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Dear Healthcare Professional,
Welcome to the October edition of our eNewsletter, aiming to keep you updated with the latest news in infant nutrition.
This month we will be summarising a new clinical trial which was released this September that is based on our SMA® PRO Breast Milk Fortifier.
As the winter months draw in, we will revisit the SACN Health Report, released last year, to highlight the importance of vitamin D for infants and young children and how SMA® PRO Follow-on and SMA® PRO Toddler Milks can help babies and young children achieve their daily vitamin D requirements.
Kind regards,
The SMA® Professional Team |
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Fortification of breast milk is recommended by ESPGHAN 2010 for all preterm infants with a birthweight
< 1800g to improve nutrient accretion and growth in hospital1.
In September, a new clinical trial was published in the Journal of Pediatric Gastroenterology and Nutrition, comparing SMA® PRO Breast Milk Fortifier with a control breast milk fortifier.
The results found that SMA® PRO Breast Milk Fortifier provided more protein and fat compared to a control fortifier. Furthermore it was found to be safe, well-tolerated and to significantly improve the weight gain of preterm infants. Read a full summary of the study here. |
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| The importance of vitamin D |
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Vitamin D is important for the absorption of calcium for bone formation and maintenance as well as contributing to the normal function of the immune system2.
In July 2016, SACN published a report which reviewed the evidence on vitamin D and concluded that the recommendations for vitamin D should be changed for all age groups3.
Based on these new recommendations, Public Health England (PHE) updated their guidance for vitamin D supplements for infants and young children and advised that breastfed infants from birth should be given a 8.5-10 µg vitamin D supplement from birth, as opposed to from 6 months. |
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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 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 6 months as part of a mixed diet. It should not be used as a substitute for breast milk during the first 6 months. The decision to start weaning or to use this product before 6 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 Toddler Milk is suitable for young children from 1-3 years, as part of a healthy balanced diet and it is not a breast milk substitute. This product must be used under medical supervision. SMA® PRO Breast Milk Fortifier is a nutritional supplement designed to be added to expressed breast milk for the dietary management of feeding preterm low birthweight babies.
References: 1. Agostoni, C. et al. (2010). Enteral nutrient supply for preterm infants: commentary from the European society for paediatric gastroenterology, hepatology, and nutrition committee on nutrition. J Pediatr Gastroenterol Nutr. 50: 1–9. 2. European Food Safety Authority (EFSA). (2015). Vitamin D and contribution to the normal function of the immune system: evaluation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal, 13(7), 4182. Available here. Accessed July 2017. 3. Scientific Advisory Committee on Nutrition (2016) Vitamin D and Health. The Stationery Office. 4. Public Health England (2016). Government Dietary Recommendations. London. 5. Gibson, S. & Sidnell, A. (2014). Nutrient adequacy and imbalance among young children aged 1-3 years in the UK. Nutrition Bulletin, 39, 172 – 180. 6. The National Pre-school Nutrition Survey Summary Report (2012). Food and Nutrient Intakes, Physical Measurements and Barriers to Health Eating. Irish Universities Nutrition Alliance. Available here. 7. European Commission. (2006). Commission directive 2006/141/EC on infant formulae and follow-on formulae and amending directive 1999/21/EC. Available here. Accessed July 2017. |
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