FOOD FOR SPECIAL PURPOSES AND GROUPS Flashcards
WHAT IS THE TOTAL DIET REPLACEMENT PROGRAMME FOR WEIGHT CONTROL?
REPLACING ALL FOOD WITH SPECIALLY FORMULATED PRODUCTS PROVIDING BETWEEN 800-1200 CALORIES/DAY
WHAT ARE THE COMPOSITIONAL REQUIREMENTS OF TDR PRODUCTS?
75-100g OF HIGH QUALITY PROTEIN
AT LEAST 30g OF DIGESTIBLE CARBS PER DAY
20 g FAT
WHAT IS THE MINIMAL AMOUNT OF CALORIES TDR SHOULD PROVIDE BASED ON REQUIRED NUTRIENT COMPOSITION?
600 kcal
WHAT ARE THE LABELLING REQUIREMENTS FOR PRODUCTS FOR TOTAL MEAL REPLACEMENT?
- MUST SPECIFY THE AVERAGE QUANTITY OF EACH MINERAL AND VITAMIN SPECIFIED
- INSTRUCTIONS FOR APPROPRIATE PREPARATION + STATEMENT ABOUT IMPORTANCE OF FOLLOWING THOSE INSTRUCTIONS
- STATEMENT ON THE IMPORTANCE OF MAINTAINING AN ADEQUATE DAILY FLUID INTAKE
- STATEMENT THAT THE PRODUCT PROVIDES A ADEQUATE AMOUNTS OF ALL ESSENTIAL NUTRIENTS FOR THE DAY
- STATEMENT THAT THE PRODUCTS SHOULDN’T BE USED FOR MORE THAN 3 WEEKS WITHOUT MEDICAL ADVICE?
TDR PRODUCTS SHOULDN’T BE USED FOR MORE THAN HOW LONG WITHOUT MEDICAL ADVICE?
3 WEEKS
2 MAIN CONCEPTS IN THE DEFINITION OF ‘FOOD FOR SPECIFIC GROUPS’ (FSG)?
- FOODS CLEARLY DISTINGUISHABLE FROM FOODS FOR NORMAL CONSUMPTION (BECAUSE OF THEIR SPECIAL COMPOSITION OR MANUFACTURING PROCESSES) WHICH ARE SUITABLE FOR THEIR CLAIMED NUTRITIONAL PURPOSES AND MARKETED TO INDICATE THAT SUITABILITY
- FOODS MUST FULFILL THE PARTICULAR NUTRITIONAL REQUIREMENTS OF PEOPLE WHOSE GI PROCESSES ARE DISTURBED OR PEOPLE WHO ARE IN A SPECIFIC PHYSIOLOGICAL CONDITION AND WHO ARE THEREFORE ABLE TO OBTAIN SPECIAL BENEFIT FROM THE CONSUMPTION OF THESE PRODUCTS
DID UK KEEP THE EU REGULATION ON FOOD FOR SPECIFIC GROUPS SINCE BREXIT?
YES
WHAT ARE THE AIMS OF REGULATORY FRAMEWORKS FOR FSGs?
- STRENGTHEN PROVISIONS ON FOODS FOR VULNERABLE POPULATION GROUPS TO ENSURE THEIR PROTECTION
- DEFINE AND DIFFERENTIATE FSGs WITHIN THE LEGAL FRAMEWORK, ACKNOWLEDGING THAT THEY ARE FOODS WITH SPECIFIC ROLES IN THE DIETARY MANAGEMENT OF VULNERABLE PATIENTS
- PROVIDE A LEGAL FRAMEWORK FOR FSGs TO ENSURE OPTIMAL LEVELS OF PROTECTION AND INFO FOR PATIENTS AND FOR HCPs
THERE ARE SPECIFIC FSGs REGULATIONS FOR WHICH 4 AREAS?
- INFANT FORMULA AND FOLLOW-ON FORMULA
- PROCESSED CEREAL-BASED FOOD AND BABY FOOD
- FOOD FOR SPECIAL MEDICAL PURPOSES (FSMP)
- TOTAL DIET REPLACEMENT FOR WEIGHT CONTROL
WHAT IS FORMULA MILK USUALLY MADE FROM?
