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Nutrition Content of Young Child Formulas
Nan Du1, Dina M DiMaggio2, Anthony F Porto3
1From the Boston Children's Hospital, Harvard Medical School, Boston, MA.
Insights
Young child formulas (YCF) are widely sold and used despite expert recommendations against them. This study found that most YCF do not meet nutritional standards for infants and toddlers, highlighting a need for better regulation.
Area of Science:
- Pediatric Nutrition
- Food Science
- Regulatory Affairs
Background:
- Leading pediatric organizations do not recommend young child formula (YCF) for healthy children.
- Despite recommendations, YCF represent 13% of formula sales, with 5% of US infants under one year consuming them.
Purpose of the Study:
- To identify the most frequently recommended and encountered YCF in the US online.
- To assess if these YCF meet nutritional recommendations for children aged 0-3 years.
Main Methods:
- Searched Google and DuckDuckGo using terms like "toddler formula" and "young child formula" to find YCF.
- Compared nutrient content of identified YCF against FDA Infant Formula Act (IFA) and international guidelines for children 12-36 months.
Main Results:
- Twenty-nine YCF products were analyzed.
- On average, YCF had 2.17 and 4.6 ingredients not meeting recommendations for younger and older infants, respectively.
- YCF for children 12-36 months had 3-4 ingredients not meeting established guidelines.
Conclusions:
- The nutritional content of YCF is inconsistent and fails to meet FDA IFA requirements or international recommendations.
- There is a need for increased US regulation of YCF.
- Healthcare providers should inquire about YCF use to educate parents on potential nutritional risks.
Objective:
European Society for Pediatric Gastroenterology, Hepatology and Nutrition and the American Academy of Pediatrics state that young child formula (YCF) is not considered necessary for healthy children. Despite these recommendations, YCF accounts for approximately 13% of overall formula sales. Five percent of infants less than 1 year of age in the United States are being fed YCF. The purpose of this study is to identify the most Internet recommended and encountered YCF in the United States and determine if they meet nutritional recommendations for use in children 0-3 years.
Study Design:
We used the search terms "toddler formula," "toddler milk," "follow-up formula," or "young child formula" in Google and DuckDuckGo to identify the most like encountered or recommended YCF on the Internet. We compared their labeled nutrients to Food and Drug Administration (FDA) Infant Formula Act (IFA) and international nutrient recommendations, given the absence of US nutrient requirements for YCF recommendations, for children 12-36 months.
Results:
Twenty-nine YCF were reviewed. On average, YCF did not meet nutrient recommendations for infants and toddlers with 2.17 and 4.6 ingredients not meeting formula recommendations for younger and older infants, respectively, and between 3 and 4 ingredients for 12-36 months.
Conclusions:
Nutrition content of YCF are variable and do not meet FDA IFA requirements or YCF international recommendations. Increased US regulation is needed for YCF. It is important for health care providers to ask patients what they are feeding their infants and toddlers so they can educate parents on potential nutritional safety concerns.
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