Comparison of the Nutritional Values of Toddler Milks Available in Italy
DOI:
https://doi.org/10.6000/1929-4247.2013.02.02.2Keywords:
Pediatric nutrition, toddler milk, cow’s milk, iron, protein intake, growthAbstract
If breast milk is not available infant formula ensures a balanced intake of nutrients and is undoubtedly more suitable for infants than cows’ milk. In particular, it should point out the absolute necessity to postpone to the end of the first year of life, or even after the 2 nd year, the use of cow's milk for the extreme imbalance of nutrients that lead to high-protein diets and low levels of polyunsaturated fats, iron and zinc. As a consequence, in the absence of breast milk, the use of an appropriately adapted formula in the first year of life and the use of “toddler milk” from 12 to 36 months may represent adequate nutritional alternatives, especially when compare to the use of cow milk, and in particular may appear to play a fundamental role in the prevention of iron deficiency anemia.
Different varieties of toddler milk are currently available in Italy. This review outlines the nutritional differences between breast, toddler and cows’ milks, and compares different brands of toddler milk.
References
Agostoni C, Baselli L, Mazzoni MB. Early nutrition patterns and diseases of adulthood: A plausible link? Eur J Intern Med 2013; 24: 5-10. http://dx.doi.org/10.1016/j.ejim.2012.08.011
World Health Organization. The optimal duration of exclusive breastfeeding. A systematic review. Report of the expert consultation. WHO⁄NHD⁄ 01.08; WHO⁄FCH⁄CAH⁄ 01.23. Geneva: World Health Organization, 2001. Available from: http: //whqlibdoc.who.int/hq/2001/WHO_NHD_01.08.pdf (accessed on March 05, 2012).
Agostoni C, Verduci E, Fiori L, Giovannini M, Riva E. Breastfeeding rates among hyperphenylalaninemic infants. Acta Paediatr 2000; 89: 366-7. http://dx.doi.org/10.1111/j.1651-2227.2000.tb01341.x
Giovannini M, Verduci E, Salvatici E, Paci S, Riva E. Phenylketonuria: nutritional advances and challenges. Nutr Metab 2012; 9: 1-7. http://dx.doi.org/10.1186/1743-7075-9-7
Clemens RA, Hernell O, Michaelsen KF (Eds): Milk and Milk Products in Human Nutrition. Nestlé Nutr Inst Workshop Ser Pediatr Program, vol 67, Nestec Ltd., Vevey/S. Karger AG, Basel; © 2011; pp. 67-78.
Riva E, Verduci E, Agostoni C, Giovannini M. Comparison of the nutritional values of follow-on formulae available in Italy. J Int Med Res 2007; 35: 20-37. http://dx.doi.org/10.1177/147323000703500102
Riva E, Verduci E, Agostoni C, Giovannini M. Closer to the Gold Standard: an Appraisal of formulae available in Italy for use in formula-fed Infants. J Int Med Res 2005; 33: 595-11. http://dx.doi.org/10.1177/147323000503300601
Ghisolfi J, Vidailhet M, Fantino M, et al. Cows' milk or growing-up milk: what should we recommend for children between 1 and 3 years of age? Arch Pediatr 2011; 18: 355-8. http://dx.doi.org/10.1016/j.arcped.2010.12.023
Italian Society of Human Nutrition. Italian dietary reference values for nutrient and energy intakes. Rome: Italian Society of Human Nutrition, 2012 revision, available online: www.sinu.it.
Michaelsen KF, Larnkjær A, Mølgaard C. Amount and quality of dietary proteins during the first two years of life in relation to NCD risk in adulthood. Nutr Metab Cardiovasc Dis 2012; 22: 781-6. http://dx.doi.org/10.1016/j.numecd.2012.03.014
Koletzko B, von Kries R, Closa R, et al. Can infant feeding choices modulate later obesity risk? Am J Clin Nutr 2009; 89: 1502S-8S.
Agostoni C, Scaglioni S, Ghisleni D, Verduci E, Giovannini M, Riva E. How much protein is safe? Int J Obes 2005; 29: S8-S13.
Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ 2005; 331: 929-31. http://dx.doi.org/10.1136/bmj.38586.411273.E0
Monteiro POA, Victora CG. Rapid growth in infancy and childhood and obesity in later life-a systematic review. Obes Rev 2005; 6: 143-54. http://dx.doi.org/10.1111/j.1467-789X.2005.00183.x
Couper JJ, Beresford S, Hirte C, et al. Weight gain in early life predicts risk of islet autoimmunity in children with a first-degree relative with type 1 diabetes. Diabetes Care 2009; 32: 94-9. http://dx.doi.org/10.2337/dc08-0821
Rolland-Cachera MF, Deheeger M, Akrout M, Bellisle F. Influence of macronutrients on adiposity development: a follow up study of nutrition and growth from 10 months to 8 years of age. Int J Obes Relat Metab Disord 1995; 19: 573-8.
