Infant Nutrition Flashcards
How much weight gain, per week, would be expected in a baby in the first 0-3months?
200g / week
How much weight gain, per week, would be expected in a baby in the first 3-6months?
150g / week
How much weight gain, per week, would be expected in a baby in the first 6-9months?
100g / week
How much weight gain, per week, would be expected in a baby in the first 9-12months?
50-75g / week
From the age of one, until the child hits puberty, how much weight gain is considered normal per year?
2kg per year
Summary to see it in one place:
0-3months = 200g / week
3-6months = 150g / week
6-9months = 100g / week
9-12months = 50-75g / week
1yr-puberty = 2kg / year
->child should double weight by 6 months, and triple by a year
What is CMPA?
Cows milk protein allergy
Which proteins in milk may there be an allergy to?
Whey
Casein
At what age does CMPA tend to present?
Most symptoms occur before 6 months of age
Is CMPA the same as lactose intolerance?
No
->lactose intolerance is a problem with the enzyme lactase. CMPA is immunology based allergen.
Is CMPA a lifelong problem?
No, most outgrow during childhood
To highlight the differences in symptoms, what are some of the symptoms of lactose intolerance?
Loose, watery, frequent stools
Abdominal pain and distension
Excessive fluctuance
Audible bowel sounds
Infantile colic
Nappy rash
To highlight the differences in symptoms, what are some of the symptoms of CMPA?
All the same as lactose intolerance
PLUS
Mucousy, bloody or offensive stools
Constipation
Vomiting
Gastro-oesophageal reflux
Poor weight gain
Food refusal
Eczema
Wheeze or cough, hives, anaphylaxis
If a person has CMPA, can they use lactose free milks?
No, lactose free doesn’t mean there aren’t any cow’s milk proteins
What are the first line feed choices for babies with CMPA?
If breastfeeding, mum goes milk free
Extensively hydrolysed protein feeds
->90% respond, 10% react. Second line is amino acid based feeds.
What are some of the risks of using soya infant formula?
Higher risk of dental caries
How long after being on a milk-free diet do you reintroduce children back to milk and monitor for a reaction?
6 months after being milk free
->milk ladder starts with foods like biscuits, muffins, and goes towards foods like cheeses and yogurts.
If a child manages a few steps of the ladder without symptoms, these foods can be continued until trying to continue up the ladder a few months later.
At how old is complimentary feeding done alongside milk in infants?
6 months
->earliest is 17wks. Start with pureed foods
Which childhood condition can occur because of vitamin D deficiency?
Ricketts
