{"id":17223,"date":"2018-07-30T09:32:29","date_gmt":"2018-07-30T15:32:29","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=17223"},"modified":"2023-06-23T10:55:51","modified_gmt":"2023-06-23T16:55:51","slug":"vegetarian-teens-how-should-parents-respond","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/vegetarian-teens-how-should-parents-respond\/","title":{"rendered":"Vegetarian teens: How should parents respond?"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-17227 aligncenter\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee.webp\" alt=\"Shot of a young man working in an organic vegetable garden plot in the late afternoonhttp:\/\/195.154.178.81\/DATA\/i_collage\/pu\/shoots\/785403.jpg\" width=\"640\" height=\"412\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee-300x193.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee-1024x659.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee-768x494.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee-150x97.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee-200x129.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/>Your 14-year-old teen\u00a0tells you she wants to become vegetarian. What do you do?<\/p>\n<p>Adapt, said Dr. Megan Patrick, who practices family medicine at the <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-steele-street-medical-center-cherry-creek\/\">UCHealth Steele Street Medical Center <\/a>in Cherry Creek.<\/p>\n<p>The statistics are hard to find and varied, but a survey of several online sources estimates that about 5 percent of Americans, including teens, are vegetarian. About 1 percent of those are vegan. The majority, about 80 percent, appear to be women.<\/p>\n<p>At one time, teens becoming vegetarians didn\u2019t raise alarms among the medical community, but \u201cas we know more about growth and development, it\u2019s coming to our attention,\u201d she said. \u201cWe now know that unless you\u2019re paying attention to what they are eating, they might not be getting the right nutrients.\u201d<\/p>\n<p>The age and motivation for becoming a vegetarian varies widely, but the decision often happens in the teen years, she added.<\/p>\n<p>\u201cPart of it is them wanting to assert their independence, or to develop their own identity,\u201d she suggested. \u201cSome cite health or religious reasons, even environmental reasons, or concern about animal cruelty.\u201d Or maybe it\u2019s just because their friends are doing it.<\/p>\n<p>How do parents typically respond?<img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-17228 aligncenter\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee.webp\" alt=\"Smiling woman choosing fruits and vegetables at farmer's market\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091342\/vegetarianteen3.jpgeee-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u201cA lot of times, especially if the rest of the family is not vegetarian, the parents think it\u2019s a phase and the child will grow out of it, so they don\u2019t necessarily change what other family members eat,\u201d she said. \u201cSo the teen will choose to eat just side dishes or convenience foods, such as pasta and bread. Those things don\u2019t necessarily contain key nutrients that a teen needs.\u201d<\/p>\n<p>And it should not be used as a dieting strategy.<\/p>\n<div class=\"su-callout-box col-xs-6 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\">\n<p><strong>Vegetarian menu ideas<\/strong><\/p>\n<p>Some websites that might be helpful with menu ideas or recipes include:<\/p>\n<p><a id=\"\" href=\"https:\/\/www.eatright.org\/food\/food-preparation\/cooking-tips\/healthful-vegetarian-meal-ideas\">https:\/\/www.eatright.org\/food\/food-preparation\/cooking-tips\/healthful-vegetarian-meal-ideas<\/a><\/p>\n<p>https:\/\/www.unlockfood.ca\/en\/Articles\/Adolescents-teenagers\/Meal-planning-for-the-vegetarian-teen.aspx<\/p>\n<\/div>\n<p>\u201cA major concern is that some teens will use the excuse of becoming vegetarian in order to control weight, so it\u2019s actually an eating disorder. It\u2019s just one thing we need to watch out for,\u201d Patrick said.<\/p>\n<p>The more common danger is posed by the fact that teen-agers are still growing and developing, she said.<\/p>\n<p>If not done properly, a teen can end up with deficiencies in protein, iron, B12, calcium, omega-3 fatty acids, vitamin D and zinc \u2013 all necessary for growth and development. And they may not get enough calories, either, she added.<\/p>\n<p>The concerns vary with the type of vegetarianism the teen chooses. Typically, a vegetarian diet eliminates meat, though some choose to eat fish and\/or seafood (pescetarians) and some will eat eggs and milk (ovo-lacto vegetarians). A vegan diet eliminates all of these and is the most problematic.<\/p>\n<p>\u201cType does impact health,\u201d Patrick said. \u201cThe vegan is most restrictive, definitely. The lack of dairy products impacts their calcium levels and B12 \u2013only found in animal products \u2013 so they need to eat fortified foods or take supplements. If they\u2018re not eating the right balance, they can be at risk.\u201d<\/p>\n<p>Parents need to make sure their child is getting the right combinations of nutrients, she said.<\/p>\n<p>\u201cCertain amino acids are only found in animal products \u2013 and they are the building blocks of protein. So if vegetarians don\u2019t combine different sources of protein, they will miss out on those amino acids needed to regenerate tissue and support metabolism.\u201d<\/p>\n<p>There is an upside to the situation. Becoming a vegetarian can help an overweight teen gain control of their weight and eat a healthier diet.<\/p>\n<p>\u201cWe know from research that adolescents who are vegetarian have nearly the same percentile for height and growth, but their BMI (body mass index) can be lower. Overall, it can be healthier. It can lower the risk of diabetes and heart disease on down the road \u2013 if it\u2019s done right.\u201d<\/p>\n<p>Parental oversight is important, even essential, Patrick said.