I N F A N T N U T I T I O N
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- 1. INFANT NUTRITION
- Food and its presentation extremely important during babysfirst year
- First year period of mostrapid growth
- Requirement100kcal/kg/day .
- Ideal infant diet isbreast milk
- High nutrition containingeasily digestibleproteins, carbohydrates, vitamins, mineral, and water.
- Formulais a poor substitute that carries health risks including higher rates ofinfection ;inadequatenutrition andobesity
3. Nutritional Requirements of the Infant
- Iron -fortified cereal is usually started at about6 months .
- VitaminKsupplement is routinely given shortlyafter birth .
- Infants shouldnotbe given an excess of vitaminA or D .
4. Bottle Feeding
- The infant should be cuddled and held in anupright position .
- He should beburped.
- Formulas are developed so that they aresimilar to human milkin nutrient and kcal values however the best formula is inferior to breast milk.
- Synthetic milk made fromsoybeansmay be used for sensitive orallergic infants .However long term healthproblemsmay arise from exclusive soy milk formula
5. Bottle Feeding
- Sterile watermust be used to mix formula.
- Infants underone yearshouldnotbe given cows milk.
- Consistent temperatureshould be used.
- Once an infant has started a feeding any leftover formula(or breast milk given in a bottle) must bediscardedand not saved for the next feeding
- Improper waterto powered formula may lead tokidney problemsand/or malnutrition
6. Supplementary Foods
- Cows milkunder 1yrmay cause:
- Gastrointestinalblood loss
- Protein in cows milk and formula causing reaction on small bowel mucosa
- Irondeficiency anemia
- Low iron content and GI bleed
- ExcessiveRenalSolute Load
- Immature kidneys difficulty handling protein, phosphorous
7. Burping a Baby 8. Regurgitation: most prominent presenting symptom Copyright Science Press Internet Services 9. Symptoms of infantile reflux esophagitis Copyright Science Press Internet Services 10. Normal esophageal mucosa erosive esophagitis 11.
- Infants withrecurrent regurgitationand without other symptoms were fedalternatelywith thickened and non-thickened identical formula.
- Documentation of GER episodes during the study was performed by simultaneousimpedancemeasurement andpHmonitoring.
- Thickened feedinghas a significant effect on thereduction of regurgitationfrequency and amount in otherwise healthy infants.
- This effect is caused by a reduction in the number of nonacid(pH >4)GER episodes, but also because of a decrease ofmean refluxheight reached in the esophagus.
- However, the occurrence ofacid GER is not reduced.
- Thickening of formula feedings withcarob beangum is anefficient therapyfor uncomplicated GER in infants.
13. NOVALACAR For regurgitating infants 14. Thickens in the stomach,smooth in the feeding bottle
- thickened with specially treated corn starch (99% amylopectin)highly digestible
- synergybetween starch and casein thick atgastric pH , but not at a neutral pH(viscosity 50 at pH 6.5 vs 200 Cp at pH =3.5)
15. Novalac ARviscosity In the stomach In the feedingbottle 16. Novalac AR does not slow down gastric emptying
- Medium chain triglycerids
- Low osmolarity
- Adapted caloric content
17. Why not using rice starch?
- less interesting thickening properties
- 20% amyloselow digestibility
18. NOVALAC AC For infants suffering of colics 19. What causes colics?
- colics are multifactorial :physiological, psychological
- colics are related to gas production
- Where does this gas come from?
- Physiological lactase defficiency
excess of lactoseis fermented by colonic bacteria 20. Lactose content of different formulae Minimum amount authorized by EU regulation 21. What would be the best solution ?
- A FORMULA WITH
The benefits oflactoseat the duodenal level for minerals absorption Little or nolactoseat the colon level to avoid its inconvenience 22.
- There is no point replacing lactose fermentation by other starch derivative fermentation :
- the excess of lactose must bereplaced by an easily & fully digestiblestarch derivatives
BUT 23. STARCH DERIVATIVES SPECIAL TREATMENT TO REDUCE THE RESISTANT STARCH (AMYLOSE) CONTENT < 1% AMYLOSE GOODDIGESTIBILITY= LESS OR NO FERMENTATION 24. For the comfort of colicky infants Novalac AC 25. NOVALAC IT...
- waters the stools
- moistens the rectum
to improve the intestinal transit of infants. increases the bacterial mass does not delay the gastric emptying 26.