I N F A N T N U T I T I O N

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  • 1. INFANT NUTRITION

2.

  • 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.

  • Methods
  • 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.

12.

  • 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)
  • homogeneouscurd

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.