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In the Vegetarian & Vegan News...
   Marty Root, Ph.D. & Jeff Nelson | Macrobiotics and Vitamin B12

Raising Kids Vegan:
Will it Lead to Learning Impairment?
by Marty Root, Ph.D. & Jeff Nelson

Children Who Do Not Eat Enough Meat or Dairy Products May be at Risk for Impaired Learning Ability

So read a recent headline in a widely distributed press release from the American Society for Clinical Nutrition (ASCN -- the same organization whose only position paper on their website asserts that trans-fatty acids pose no apparent health risks). The meat industry was quick to pounce on the release, reissuing it with its own promotional spin:

Study: Kids Need Meat to Avoid Learning Impairment

In actuality, the study referenced did not explore this question. It evaluated the vitamin B12 levels of a group of children who had eaten a specific, special, quasi-vegetarian diet called "macrobiotic" -- a group whose parents felt that bending macrobiotic rules to include meat and dairy would insure their children got adequate B12. The study showed that the macrobiotic children's B12 levels were still low and their cognitive ability may be slightly impaired.

Studying the Study

Researchers in Holland have been following a group of macrobiotic children since the 1980s, when they were infants. Early studies showed that these children, about 100 in all, had some worrisome deficiencies of iron and vitamin B12 that paralleled some cognitive deficiencies. After learning these results the parents apparently started modifying their children's diets by adding some dairy and meat at an average age of about 6.

The latest chapter in this study - the subject of the distorted headlines above - is that these children, now 10-16 years old, have not caught up to the vitamin B12 levels of omnivorous children and also showed slightly impaired cognitive function. This impairment was proportional to the level of B12 deficiency, leading researchers to conclude there may be a relationship.

There are several problems with this study. First, these are free-living Dutch children and their families who do not live their lives to make science convenient. They chose their own diets for their own reasons. The researchers are then left in the position of trying to figure out what the diets were and what effect they had. Next, according to the published study, these children are not eating a strict macrobiotic diet like their parents presumably are, nor are they eating animal products at the levels of omnivorous control children. They are in between. We do not know all the many dietary and lifestyle differences over the years between these two groups; the study does not explore them. But there are many different things that cause differences in cognitive abilities, only a few of which could be controlled for in this "experiment".


 



A huge battery of cognitive tests was run on kids in the study. Only one of the many tests run showed a statistical difference between groups, and only two tests were significantly correlated with the children's biochemical B12 status.

This is barely more than would be expected by chance alone. This is not an earth-shaking rejection of the macrobiotic diet, as releases on this study might suggest.

Does "Macrobiotic" Equal Vegan?

"A macrobiotic diet is a vegan diet with more protein," proclaims a current article about this macrobiotic study on WebMD. This, however, is not true.

In the same article, the author stresses the crucial importance of "food combining"-- an outdated and thoroughly discredited belief that vegetarians need to be concerned about combining certain foods at every meal to obtain a balanced profile of amino acids. Other grave-sounding pronouncements in the article could lead vegetarian and vegan parents to be deeply concerned about the health of their children. This article and much of Western nutritional advice seems to ignore that large groups of people around the world, Chinese and Indians to mention two, live healthy full lives with little or no meat in their diets.

The macrobiotic diet was invented at the turn of the last century and was popularized by George Ohzawa in the 1950's. Ohazwa included fish and vegetables including certain seaweeds in his regimen, but advised that the optimal diet for humans consisted primarily of brown rice. Michio Kushi, a student of Ohazwa was largely responsible for bringing macrobiotics to the US. It is not a vegan or even vegetarian diet. Both vegan and macrobiotic diets emphasize whole grains, legumes, and vegetables, but in addition to including fish, macrobiotics puts little emphasis on fruits.