Hoppe C, Molgaard C, Vaag A, Barkholt V, Michaelsen KF. High intakes of milk, but not meat, increase s-insulin and insulin resistance in 8-year-old boys. Eur J Clin Nutr 2005; 59: 393-8. http://dx.doi.org/10.1038/sj.ejcn.1602086
Hoppe C, Udam TR, Lauritzen L, Molgaard C, Juul A, Michaelsen KF. Animal protein intake, serum insulin-like growth factor I, and growth in healthy 2.5-y-old Danish children. Am J Clin Nutr 2004; 80: 447-52.
Hoppe C, Molgaard C, Michaelsen KF. Cow’s milk and linear growth in industrialized and developing countries. Annu Rev Nutr 2006; 26: 131-73. http://dx.doi.org/10.1146/annurev.nutr.26.010506.103757
Anderson GH, Moore SE. Dietary proteins in the regulation of food intake and body weight in humans. J Nutr 2004; 134: 974S-9S.
Carruth BR, Skinner JD. The role of dietary calcium and other nutrients in moderating body fat in preschool children. Int J Obes Relat Metab Disord 2001; 25: 559-66. http://dx.doi.org/10.1038/sj.ijo.0801562
Pereira MA, Jacobs DR Jr, Van Horn L, Slattery ML, Kartashov AI, Ludwig DS. Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA Study. J Am Med Assoc 2002; 287: 2081-9. http://dx.doi.org/10.1001/jama.287.16.2081
Koletzko B, von Kries R, Closa R, et al. Lower protein in infant formula is associated with lower weight up to age 2 y: a randomized clinical trial. Am J Clin Nutr 2009; 89: 1836-45. http://dx.doi.org/10.3945/ajcn.2008.27091
Socha P, Grote V, Gruszfeld D, et al. Milk protein intake, the metabolic-endocrine response, and growth in infancy: data from a randomized clinical trial. Am J Clin Nutr 2011; 94(6 Suppl): 1776S-84S. http://dx.doi.org/10.3945/ajcn.110.000596
Larnkjær A, Mølgaard C, Michaelsen KF. Early nutrition impact on the insulin-like growth factor axis and later health consequences. Curr Opin Clin Nutr Metab Care 2012; 15: 285-92. http://dx.doi.org/10.1097/MCO.0b013e328351c472
Ohlund I, Hernell O, Hornell A, Stenlund H, Lind T. BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI. Eur J Clin Nutr 2010; 64: 138e45.
Gunther AL, Buyken AE, Kroke A. Protein intake during the period of complementary feeding and early childhood and the association with body mass index and percentage body fat at 7 y of age. Am J Clin Nutr 2007; 85: 1626e33.
Gunnarsdottir I, Thorsdottir I. Relationship between growth and feeding in infancy and body mass index at the age of 6 years. Int J Obes Relat Metab Disord 2003; 27: 1523e7.
Hoppe C, Molgaard C, Thomsen BL, Juul A, Michaelsen KF. Protein intake at 9 mo of age is associated with body size but not with body fat in 10-y-old Danish children. Am J Clin Nutr 2004; 79: 494-501.
