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disease.\tMost\thospitals\trequire\tthat\tinfants\treceive\tan\tinjection\tof\tvitamin\tK\tas\ta\tprophylactic\nmeasure\tshortly\tafter\tbirth\t(\nCDC,\t2017\n).\nSupplementation\nVitamin\tand\tmineral\tsupplements\tshould\tbe\tprescribed\tonly\tafter\tcareful\n\tevaluation\tof\tthe\tinfant’s
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] |
evaluation\tof\tthe\tinfant’s\nintake.\tCommercially\tprepared\tinfant\tformulas\tare\tfortified\twith\tall\tnecessary\tvitamins\tand\tminerals;\ntherefore\tformula-fed\tinfants\trarely\tneed\tsupplements.\tBreastfed\tinfants\tneed\tadditional\tvitamin\tD\nsupplementation\tshortly\tafter\tbirth,\tand\tiron\tby\t4\tto\t6\tmonths\tof\tage\t(see\t\nFocus\tOn:\n\tVitamin\tand
|
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] |
Focus\tOn:\n\tVitamin\tand\nMineral\tSupplementation\tRecommendations\tfor\tFull-Term\tInfants\n).\t\nChapter\t41\n\tdiscusses\tthe\tfeeding\nof\tpremature\tor\thigh-risk\tinfants\tand\ttheir\tspecial\tneeds.\t\nChapter\t11\n\tdiscusses\tmore\tabout\tdietary\nsupplementation.\nAnalysis\tof\tdietary\tintakes\tof\tinfants\tin\tthe\tUnited\tStates\tindicate\tthey\tare\tgenerally\tadequate,\tbut
|
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the\tlikelihood\tof\tinadequacy\tincreases\tbeyond\t1\tyear\tof\tage.\tIron\tis\tthe\tmain\tnutrient\tof\tconcern\tin\nthe\tolder\tinfant,\t6\tto\t12\tmonths\tof\tage,\twith\tabout\t1\n\tin\t5\tolder\tinfants\tbelow\tthe\testimated\taverage\nrequirement\t(EAR)\twith\ta\tgeneral\ttrend\tof\tconsuming\tless\tiron-fortified\tcereal\tas\tthey\tapproach\t1\nyear\tof\tage\t(\nBailey\tet\tal,\t2018
|
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] |
year\tof\tage\t(\nBailey\tet\tal,\t2018\n).\tSupplemental\tiron\tmay\tbe\tnecessary\tif\tunable\tto\tincrease\tiron\tintake\nfrom\tfood\tsources.\n\t\nFOCUS\tON\nVitamin\tand\tMineral\tSupplementation\tRecommendations\n\tfor\tFull-Term\tInfants\nVitamin\tD\nSupplementation\tshortly\tafter\tbirth\tof\t400\tIU/day\tfor\tall\tbreastfed\tinfants\tand\tinfants\tconsuming
|
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] |
less\tthan\t1000\tmL\t(33\toz)\tof\tvitamin\tD–fortified\tformula\teach\tday\nVitamin\tK\nSupplementation\tsoon\tafter\tbirth\tto\tprevent\themorrhagic\tdisease\tof\tthe\tnewborn\nIron\nBreastfed\tinfants\nSupplement\twith\t1\tmg/kg/d\tstarting\tat\t4-6\tmonths\tof\tage\tuntil\tadequate\tiron\tintake\n\tis\tachieved
|
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0.002783906413242221
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Pediatric\tnutrition\n,\ted\t7,\tElk\nGrove\tVillage,\tIll,\t2014,\tAmerican\tAcademy\tof\tPediatrics,\t2014.\nMilk\nHuman\tmilk\nHuman\tmilk\tis\tunquestionably\n\tthe\tfood\tof\tchoice\tfor\tthe\tinfant.\tIts\tcomposition\tis\tdesigned\tto\nprovide\tthe\tnecessary\tenergy\tand\tnutrients\tin\tappropriate\tamounts.\tIt\tcontains\tspecific\tand
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] |
otitis\tmedia\t(\nAAP,\t2012\n).\tAllergic\treactions\tto\thuman\n\tmilk\tprotein\tare\trare.\tMoreover,\tthe\tcloseness\nof\tthe\tmother\tand\tinfant\tduring\tbreastfeeding\tfacilitates\tattachment\tand\tbonding\t(see\tFig.\t14.11\tin\nChapter\t14\n)\tand\tbreastmilk\tprovides\tnutritional\tbenefits\t(e.g.,\toptimal\tnourishment\tin\tan\teasily
