昨日の、厳格な食餌ルールに従った夫婦が生後5か月の赤ちゃんを死なせた件について。
MedlinePlusによれば、母乳だけで養育した場合、ビタミンD不足になることがある。
Rickets is a disorder caused by a lack of vitamin D, calcium, or phosphate. It leads to softening and weakening of the bones.
くる病はビタミンDやカルシウムやリンの不足によって起きる病気であり、骨格が脆弱になる。
...
Infants who are breastfed only may develop vitamin D deficiency. Human breast milk does not supply the proper amount of vitamin D. This can be a particular problem for darker-skinned children in winter months (when there are lower levels of sunlight).
Not getting enough calcium and phosphorous in your diet can also lead to rickets. Rickets caused by a lack of these minerals in diet is rare in developed countries, because calcium and phosphorous are found in milk and green vegetables.
母乳だけで養育された乳児はビタミンD不足になることがある。人間の母乳は十分な量のビタミンDを供給できない。これは特に、冬場の太陽光の弱い数ヶ月に、肌色の濃い子供たちで問題になる。
カルシウムやリンの摂取不足でも、くる病になることがある。先進国で子供がこれらのミネラル不足で、くる病になることは稀である。カルシウムとリンは牛乳と緑色野菜に十分に含まれているからである。
[Rickets -- MedlinePlus]
今回、犠牲になったのは、ロンドン在住の、ジンバブエ生まれのアフリカン夫婦の、真冬に生まれた子供だった。
ということで、米国小児科学会は乳児のビタミンDサプリメント推奨摂取量を提示している。
The American Academy of Pediatrics (AAP) recommends that exclusively and partially breastfed infants receive supplements of 400 IU/day of vitamin D shortly after birth and continue to receive these supplements until they are weaned and consume ≥1,000 mL/day of vitamin D-fortified formula or whole milk. Similarly, all non-breastfed infants ingesting <1,000 mL/day of vitamin D-fortified formula or milk should receive a vitamin D supplement of 400 IU/day.
[VitaminD-HealthProfessional]
特に、5歳以下の子供がVegitarian生活を送る場合の危険性は指摘されてきた。
Paediatric dietician Helen Wilcock, a member of the British Dietetic Association, says she tries not to be judgmental about the rights and wrongs of vegan diets for young children, but any parent wanting to raise their child as a vegan needs to be very well-informed. "Vegan children can be deficient in vitamin D, calcium, iron and possibly vitamin B12, so they need supplements," she says.
Another big issue is that a vegan diet isn't very energy-dense: you have to eat a lot of it to get enough energy. But children typically don't eat a lot, so getting enough calories into them can be difficult. "I recommend adding oil to their food," Wilcock says, "because that gives them more calories."
Another difficulty is protein. "If a child eats meat and fish, it's easy to get all the right amino acids. But if a child is getting protein from pulses, the problem is that one type of bean might not provide every amino acid, so there has to be a good balance of pulses. In other words, a child who only eats chicken will get all the amino acids – but a child who only eats one type of bean won't."
[Is veganism safe for kids? (2010/04/20) on Theaguardian]
一方、Adventist Chuechは、Nkosiyapha Kunene(36)とVirginia Kunene(32)は, 宗派には登録されていたが、実際には教会に来ていなかったと発表した。
The Adventist Church’s British Union Conference released a statement last week saying that while the couple was registered as members of the denomination at the time of their marriage in 2009 they do “not appear to have attended any specific Adventist church on a regular basis after that time.”
...
Sharon Platt-McDonald, Health Ministries director for the British Union Conference. said Adventist health professionals “would always advise church members to seek and listen to medical advice.”
[ Adventist News 2014/02/04]
信者には医療忌避しないように助言してきたと、教会側に問題がないことを主張している。
posted by Kumicit at 2014/02/06 06:04
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