Rolland-Cachera MF, Deheeger M, Bellisle F. Increasing prevalence of obesity among 18-year-old males in Sweden: evidence for early determinants. Acta Paediatr 1999; 88: 365-7. http://dx.doi.org/10.1111/j.1651-2227.1999.tb01123.x
Ziegler EE. Adverse effects of cow’s milk in infants. Nestle Nutr Workshop Ser Pediatr Program 2007; 60: 185-96. http://dx.doi.org/10.1159/000106369
Ziegler EE. Consumption of cow's milk as a cause of iron deficiency in infants and toddlers. Nutr Rev 2011; 69(Suppl 1): S37-42. http://dx.doi.org/10.1111/j.1753-4887.2011.00431.x
Hermoso M, Vucic V, Vollhardt C, et al. The effect of iron on cognitive development and function in infants, children and adolescents: a systematic review. Ann Nutr Metab 2011; 59: 154-65. http://dx.doi.org/10.1159/000334490
Szajewska H, Ruszczynski M, Chmielewska A. Effects of iron supplementation in nonanemic pregnant women, infants, and young children on the mental performance and psychomotor development of children: a systematic review of randomized controlled trials. Am J Clin Nutr 2010; 91: 1684-90. http://dx.doi.org/10.3945/ajcn.2010.29191
Gunnarsson BS, Thorsdottir I, Palsson G. Iron status in 6-y-old children: association with growth and earlier iron status. Eur J Clin Nutr 2005; 59: 761-7. http://dx.doi.org/10.1038/sj.ejcn.1602137
Sazawal S, Dhingra U, Dhingra P, et al. Micronutrient fortified milk improves iron status, anemia and growth among children 1-4 years: a double masked, randomized, controlled trial. PLoS One 2010; 5: e12167 http://dx.doi.org/10.1371/journal.pone.0012167
Szymlek-Gay EA, Ferguson EL, Heath AL, Gray AR, Gibson RS. Food-based strategies improve iron status in toddlers: a randomized controlled trial. Am J Clin Nutr 2009; 90: 1541-51. http://dx.doi.org/10.3945/ajcn.2009.27588
Bhatnagar S, Taneja S. Zinc and cognitive development. Br J Nutr 2001; 85 (Suppl 2): S139-S145. http://dx.doi.org/10.1079/BJN2000306
Aggarwal R, Sentz J, Miller MA. Role of zinc administration in prevention of childhood diarrhea and respiratory illnesses: a meta-analysis. Pediatrics 2007; 119: 1120-30. http://dx.doi.org/10.1542/peds.2006-3481
Anderson JW, Johnstone BM, Remley DT. Breastfeeding and cognitive development: a metaanalysis. Am J Clin Nutr 1999; 70: 525-35.
Larque E, Demmelmair H, Koletzko B. Perinatal supply and metabolism of long-chain polyunsaturated fatty acids: importance for the early development of the nervous system. Ann N Y Acad Sci 2002; 967: 299-310. http://dx.doi.org/10.1111/j.1749-6632.2002.tb04285.x
Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. J Pediatr 1992; 120: S129-38. http://dx.doi.org/10.1016/S0022-3476(05)81247-8
Koletzko B, Agostoni C, Bergmann R, Ritzenthaler K, Shamir R. Physiological aspects of human milk lipids and implications for infant feeding: A workshop report. Acta Paediatr 2011; 100: 1405-15. http://dx.doi.org/10.1111/j.1651-2227.2011.02343.x
Udell T, Gibson RA, Makrides M. The effect of alpha-linolenic acid and linoleic acid on the growth and development of formula-fed infants: a systematic review and meta-analysis of randomized controlled trials. Lipids 2005; 40: 1-11. http://dx.doi.org/10.1007/s11745-005-1354-8
Mayo-Wilson E, Imdad A, Herzer K, Yakoob MY, Bhutta ZA. Vitamin A supplements for preventing mortality, illness, and blindness in children aged under 5: systematic review and meta-analysis. BMJ 2011; 343: d5094. http://dx.doi.org/10.1136/bmj.d5094
Glasziou PP, Mackerras DE. Vitamin A supplementation in infectious diseases: a metaanalysis. BMJ 1993; 306: 366-70. http://dx.doi.org/10.1136/bmj.306.6874.366
Wagner CL, Greer FR. American Academy of Pediatrics Section on Breastfeeding; American Academy of Pediatrics Committee on Nutrition.Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 2008; 122: 1142-52. http://dx.doi.org/10.1542/peds.2008-1862
Borges MC, Martini LA, Rogero MM. Current perspectives on vitamin D, immune system, and chronic diseases. Nutrition 2011; 27: 399-404. http://dx.doi.org/10.1016/j.nut.2010.07.022
Houghton LA, Gray AR, Szymlek-Gay EA, Heath AL, Ferguson EL. Vitamin D-fortified milk achieves the targeted serum 25-hydroxyvitamin D concentration without affecting that of parathyroid hormone in New Zealand toddlers. J Nutr 2011; 141: 1840-6. http://dx.doi.org/10.3945/jn.111.145052
Lambert J, Agostoni C, Elmadfa I, et al. Dietary intake and nutritional status of children and adolescents in Europe. Br J Nutr 2004; 92(Suppl 2): S147-211. http://dx.doi.org/10.1079/BJN20041160
Radaelli G, Riva E, Verduci E, Agosti M, Giovannini M. Attitudes and practices of family paediatricians in Italy regarding infant feeding. Acta Paediatr 2012; 101: 1063-8. http://dx.doi.org/10.1111/j.1651-2227.2012.02769.x
ESPGHAN Committee on Nutrition. Supplementation of Infant Formula With Probiotics and/or Prebiotics: A Systematic Review and Comment by the ESPGHAN Committee on Nutrition. JPGN 2011; 52: 238-50.
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