Nitrates and nitrites are hemoglobin oxidizing agents. Infants underneath three months of age have minimize ranges of an enzyme known as NADH-cytochrome b5 reductase, which converts methemoglobin returned to hemoglobin thus are in all opportunity to making methemoglobinemia.2
The high pH of infant stomachs also makes them more at risk of methemoglobinemia. Higher pH supplies a favourable atmosphere to the boom of nitrate reducing back intestinal bacteria which convert nitrate to nitrite.3
The risk of exposure to nitrates is more whilst infant delicacies is organized with good water containing nitrates. There is highly little or no risk with the commercially organized infant foods, as these groups voluntarily screen their products for ranges of nitrates. Breastfed infants despite the fact that haven't any risk of nitrate poisoning in spite of the fact that the mom consumes delicacies with high ranges of nitrates.four
Studies have shown that consumption of silver beets and storing homemade purees of mixed greens for over twelve hours in refrigerator could trigger methemoglobinemia in infants over six months of age.5
Long term storage of greens lead to methemoglobinemia as herbal degradation of delicacies on storage increases the ranges of nitrites.6
Protecting your baby from methemoglobinemia:-
-Do not introduce solids before three months of age. According to American academy of Pediatrics solids are likely to be not be given before four-6 months of age.
-If water from private wells is getting used for preparation of baby delicacies, it might be established for nitrate ranges. The ranges of nitrate nitrogen may still be less then 10 ppm.
-When utilising commercially organized baby delicacies, refrigerate the packing containers after opening and discard them if stored over 24 hours.
-Home organized baby delicacies may still be organized from organization new produce and might be used immediately. Storage over 12 hours may still be prevented.
-When making vegetable purees, discard the water used to boil the greens, as nitrates leach into the water.
1. Blue little toddlers and nitrate-contaminated good water. Knobeloch L, Salna B, Hogan A, Postle J, Anderson H. Environ Health Perspect. 2000 Jul; 108(7):675-8. Comment in:
Environ Health Perspect. 2001 Jan;109(1):A12-four.
2. Methemoglobinemia added about by the ingestion of courgette soup given so as to get to the bottom of constipation in two formulation-fed infants. Savino F, Maccario S, Guidi C, Castagno E, Farinasso D, Cresi F, Silvestro L, Mussa GC. Dipartimento di Scienze. Ann Nutr Metab. 2006; 50(four):368-seventy one. Epub 2006 Jun 29.
3. Ion chromatographic determination of nitrate and nitrite in vegetable and fruit baby foods.McMullen SE, Casanova JA, Gross LK, Schenck FJ. J AOAC Int. 2005 Nov-Dec;88(6):1793-6.
four. Infant methemoglobinemia: the role of dietary nitrate in delicacies and water.Greer FR, Shannon M; American Academy of Pediatrics Committee on Nutrition; American Academy of Pediatrics Committee on Environmental Health. Pediatrics. 2005 Sep; 116(3):784-6.
5. Methemoglobinemia and consumption of greens in infants.Sanchez-Echaniz J, Benito-Fernndez J, Mintegui-Raso S. Pediatrics. 2001 May; 107(5):1024-8
6.Methemoglobinemia prompted by refrigerated vegetable puree along with supraventricular tachycardia.Bryk T, Zalzstein E, Lifshitz M. Acta Paediatr. 2003 Oct;92(10):1214-5
Chetali R. Samant (Bhat) is an Ayurveda Consultant specializing in Kaumarbhritya, a branch of Ayurveda dealing with mom and baby care. Upon earning her B.A.M.S. degree from Goa University in 2003, she pursued a publish graduation process three years to earn her M.D. in Ayurveda degree with a specialization in Kaumarbhritya from the reputed Gujarat Ayurveda University in Jamnagar, India in 2006. She was once nominated for two gold medal awards for her educational achievements during her publish graduation studies. Chetali has also whole training in Yoga and Naturopathy from Patanjali Institute for Yoga and Naturopathy Education and Research, Jamnagar, India from 2005-2006.She has worked as a trained of Kaumarbhritya at S.C.S. Hospital, in Mangalore. Chetali worked in private practice as an Ayurveda Consultant in Goa for three hundred and sixty five days. In addition, Chetali has sold coaching for national degree front examinations for postgraduate studies in Ayurveda, during which she has built tick list and course materials for these tests as a result of intensive study of Ayurvedic Samhitas and associated Granthas (Ayurvedic treatises).