans, 1 c. cooked 

175

Cottage cheese, ½ c.

80

Tempeh, ½ c.

77

 

 

Tofu (made with calcium sulfate), ½ c.

85

Legumes (1 c. cooked)

 

Textured Vegetable Protein, ½ c.

120-350

Navy beans

128

 

 

Vegetarian baked beans

127

Nuts and Seeds (2 Tbsp.)

 

Great northern beans

121

Almond butter

86

Black beans

102

Almonds

50

Pinto beans

82

 

 

Garbanzo beans

80

Vegetables (1/2 c. cooked)

 

 

 

Collard greens

178

Other

 

Spinach

100

Calcium-fortified juice

300

Broccoli

90

Dried figs, 5     

250

Kale    

90

Blackstrap molasses, 1 Tbsp

187

Bok Choy

79

 

 

Mustard greens

75


Iron

Children have high iron requirements.  The iron in plant foods is not absorbed as well as that in animal foods.  However, there are good non-meat sources of iron including:


  • Legumes
  • Whole or enriched grains and cereals
  • Dried fruits
  • Dark green, leafy vegetables
Your body is able to absorb more iron from these foods when they are eaten in the same meal with vitamin C rich foods.  Some foods high in vitamin C are broccoli, strawberries, citrus fruits and juices, melons, baked potatoes, spinach, tomatoes, and kiwi.

 

It is wise to include a vitamin C food at each meal to increase iron absorption.  Cooking with non-enameled cast iron pans may also help improve iron intake.  Infant cereals are a good source of iron and should be offered until about 18 months of age.

 

Daily Recommended Intake for Iron

 

Age 1-3 years 

7 mg

Age 4-8 years 

10 mg

Age 14-18 years

Males  

Females

8 mg

11 mg

15 mg

Pregnant women < 19 years

27 mg

 

Iron Content of Selected Foods

 

Food 

Iron in

mg

per

serving

Food                  

Iron in mg

per serving

Breads, cereals and grains

 

Legumes (1/2 c. cooked)

 

Bran flakes, 1 c.          

11

Garbanzo beans

3.4

Oatmeal, instant, 1 packet

6.3

Lentils 

3.2

Cream of wheat, ½ c. cooked  

5.5

Navy beans

2.5

Wheat germ, 2 Tbsp    

1.2

Lima beans

2.2

Whole wheat bread, 1 slice      

0.9

Black beans

1.8

White bread, 1 slice     

0.7

Kidney beans  

1.5

 

 

Baked beans, vegetarian

0.74

Vegetables (1/2 c. cooked)

 

 

 

Swiss chard

1.9

Soy foods

 

Turnip greens   

1.5

Tofu

6.6

Tomato juice, 1 c.

1.3

Soybeans

4.4

 

 

Tempeh

1.8

Nuts/seeds (2 Tbsp.)

 

Soymilk, 1 c.   

1.8

Pumpkin seeds

2.5

 

 

Tahini  

1.2

Other foods

 

 

Sunflower seeds

1.2

Blackstrap molasses, 1 Tbsp

3.3

Cashews

1

 

 

               

Zinc

Meats are the richest source of zinc in traditional American diets.  Nuts, cooked dried beans, wheat germ, tofu, dairy products, and whole grain pastas, cereals, and breads also supply zinc.  Enriched bread products are not good sources of zinc as this mineral is not replaced after the milling process.

 

Daily Recommended Intake for Zinc

Age 1-3 years 

3 mg

Age 4-8 years             

5 mg

Age 9-13 years

8 mg

Age 14-18 years

Males  

Female            

 

11mg

9 mg

Pregnant and lactating women

13-14 mg

 

Zinc Content of Selected Foods

 

Food

Zinc in mg

per serving

Food

Zinc in mg

per serving

 

Breads, grains and cereals

 

Soy foods (1/2 c. cooked)

 

 

Bran flakes, 1 c.          

5.0

Tempeh

1.5

 

Wheat germ, 2 Tbsp.

2.3

Textured vegetable protein

1.4

 

Whole wheat pasta, ½ c          

0.6

Tofu

1

 

 

 

Soybeans

1

 

Legumes (1/2 c. cooked)

 

 

 

 

Chickpeas

1.3

Dairy Foods

 

 

Lentils

1.2

Yogurt, 1 c.

1.8

 

Lima beans      

1

Cow’s milk, 1 c.

1

 

 

 

Cheddar cheese, 1 oz. 

