Abstract • Five infants, aged 1 to 7 months, were given a formula of barley water, whole milk, and corn syrup (Karo) or honey. Three patients had subnormal growth, two fit the criteria for failure to thrive, and two demonstrated a microcytic hypochromic anemia. The delayed growth and anemia were corrected by institution of a standard infant formula and nutrient supplementation. The barley water formula provides less than the recommended daily allowance of iron and vitamins A and C. The illnesses of these infants and the deficiencies of the diet illustrate the importance of obtaining a careful dietary history for all infants not receiving standard diets. (Am J Dis Child 1981;135:615-617) References 1. Nutritional aspects of vegetarianism, health foods, and fad diets, Committee on Nutrition . Pediatrics 1977;59:460-464. 2. Robson FRK: Food fadism . Pediatr Clin North Am 1977;24:189-201. 3. Roberts IF, West RJ, Ogilvie D, et al: Malnutrition in infants receiving cult diets: A form of child abuse . Br Med J 1977;1:296-298.Crossref 4. Brown RE: Interaction of nutrition and infection in clinical practice . Pediatr Clin North Am 1977;24:241-252. 5. Arnon SS, Damus K, Midura T, et al: Honey and other environmental risk factors for infant botulism . Pediatrics 1979;2:331-336.Crossref 6. Fomon SJ, Filer LJ: Infant Nutrition . Philadelphia, WB Saunders Co, 1977, pp 359-407. 7. Agriculture Handbook No. 456. US Dept of Agriculture, 1968.
American Journal of Diseases of Children – American Medical Association
Published: Jul 1, 1981