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Building a nutritional foundation

Objectives
The first 1,000 days
Protein & growth
SMA® PRO First Infant Milk
Amino acid level comparison
Older infants and toddlers
Learning Scenario
More information
Post test

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For parents who would like more guidance on meeting their baby’s nutritional requirements, you can recommend the following:

References

  1. United Nations System 2006. Standing Committee on Nutrition. Third World Urban Forum Vancouver
  2. Vickers, M.H. Early Life Nutrition, Epigenetics and Programming of Later Life Disease. Nutrients 2014; 6:2165-2178
  3. Koletzko B, et al. Early Nutrition Project: Early nutrition programming of long-term health. Proc Nutr Soc 2012; 71:371-378
  4. Singhal A, Lucas A. Early origins of cardiovascular disease: is there a unifying hypothesis? Lancet 2004; 363(9421):1642-1645
  5. Department of Health. (2003). Infant Feeding Recommendations. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4097197 [Accessed May 2020]
  6. https://www.unicef.org.uk/babyfriendly/about/benefits-of-breastfeeding/ [Accessed May 2020]
  7. http://www.cdc.gov/nccdphp/dnpao/growthcharts/who/breastfeeding [Accessed May 2020]
  8. Lonnerdal B. Nutritional and physiologic significance of human milk proteins. Am J Clin Nutr. 2003; 77(6):1537S-1543S
  9. EFSA. Scientific Opinion on the essential composition of infant and follow-on formulae. EFSA Journal 2014; 12(7):3760.
  10. Kirchberg FF, Harder U. Weber et al. Dietary Protein Intake Affects Amino Acid and Acylcarnitine Metabolism in Infants Aged 6 Months. J Clin Endocrinol Metab 2015; 100(1). 149-58
  11. Alexander, D., Yan, J., Bylsma, L. et al. Growth of infants consuming whey-predominant term infant formulas with a protein content of 1.8g/100kcal: a multicentre pooled analysis of individual participant data. The American Journal of Clinical Nutrition (2016);104(4):1083-1092.
  12. Protein and Amino Acid Requirements in Human Nutrition. Report of a Joint WHO/FAO/UNU Expert Consensus 2007. Available at https://apps.who.int/iris/bitstream/handle/10665/43411/WHO_TRS_935_eng.pdf?ua=http://apps.who.int/iris/bitstream/handle/10665/43411%20/WHO_%20TRS_935_eng.pdf?ua=1 [Accessed May 2020]
  13. Goehring KC et al. Similar to Those Who Are Breastfed, Infants Fed a Formula Containing 2’- Fucosyllactose Have Lower Inflammatory Cytokines in a Randomized Controlled Trial J Nutr. 2016;146:2559–2566.
  14. Nestle data on file, 2018
  15. Ziegler E et al. Presentation at NNI Satellite Symposium at WCPGHAN. Taipei. November 14-18. 2012
  16. Harder T et al. Duration of Breastfeeding and Risk of Overweight: A Meta-Analysis. Am J Epidemiol 2005: 162:397-403
  17. Lennox A et al. (2013). Diet and Nutrition Survey of Infants and Young Children. [Accessed January 2019]
  18. Bates B et al. (2012) NDNS Headline Results from Years 1, 2 and 3 (Combined). Department of Health and Food Standards Agency. [Accessed January 2019]
  19. DOH/FSA. Diet and Nutrition Survey of Infants and Young Children, 2011. (Lennox et al.). Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/139572/DN SIYC_UK_report_ALL_chapters_DH_V10.0.pdf [Accessed May 2020]
  20. Weber et al. Lower protein content in infant formula reduces BMI and obesity risk at school age: follow-up of a randomized trial. Am J Clin Nutr 2014;99:1041–51 for higher risk of obesity.
  21. Thorisdottir B et al. Nutrient Intake in Infancy and Body Mass Index at Six Years in Two Population-Based Cohorts Recruited before and after Revision of Infant Dietary Recommendations. Ann Nutr Metab 2013;63:145-151.
  22. Gunther AL et al. Protein intake during the period of complementary feeding and early childhood and the association with body mass index and percentage body fat at 7 y of age. Am J Clin Nutr 2007; 85:1626-1633.
  23. Inostroza J, et al. Low-protein formula slows weight gain in infants of overweight mothers. JPGN 2014; 59: 70-77.
  24. Ziegler EE et al.  Adequacy of infant formula with protein content of 1.6 g/100 kcal for infants between 3 and 12 months.  JPGN 2015; 61: 596-603.
  25. SMA® PRO Follow-on Milk datacard. Available at: https://prod1 .smahcp.co.uk/sltes/site.prod1 .smahcp.co.uk/files/2018-11 / .... [accessed January 2020].
  26. Aptamil Follow-on Milk datacard. Available at: https://www.aptamllprofessional.co.uk/pdf/Datacard-Aptamil-Follow-On201 .... [accessed January 2020].
  27. Cow and Gate Follow-on Milk datacard. Available at: https://d2yhgir88ahms2.cloudfront.net/wp-content/uploads/2019/12/24141936/CG-FOM-powder.pdf [accessed May 2020].
  28. HIPP datacard for Follow-on Milk. Available at: https://www.hipp4hcps.co.uk/fileadmin/media_ hcp/pdf/HiPP follow_on_mllk .... [accessed January 2020].
  29. Baird et al., Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ, doi:10.1136/bmj.38586.411273.EO after rapid growth.
  30. SMA® PRO Growing up milk data card. Available at: https://www.smahcp.co.uk/sites/site.prod1 .smahcp.co.uk/files/2019-06/ZTC4364%20SMa%20PR0%20GU M%20Datcard%20-%20New%20reci pe_FINAL.pdf [accessed January 2020]
  31. Aptamil datacard for Growing up milk. Available at: https://eln.nutricia.co.uk/product-info/aptamll-growing-up-milk-1-2-years-2/ [accessed January 2020]
  32. Pimpin L, Jebb S, Johnson L, Wardle J, Ambrosini GL. Dietary protein intake is associated with body mass index and weight up to 5 y of age in a prospective cohort of twins. Am J Clin Nutr. 2016;103:389-97.

ZTT669/11/2019

IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness. SMA® PRO Follow-on Milk is only suitable for babies over six months as part of a mixed diet. It should not be used as a substitute for breast milk during the first six months of life. The decision to start weaning, or to use this product before six months, should be made only on the advice of a doctor, midwife, health visitor, public health nurse, dietitian or pharmacist, based on baby’s individual needs. SMA® PRO Growing-up Milk is for young children from one to three years as part of a healthy balanced diet, and is not a breast milk substitute. Breastfeeding should be continued for as long as possible.

NWP089, CHLWP022, FRJNP008

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