Vegan Nutrition for Mothers and Children: Practical Tools for Healthcare Providers.

Nutrients. 2018;11(1)
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Plain language summary

Vegan diets have grown in popularity and so healthcare practitioners need to be adequately educated to be able to give advice, as if they are properly planned, they can give adequate nutrition throughout all stages of life. This review study aimed to summarise the findings of the Scientific Society for Vegetarian Nutrition (SSNV) on vegan diets throughout pregnancy, breastfeeding, infancy, and childhood to provide recommendations for healthcare professionals. The paper starts by defining a well-planned vegan diet as high in a variety of whole or minimally processed plant foods, which meets the required amount of energy. In addition, minimising vegetable fats and avoiding trans fats to not displace other nutrient-dense foods is a requirement of a vegan diet with sufficient nutrition. Adequate amounts of calcium are also needed to be a complete vegan diet and vitamin B12, and vitamin D should be obtained from alternative sources, which are lacking in plant-based diets. The paper then goes on to recommend sources and requirements of protein, fibre, omega-3 fatty acids, iron, zinc, iodine, calcium, vitamin D, and vitamin B12 in vegans during pregnancy, lactation, infancy, and childhood. Many positives of a vegan diet were outlined such as increased fibre benefitting gut bacteria and high iron intakes. It was concluded that adequately planned vegan diets can provide sufficient nutrition at all stages of pregnancy and early life and instances of malnutrition in vegans is usually due to an inappropriate diet. Healthcare professionals could use this paper to understand what defines a complete vegan diet and sources of critical nutrients to ensure that vegan clients and patients are receiving adequate nutrient amounts.

Abstract

As the number of subjects choosing vegan diets increases, healthcare providers must be prepared to give the best advice to vegan patients during all stages of life. A completely plant-based diet is suitable during pregnancy, lactation, infancy, and childhood, provided that it is well-planned. Balanced vegan diets meet energy requirements on a wide variety of plant foods and pay attention to some nutrients that may be critical, such as protein, fiber, omega-3 fatty acids, iron, zinc, iodine, calcium, vitamin D, and vitamin B12. This paper contains recommendations made by a panel of experts from the Scientific Society for Vegetarian Nutrition (SSNV) after examining the available literature concerning vegan diets during pregnancy, breastfeeding, infancy, and childhood. All healthcare professionals should follow an approach based on the available evidence in regard to the issue of vegan diets, as failing to do so may compromise the nutritional status of vegan patients in these delicate periods of life.

Lifestyle medicine

Fundamental Clinical Imbalances : Digestive, absorptive and microbiological
Patient Centred Factors : Mediators/Vegan diet
Environmental Inputs : Diet ; Nutrients
Personal Lifestyle Factors : Nutrition
Functional Laboratory Testing : Not applicable

Methodological quality

Jadad score : Not applicable
Allocation concealment : Not applicable
Publication Type : Journal Article

Metadata

Nutrition Evidence keywords : Protein ; Fiber ; Omega-3 ; Iron ; Zinc ; Iodine ; Calcium ; Vitamin D ; Vitamin B12