A recent study in France compared dairy-consuming vegetarians with those eating a macrobiotic diet. Those eating the macrobiotic diet consumed about half as much fat (no fatty cheese), a third less calcium (no dairy), 50% more iron (more whole grains and legumes), half as much vitamin C (less fruit), and almost no vitamin B12 (no dairy and limited fish).Since vegans also consume no dairy, they may tend to have calcium intakes similar to those on a macrobiotic diet, which are low by Western standards but seem to serve many populations of the world very well. Vitamin D can also be a problem for both vegans and macrobiotics since they do not consume dairy products, which are usually fortified with Vitamin D in most Western populations. (Vitamin D is not a concern for any individuals who get a half hour of sunlight a day.) Unlike this particular group of Dutch macrobiotic families, though, informed vegans will generally consume and feed their kids foods fortified with Vitamin D (as most omnivores unwittingly do), and will usually choose supplements fortified with Vitamin B12.

The good news from the Dutch macrobiotic children study is that they are very healthy in all other ways measured. They are the same height and weight of omnivores, have good iron status (which had been a worry among the infants), and have higher folate intakes. Based on dietary guidelines issued by the American Institute for Cancer Research, they are also at lower risk for certain cancers than their peers.

Better Sources of B12 than Meat or Dairy

As parents we have responsibility for our children's diets. If we always let them eat junk food or foods chock full of saturated fat and cholesterol without regard to their immediate or long-term health, then we are being irresponsible. Studies show heart disease begins in early childhood, chiefly from the meat and dairy-heavy standard Western diet. And new research points to early diet as playing the most important role in risks for breast cancer (and probably other cancers, too).

If we are trying to feed our children on a much healthier vegan diet, we must also be aware of the need to insure they consume adequate levels of B12 -- and from healthful sources.

If you only got your health news from places like ASCN, WebMD, or the Cattlemen's Association, you might think that consuming dairy and meat were the only -- or even the best -- sources of B12. In fact, according to a study just completed by the USDA, the B12 in meat, fish and poultry -- while plentiful -- is so poorly absorbed in some humans as to lead to B12 deficiency in 9% of the study population of American adults age 26-83. In another 39% of the group, the B12 level was in the "low-normal" range. In other words, almost half of this normal American group had sub-optimal B12 levels despite eating plenty of foods commonly recommended as good B12 sources.

Though the meat industry may not want to spotlight it and WebMD may be poorly informed on the subject, there are other, much better sources of B12. Start by reading labels: Vitamin B12 is one of a number of B vitamins (including thiamin and folacin) that are being added to everything from soy and rice milks to Cliff Bars and Kellogg's Sugar Frosted Flakes. Vitamin B12 comes from certain bacteria, and because more and more companies are adding it to their products in response to the growing health-oriented marketplace, it's easier to find good vegan dietary sources for B12. Probably the simplest way to insure adequate B12 intake, as we need so little -- about 2 micrograms -- is through a regular vitamin pill.

An unfortunate aspect of the Dutch macrobiotic story is that these parents seemed to consider meat and dairy as the only solution to their nutritional problems. They apparently did not consider taking B12 supplements or regularly consuming foods that are fortified with the nutrients a macrobiotic diet may not provide in adequate levels.

For excellent nutritional information for raising vegan children, we recommend the work of nutritionists Vesanto Melina and Brenda Davis. To read an excerpt from their new book, Becoming Vegan, go here: http://www.vegsource.com/parent/growing_vegans.htm

Education Equals Health

Releases from WebMD, ACSN and the meat-industry make one thing clear: Be careful of getting all your nutritional information from someone who is misinformed or who has a financial interest in the discussion. When someone is pushing information that just happens to coincide with what's good for their bottom line, beware.

The problem, as always, seems to be one of good consumer education. Of note is a recent study by the University of Florida of 7,520 US households, conducted over a six-year period. Researchers found that low education level is the biggest determinant of beef consumption; the more educated an individual is, the less likely they will consume beef. (The study was paid for by the National Cattlemen's Beef Association.)

Probably the simplest way to insure your vegan little ones are getting all they need is to give them a daily multivitamin which contains B12, calcium and iron. A healthy diet with supplements of certain key nutrients is a responsible approach to raising children on a healthy vegan diet.


Marty Root has a PhD in Nutrition from Cornell University, and works as a Senior Research Scientist at BioSignia, Inc. in Chapel Hill, NC. His work involves making statistical models that predict the onset of chronic diseases such as heart disease and the cancers, and he is a frequent contributor to VegSource.

Jeff Nelson is President of VegSource Interactive, Inc., and Chair-Elect of the Board of EarthSave International.

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