<\/p>\n<figure id=\"attachment_17229\" aria-describedby=\"caption-attachment-17229\" style=\"width: 194px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-17229\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091442\/Dr.Megan_.webp\" alt=\"\" width=\"194\" height=\"250\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091442\/Dr.Megan_.webp 194w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091442\/Dr.Megan_-116x150.webp 116w\" sizes=\"auto, (max-width: 194px) 100vw, 194px\" \/><figcaption id=\"caption-attachment-17229\" class=\"wp-caption-text\">Dr. Megan Patrick<\/figcaption><\/figure>\n<p>\u201cParents need to be involved, do the research, and don\u2019t dismiss it as a phase,\u201d she said. \u201cWhat if that phase lasts longer then you anticipated?\u201d<\/p>\n<p>Everything she has read on the topic \u201creally encourages parents to become educated as to what their child needs.\u201d<\/p>\n<p>There are websites that offer suggestions and advice for feeding teens a healthful vegetarian diet, and the USDA is even developing a new food pyramid that reflects a vegetarian diet.<\/p>\n<p>It\u2019s also a good idea for a parent and teen to seek advice from a dietitian or nutritionist at the start.<\/p>\n<p>\u201cI think that\u2019s a great idea,\u201d she said. \u201cIt is a more knowledgeable approach. Everybody\u2019s on the same page.\u201d<\/p>\n<p><strong>Specific Recommendations: <\/strong><\/p>\n<p>Here are Dr. Patrick\u2019s suggestions for how to fulfill the nutritional needs of a vegetarian teen:<\/p>\n<ul>\n<li>Eat a combination of protein, carbohydrates and fat.<\/li>\n<li>Protein should be 10 to 30 percent of total energy intake. Protein sources for vegetarians include tofu, eggs, legumes, beans, peanut butter and nuts. There are nine essential amino acids necessary in the diet, and they are found in animal products, milk products, eggs and soy products. Also combining foods that are low in one amino acid with other foods that are higher in that particular amino acid helps to prevent deficiencies \u2013 for example, consuming a grain with legumes.<\/li>\n<li>Fat should be 25 to 35 percent and include two essential fatty acids (alpha-linolenic acid and linoleum acid). These are building blocks for EPA and DHA, which is necessary for eye and brain health. It is found in flaxseed, walnuts, canola oil and soy products<\/li>\n<li>Carbohydrate intake should be 45 to 65 percent. Half of that should be whole grains.<\/li>\n<li>Iron available in vegetarian foods is less absorbable than that in animal products. Supplemental vitamin C helps increase iron absorption. Teas can contain tannin, which lowers absorption. Foods high in iron include enriched breads, fortified cereal, soy products, leafy green vegetables, bulgur and dried fruits. Foods high in vitamin C include citrus fruits, strawberries, broccoli and tomatoes.<\/li>\n<li>Plant sources of zinc include legumes, whole grains, nuts and wheat germ. Milk also contains zinc. Teens need 9 to 11 mg per day.<\/li>\n<li>The recommended daily intake for calcium intake in teens is 1,300 mg. Low-fat milk, calcium fortified foods or beverages, kale, spinach, broccoli and bok choy are high in calcium. Calcium supplements may be necessary, especially in vegans.<\/li>\n<li>Vitamin D is found in a few foods, including milk or soy milk and fatty fishes. Teens need 600 IU daily, in addition to adequate sun exposure, which converts it into the active form. Fifteen minutes per day is sufficient in fair-skinned individuals, more for darker skin tones. There are over-the-counter vitamin D supplements as well. It is important for healthy bones, calcium absorption and phosphate metabolism.<\/li>\n<li>Vitamin B12 is found only in animal products. Teens need 2.4 mcg daily. Milk, eggs and dairy products, as well as fortified food products that list \u201ccyanocobalamin\u201d list in the ingredients are good sources. Vegans should take a supplement that has at least 6-9mcg of vitamin B12.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Your 14-year-old teen\u00a0tells you she wants to become vegetarian. What do you do? Adapt, said Dr. Megan Patrick, who practices family medicine at the UCHealth Steele Street Medical Center in Cherry Creek. The statistics are hard to find and varied, but a survey of several online sources estimates that about 5 percent of Americans, including [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":17227,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[9187,1470],"class_list":["post-17223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-readysetco","tag-uchealth-steele-street-medical-center"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Vegetarian teens: How should parents respond? - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Vegetarian teens should make sure they are getting essential nutrients, says Dr. Megan Patrick, a physician at UCHealth Steele Street Medical Center.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/vegetarian-teens-how-should-parents-respond\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vegetarian teens: How should parents respond?\" \/>\n<meta property=\"og:description\" content=\"Vegetarian teens should make sure they are getting essential nutrients, says Dr. Megan Patrick, a physician at UCHealth Steele Street Medical Center.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/vegetarian-teens-how-should-parents-respond\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-30T15:32:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-23T16:55:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/30091215\/vegetarian2.jpgeee.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Linda DuVal, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Linda DuVal, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/vegetarian-teens-how-should-parents-respond\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/vegetarian-teens-how-should-parents-respond\\\/\"},\"author\":{\"name\":\"Linda DuVal, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/4f8630d1a32bfa51d40bf26aa4896808\"},\"headline\":\"Vegetarian teens: How should parents respond?\",\"datePublished\":\"2018-07-30T15:32:29+00:00\",\"dateModified\":\"2023-06-23T16:55:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/vegetarian-teens-how-should-parents-respond\\\/\"},\"wordCount\":1193,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/vegetarian-teens-how-should-parents-respond\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2018\\\/07\\\/30091215\\\/vegetarian2.jpgeee.webp\",\"keywords\":[\"Ready. 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