Lesson 12 Case Study: Vegan Diets for ChildrenFrank and Jan W. are the proud parents of Jesse, an 18-month-old child who has been breastfed frombirth. Jesse was 7 pounds 1 ounce at birth and at her last checkup she weighed 20 pounds. Jesseâs mombreastfeeds her in the morning and before putting her to bed at night. During the day, Jesse drinks juiceand water from a cup. Jesseâs parents have been feeding her a vegan diet since her birth, citing a strongfamily history of heart disease as their reason for this choice. Jesseâs current diet includes a variety ofchopped fruit, vegetables, cereal, mashed beans, and soy-based cheeses. Both parents want the best fortheir child and are carefully considering whether to continue her current diet restrictions.1Using the âHow toâ feature on page 511, plot Jesseâs birth weight and her current weight for age.What might this information indicate to Jesseâs parents?Using the âHow toâ feature on page 511, Jesseâs weight should be 22.5 pounds. But Jesseâscurrent weight is 20 pounds means she is underweight. Jesse has less protein intake than sheshould be due to her vegan diet. As per American Dietetic Association and American Academy ofPediatrics, a strict vegan diet can put negative impact to the infant and grown up child, unless itis well-planned with proteins and vitamins.2What impact might a vegan diet have on Jesseâs nutritional status and development that herparents should consider?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 wellbalanced vitamins and minerals intake. Calcium intake from a vegan diet is below thanrecommended. Iron intake from a vegan diet is above than a recommendation. Vegan diet is not ahigh-quality source of vitamin B12. It also could not enough source of vitamin D.3What components of a Jesseâs diet may contribute to her low rate of weight gain? Explain.As Jesse is discouraged from breast milk, her diet should add Calcium, vitamin D and B12-basedsoy milk.4In view of her current diet, what nutrition strategies might Jesseâs parents consider to improveher weight gain? Give specific examples.However, as health care professionals, we should advise our parents that they should not strictlywith vegan or vegetarian diets that are not appropriately chosen and lack of adequate nutrients.5.As Jesse is weaned from breast milk, what vegan foods might be added to her diet to preventnutrient deficiencies?6.Using the meal plan in Figure 16-6 as a guide, show how Jesseâs parents might provide a childfriendly and balanced diet that contains no animal foods.Using the meal plan in Figure 16-6 as a guide, Jesseâs parents might provide a child-friendly and balanceddiet that contains no animal foods.Sample Meal Plan for Jesse:Breakfast½ cup reduced-fat milkMorning½ cup yogurtSnack¼ cup fruitLunchsandwich- 1slice whole-wheat breadwith ½ slice Cheese½ cup vegetables (steamed carrots)¼ cup 100% fruit Juice (diluted)Afternoon½ cup fruitSnack½ cup toasted oat cerealDinner1 oz chopped meat
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