title: Totally vegetarian diets and infant nutrition.
abstract: Observations on the deleterious effects of a totally vegetarian diet in infancy are reported and the difficulties encountered in the prevention of nutritional deficiencies in a vegan religious community are discussed. Twenty-five infants of this community who were seen at the hospital showed evidence of protein-calorie malnutrition, iron- and vitamin B12-deficient anemia, rickets, zinc deficiency, and multiple recurrent infections. Evidence of growth retardation was also found in 47 infants seen at the local mother-child health (well-baby) clinic. Samples of breast milk showed low levels of carbohydrate (1.6 to 3.5 gm/100 ml), protein (0.8 to 1.4 gm/100 ml), and fat (2.4 to 4.1 gm/100 ml). The main constituent of the infants' diet after the age of 3 months (a "soya milk" prepared at the community's central kitchen) was extremely dilute with a very low calorific value (13.7 kcal/100 ml). Persistent attempts to find dietary modifications that would satisfy both the vegan philosophy and also the recommended dietary allowances failed. This problem represents a scientific and medicosocial challenge to pediatricians and nutritionists.
mesh_terms: D001741:Black or African American; D000740:Anemia / Q000209:etiology; D044383:Black People; D001942:Breast Feeding; D002649:Child Abuse; D014676:Diet, Vegetarian; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000209:etiology*; D007557:Israel; D008297:Male; D011502:Protein-Energy Malnutrition / Q000209:etiology; D012067:Religion; D012279:Rickets / Q000209:etiology; D013025:Glycine max; D014481:United States / Q000208:ethnology; D014806:Vitamin B 12 Deficiency / Q000209:etiology; D015032:Zinc / Q000172:deficiency
chemical_list: D015032:Zinc