|
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] |
digestible\tand\tbioavailable\tform),\tdecreases\tinfant\tmorbidity,\tprovides\tmaternal\thealth\tbenefits\t(e.g.,\nlactation\tamenorrhea,\tmaternal\tweight\tloss,\tsome\n\tcancer\tprotection),\tand\thas\teconomic\tand\nenvironmental\tbenefits\t(\nLessen\tand\tKavanagh,\t2015\n;\tsee\t\nChapter\t14\n).\nDuring\tthe\tfirst\tfew\tdays\tof\tlife,\ta\tbreastfeeding\tinfant\treceives\t\ncolostrum
|
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colostrum\n,\ta\tyellow,\ttransparent\nfluid\tthat\tmeets\tthe\tinfant’s\tneeds\tduring\tthe\tfirst\tweek.\tIt\tcontains\tless\tfat\tand\tcarbohydrate,\tbut\nmore\tprotein\tand\tgreater\tconcentrations\tof\tsodium,\tpotassium,\tand\tchloride\tthan\tmature\n\tmilk.\tIt\tis\nalso\tan\texcellent\tsource\tof\timmunologic\tsubstances.
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milk.\tIt\tis\nalso\tan\texcellent\tsource\tof\timmunologic\tsubstances.\nNote\tthat\tbreastfeeding\tmay\tnot\tbe\tappropriate\tfor\tmothers\twith\tcertain\tinfections\tor\tthose\twho\nare\ttaking\tmedications\tthat\tmay\thave\tuntoward\teffects\ton\tthe\tinfant.\tFor\texample,\ta\tmother\twho\tis
|
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infected\twith\thuman\timmunodeficiency\tvirus\tcan\ttransmit\tthe\tinfection\tto\tthe\tinfant,\tand\ta\tmother\nusing\tpsychotropic\tdrugs\tor\tother\tpharmacologic\n\tdrugs\tmay\tpass\tthe\tmedication\tto\tthe\tinfant\nthrough\ther\tbreastmilk\t(\nAAP,\t2012\n;\tsee\t\nChapter\t14\n).\nThe\tAcademy\tof\tNutrition\tand\tDietetics\t(AND)\tand\tthe\tAAP\tsupport\texclusive\tbreastfeeding\t(EBF)
|
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for\tthe\tfirst\t6\tmonths\tof\tlife\tand\tthen\tbreastfeeding\tsupplemented\tby\tcomplementary\tfoods\tuntil\tat\nleast\t12\tmonths\t(\nAAP,\t2012\n;\t\nLessen\tand\tKavanagh,\t2015\n).\tIt\tis\timportant\tto\tnote\tthe\tages\tof\tthe\ninfants\tin\n\tthese\trecommendations;\tadding\tother\tfoods\tat\ttoo\tyoung\tof\tan\tage\tdecreases\tbreastmilk
|
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intake\tand\tincreases\tearly\tweaning.\tHealthy\tChildren\t2020\tobjectives\tsupport\tbreastfeeding\tamong\nmothers\tof\tnewborn\tinfants\t(see\t\nFocus\tOn:\n\tHealthy\tChildren\t2020\tObjectives:\tNourishment\tof\nInfants\n).\n\t\nFOCUS\tON\nHealthy\tChildren\t2020\tObjectives:\n\tNourishment\tof\tInfants
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FOCUS\tON\nHealthy\tChildren\t2020\tObjectives:\n\tNourishment\tof\tInfants\nHealthy\tPeople\t2020\tis\ta\tcomprehensive\tset\tof\thealth\tobjectives\tfor\tthe\tUnited\tStates\tto\tachieve\nduring\tthe\tsecond\tdecade\tof\tthe\ttwenty-first\tcentury.\tHealthy\tPeople\t2020\tidentifies\ta\twide\trange
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] |
of\tpublic\thealth\tpriorities\tand\tspecific,\tmeasurable\tobjectives.\tThe\tobjectives\thave\t42\tfocus\tareas,\none\tof\twhich\tis\tMaternal,\tInfant,\tand\tChild\tHealth.\tThe\tobjectives\trelated\n\tto\tnourishment\tof\ninfants\tare\tas\tfollows:\nGOAL:\tImprove\tthe\thealth\tand\twell-being\tof\twomen,\tinfants,\tchildren,\tand\tfamilies.