0.9

 

 

 

 

 

 

Vegetables (1/2 c. cooked)

 

 

 

 

Peas

1

 

 

 

Corn   

0.9

 

 

 

 

 

 

 

 

Vitamins

Eating a wide variety of fruits and vegetables as well as grains, legumes, nuts and seeds ensures an adequate intake of most essential vitamins.  Vitamin B12 and vitamin D are exceptions.

 

Vitamin B12

Vitamin B12 is found only in animal products.  A vegetarian diet including milk products and/or eggs will supply enough B12.  Children following a vegan diet (containing no animal products) will need to take a B12 supplement or eat this vitamin from a B12 fortified food product.  Some soy and other non-dairy milk formulas and products are fortified with vitamin B12; examples are ready-to-eat breakfast cereals, meat analogs or nutritional yeast *(Red Star Vegetarian Support Formula).  Although it may take several months for a deficiency to show up, the results of a B12 deficiency are very serious.

 

Vitamin D

Your body is able to make vitamin D when your skin is exposed to sunlight. The only good dietary sources of vitamin D are fortified milk, fortified ready-to-eat cereals and fish oils. Most people need to take a Vitamin D supplement to prevent a deficiency.  Ask your health care provider to tell you how much you need to take. 

 

* Non-supplemented yeasts do not contain vitamin B12.

 

Summary

In summary, a few general suggestions can be made:

  • Give your child a variety of foods including fruits, vegetables, whole grain breads and cereals, legumes, nuts and seeds, milk and cheese.
  • For the first few months of life, feed infants breast milk or commercial soy or cow’s milk formula alone to provide the nutrition they need.
  • Continue to supplement the diet with breast milk or formula until about 12 months of age to ensure an adequate protein intake.
  • Be certain that all bread, pasta and other grain products are 100% whole grain or enriched.  Imported pasta and bread from local bakeries may not be enriched
  • Use whole grain products to increase intake of iron, zinc and fiber.  Some examples of whole grains are whole wheat, bulgur, barley, brown rice, cornmeal and oatmeal.
  • Consult a dietitian/nutritionist to help you plan a vegetarian diet that is appropriate for your family, yet fulfills your nutrient requirements.

 

Food Guide for Vegetarian Meal Planning (General Guidelines)

 

 

2-3 years

4-8 years

9-13 years

14-18 years

Grains*

3 servings*

5 servings

5-6 servings

6-8 servings¥

Vegetables

1 cup

1 1/2 cups

2-2 1/2 cups

2 1/2-3 cups

Fruits

1 cup

1 1/2 cups

2-2 1/2 cups

2 1/2 -3 cups

Protein**

2 ounces

4 ounces

5 ounces

5-6 1/2 ounces

Dairy***

2 cups

2 1/2 cups

3 cups

3 cups

Fats

3 tsp

4 tsp

5 tsp

5-6 tsp

 

 

                                   

* 1 serving of:

Grains = ½ cup cooked cereal, pasta, or rice; 1 slice bread; or 1 cup cereal.

 

** 1 ounce of:

Protein= 1/4 cup cooked beans, tofu, tempeh, or textured vegetable protein;

 1 egg, 1 Tbsp of peanut or nut butters, 2 Tbsp hummus, 12 large nuts or 24 small nuts. 

 

**Use caution in giving nuts to children less than 5 years of age as they can cause choking.

 

***Use whole milk in children less than 2 years of age to meet fat needs.

 

¥ The higher number of servings is for males.

 

Go to www.choosemyplate.gov for more specific information on serving sizes and to learn more about servings for legumes, nuts, and seeds.

 

For further information and vegetarian recipes:

 

The Academy of Nutrition and Dietetics Vegetarian Resource Site at http://www.vegetariannutrition.net provides a wealth of information on different vegetarian diets, cookbooks, websites, and other resources.

 

Kids Health at http://www.kidshealth.org (search for “vegetarian”)

 

The Vegetarian Resource group at http://www.vrg.org/

 

If you have questions about vegetarian diets for children please contact UW Health Nutrition at one of these locations:

 

University Station

Nutrition Clinic

2880 University Avenue

Madison, WI  53705

(608) 263-4360 appointments

(608) 263-5012

UW Health West Clinic

Nutrition Clinic

451 Junction Road

Madison, WI  53717

(608) 262-9181 appointments

(608) 265-7526

UW Health East Clinic

Nutrition Clinic

5249 East Terrace Drive

Madison, WI  53718

(608) 265-7405 appointments

(608) 265-0963

 

 

 

American Family Children’s Hospital, 1675 Highland Ave, Madison, WI 53792

Pediatric Specialty Clinics - Nutrition (608) 890-8298 or

608-263-6420 Appointments



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 10/29/2012

Copyright © 10/29/2012 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#198

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