Physician and Parent Perceptions on Plant-Based Beverages as Substitutes for Cow’s Milk: A Single City Survey

Fifi, Amanda; Pagan, Dianne N.; Chakraborty, Partha; Mahajan, Neha; Axelrod, Cara; Bayes, Liz; Katz, Daphna T.

doi:10.1097/mpg.0000000000003494

Cited by 8 publications

(5 citation statements)

References 15 publications

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“…These results demonstrate the consistency between the WHO NPM and the Nutri-Score. Logically, categories with HFSS products had the highest proportions of products with a Nutri-Score of E. Surprisingly, plant-based milk, which has been found to be perceived by parents as being healthier than cow’s milk or for their children’s health [ 75 , 76 ], mainly had a Nutri-Score of E (60%) and non-compliant with the NPM (60%). The main reason is the high proportion of added sugars.…”

Section: Discussionmentioning

confidence: 99%

What Is the Nutritional Quality of Pre-Packed Foods Marketed to Children in Food Stores? A Survey in Switzerland

Pellegrino,

Tan,

Richonnet

et al. 2024

Nutrients

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Food marketing targeting children influences their choices and dietary habits, and mainly promotes food high in fat, sugar, and salt as well as ultra-processed food. The aim of this study was to assess the nutritional quality of food and beverages marketed to children over the age of 3 and available on the Swiss market. Products with at least one marketing technique targeting children on the packaging were selected from five food store chains. Three criteria to assess nutritional quality were used: (1) nutritional composition (using the Nutri-Score), (2) degree of processing (NOVA classification), and (3) compliance with the World Health Organization (WHO) Nutrient Profile Model (NPM). A total of 735 products were found and analyzed. The most common marketing techniques used were childish names/fonts (46.9%), special characters (39.6%), and children’s drawings (31.3%). Most products had a Nutri-Score of D or E (58.0%) and were ultra-processed (91.8%). Only 10.2% of products displayed the Nutri-Score. The least processed products generally had a better Nutri-Score (p < 0.001). Most products (92.8%) did not meet the criteria of the WHO NPM. Products that met the WHO NPM criteria, organic products, and products with a nutritional claim generally had a better Nutri-Score and were less processed (ps < 0.05). Pre-packaged foods and beverages marketed to children in the Swiss market were mostly of poor nutritional quality. Public health measures should be adopted to improve the nutritional quality of foods marketed to children in Switzerland and restrict the marketing of unhealthy foods to children.

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Section: Discussionmentioning

confidence: 99%

What Is the Nutritional Quality of Pre-Packed Foods Marketed to Children in Food Stores? A Survey in Switzerland

Pellegrino,

Tan,

Richonnet

et al. 2024

Nutrients

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“…A substantial uniformity of views is derived from the reviewed literature regarding the use of plant-based formulas and plant-based drinks in the first year of life. The former are considered adequate in specific situations [ 7 , 14 , 20 , 22 , 23 , 32 , 33 , 34 , 35 , 38 , 39 , 40 , 44 , 46 ], whereas the latter’s use is suggested for the preparation of foods, once complementary feeding has begun, but not as a substitute for breast or formulated milk [ 9 , 16 , 51 , 54 , 55 , 58 , 59 , 67 , 68 , 69 , 70 ].…”

Section: Advice Common To All Choicesmentioning

confidence: 99%

“…A study based on 417 interviews showed that according to health professionals, half of consumers consider dairy products and plant-based alternatives to be nutritionally equivalent [ 33 ]. Among 215 parents who participated in an interview at the University of Miami and Jackson Memorial Hospital, 85% believed plant-based alternatives were at least equivalent to cow’s milk [ 34 ]. In another qualitative study conducted in Poland, Germany, and France, it was found that barriers and reinforcement to the consumption of plant-based alternatives depend on social factors, including health aspects, peer influences, and country-specific culinary traditions [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

Plant-Based Milk Alternatives in Child Nutrition

Brusati¹,

Baroni²,

Rizzo³

et al. 2023

Foods

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Plant-based milk alternatives can be distinguished in two main categories, differing in production processes and regulation: plant-based formulas and plant-based drinks. They are now a widely accepted class of products on the international market. The various plant-based milk alternatives differ in nutritional characteristics due to their origin and manufacturing; more importantly, whereas formulas from plant and cow origin can be used interchangeably, plant-based drinks are nutritionally different from cow’s milk and can be consumed by children subsequently to the use of formula. Several scientific organizations have expressed differing opinions on the use of these products in the diets of children. In the face of unanimous conclusions regarding the use of these products during the first year of life, in subsequent ages there were conflicting opinions regarding the timing, quantities, and type of product to be used. From the viewpoint of the child’s overall diet and health, it could be suggested that these foods be considered not as simple substitutes for cow’s milk, but as part of a varied diet, within individual advice of use. We suggest accepting the presence of these products in a baby’s diet (omnivores included), planning their use correctly in the context of a balanced diet, according to the specific product and the needs of the individual.

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“…Cow milk has long been recommended for children as it contains important nutrients such as calcium and vitamin D that are necessary for growth 1–3. However, with plant milks such as almond and oat milk becoming more widely available many parents are choosing these beverages instead of cow milk for their children 4–6. A recent Canadian study found that one-third of parents of preschool-aged children purchased plant milks 7.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] However, with plant milks such as almond and oat milk becoming more widely available many parents are choosing these beverages instead of cow milk for their children. [4][5][6] A recent Canadian study found that one-third of parents of preschool-aged children purchased plant milks. 7 With milk preferences shifting, understanding the nutritional effects of plant milk consumption in children is important.…”

Section: Introductionmentioning

confidence: 99%

Effect of plant milk consumption on childhood growth: protocol for a systematic review

et al. 2023

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IntroductionThere has been considerable debate about whether plant milks can support the nutritional requirements of growing children. The proposed systematic review aims to assess the evidence on the relationship between plant milk consumption and growth and nutritional status in childhood.Methods and analysisOvid MEDLINE ALL (1946–present), Ovid EMBASE Classic (1947–present), CINAHL Complete (Cumulative Index to Nursing and Allied Health Literature), Scopus, the Cochrane Library and grey literature will be searched comprehensively (from 2000 to present; English language) to find studies that describe the association between plant milk consumption and growth or nutrition in children 1–18 years of age. Two reviewers will identify eligible articles, extract data and assess the risk of bias in individual studies. If a meta-analyses is not conducted, the evidence will be synthesised narratively and the overall certainty of evidence will be rated using the Grading of Recommendations Assessment, Development and Evaluation approach.Ethics and disseminationEthical approval is not required for this study since no data will be collected. Results of the systematic review will be published in a peer-reviewed journal. Findings from this study may be useful in informing future evidence-based recommendations about plant milk consumption in children.PROSPERO registration numberCRD42022367269.

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Physician and Parent Perceptions on Plant-Based Beverages as Substitutes for Cow’s Milk: A Single City Survey

Cited by 8 publications

References 15 publications

What Is the Nutritional Quality of Pre-Packed Foods Marketed to Children in Food Stores? A Survey in Switzerland

What Is the Nutritional Quality of Pre-Packed Foods Marketed to Children in Food Stores? A Survey in Switzerland

Plant-Based Milk Alternatives in Child Nutrition

Effect of plant milk consumption on childhood growth: protocol for a systematic review

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