Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?

Suboptimal nutrient quality/quantity during complementary feeding (CF) can impact negatively on infants’ healthy growth, even with adequate energy intake. CF must supplement at best human milk (HM) or formulas, which show nutritional differences. Considering this, a differentiated CF is probably adv...

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Autores principales: Margherita Caroli, Andrea Vania, Maria Anna Tomaselli, Immacolata Scotese, Giovanna Tezza, Maria Carmen Verga, Giuseppe Di Mauro, Angelo Antignani, Andrea Miniello, Marcello Bergamini
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/2981c74638864200bc7fddc164bed384
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spelling oai:doaj.org-article:2981c74638864200bc7fddc164bed3842021-11-25T18:33:48ZBreastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?10.3390/nu131137562072-6643https://doaj.org/article/2981c74638864200bc7fddc164bed3842021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3756https://doaj.org/toc/2072-6643Suboptimal nutrient quality/quantity during complementary feeding (CF) can impact negatively on infants’ healthy growth, even with adequate energy intake. CF must supplement at best human milk (HM) or formulas, which show nutritional differences. Considering this, a differentiated CF is probably advisable to correctly satisfy the different nutritional needs. To assess whether current needs at 6–24 months of age can still be met by one single CF scheme or different schemes are needed for breastfed vs. formula/cow’s milk (CM) fed infants, protein, iron and calcium intakes were assessed from daily menus using the same type and amount of solid food, leaving same amounts of HM and follow-up formula at 9 and again 18 months of age, when unmodified CM was added. Depending on the child’s age, calcium- and iron-fortified cereals or common retail foods were used. The single feeding scheme keeps protein intake low but higher than recommended, in HM-fed children while in formula/CM-fed ones, it achieves much higher protein intakes. Iron Population Recommended Intake (PRI) and calcium Adequate Intakes (AI) are met at the two ages only when a formula is used; otherwise, calcium-fortified cereals are needed. ESPGHAN statements on the futility of proposing different CF schemes according to the milk type fed do not allow to fully meet the nutritional recommendations issued by major Agencies/Organizations/Societies for all children of these age groups.Margherita CaroliAndrea VaniaMaria Anna TomaselliImmacolata ScoteseGiovanna TezzaMaria Carmen VergaGiuseppe Di MauroAngelo AntignaniAndrea MinielloMarcello BergaminiMDPI AGarticleweaningcomplementary feedingbreastfeedingformula feedingcow milknutritional needsNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3756, p 3756 (2021)
institution DOAJ
collection DOAJ
language EN
topic weaning
complementary feeding
breastfeeding
formula feeding
cow milk
nutritional needs
Nutrition. Foods and food supply
TX341-641
spellingShingle weaning
complementary feeding
breastfeeding
formula feeding
cow milk
nutritional needs
Nutrition. Foods and food supply
TX341-641
Margherita Caroli
Andrea Vania
Maria Anna Tomaselli
Immacolata Scotese
Giovanna Tezza
Maria Carmen Verga
Giuseppe Di Mauro
Angelo Antignani
Andrea Miniello
Marcello Bergamini
Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
description Suboptimal nutrient quality/quantity during complementary feeding (CF) can impact negatively on infants’ healthy growth, even with adequate energy intake. CF must supplement at best human milk (HM) or formulas, which show nutritional differences. Considering this, a differentiated CF is probably advisable to correctly satisfy the different nutritional needs. To assess whether current needs at 6–24 months of age can still be met by one single CF scheme or different schemes are needed for breastfed vs. formula/cow’s milk (CM) fed infants, protein, iron and calcium intakes were assessed from daily menus using the same type and amount of solid food, leaving same amounts of HM and follow-up formula at 9 and again 18 months of age, when unmodified CM was added. Depending on the child’s age, calcium- and iron-fortified cereals or common retail foods were used. The single feeding scheme keeps protein intake low but higher than recommended, in HM-fed children while in formula/CM-fed ones, it achieves much higher protein intakes. Iron Population Recommended Intake (PRI) and calcium Adequate Intakes (AI) are met at the two ages only when a formula is used; otherwise, calcium-fortified cereals are needed. ESPGHAN statements on the futility of proposing different CF schemes according to the milk type fed do not allow to fully meet the nutritional recommendations issued by major Agencies/Organizations/Societies for all children of these age groups.
format article
author Margherita Caroli
Andrea Vania
Maria Anna Tomaselli
Immacolata Scotese
Giovanna Tezza
Maria Carmen Verga
Giuseppe Di Mauro
Angelo Antignani
Andrea Miniello
Marcello Bergamini
author_facet Margherita Caroli
Andrea Vania
Maria Anna Tomaselli
Immacolata Scotese
Giovanna Tezza
Maria Carmen Verga
Giuseppe Di Mauro
Angelo Antignani
Andrea Miniello
Marcello Bergamini
author_sort Margherita Caroli
title Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
title_short Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
title_full Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
title_fullStr Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
title_full_unstemmed Breastfed and Formula-Fed Infants: Need of a Different Complementary Feeding Model?
title_sort breastfed and formula-fed infants: need of a different complementary feeding model?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/2981c74638864200bc7fddc164bed384
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AT immacolatascotese breastfedandformulafedinfantsneedofadifferentcomplementaryfeedingmodel
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