|
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] |
Objective:\tIncrease\tthe\tproportion\tof\tinfants\twho\tare\tbreastfed\tto\t81.9%\tin\tthe\tearly\npostpartum\tperiod,\tto\t60.6%\tat\t6\tmonths,\tand\tto\t34.1%\tat\t1\tyear\tof\tage.\tIncrease\tthe\nproportion\tof\tinfants\tthat\tare\texclusively\tbreastfed\tto\t46.2%\tthrough\t3\tmonths\tof\tage\tand\n25.5%\n\tthrough\t6\tmonths\tof\tage.
|
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25.5%\n\tthrough\t6\tmonths\tof\tage.\nObjective:\tReduce\tthe\tproportion\tof\tbreastfed\tnewborns\twho\treceive\tformula\tsupplementation\nwithin\tthe\tfirst\t2\tdays\tof\tlife\tto\t14.2%.\nGOAL:\tPromote\thealth\tand\treduce\tchronic\tdisease\trisk\tthrough\tthe\tconsumption\tof\thealthful\ndiets\tand\tachievement\tand\tmaintenance\tof\thealthy\tbody\tweights.
|
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diets\tand\tachievement\tand\tmaintenance\tof\thealthy\tbody\tweights.\nObjective:\tEliminate\tvery\tlow\tfood\tsecurity\tamong\tchildren.\nObjective:\tReduce\tiron\n\tdeficiency\tamong\tchildren\tages\t1-2\tyears\tto\tless\tthan\t14.3%.\nGOAL:\tPrevent\tand\tcontrol\toral\tand\tcraniofacial\tdiseases,\tconditions,\tand\tinjuries\tand\timprove\naccess\tto\tpreventive\tservices\tand\tdental\tcare.
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] |
access\tto\tpreventive\tservices\tand\tdental\tcare.\nObjective:\tReduce\tthe\tproportion\tof\tyoung\tchildren\twith\tdental\tcaries\tin\ttheir\tprimary\tteeth.\nThe\tcomplete\ttext\tof\tthe\tHealthy\tPeople\t2020\tObjectives\tcan\tbe\tfound\ton\tthe\tOffice\tof\tDisease\n\tPrevention\nand\tHealth\tPromotion\tWebsite\tunder\t\nHealthyPeople.gov\n.\nComposition\tof\thuman\tand\tcow’s\tmilk
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HealthyPeople.gov\n.\nComposition\tof\thuman\tand\tcow’s\tmilk\nThe\tcomposition\tof\thuman\tmilk\tis\tdifferent\tfrom\tthat\tof\tcow’s\tmilk;\tfor\tthis\treason,\tunmodified\tcow’s\nmilk\tis\tnot\trecommended\tfor\tinfants\tuntil\tat\tleast\t1\tyear\tof\tage.\tBoth\tprovide\tapproximately\t20\nkcal/oz;\thowever,\tthe\tnutrient\tsources\tof\tthe\tenergy\tare\tdifferent.\tProtein\tprovides\tabout
|
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0.0185440294444561,
0.09316802769899368,
0.09565041959285736,
0.06987366825342178,
0.013850158080458641
] |
6%\tof\tthe\nenergy\tin\thuman\tmilk\tand\t20%\tof\tthe\tenergy\tin\tcow’s\tmilk.\tHuman\tmilk\tis\t60%\t\nwhey\tproteins\n(mainly\tlactalbumins)\tand\t40%\tcasein;\tby\tcontrast,\tcow’s\tmilk\tis\t20%\twhey\tproteins\tand\t80%\tcasein.\nCasein\n\tforms\ta\ttough,\thard-to-digest\tcurd\tin\tthe\tinfant’s\tstomach,\twhereas\t\nalpha-lactalbumin\n\tin
|
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] |
