8 8. • Vegetarian • Vegan • Nut Allergy • Dairy free • Gluten Free • <strong>Food</strong> Customs of different religions 90
8. Special diets Vegetarianism Vegetarianism can be divided into four main groups: • Partial vegetarian - red meat <strong>and</strong> offal are excluded but may still eat chicken <strong>and</strong>/or fish. • Lacto-ovo vegetarian - red meat, offal, poultry, <strong>and</strong> fish are excluded. Children will eat milk <strong>and</strong> eggs. • Lacto-vegetarian - red meat, offal, poultry, fish <strong>and</strong> eggs are excluded. Children will eat milk containing foods but not eggs. • Vegans - all animal products are avoided. Vegetarian diets Babies <strong>and</strong> young children can obtain a nutritionally adequate vegetarian diet if a wide variety of foods are eaten. Remember to include foods from the four main food groups each day. However, the greater the degree of dietary restriction, the greater the risk of nutritional deficiency To ensure a healthy diet: • Encourage regular meals <strong>and</strong> snacks. • Choose alternatives sources of protein to meat <strong>and</strong> fish such as eggs, soya products (e.g. soya mince, tofu), beans (including baked beans, chick peas, lentils), chopped nuts <strong>and</strong> nut spreads. All these foods contain iron, which is the main nutrient at risk in a vegetarian diet. • Fruit, fruit juice <strong>and</strong> vegetables should be included, as they are rich in vitamin C. This helps us to absorb the iron from non meat foods. • Include energy dense foods e.g. spreading fats <strong>and</strong> cooking oils, seed <strong>and</strong> nut butters, cheese, avocados, dried fruit <strong>and</strong> hummus. • Ensure an adequate calcium intake by offering milk, cheese, yoghurt <strong>and</strong> fromage frais. • If cheese is served at the main course at lunchtime, include an iron rich protein food at the other main meal, for example beans, lentils or eggs. Vegan diets Vegans do not eat any foods of animal origin. This includes meat, fish <strong>and</strong> dairy foods, <strong>and</strong> also honey. Vegan diets may be low in a number of nutrients such as energy, protein, vitamins B2 <strong>and</strong> B12, calcium, zinc <strong>and</strong> iron. These diets need careful planning <strong>and</strong> vitamin supplements may be necessary to complement the menu. The Vegan Society recommends that vegans take supplements of vitamin B12, vitamin D <strong>and</strong> calcium. When cooking food for vegetarians/vegans who exclude food items for religious or ethical reasons, it is important that food given is not compromised in any way. For example, picking meat out of a dish already cooked is not appropriate. The vegetarian/vegan dish should be prepared first <strong>and</strong> the meat added later for other children. • Other sources of iron containing foods to include are fortified breakfast cereals, bread (especially wholemeal), green leafy vegetables <strong>and</strong> dried fruit. 91