COW’S MILK THAT HAS BEEN TREATED AND MADE MORE SUITABLE
THE TYPES OF FORMULA MILK AND USAGE:
1) INFANT FORMULA: 1ST ONE THAT SHOULD BE GIVEN TO BABIES UNTIL THEY ARE 6 MONTHS OLD, COW’S MILK IN THE FORMULA CONTAINS WHEY AND CASEIN PROTEINS, BUT THIS FORMULA IS BASED ON WHEY BECAUSE IT’S THOUGHT TO BE DIGESTED EASIER
2) FOLLOW-ON FORMULA: SUITABLE FOR BABIES OLDER THAN 6 MONTHS
3) INFANT MILK LABELLED AS FSMP; FOR BABIES WITH CERTAIN MEDICAL CONDITIONS THAT PREVENT THEM FROM HAVING NORMAL MILK
4) INFANT FORMULA AND FOLLOW ON FORMULA MADE FROM PROTEIN HYDROSYLATES; FOR BABIES WITH IgE MEDIATED AND NON-IgE MEDIATED COW’S MILK PROTEIN ALLERGY
FIRST INFANT FORMULA IS BASED ON WHICH PROTEIN?
WHEY
WHICH IS EASIER TO DIGEST: WHEY OR CASEIN?
WHEY
REAL COW’S MILK SHOULDN’T BE GIVEN TO BABIES BEFORE THEY TURN:
1 Y.O.
ARE THERE ANY OTHER PRODUCTS THAT CAN BE MARKETED AS SUITABLE FOR SATISFYING NUTRITIONAL NEEDS OF HEALTHY INFANTS UNDER 6 MONTHS OLD APART FROM INFANT FORMULA?
NO
WHAT ARE ‘GROWING UP’ OR ‘TODDLER MILKS’?
MILKS MARKETED FOR CHILDREN OVER 12 MONTHS OF AGE, HAVE NO SPECIFIC REGULATIONS
ADVICE FROM PHE REGARDING THE MARKETING AND LABELLING OF BABY FOOD:
- MARKETING CONSISTENT WITH SCIENTIFIC EVIDENCE
- HONEST LABELLING
- CLEAR FEEDING INSTRUCTIONS
- LABELLED PRODUCTS HIGH IN SUGAR AS NOT SUITABLE BETWEEN MEALS
- IMPROVE NUTRIENT COMPOSITION
- AVOID USE OF NUTRITION AND IMPLIED HEALTH CLAIMS
WHICH GROUPS ARE INCLUDED IN THE DEFINITION OF FOOD FOR SPECIAL MEDICAL PURPOSES?
- PEOPLE WITH IMPAIRED GI TRACT IN ANY WAY
- INFANTS WITH MEDICAL CONDITIONS WHICH MAKE REGULAR FORMULA MILK UNSUITABLE
FOOD FOR SPECIAL MEDICAL PURPOSES DEFINITION?
specialised foods designed to help meet the nutritional or dietary needs of patients living with a disease, disorder or medical condition who are temporarily or permanently unable to achieve an adequate nutritional intake from normal foods or through modification of the normal diet
WHAT IS INCLUDED IN THE TERM FSMP?
HIGHLY SPECIALISED FEEDS
ORAL NUTRITION SUPPLEMENTS
TUBE FEEDS
EXAMPLES OF PEOPLE REQUIRING FSMP?
FOOD INTOLERANCES, CANCER, CYSTIC FIBROSIS, KIDNEY FAILURE, COPD, PSYCHIATRIC AND NEUROLOGICAL CONDITIONS, OTHER CHRONIC HEART, LUNG OR MUSCULAR DISEASES
WHAT ARE THE 3 CATEGORIES OF FSMPs?
NUTRITIONALLY COMPLETE FOOD WITH STANDARD NUTRIENT FORMULATION
NUTRITIONALLY COMPLETE FOOD WITH NUTRIENT-ADAPTED FORMULATION
NUTRITIONALLY INCOMPLETE FOOD (CAN’T BE THE SOLE SOURCE OF NOURISHMENT)
EXAMPLES OF INFANTS WHO WOULD NEED FSMP FORMULA MILK?
LACTOSE INTOLERANCE, LOW BIRTH WEIGHT OR BORN PRETERM, AMINO ACIDS METABOLISM DISORDERS..
WHAT HAS TO BE ADDED TO INFANT MILKS MARKETED AS FSMP?
DOCOSAHEXAENOIC ACID (DHA)
MILK MANUFACTURED FROM PROTEIN HYDROLYSATES SHOULD ONLY BE USED IF PRESCRIBED BY A CLINICIAN, YES OR NO?
YES
IF THE EXTENSIVELY HYDROLYSED (HYPO ALLERGENIC MILK FORMULA) DOESN’T WORK FOR INFANTS WITH COW’S MILK PROTEIN ALLERGY (CMPA), WHAT SHOULD BE GIVEN INSTEAD?
AMINO ACID FORMULA
COW MILK IS NATURALLY MORE DOMINANT IN WHICH PROTEIN, CASEIN OR WHEY?
CASEIN
BREAST MILK IS NATURALLY MORE DOMINANT IN WHEY OR CASEIN?
WHEY
