Shaping the future health of babies
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Shaping the future health of babies

Featured in this eNewsletter:
SMA High Energy® updated formulation
Faltering growth

Dear [*data('salutation') || 'Healthcare Professional' *],

Happy new year and welcome to the January edition of our eNewsletter, aimed to keep you updated with the latest news in infant nutrition.

This month we will be introducing you to the updated SMA High Energy® formulation.

Kind regards,
The SMA® Professional Team
SMA High Energy® updated formulation

SMA High Energy® will come with an updated formulation from the end of January. The changes are minor and are to adjust the nutritional composition of
SMA High Energy® to comply with the compositional requirements of the new Regulation (2016/128/EU) on Foodstuff for Special Medical Purposes (FSMP). As a result, you may notice some slight differences to the nutrition tables on the packaging. However, the changes to the nutrition in this product are minor and not clinically significant. They are in line with legislation and this product complies in all respects with the Food for Specific Groups legislation and specifically a Food for Special Medical Purposes and other relevant UK and EC legislation. The formulation is still a milk-based formula indicated 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.

In addition to the minor nutritional changes, the new formulation will make use of omega 3 from fish oil source.

If you are concerned that a baby may notice a difference between the new and old formulation, you can always move the baby over to the new formula gradually by introducing one bottle at a time of the new formula.
Find out more
Faltering growth

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 assessment1,2. Faltering growth, when a baby or toddler is not growing at the rate that is expected for their age, may be caused by3:

• Disease-related malnutrition
• Feeding difficulties
• Malabsorption

Providing these infants with additional nutrition, including adequate protein and energy, vitamins and minerals, is essential to help them to achieve catch-up growth and to avoid the long-term consequences of inadequate nutrition4,5.
Find out more
®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 a 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. This product must be used under medical supervision. SMA 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 High Energy® is not intended for use with preterm babies, for whom fortified breast milk or a low birthweight formula such as
SMA Gold Prem® 1 is more appropriate.

References
1. Wright C. Arch Dis Child 2000: 82; 5–9.
2. The Royal College of Paediatrics and Child Health UK – WHO growth charts, 2009. Available at: https://www.rcpch.ac.uk/resources/growth-charts. Accessed December 2018.
3. Sullivan PB. and Goulet O. European Journal of Clinical Nutrition (2010) 64, S1.
4. Emond A et al. Pediatrics 2007 Oct; 120(4): e1051–1058.
5. 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.

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