Ong K.K., Loos R.J. A comparison of five different studies referenced on a commercially-sponsored website [34] provides a case study [35,36,37,38,39]. It is worth considering what, exactly, was proven in these studies.
The https:// ensures that you are connecting to the In these contexts, small size was a macro-level indicator of risk for perturbed development that may permanently alter structure and/or function compatible with compromised health [25]. Liquid-based nutritional supplements, originally formulated for undernourished children, are increasingly marketed for and consumed by children generally. Available online: Mead Johnson 2015 Annual Report Form 10K United States Securities and Exchange Commission. Further explanations for the use of these types of fortified products comes from Chinese mothers in Singapore, who believe that certain follow-up formulas can enhance their infants Intelligence Quotient (IQ) [68]. Instead, they summarize data on childrens sizes at targeted ages. Substantial evidence identifies that this is scientifically questionable, if not indefensible. Joint FAO/WHO Food Standards Programme Codex Committee on Nutrition and Foods for Special Dietary Uses.
[(accessed on 1 October 2016)]. As exposure to these products rises, this may not be a small indiscretion.
This is in spite of the fact that the World Health Organization has deemed such products unnecessary and potentially harmful to childrens long-term health. Stocks T., Renders C.M., Bulk-Bunschoten A.M.W., Hirasing R.A., van Buuren J.C., Seidell J.C. [(accessed on 1 October 2016)]; Lampl M. Limitations of growth chart curves in terms of individual growth biology. Protein energy requirements of young children living in the developing countries to allow for catch-up growth after infections. Shamir R., Shehadeh N. Insulin in human milk and the use of hormones in infant formulas. [(accessed on 2 October 2016)]; Food and Drug Administration Modernization Act of 1997. New strategies to prioritize nutrition, physical activity and obesity interventions. Individual growth biology does not unfold like this. Mei Z., Grummer-Strawn L.M., Thompson D., Dietz W.H. Shehadeh N., Hanien A., Porat C., Shamir R., Eshkar-Sebban L., Devir M., Olshansky M., inventors; Nutrinia Ltd. , assignee. You can purchase the Pediasure products at cost effective prices as compared to other ecommerce stores available in UK.
Bartick M., Stuebe A., Shealy K.R., Walker M., Grummer-Strawn L.M. This removes any overt culpability on the part of the product providers for consumers choosing to purchase the product. For the growth chart pictured on the web page, only size at birth comes from a large sample: the United States Vital Statistics (19681980; 19851994) provides data from more than 40 million boys and girls who were born over 1500 grams (healthy or not). In the absence of intervention, morbidity and mortality risks may increase. These fundamental biological facts are often misunderstood and/or mis-stated. One such example includes resources found on an industry-sponsored website [53] in a get the facts section aiming to provide consumers with information on healthy child growth. The authors conclude that these results show a catch-up growth phase in weight followed by a maintenance growth phase of height gain, a successful preventive approach of targeting children at risk of undernutrition with significant benefits on growth and low risk of excessive weight gain as the WHZ change was below 0.67 [80]. In a world of increasing obesity-related chronic disease [12], this is an undesirable consequence. Beyond inconsistencies in study design, there was no singularity of consumption.
One perspective comes from a report issued by an international expert panel convened in 2014 to address the lack of international oversight regarding FUF and GUM nutritional composition [75]. Hall K.D., Butte N.F., Swinburn B.A., Chow C.C. Gerber products aim to introduce infants to food and encourage the development of healthy eating habits [57]. Perhaps more importantly, this is a missed opportunity to educate the public. For example, there is no biological rationale either for the concept that the 50th percentile of the NCHS reference should be a goal for an individuals height or weight [38], or for attaching significance to a change of 10 percentile points at the group level [37]. This type of practice is well known in the industry and other products have not escaped controversy [43]. Barker D.J., Eriksson J., Forsn T., Osmond C. Infant growth and income 50 years later.
