♦ Morency ME, et al. Am J Clin
Nutr. June 7, 2017, http://bit.
Children who drink non-cow’s milk
may be shorter than their peers, according
to a new study.
Researchers have found links between
lower height and non-cow milk products
like those made of soy, rice or almond.
“Our findings may be important for
parents, dieticians and physicians when
considering the optimal type of milk for
children to consume,” authors wrote.
Previous studies found ties between
greater height and drinking cow’s milk,
so researchers set out to see if other types
of milk, which have been gaining in popularity, also
were associated with growth.
They studied 5,034 children ages 24-72 months, of
whom 92% drank cow’s milk daily and 13% drank
They found children were 0.4 centimeters (cm)
shorter than average for their age for every daily cup
of non-cow’s milk they drank and 0.2 cm taller than
average for each daily cup of cow’s milk.
On average, a 3-year-old drinking three cups a
day of cow’s milk was 1. 5 cm taller than a 3-year-old
who drank three cups of non-cow’s milk daily. Those
drinking both types of milk were shorter than average.
Researchers said the height difference may be attributed to non-cow’s milk having less dietary protein
and fat. There are about 16 grams of protein in two
cups of cow’s milk compared to 4 grams in almond
milk, according to the study.
“The lack of regulation means the nutritional content varies widely from one non-cow’s milk product
to the next, particularly in the amount of protein and
fat,” author Jonathon Maguire, M.D., M.Sc., said in
a news release.
by Melissa Jenco • News Content Editor
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Drinking non-cow’s milk linked with being shorter
Study examines fatal crashes involving children by state
♦ Wolf LL, et al. J Pediatr. May 25, 2017,
A 10% improvement in using seat belts and car
seats could prevent more than 200 children from dying in car crashes each year, according to a new study.
Researchers analyzed factors in fatal vehicle crashes
involving children broken down by state and found
links between fatalities and the misuse of restraints
and types of road and vehicle.
Data from the Fatality Analysis Reporting System
from 2010-’ 14 showed nearly 16% of children involved in a fatal crash (with at least one adult or pediatric death) died of their injuries. The fatality rates
among children in such crashes ranged from 8% in
New Hampshire to 30% in Nebraska.
Across the country, nearly one in every 100,000
children dies in a motor vehicle crash (MVC). Mississippi had the highest mortality rate per 100,000
children with 3. 23, while the lowest was 0.25 in Massachusetts.
Roughly 20% of children involved in a fatal crash
were not properly restrained, and these children were
more likely to be killed, according to the study. About
2% of children in these crashes in New Hampshire
were not properly restrained compared to 38% in
“The percentage of children who are unrestrained or
inappropriately restrained is a leading predictor of mortality; this supports recommendations from the American Academy of Pediatrics that uniform enforcement
of appropriate child safety restraints is crucial to reduce
MVC-related child deaths,” authors wrote.
The type of road and vehicle also were associated with fatal crashes. About 62% occurred on rural
roads, while state highways were found to have a protective effect. Vans also were found to be protective
and were involved in 14% of crashes compared to
42% for cars.
The team also found a nearly 4% higher number
of child deaths in states that did not have red light
cameras. They expressed surprise at the finding of a
protective effect for roads with a 65-80 mph speed
limit and surmised this could be due to characteristics
like better maintenance and wider lanes.
Senior author Faisal Qureshi, M. D., M.B.A., FAAP,
emphasized the importance of state policies to reduce
pediatric deaths in crashes.
“The significant state-level variation evident in our
findings emphasizes the need for close collaboration
between the injury prevention community and those
enacting and enforcing legislation, and suggests the
potential for a federal intervention in the area of child
traffic safety,” Dr. Qureshi said in a news release.
Children were 0.4 centimeters shorter than average for their
age for every daily cup of non-cow’s milk they drank.
Gluten-free diet helps
children with celiac disease
more than adults
♦ Sansotta N, et al. J Pediatr Gastroenterol
Nutr. May 16, 2017, http://bit.ly/2urLQe T.
Children with celiac disease (CeD) benefit from
a gluten-free diet more than adults with the disease,
according to researchers.
Such a diet is the only treatment for celiac, an autoimmune disease linked with gluten ingestion, but
the authors said there has been little research on its
effectiveness on symptoms.
They reviewed the charts of more than 500 children
and adults with celiac from 2002-’ 15.
Children most commonly experienced gastrointestinal (GI) symptoms of abdominal pain, diarrhea and
failure to thrive and extra-intestinal (EI) symptoms
of short stature, fatigue and headache. Adults’ most
frequent GI symptoms included diarrhea, bloating
and abdominal pain, and EI symptoms were iron
deficiency anemia, fatigue and headache/psychiatric
Two years after being instructed to follow a strict
gluten-free diet, children and adults experienced the
greatest improvement in GI symptoms of bloating,
diarrhea, weight loss and abdominal pain while there
was the least improvement in constipation.
Children also improved significantly in EI symptoms of dermatitis herpetiformis, myalgia, stomatitis, delayed puberty, seizures, iron deficiency anemia
and poor mood. They had the least improvement in
short stature and psychiatric disorders. Adults saw
the most EI symptom improvement for dermatitis
herpetiformis, abnormal liver enzymes, seizures and
iron deficiency anemia and the least improvement for
myalgia and poor mood.
Children’s GI and EI symptoms improved at greater rates than adults. The team also found females,
people with a longer duration of symptoms and those
who didn’t strictly adhere to the gluten-free diet had
lower rates of improvement.
“These findings emphasize the need for early recognition of CeD as well as close attention to diet adherence as these will aid in the most positive outcomes
for the patient,” authors wrote.