alpha-lactalbumin\n\tin\nhuman\tmilk\tforms\tsoft,\tflocculent,\teasy-to-digest\tcurds.\tTaurine\tand\tcystine\tare\tpresent\tin\thigher\nconcentrations\n\tin\thuman\tmilk\tthan\tin\tcow’s\tmilk;\tthese\tamino\tacids\tmay\tbe\tessential\tfor\tpremature\ninfants.\tLactose\tprovides\t40%\tof\tthe\tenergy\tin\thuman\tmilk\tand\tonly\t30%\tof\tthe\tenergy\tin\tcow’s\tmilk\n(\nLawrence\tand\tLawrence,\t2016
|
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] |
(\nLawrence\tand\tLawrence,\t2016\n).\nLipids\tprovide\tabout\t50%\tof\tthe\tenergy\tin\thuman\tand\twhole\tcow’s\tmilk.\tLinoleic\tacid,\tan\tessential\nfatty\tacid,\tprovides\t4%\tof\tthe\tenergy\tin\thuman\tmilk\tand\tonly\t1%\tto\t2%\tin\tcow’s\tmilk.\n\tThe\tcholesterol\ncontent\tof\thuman\tmilk\tis\t10\tto\t20\tmg/dL\tcompared\twith\t10\tto\t15\tmg/dL\tin\twhole\tcow’s\tmilk.\tLess\tfat
|
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] |
is\tabsorbed\tfrom\tcow’s\tmilk\tthan\tfrom\thuman\tmilk;\ta\tlipase\tin\thuman\tmilk\tis\tstimulated\tby\tbile\tsalts\nand\tcontributes\tsignificantly\tto\tthe\thydrolysis\tof\tmilk\ttriglycerides\t(\nLawrence\tand\tLawrence,\t2016\n).\nAll\tof\tthe\twater-soluble\tvitamins\tin\thuman\tmilk\treflect\tmaternal\tintake.\tCow’s\n\tmilk\tcontains
|
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] |
milk\tcontains\nadequate\tquantities\tof\tthe\tB-complex\tvitamins,\tbut\tlittle\tvitamin\tC.\tHuman\tmilk\tand\tsupplemented\ncow’s\tmilk\tprovide\tsufficient\tvitamin\tA.\tHuman\tmilk\tis\ta\tricher\tsource\tof\tvitamin\tE\tthan\tcow’s\tmilk.\nThe\tquantity\tof\tiron\tin\thuman\tand\tcow’s\tmilk\tis\tsmall\t(0.3\tmg/L).\tApproximately\t50%\tof\tthe\tiron\tin
|
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human\tmilk\tis\tabsorbed,\twhereas\tless\tthan\t10%\tof\tthe\tiron\tin\tcow’s\tmilk\tis\tabsorbed.\n\tThe
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bioavailability\tof\tzinc\tin\thuman\tmilk\tis\thigher\tthan\tin\tcow’s\tmilk.\tCow’s\tmilk\tcontains\tfour\ttimes\tas\nmuch\tcalcium,\tsix\ttimes\tas\tmuch\tphosphorus\tas\thuman\tmilk,\tand\tthree\ttimes\tthe\ttotal\tsalt\tcontent\tof\nhuman\tmilk\t(\nLawrence\tand\tLawrence,\t2016\n).\nThe\tmuch\thigher\tprotein\tand\tmineral\tcontent\tof\tcow’s\tmilk\tresults\tin\ta\thigher\t\nrenal\tsolute\tload\n,
|
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0.12276574224233627,
0.06754430383443832,
0.0770651176571846,
-0.03113582171499729
] |
whereas\tthat\tof\tcow’s\tmilk\tis\t350\tmOsm/kg\t(\nLawrence\tand\tLawrence,\t2016\n).\nAntiinfective\tfactors\nHuman\tmilk\tand\tcolostrum\tcontain\tantibodies\tand\tantiinfective\tfactors\n\tthat\tare\tnot\tpresent\tin\tinfant\nformulas.\t\nSecretory\timmunoglobulin\tA\t(sIgA)\n,\tthe\tpredominant\timmunoglobulin\tin\thuman\tmilk,
|
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] |
