| Faltering Growth in Infants |
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Dear Healthcare Professional,
Welcome to the April edition of our eNewsletter aimed to keep you updated with the latest news in infant nutrition.
This month we are talking about faltering growth in infants and how this can potentially affect their health in later life. We would also like to introduce our NEW formulation, SMA® PRO High Energy which is specifically designed to meet the nutritional needs of infants and young children from birth to 18 months with medically identified increased energy and nutrient needs. Finally, we have updated our website with educational events that can support you in your learning and development.
Kind regards,
The SMA® Professional Team |
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| Faltering growth is when a baby or toddler is not growing at the rate that is expected for their age, and may be caused by feeding difficulties, disease-related malnutrition or malabsorption1. A commonly used definition of faltering growth is based upon using the 2009 UK-World Health Organisation (WHO) growth charts, where a sustained drop of weight through two or more centiles is not a normal pattern and requires careful assessment2. Faltering growth in early infancy (before 8 weeks) has been shown to be associated with persisting deficits in IQ at age 8 years3, as well as slower rate of height gain throughout childhood4. Screening for, and early identification of malnutrition is therefore important to support prompt initiation of nutritional treatment to achieve better outcomes5. The goal of nutritional management in faltering growth is to achieve catch-up growth in order to sustain normal development; through improved protein and energy intake and correction of micronutrient deficiencies. WHO guidelines recommend that 8.9-11.5% of energy should be provided as protein to provide optimal catch-up growth6. Challenges arise as these infants have a need for higher calorie intakes, but are unable to manage large fluid volumes. Energy dense, low-volume formulae for infants have been developed to address these needs. |
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| SMA® PRO High Energy |
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We would like to introduce to you our NEW SMA® PRO High Energy formula which will be replacing SMA High Energy® from April 2017.
SMA® PRO High Energy is a nutritionally complete, nutrient-dense formula, specifically designed to meet the nutritional needs of infants and young children from birth to 18 months with medically identified increased energy and nutrient needs. |
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| To find out more about our new formula, please click here. Alternatively, our Careline are available 24/7 to answer any further questions that you may have. |
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| Updated Educational Events |
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There are some fantastic educational events on during this quarter of the year including the Primary Care and Public Health Conference. Held in Birmingham, this conference is in its 27th year and educates healthcare professionals on the latest news, innovation and products in primary care.
To support you in your continuing professional development we have an educational events page detailing the upcoming key conferences and events for healthcare professionals to attend. Please click here for more information on the events including how to register.
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® Registered Trademark.
IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breast-feeding – 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 breast-feeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breast-feed. 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. This product must be used under medical supervision. SMA PRO High Energy is a milk based formula for the dietary management of babies and young children with medically determined high energy requirements as identified by a healthcare professional. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 18 months of age. SMA PRO High Energy is not intended for use with preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA PRO Gold Prem 1 is more appropriate.
References: 1. Sullivan PB and Goulet O. European Journal of Clinical Nutrition (2010) 64, S1. 2. J Pediatr Gastroenterol Nutr 41, 8–11.The Royal College of Paediatrics and Child Health UK - WHO growth charts, 2009. www.growthcharts.rcpch.ac.uk. Accessed January 2017. 3. Emond A, et al. PEDIATRICS 2007: Volume 120, Number 4. 4. Din Z et al. PEDIATRICS 2013; Volume 131, Number 3. 5. Joosten K and Meyer R. EJCN (2010) 64, S22–S24. 6. WHO/FAO/UNU Report of a Joint Expert Consultation. Protein and Amino Acid Requirements in Human Nutrition. Technical Report Series No. 935. World Health Organisation 2007;185–193 7. Billeaud C et al. Eur J Clin Nutr 1990; 44: 577–83 8. Kennedy K et al. Am J Clin Nutr 1999;70:920–7. 9. Lama More RA et al. Poster presentation at LASPGHAN, 26–29 March 2014 10. Nutricia. Infatrini data card. Available here, accessed January 2017 11. Abbott. Similac High Energy datacard. Available here. Accessed January 2017. |
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