| Tuesday, Apr 6,1999 By Rebecca Taylor
Special to the Express-News
Four-year-old Avery
Lewis is in a picky-eating stage.
Ask her what she wants
for dinner, and she'll likely peer up at you
through brunette bangs and answer matter-of-factly
"Tofu and rice and broccoli." As
if that's what all kids want to eat.
It's a refrain her
mother is growing weary of hearing. "All she
wants to eat is broccoli, tofu and rice,"
says Kimberly Lewis, 36, of Schertz.
If Avery's favorite
foods seem an odd choice for a 4-year-old,
consider that her entire diet is atypical. Since
birth nay, since conception Avery
has been a vegan, the strictest form of
vegetarian. Her mother is president of the San
Antonio Vegetarian Society and also a fitness
trainer. In addition to not eating meat, vegans
do not use any animal product including chicken
broth, gelatin, eggs, cows' milk, honey or
leather.
Avery is among a growing
number of children who have adopted some degree
of vegetarianism, either because their parents
are vegetarians or because they have chosen on
their own not to eat meat.
Perhaps they've realized
those noisy animals on Old MacDonald's Farm ended
up on the menu at McDonald's. Also, there are
groups of people such as Seventh-day Adventists
and Hindus who won't eat beef ribs no matter
whose secret sauce the meat is slathered in.
Though most become
vegetarians for reasons of religion or personal
conviction, there is increasing support that the
best reason is for good health. Vegetarian
advocacy groups including the Physicians
Committee for Responsible Medicine which claims a
membership of about 5,000 doctors and 100,000 lay
people cite studies which indicate
vegetarians have a lower prevalence of
hypertension, certain types of cancer,
cholesterol levels and rates of obesity.
But eliminating meat
from a diet does not automatically make it
healthy, and the diets of vegetarian children
especially should be monitored. The more you
limit your diet, the more you need to know about
good nutrition, says nutritional consultant Eva
Nestor-Alcantar.
"I do think (vegetarianism)
can be an extremely healthy diet if it's done
correctly," says Nestor-Alcantar of
Nutrition Therapy Associates in San Antonio.
Parental knowledge is
key, she says. Parents need to know what
nutrients children miss when they give up meat
and how to replace them.
Most people are aware
that meat products provide protein, which also is
found in foods like peanut butter, beans, cheese.
Tofu, Kimberly says, is an easy-to-digest form of
protein.
"Adolescents have a
high need for calories and protein growth as they
get real active and into sports," says
Nestor-Alcantar. "Are they getting adequate
protein to maintain their muscle mass and their
growth or are they limiting it so much that it's
pulling from their muscles?"
But parents of
vegetarians also need to look at replacing iron
in their childrens' diet. "The biggest thing
is iron and anemia, because we get a nice
absorbable iron from animal where we don't from
the plant," she says.
Foods that are high in
iron include Avery's favorite broccoli
and other edibles such as spinach, black-eyed
peas, raisins, watermelon and pinto beans. Eating
foods high in vitamin C, such as orange juice or
tomatoes, along with iron-rich foods will
increase the body's absorption of iron. Calcium,
too, is important, especially to adolescents and
is found in dairy products and also in leafy
green vegetables such as collard greens, turnip
greens and kale.
The need to replace
these nutrients varies depending on what type of
vegetarian diet a child is eating. Many children
who decide to become vegetarians on their own
might only give up beef and pork, but still eat
poultry and seafood. In that case, they're
probably not missing out on any nutrients.
Others become lacto-ovo
vegetarians, meaning they give up the meat but
still eat dairy products such as milk and eggs,
also prime sources of nutrients.
Strict vegans, like
Kimberly and Avery, need to add vitamin B12,
which only comes from animal products, to their
diet. Fortified cereals like Grape-Nuts and Total
contain B12.
"If they can take a
dairy product, if they can take an egg product,
they're going to get their B12 and they're going
to get a good source of protein," says
Nestor-Alcantar. "But if they're strict
vegan, it's a little more difficult and they
really should do something like the soy bean and
the tofu."
Anything a vegetarian is
not getting in the diet can be added with a
vitamin supplement, she says.
General practitioner Dr.
Lawrence Cohen of San Antonio's Center for
Complementary Medicine agrees that vegetarian
diets can be very healthy, even for children.
Cohen has practiced complementary medicine for 18
years and has been a vegetarian mostly
vegan for 27 years, though he recently
started eating fish because he thought he needed
more concentrated protein in his diet.
"If your child
wants to become vegetarian, it's important to
recognize it requires a very balanced diet,"
Cohen says. "What you get from a meat diet
is a lot of B12 and iron. If you go vegetarian,
there's plenty of iron in lots of foods. Make
sure you get whole grains, and make sure you get
beans and a lot of your leafy green vegetable,
and those are going to give you a lot of the
minerals and things that you need."
That's been the case so
far for 16-year-old Amber Tolbert of San Antonio,
who became a lacto-ovo vegetarian about 1 1/2
years ago after reading about The Artist formerly
known as Prince.
"I don't care for
the entertainer, but I read a quote from him
saying that he was a vegetarian because he didn't
like the idea of eating anything with parents,"
Amber says. "That just struck me hard. It
was something I'd never even considered."
Amber decided she would
try giving up eating anything with a head for one
week, but that week has now turned into 18 months.
Though she initially lost weight on her new diet,
she says her health has not suffered.
"That was a concern
my parents had," Amber says. "They took
me to the doctor and everything to get blood work
done after I'd been a vegetarian for over a year.
. . . But after the blood work came back,
everything was completely normal just like it had
been when I had been eating meat."
Though Kimberly Lewis
has been a vegetarian since she was 20 and a
vegan for about 10 years, she felt like she had
to learn more about proper nutrition when she
became pregnant with Avery. That her child would
be vegan like herself and husband James was a
foregone conclusion, but because she was now
making decisions that would affect her childs
health, she says, "I realized I needed to
bone up on things."
The family naturally
eats a lot of fruit, and, Kimberly says, "We're
always trying to get as many vegetables in our
diet as possible."
Of course, they're not
limited to Avery's favorite meal of tofu, rice
and broccoli. Stores such as Whole Foods Market
are great places to find vegan products, Kimberly
says. From stores or specialty catalogs, vegans
and vegetarians can get meatless chicken tenders,
pork strips, pepperoni even vegetarian
ribs.
Instead of ice cream,
the family enjoys Rice Dream, and for a recent
baby shower, Kimberly made finger sandwiches
using fake tuna and vegan mayonnaise. No one
seemed to notice the difference, she claims.
But Avery is becoming
increasingly aware that she doesn't eat the same
foods her schoolmates and friends eat. She can
tell you, "Meat comes from cows," and
she knows that her family does not eat cows, but
she has a harder time understanding why her mom
doesn't want her to eat Chee-tos. She is aware
that her milk and cheese is somehow different
from regular milk and cheese.
"Sometimes she says
soy milk or rice milk, but I don't think she
knows what that means," Kimberly says.
One day, Kimberly knows,
Avery will have to decide on her own whether to
continue her vegan diet. In the meantime, she
allows her daughter to break her diet for special
occasions.
"Our one exception
is, at birthday parties, we let her eat birthday
cake," Kimberly says.
© 1999 San Antonio
Express-News
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