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Diets for Children and Adolescents: How Much Protein? FREE

ALLAN S. CUNNINGHAM, MD; DIANE MANCINI-FORD
Am J Dis Child. 1981;135(6):578-579. doi:10.1001/archpedi.1981.02130300076031.
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Sir.—The diet proposed by Dr Dwyer in her review article (Journal 1980;134:1073-1080) contains too much protein, which may pose risks at least as great as those from the fat, sugar, and salt she is trying to minimize. The Food and Agriculture Organization-World Health Organization expert committee suggests that a normal 8-year-old child in an industrial nation needs no more than 31 g of protein daily.1 For 14-year-old girls and boys, the figures are 39 and 46 g, respectively. These figures are set 30% higher than average requirements, to account for persons with above-average needs, and represent a still greater excess for those whose needs are below average. Therefore, Dr Dwyer's daily diet, with 132 g, contains three to six times the protein most children require.

Excessive intake of protein during pregnancy and the newborn period is associated with prematurity and increased perinatal mortality.2-4 Surviving neonates given high-protein

REFERENCES

 Energy and protein requirements . WHO Chron 1973;;27:481-486.
Rush D, Stein Z, Susser M:  A randomized controlled trial of prenatal nutritional supplementation in New York City . Pediatrics 1980;;65:683-697.
Rush D, Stein Z, Susser M:  Controlled trial of prenatal nutrition supplementation defended . Pediatrics 1980;;66:656-658.
Omans WB, Barness LA, Rose CS, et al:  Prolonged feeding studies in premature infants . J Pediatr 1961;;59:951-957.
Mamunes P, Prince PE, Thornton NH, et al:  Intellectual deficits after transient tyrosinemia in the term neonate . Pediatrics 1976;;57:675-680.
Tracey VV, De NC, Harper JR:  Obesity and respiratory infection in infants and young children . Br Med J 1971;;1:16-18.
Shukla A, Forsyth HA, Anderson CM, et al:  Infantile overnutrition in the first year of life: A field study in Dudley, Worcestershire . Br Med J 1972;;4:507-515.
Cunningham AS, Hall CB:  Respiratory syncytial virus and sudden infant death . N Engl J Med 1979;;300:1440-1441.
Cooper WC, Good RA, Mariani T:  Effects of protein insufficiency on immune responsiveness . Am J Clin Nutr 1974;;27:647-664.
Fernandes G, Yunis EJ, Good RA:  Influence of protein restriction on immune functions in NZB mice . J Immunol 1976;;116:782-790.
Ross MH, Bras G:  Tumor incidence patterns and nutrition in the rat .J Nutr 1965;;87:245-260.
Armstrong B, Doll R:  Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices . Int J Cancer 1975;;15:617-631.
Cunningham AS:  Lymphomas and animal protein consumption . Lancet 1976;;2:1184-1186.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

 Energy and protein requirements . WHO Chron 1973;;27:481-486.
Rush D, Stein Z, Susser M:  A randomized controlled trial of prenatal nutritional supplementation in New York City . Pediatrics 1980;;65:683-697.
Rush D, Stein Z, Susser M:  Controlled trial of prenatal nutrition supplementation defended . Pediatrics 1980;;66:656-658.
Omans WB, Barness LA, Rose CS, et al:  Prolonged feeding studies in premature infants . J Pediatr 1961;;59:951-957.
Mamunes P, Prince PE, Thornton NH, et al:  Intellectual deficits after transient tyrosinemia in the term neonate . Pediatrics 1976;;57:675-680.
Tracey VV, De NC, Harper JR:  Obesity and respiratory infection in infants and young children . Br Med J 1971;;1:16-18.
Shukla A, Forsyth HA, Anderson CM, et al:  Infantile overnutrition in the first year of life: A field study in Dudley, Worcestershire . Br Med J 1972;;4:507-515.
Cunningham AS, Hall CB:  Respiratory syncytial virus and sudden infant death . N Engl J Med 1979;;300:1440-1441.
Cooper WC, Good RA, Mariani T:  Effects of protein insufficiency on immune responsiveness . Am J Clin Nutr 1974;;27:647-664.
Fernandes G, Yunis EJ, Good RA:  Influence of protein restriction on immune functions in NZB mice . J Immunol 1976;;116:782-790.
Ross MH, Bras G:  Tumor incidence patterns and nutrition in the rat .J Nutr 1965;;87:245-260.
Armstrong B, Doll R:  Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices . Int J Cancer 1975;;15:617-631.
Cunningham AS:  Lymphomas and animal protein consumption . Lancet 1976;;2:1184-1186.

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