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O Conselho Regional de Nutricionistas da 3ª Região (SP, MS), no cumprimento de suas atribuições de orientar e disciplinar a prática profissional dos nutricionistas inscritos, emite parecer sobre a restrição ao consumo de leite. Este parecer foi construído com base no encontro com especialistas promovido no Projeto Ponto e Contraponto e divulga os pontos acordados que devem subsidiar a prescrição dietética do nutricionista.
O CRN-3 esclarece e orienta:
1) O leite de vaca e de outras espécies animais são excelentes fontes de nutrientes e podem fazer parte de uma dieta normal de indivíduos em todas as fases do desenvolvimento, especialmente na infância;
2) A recomendação indiscriminada para restrição ao consumo de leite e derivados não encontra atualmente respaldo científico com nível de evidência convincente e está em desacordo com o Consenso Brasileiro sobre Alergia Alimentar (2007);
3) A restrição ao consumo de leite e derivados somente deve ser feita aos pacientes com diagnóstico clínico confirmado de Intolerância à Lactose, sensibilidade à proteína do leite (Alergia à Proteína do Leite de Vaca – APLV) ou de outras condições fisiológicas e imunológicas. Deve-se salientar que o diagnóstico clínico é de competência exclusiva do médico;
4) O descumprimento dessa diretriz aponta indícios de infringência ao Código de Ética do Nutricionista (Resolução CFN nº 334/2004), por desrespeito ao Princípio Fundamental, explicitado no seu artigo 1º, e pelo descumprimento do artigo 6º, inciso VI, sujeitando os infratores a Processo Disciplinar e às penalidades previstas na legislação.
Autor: Conselho Regional de Nutricionistas da 3ª Região
Referências bibliográficas:
▪ COMINETTI,C.; BORTOLI,M.C.; COZZOLINO,S.M.F. – Leite: Fonte de Proteínas, minerais e vitaminas in: ANTUNES,A.E.C & PACHECO, M.T.B (Org.). Leite para adultos: Mitos e fatos frente à ciência. São Paulo: Varela Editora e Livraria Ltda, 2009, v. 1, p.177-213.
▪ FREIRE,S. & COZZOLINO,S.M.F. – Impacto da exclusão do leite na saúde humana. in: ANTUNES,A.E.C & PACHECO, M.T.B (Org.). Leite para adultos: Mitos e fatos frente à ciência. São Paulo: Varela Editora e Livraria Ltda, 2009, v. 1, p. 229 -238.
▪ INSTITUTE OF MEDICINE, DRIs – Dietary Reference Intakes for calcium, and Vitamin D. National Academic Press, Washington, D.C., 2011. Disponível em: http://www.nap.edu/iom.
▪ Consenso Brasileiro de Alergia Alimentar 2007. - Rev. bras. alerg. imunopatol. – Vol. 31, Nº 2, 2008. Colegiado do CRN3 - Gestão 2011-2014
Colaboradoras: Dra. Silvia Maria Franciscato Cozzolino (CRN-3/ 0621) Dra. Camila Carneiro Diniz (CRN-3/ 17277) APROVADO EM REUNIÃO PLENÁRIA DE 10/09/2012