Ljungkrantz M., Ludvigsson J., Samuelsson U. A number of fortified beverages are predominantly targeted for the transition and weaning periods, with FUFs developed for children from six months of age as part of the weaning diet and GUMs, or toddler milks, intended for children from one to three years of age. Type 1 diabetes: Increased height and weight gains in early childhood. Instead, all samples embody the fact that under- or malnutrition (due to multiple causal pathways) inhibits weight gain and impairs linear growth, resulting in relatively smaller body size.
Available online: Baker P., Smith J., Salmon L., Friel S., Kent G., Iellamo A., Dadhich J.P., Renfrew M.J. Ninety-two picky eaters aged 3 to 5 years with evidence of growth faltering were randomized to receive either nutrition counseling alone, or nutrition counseling plus the nutritional supplement for 90 days [36]. David Barkers Developmental Origins of Health and Disease model (DOHaD) has led to the recognition of healthy growth as a cornerstone for lifespan health. Cameron N., Demerath E.W.
Pediasure is known for aiding growth and development in kids. While frequently used as a predictor of subsequent risk for overweight and obesity at the group level [87], 45% to 50% of three- to four-year-olds do not cross one or more weight-for-height percentile line(s) [50]. This is not merely a matter of overall size but extends to organ structure and function, with implications for long-term health [25]. Lampl M., Mummert A. Hsu J.W., Badaloo A., Wilson L., Taylor-Bryan C., Chambers B., Reid M., Forrester T., Jahoor F. Dietary supplementation with aromatic amino acids increases protein synthesis in children with severe acute malnutrition.
The corporate-sponsored study cited as the evidentiary base is an intervention with no control arm, involving 199 Filipino children with baseline mean age of 41 months (range, 3 months to 48 months), weight-for-height of 14.8 and 17th percentiles (female, male), and daily intake of 1379 kcal [80]. Consumption of enhanced waters and health-specific drinks touting all manner of benefits, offered in easy-to-consume packaging for on-the-go lifestyles, has been embraced by the same consumer population that is targeted by the infant supplement products. Shifting linear growth during infancy: Illustration of genetic factors in growth from fetal life through infancy. This is important as children do not grow at the same rates according to the same time frame [31]. Malik V.S., Willett W.C., Hu F.B. Simply bolstering growth in response to perceptions that bigger is better is not without risk, and the long-term health ramifications of feeding supplements are becoming increasingly clear [9].
Trends in obesity prevalence among children and adolescents in the United States, 19881994 through 20132014. Across time, infants and children normally get bigger, albeit by very different paths and rates [40]. Adopted by the World Health Assembly in 1981, this code attempted to define appropriate avenues of marketing and distribution for formula products by prohibiting their advertisement when represented as total or partial replacements for breast milk. Currently, small children are the target for a large industry of liquid-based nutritional supplements, which claim to ensure the achievement of healthy growth. Effect of oral nutritional supplementation with or without synbiotics on sickness and catch-up growth in preschool children.
This report raises a series of scientific points: (1) Children normally increase in size through time. Nicklaus S., Boggio V., Chabanet C., Issanchou S. A prospective study of food variety seeking in childhood, adolescence and early adult life. Growth chart curves do not describe individual growth biology. Auxiliary information, both online and in printed materials, is frequently offered to provide guidance, particularly among direct marketing enterprises.
The most commonly used parameter, weight, is not actually a growth proxy at all [32]. Berry N.J., Jones S.C., Iverson D. Toddler milk advertising in Australia: Infant formula advertising in disguise. The escalating use of follow-up formulas globally includes provision to infants younger than national legislation and international recommendations, without best practices for basic hygiene, raising safety concerns for infants under two months of age [63]. In spite of concerns over infant formula advertising and neonatal marketing within hospitals, 70% of U.S. maternity units participated in formula company marketing programs, and one in four hospitals provided formula supplements to more than half of all healthy, full-term infants prior to discharge in 2007 [110].
