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FOOD FOR SPECIAL PURPOSES AND GROUPS Flashcards

1
Q

WHAT IS THE TOTAL DIET REPLACEMENT PROGRAMME FOR WEIGHT CONTROL?

A

REPLACING ALL FOOD WITH SPECIALLY FORMULATED PRODUCTS PROVIDING BETWEEN 800-1200 CALORIES/DAY

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2
Q

WHAT ARE THE COMPOSITIONAL REQUIREMENTS OF TDR PRODUCTS?

A

75-100g OF HIGH QUALITY PROTEIN
AT LEAST 30g OF DIGESTIBLE CARBS PER DAY
20 g FAT

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3
Q

WHAT IS THE MINIMAL AMOUNT OF CALORIES TDR SHOULD PROVIDE BASED ON REQUIRED NUTRIENT COMPOSITION?

A

600 kcal

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4
Q

WHAT ARE THE LABELLING REQUIREMENTS FOR PRODUCTS FOR TOTAL MEAL REPLACEMENT?

A
  • 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?
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5
Q

TDR PRODUCTS SHOULDN’T BE USED FOR MORE THAN HOW LONG WITHOUT MEDICAL ADVICE?

A

3 WEEKS

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6
Q

2 MAIN CONCEPTS IN THE DEFINITION OF ‘FOOD FOR SPECIFIC GROUPS’ (FSG)?

A
  • 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
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7
Q

DID UK KEEP THE EU REGULATION ON FOOD FOR SPECIFIC GROUPS SINCE BREXIT?

A

YES

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8
Q

WHAT ARE THE AIMS OF REGULATORY FRAMEWORKS FOR FSGs?

A
  • 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
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9
Q

THERE ARE SPECIFIC FSGs REGULATIONS FOR WHICH 4 AREAS?

A
  • 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
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10
Q

WHAT IS FORMULA MILK USUALLY MADE FROM?

A

COW’S MILK THAT HAS BEEN TREATED AND MADE MORE SUITABLE

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11
Q

THE TYPES OF FORMULA MILK AND USAGE:

A

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

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12
Q

FIRST INFANT FORMULA IS BASED ON WHICH PROTEIN?

A

WHEY

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13
Q

WHICH IS EASIER TO DIGEST: WHEY OR CASEIN?

A

WHEY

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14
Q

REAL COW’S MILK SHOULDN’T BE GIVEN TO BABIES BEFORE THEY TURN:

A

1 Y.O.

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15
Q

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?

A

NO

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16
Q

WHAT ARE ‘GROWING UP’ OR ‘TODDLER MILKS’?

A

MILKS MARKETED FOR CHILDREN OVER 12 MONTHS OF AGE, HAVE NO SPECIFIC REGULATIONS

17
Q

ADVICE FROM PHE REGARDING THE MARKETING AND LABELLING OF BABY FOOD:

A
  • 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
18
Q

WHICH GROUPS ARE INCLUDED IN THE DEFINITION OF FOOD FOR SPECIAL MEDICAL PURPOSES?

A
  • PEOPLE WITH IMPAIRED GI TRACT IN ANY WAY

- INFANTS WITH MEDICAL CONDITIONS WHICH MAKE REGULAR FORMULA MILK UNSUITABLE

19
Q

FOOD FOR SPECIAL MEDICAL PURPOSES DEFINITION?

A

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

20
Q

WHAT IS INCLUDED IN THE TERM FSMP?

A

HIGHLY SPECIALISED FEEDS
ORAL NUTRITION SUPPLEMENTS
TUBE FEEDS

21
Q

EXAMPLES OF PEOPLE REQUIRING FSMP?

A

FOOD INTOLERANCES, CANCER, CYSTIC FIBROSIS, KIDNEY FAILURE, COPD, PSYCHIATRIC AND NEUROLOGICAL CONDITIONS, OTHER CHRONIC HEART, LUNG OR MUSCULAR DISEASES

22
Q

WHAT ARE THE 3 CATEGORIES OF FSMPs?

A

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)

23
Q

EXAMPLES OF INFANTS WHO WOULD NEED FSMP FORMULA MILK?

A

LACTOSE INTOLERANCE, LOW BIRTH WEIGHT OR BORN PRETERM, AMINO ACIDS METABOLISM DISORDERS..

24
Q

WHAT HAS TO BE ADDED TO INFANT MILKS MARKETED AS FSMP?

A

DOCOSAHEXAENOIC ACID (DHA)

25
Q

MILK MANUFACTURED FROM PROTEIN HYDROLYSATES SHOULD ONLY BE USED IF PRESCRIBED BY A CLINICIAN, YES OR NO?

A

YES

26
Q

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?

A

AMINO ACID FORMULA

27
Q

COW MILK IS NATURALLY MORE DOMINANT IN WHICH PROTEIN, CASEIN OR WHEY?

A

CASEIN

28
Q

BREAST MILK IS NATURALLY MORE DOMINANT IN WHEY OR CASEIN?

A

WHEY

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