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Frank and Jan W. are the proud parents of Jesse, an 18-month-old child who has b

ID: 244403 • Letter: F

Question

Frank and Jan W. are the proud parents of Jesse, an 18-month-old child who has been breastfed from birth. Jesse was 7 pounds 1 ounce at birth and at her last check up she weighed 20 pounds. Jesse’s mom breastfeeds her in the morning and before putting her to bed at night. During the day, Jesse drinks juice and water from a cup. Jesse’s parents have been feeding her a vegan diet since her birth, citing a strong family history of heart disease as their reason for this choice. Jesse’s current diet includes a variety of chopped fruit, vegetables, cereal, mashed beans, and soy-based cheeses. Both parents want the best for their child and are carefully considering whether to continue her current diet restrictions.1.Using the “How to” feature on page 507, plot Jesse’s birth weight and her current weight for age. What might this information indicate to Jesse’s parents?2.What impact might a vegan diet have on Jesse’s nutritional status and development that her parents should consider?3.What components of a Jesse’s diet may contribute to her low rate of weight gain? Explain.4.In view of her current diet, what nutrition strategies might Jesse’s parents consider to improve her weight gain? Give specific examples.5.As Jesse is weaned from breast milk, what vegan foods might be added to her diet to prevent nutrient deficiencies?6.Using the meal plan in Figure 16-6 as a guide, show how Jesse’s parents might provide a child-friendly and balanced diet that contains no animal foods.

Explanation / Answer

1. Using the “How to” feature on page 507, plot Jesse’s birth weight and her current weight for age. What might this information indicate to Jesse’s parents?

ANS: Using the “How to” feature on page 507, Jesse’s weight should be 22.5 pounds. But Jesse’s current weight is 20 pounds means she is underweight. Jesse has less protein intake than she should be due to her vegan diet. As per American Dietetic Association and American Academy of Pediatrics, a strict vegan diet can put negative impact to the infant and grown up child, unless it is well-planned with proteins and vitamins. Jesse’s parents must be aware about the future nutrirtional deficiency that might occur, if they will continue to stick on the vegan diet. Either, they must start some supplementation to the child, especially with respect to iron, Vitamin B12, Protein, etc., which are generally reported as very less in amount as compared to non-vegan diet.

2. What impact might a vegan diet have on Jesse’s nutritional status and development that her parents should consider?

ANS: The portion of the protein in vegetable-based food is lower than in animal-based protein. For Jesse, it indicates that she is having some negative effects of a vegan diet. Jesse is not getting well-balanced vitamins and minerals intake. Calcium intake from a vegan diet is below than recommended. Iron intake from a vegan diet is above than a recommendation. Vegan diet is not a high-quality source of vitamin B12. It also could not enough source of vitamin D. so, overall, this type of nutritional deficiency might result in adversely affect growth, bone mineral content, and motor and cognitive development in future. So, her parents will start taking precaution from today itself, if they decided to stick on the vegan diet in order to avoid the deficiency defects.   

3. What components of a Jesse’s diet may contribute to her low rate of weight gain? Explain.

ANS: As Jesse is discouraged from breast milk, her diet should add enough qualtity of calcium, vitamin D and B12-based soy milk. As, it was reported that continuing taking insufficient intake of essential nutrients results in several deficiencies. Besides, her low rate of weight gain due to vega diet could be due to the defienciency of zinc and iron. It was reported that both of these nutrients are abundant in meat, but Jess is totally on vegan diet, so her parents must be take care of the amount of zinc and iron. Beside, vegan diet is also generally low in saturated fat, cholesterol, and animal protein. However, low content of vitamin B12, calcium, omega-3 fatty acids, vitamin D, iron, zinc, riboflavin (vitamin B2), and iodine are also reported, which would reflect the low gain in body weight if Jesse’s.    

4. In view of her current diet, what nutrition strategies might Jesse’s parents consider to improve her weight gain? Give specific examples.

ANS: However, as health care professionals, we should advise our parents that they should not strictly with vegan or vegetarian diets that are not appropriately chosen and lack of adequate nutrients.

If you are avoiding meat but eating any other type of animal protein (eggs, milk, cheese or other dairy products, fish, poultry) you will normally get enough vitamin B12.

need to make sure you get enough vitamin B12 to prevent your baby (and you) from becoming deficient in this vitamin. Vitamin B12 supplements and vitamin B12 fortified foods are available. Supplementing your baby with vitamin B12 is an option if you are vitamin B12 deficient, but you would still need the vitamin B12 for yourself (and if you’re getting enough, baby won’t need the supplement).

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