Nicklaus S. Development of food variety in children. As these reports evidence, many parents globally believe that utilizing toddler milk rather than exploring other complementary foods is a good solution, in fact a healthier option. Okihiro M., Davis J., White L., Derauf C. Rapid growth from 12 to 23 months of life predicts obesity in a population of Pacific Island population. The latter group gained more weight and height than the unsupplemented, counseled group. There is a scientific knowledge base against which evidentiary claims can be assessed that is not being thoroughly considered. In: Preedy V., editor. One example involves a FUF-YC product specifically marketed as Nutrition to help kids grow [78] and presently advertising its significance as a 2 per day snack, helping kids ages 34 grow out of at-risk weight-for-height percentiles as it helps kids gain weight in just 8 weeks [79]. Federal government websites often end in .gov or .mil. Amidst the rapidly expanding global markets for these child dietary products, it is important to consider the consequences of consumption. Long-term effects on metabolism and health are sequelae of formula and supplement-induced changes in the infant microbiome [111,112]. Developmental microbial ecology of the neonatal gastrointestinal tract. Some children weigh less than peers of similar age, others are short, and some are thin, or of relatively low weight for length or height. sharing sensitive information, make sure youre on a federal The reality is that the products are being consumed as food and the supplementary feedings are associated with weight gain, which is neither growth nor healthy.
Relatively small individuals defined by low weight-for-age or weight-for-length samples.
[(accessed on 2 October 2016)]; Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. [(accessed on 1 October 2016)]. Employing an age-based sequence of product progression, new subcategories of formulas have emerged, offering liquid-based supplements to bridge the weaning transition and track the young infant into childhood, with some of its products targeted for ages one to 13 years [34].
Lampl M., Thompson A.L. Taking a look first at the samples representing kids, it is important to note that the statement fails to specify just what group of kids were studied, e.g., their initial conditions and growth status prior to intervention. Perng W., Hajj H., Belfort M.B., Rifas-Shiman R., Kramer M., Gillman M.W., Oken E. Birth size, early life weight gain, and midchildhood cardiometabolic health. Often referred to as follow-up formula (FUF), growing-up milk (GUM) or toddler milks, these liquid-based nutritional supplements have great similarity to infant formulas, but are intended to function as meal complements rather than meal replacements [14]. Despite the positive intentions of the international code, the United States has not taken steps to implement it. Failure to thrive: An update. [(accessed on 30 October 2016)]. Body size and growth in 04-year old children and the relation to body size in primary school age. First, providing factually incorrect information under a get the facts tab is fundamentally problematic. The Infant Feeding Survey (IFS) from the United Kingdom, which reports a plethora of reasons why parents have chosen to introduce follow-up formula into their childs diet at 46 months of age, found the primary response was that follow-up formula provides more nutrients and is better for the baby than both infant formula and cows milk [67]. The global baby food market was estimated at $55 billion in 2015, up 8% since 2010 [60]. Walker S.P., Golden M.H. The Developmental Origins of Health and Disease (DOHaD) model recognizes growth in infancy and childhood as a fundamental determinant of lifespan health. This is due to the Dietary Supplement Health and Education Act (DSHEA) of 1994, which determined that dietary supplements do not require FDA approval [103] and that the FDA could not demand scientific proof if no claims were made regarding treatment, prevention, or cure [52]. Although it can take up to 20 times of trying a food for a child to decide if they like it, most mothers offer a new food fewer than five times and then switch to a more convenient feeding option [70]. Effect of oral supplementation on catch-up growth in picky eaters. In summary, a review of the studies cited to support an evidentiary base for clinically proven nutrition to help kids grow questions whether anything was actually proven. Available online: Kaneshiro N.K. The expanding corporate interests in infant and young child nutritional supplements [15,56,57,58] has occurred in the relative absence of oversight.
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