How Do We Feed Vegetarian Kids?

For different reasons, significant numbers of kids are choosing a vegetarian diet. As I recently discussed on Good Morning America and GMA Health (watch them here), a vegetarian diet can be an extremely healthy nutrition plan for a child as well as an adult. I wanted to follow-up those pieces with more tips for parents of vegetarian kids.

How do we develop eating occasions for vegetarian kids? Paying attention to a) nutrient balance (carb, pro, fats) b) providing variety c) including vegetables …I will start with C first.

Vegeta – rian…say it with your child…veg-e-ta-rian…parents often struggle with getting their kids to eat vegetables. If your child chooses to be a vegetarian, its worth it to discuss the old “what’s in a name” and have them commit to eating a rainbow of vegetables during their week.

Tip #1 Dip them in hummus, peanut or almond butter, or a yogurt (or tofu) -based dip and they will get protein as well

Tip #2 Try great-tasting products like Dr Praegers broccoli or spinach bitelets, or Amys vegetable pizza (keep on hand in the freezer) or add salsa to salads and beans. Also, check out my recipe for Greensadillas in Recipes for IBS which offers many digestively friendly vegetarian options (or adaptable ones).

When it comes to carbohydrates and vegetarians, its good to know what counts as a carb so we don’t end up overdoing the carb intake compared to the protein and healthy fats (remember we want a balance at each eating occasion). A good goal for vegetarian kids is anywhere between 15-25 grams per eating occasion or 1-1 1/2 servings. For a complete list of what goes in the carb category look at the AKA menu worksheet

Tip #1 split up the carbs between eating occasions- if you serve beans, do so with guacamole and salsa and some melted cheese vs. Beans and a tortilla or rice. If you have a veggie burger, serve it without the bun and with some baked zucchini “fries”. If you serve a tortilla , spread some nut butter on top and a few slices of fruit.

Protein: depending on the type of vegetarian, your child may consume some or no animal protein

Tip #1: vegetarian sources of proteins that are also carbs include beans (soybeans / edamame are a complete protein), quinoa (a grain you can prepare like rice or like oatmeal or make it with some cheese and broccoli heads; note: quinoa pasta will provide a little less protein)

Tip #2: vegetarian sources of protein that are also healthy fats include nuts and seeds. One seed in particular, hempseeds, provide a complete protein. So instead of a banana, add a nut butter (you can even freeze this and make it a great dessert), instead of just ice cream, have a 1/2 scoop less and add berries and hemp seeds.

Healthy fats: its really important to ensure sufficient healthy fats for optimal growth and development.

Tip #1: If your childs not eating fish regularly, you will want to ensure a source of omega 3 fatty acids such as chia seeds, flaxseed oil, walnuts, soybeans / tofu (not don’t skip the fat in soymilk, its good for you, but do skip the extra sugar), and hempseeds. A new product I like for kids are the Barleans Swirls which provide omega-3s in kid-friendly tasting gel swirls that can go great into a smoothie. I also like adding chopped walnuts on top of a waffle with some berries or blending tofu with some honey (in kids over age 1) and cinnamon for a homemade pudding.

Getting in a variety of foods will help ensure that anyone, but certainly a vegetarian, is getting the nutrients they need. That said, I often recommend looking at supplementation to “supplement” a healthy diet so that if a week’s eating ends up less than perfect the body still has what it needs. Some nutrients we pay extra attention to in vegetarians are: vitamin D (other than mushrooms, nature doesn’t provide many sources of absorbable D; some products are fortified but often intake levels of a food or beverage would have to be high making the potential for a deficiency more likely); vitamin b12 – if your child doesn’t eat meat and / or any animal products, supplementation is highly recommended; the right balance of calcium and magnesium is important: emphasizing greens, adding sesame seeds to the diet, adding beans and eating whole grains (vs flour products) helps accomplish this; iron is often raised as a concern and growing bodies do need iron to support optimal growth and energy – sources such as greens, lentils (you can make veggie burgers from lentils and top them with salsa), and dried fruit supply iron, but do check levels every 6 months as iron supplementation may be required if levels fall low (especially as a young girl begins her menstrual cycle).

The best part about a child deciding to be a vegetarian is they are making a choice, stating a preference. This is a great opportunity to engage them in discussions about their changing body, to identify and address insecurities and misperceptions or concerns.

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About Ashley Koff R.D.