,\tthe\tpredominant\timmunoglobulin\tin\thuman\tmilk,\nplays\ta\trole\tin\tprotecting\tthe\tinfant’s\timmature\tgut\tfrom\tinfection\tby\tkeeping\tviruses\tand\tbacteria\nfrom\tinvading\tthe\tmucosa.\tBreastfeeding\tshould\tbe\tmaintained\tuntil\tthe\tinfant\tis\tat\tleast\t3\tmonths\nof\tage\tto\tobtain\tthis\tbenefit\t(\nLawrence\tand\tLawrence,\t2016\n).\nThe\tiron-binding\n\tprotein\t\nlactoferrin
|
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] |
Lawrence\tand\tLawrence,\t2016\n).\nThe\tiron-binding\n\tprotein\t\nlactoferrin\n\tin\thuman\tmilk\tdeprives\tcertain\tiron-dependent\tbacteria\tin\nthe\tgastrointestinal\ttract\tof\tiron\tand\tthus\tslows\ttheir\tgrowth.\tLysozymes,\twhich\tare\tbacteriolytic\nenzymes\tfound\tin\thuman\tmilk,\tdestroy\tthe\tcell\tmembranes\tof\tbacteria\tafter\tthe\tperoxides\tand
|
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] |
ascorbic\tacid\tthat\tare\talso\tpresent\tin\thuman\tmilk\thave\tinactivated\tthem.\tThey\talso\thave\ta\tsignificant\nrole\tin\tthe\tdevelopment\tof\n\tintestinal\tflora\t(\nLawrence\tand\tLawrence,\t2016\n).\tHuman\tmilk\tenhances\nthe\tgrowth\tof\tthe\tbacterium\t\nLactobacillus\tbifidus\n,\twhich\tproduces\tan\tacidic\tgastrointestinal\t(GI)
|
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,\twhich\tproduces\tan\tacidic\tgastrointestinal\t(GI)\nenvironment\tthat\tinterferes\twith\tthe\tgrowth\tof\tcertain\tpathogenic\torganisms.\tBecause\tof\tthese\nantiinfective\tfactors,\tthe\tincidence\tof\tinfections\tis\tlower\tin\tbreastfed\tinfants\tthan\tin\tformula-fed\ninfants.\nThe\tmicrobiome\tand\tprobiotics\n\tand\tprebiotics
|
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infants.\nThe\tmicrobiome\tand\tprobiotics\n\tand\tprebiotics\nColonization\twith\tnonpathogenic\tmicrobiota\tis\timportant\tfor\tinfant\thealth\tand\taffects\thealth\tand\ndisease\tin\tlater\tlife.\tThis\tcolonization\tis\tnecessary\tfor\tnormal\timmune\tsystem\tdevelopment.\tA\ndisturbance\tin\tthis\tprocess\tmay\tcontribute\tto\timmune\tdisease\tsuch\tas\tfood\tallergies,\tatopic
|
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dermatitis,\tand\tasthma.\tThe\tdevelopment\tof\tgut\tmicrobiota\tin\tinfancy\toccurs\tduring\ta\tcritical\nwindow.\n\tBy\t3\tyears\tof\tage,\tthe\thuman\tGI\ttract\thas\testablished\tits\tnormal\tflora\tor\tmicrobiome,\twith\nthe\tmajority\tof\tthis\toccurring\tin\tthe\tfirst\tyear\tof\tlife.\tThis\tecosystem\tin\tearly\tlife\tis\tinfluenced\tby
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] |
such\tfactors\tas\tmode\tof\tbirth\t(cesarean\tvs.\tvaginal\tdelivery),\tenvironment,\thuman\tmilk\tvs.\tformula\nfeeding,\tintroduction\tto\tsolids,\tand\tuse\tof\tantibiotics\t(\nTanaka\tand\tNakayama,\t2017\n).\tBreastfeeding\nand\n\tintroduction\tof\twhole\tfoods\tcan\tgreatly\tassist\tin\testablishing\ta\thealthy\tmicrobiome\tfor\tlife.