Ashley Koff is a registered dietitian (R.D.) who strives to make better nutrition a way of life for all. Koff has the proven ability to demystify the science of nutrition and communicate the importance of a healthy lifestyle to clients in a way that instills loyalty and trust. Never preachy, Koff’s clients truly admire her gentle and patient way of finding the correct and effective nutritional program to suit their individual needs. Her passionate style is effective, resulting in Koff being named by Citysearch as LA’s “Best Nutritionist” three years running.    Celebrity client Emily Deschanel attests: “Ashley is the most knowledgeable nutritionist that I have ever worked with. She really cares about her clients and wants them to have optimum health. Ashley helped me find a way to have lots of energy while working very long days. She's able to work around food intolerances and address different personal nutritional needs. It seems like there is nothing she doesn't know about nutrition.”  Koff launched AKA (ashleykoffapproved.com) in 2008 as a way to house all aspects of her private practice, nutritional endorsement opportunities, as well as her corporate consulting company (formerly the healthXchange). With AKA, consumers of all demographics can readily identify products that meet Koff’s standards for nutrition resulting in optimal health. Under the AKA umbrella, Koff also offers business-to-business consulting.  Koff is regularly sought after by the most trusted names in nutrition and medicine. She counsels patients on referral from Dr. Andrew Weil (Program in Integrative Medicine) and has served as guest faculty for PIM's fellowships. She is also the exclusive R.D. to patients of integrative medicine guru Dr. Soram Khalsa and receives referrals from the world-renowned Tao of Wellness. “Ashley is an instrumental player in the field of nutrition. I trust she will no doubt transform the industry; she sets the bar for what it means to be an influential and responsible leader in health and wellness,” says Dr. Andrew Weil.  Ashley Koff has authored her own book; Recipes for IBS (Fair Winds Press 2007), a cookbook and treatment plan for digestive wellness. Several pharmaceutical companies purchased the book as a resource for gastroenterologists worldwide. Koff was also hired by many of the same pharmaceutical companies for television and radio media tours on digestive wellness topics based on the content of her book.  Koff is in demand as a consultant to many authors debuting books next year:  Collaborating with celebrity trainer and fitness icon Kathy Kaehler, their highly anticipated 2009 book on “mom energy” will feature real life makeovers for moms of all ages.  The G-Free Diet:  A Gluten-Free Survival Guide (May 2009), written by The View’s Elisabeth Hasselbeck. Hasselbeck called upon Koff to be her R.D. expert on nutritional information because “her advice is so sensible and realistic, and that's what I want to offer my readers.”   Integrative Gastroenterology (fall 2009), Koff lends her knowledge to Dr. Andrew Weil's textbook look at dietary goals for IBS patients.  Food Cures, the 2008 Reader’s Digest publication that examines food-based remedies for the entire range of diseases and symptoms from A to Z. Koff was a consultant.  AKA’s client list includes entertainment studios, where Koff works to improve the quality of food selections on production sets and locations. In addition, Koff consults with The An Family Restaurants - home to Crustacean Beverly Hills – as they will soon launch new cafes nationwide. The An Family brought in Koff to identify menu items that support optimal immune function. Another client, Cedars-Sinai Medical Center in Los Angeles, brought Koff on staff as a dietitian from 2004 to 2007.  Koff’s R.D. expertise and extensive client base have led to her collaboration with numerous media outlets including The New York Times, Reader's Digest, CNN, Shape, InStyle, Yoga Journal, Teen Vogue, Women's Health, Natural Health, Allure, Entertainment Tonight, and Food & Wine. She also sits on the prestigious advisory board at Fitness magazine.  The daughter of a surgeon, Koff was privy to an insiders look at the art of medicine at a very young age. An intense curiosity, coupled with her interest in preventive healthcare, lead to Koff’s desire to personalize and improve her own health regime. Immediately, she was hooked on a path of dietetic education and independent study efforts to explore the healing practices of the world.   Educated at both Duke and New York Universities, Koff trained at LA+USC and Columbus Children's hospitals. Koff also completed integrative medicine coursework for certification as a certified clinical nutritionist (CCN).   Koff loves to travel and connect with people, learning from different cultures about alternative food and wellness practices. She enjoys comedy and satire, believing that using humor is one of the most effective learning methods – especially when it comes to nutrition. Koff's clients are drawn to her approachability and capacity to personalize implementation plans through a unique method of ongoing evaluation and feedback. They also value her joy of life, sense of humor, and her deep caring for their well-being.

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3 Responses to How Do We Feed Vegetarian Kids?

  1. mallika.chopra May 20, 2009 at 4:34 pm #

    Ashley

    This is such a great, informative post. Love the idea of dipping the veges in hummus or almond butter.

    Mallika

  2. olivia May 22, 2009 at 1:35 pm #

    Ashley, I love that you are writing about this! My brother and I were both raised vegetarian (in Philadelphia, no less) and are vegetarians to this day. I'll raise my kids vegetarian (with the understanding that the choice is ultimately theirs to make). I didn't suffer growing up vegetarian and revel in the fact that there are increasingly more delicious choices in grocery stores and restaurants.

    My parents were conscientious about us getting the right balance of nutrients, but that said, we weren't an especially 'granola' family. We ate a lot global cuisines, which tend to offer more vegetarian options than a traditional American diet.

    Thanks for this article!

  3. nutriconsultants May 26, 2009 at 1:14 pm #

    Recommendations are all right on target, especially Barlean's Omega Swirls! The best omega-3 supplement on the market, hands down!

    The Omega Swirls are great because they taste like fruit smoothies. We recommend to all clients (adults AND kids).