|
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Probiotics\tare\tmicroorganisms\tthat,\twhen\tadministered\tas\tan\toral\tsupplement\tor\tas\tpart\tof\tfood,\nmay\tconfer\thealth\tbenefits\tto\tthe\thost\tby\tchanging\tthe\tgut\tmicrobiome.\tStudies\thave\tlooked\tat\tthe\neffects\tof\tpostnatal\tprobiotic\tsupplementation\ton\tthe\tprevention\tof\tatopic\tdisease\tsuch\tas\tasthma,\neczema,
|
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] |
eczema,\n\tand\tallergic\trhinitis.\tResults\thave\tbeen\tmixed,\tdepending\ton\tthe\tstrain\tof\tprobiotics\tused,\nand\twhether\tthe\tmother\talso\twas\tsupplemented\tduring\tpregnancy\t(\nElazab\tet\tal,\t2013\n).\tEvidence\tis\nemerging\tthat\tsupplementing\tterm\tinfants\twith\tthe\tprobiotic\t\nLactobacillus\treuteri\n\t(\nL.\treuteri\n)\tmay
|
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] |
Lactobacillus\treuteri\n\t(\nL.\treuteri\n)\tmay\ndecrease\ttheir\trisk\tof\tcolic,\tgastroesophageal\treflux,\tand\tconstipation\t(\nIndrio\tet\tal,\t2014\n).\tHowever,\nsupplementation\n\twith\t\nL.\treuteri\n\tdoes\tnot\tappear\tto\tbe\teffective\tin\ttreating\tcolic.\tIn\tfact,\ta\twell-
|
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] |
does\tnot\tappear\tto\tbe\teffective\tin\ttreating\tcolic.\tIn\tfact,\ta\twell-\ncontrolled\tstudy\tfound\tno\treduction\tin\tcrying\tor\tfussiness\tin\tcolicky\tinfants\treceiving\tthe\tprobiotic.\nInterestingly\tthe\tformula-fed\tinfants\twho\twere\tgiven\t\nL.\treuteri\n\tactually\tfussed\tmore\tthan\tformula-fed\ninfants\tgiven\tplacebo\t(\nSung\tet\tal,\t2014
|
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] |
infants\tgiven\tplacebo\t(\nSung\tet\tal,\t2014\n).\tThe\teffectiveness\tof\tsupplemental\tprobiotic\tuse\tis\tstill\nunder\tstudy.\n\tAlthough\tprobiotics\thave\tbeen\tfound\tgenerally\tto\tbe\tsafe,\ttheir\tcontent\tmay\tbe\tvariable\nunder\tcurrent\tFDA\tregulation\t(\nVan\tden\tNieuwboer\tet\tal,\t2014\n).\tSimilar\tcaution\tshould\tbe\tused\tas\nwhen\tusing\tother\tnutrition\tsupplements.\tSee
|
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0.10587950050830841,
0.10610757023096085,
-0.0566280260682106
] |
when\tusing\tother\tnutrition\tsupplements.\tSee\t\nChapter\t11\n.\nPrebiotics\tare\tnondigestible\tfood\tingredients\tthat\tpromote\tthe\tgrowth\tof\tthe\tgut’s\tbacteria.\nHuman\tmilk\tcontains\tprebiotics\tin\tthe\tform\tof\t\noligosaccharides\n,\twhich\tare\thighly\tabundant\tand\nunique\tto\thuman\tmilk.\tThe\taddition\tof\tshort-chain\tgluco-oligosaccharides\tand\tlong-chain\tfructo-
|
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] |
oligosaccharides\tto\tinfant\tformula\tresults\tin\tgut\tmicroflora\tmore\tsimilar\tto\tthose\tof\thuman\tmilk-fed\ninfants\t(\nOozeer\tet\tal,\t2013\n).\tThe\tAAP\thas\tno\tofficial\tstance\ton\tthe\taddition\tof\tprobiotics\tor\tprebiotics\nto\tinfant\tformula.\tSome\tinfant\tformulas\tin\tthe\tUnited\tStates\tare\n\tnow\tsupplemented\twith\tprobiotics\nor\tprebiotics.\nFormulas
|
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] |
now\tsupplemented\twith\tprobiotics\nor\tprebiotics.\nFormulas\nInfants\twho\tare\tnot\tbreastfed\tare\tfed\tan\tinfant\tformula\tbased\ton\tcow’s\tmilk\tor\ta\tsoy\tproduct.\tMany\nmothers\tmay\tchoose\tto\toffer\ta\tcombination\tof\tbreastmilk\tand\tformula\tfeedings.\nCommercial\tformulas\tmade\tfrom\theat-treated\tnonfat\tmilk\tor\ta\tsoy\tproduct\tand\tsupplemented\twith
|
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0.006572921294718981,
0.0007134543848223984,
0.12725935876369476,
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] |
vegetables\tfats,\tvitamins,\tand\tminerals\tare\tformulated\tto\tapproximate,\n\tas\tclosely\tas\tpossible,\tthe\ncomposition\tof\thuman\tmilk.\tThey\tprovide\tthe\tnecessary\tnutrients\tin\tan\teasily\tabsorbed\tform.\tThe\nmanufacture\tof\tinfant\tformulas\tis\tregulated\tby\tthe\tFDA\tthrough\tthe\tInfant\tFormula\tAct\t(\nFDA,\t2015\n).
|
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] |
FDA,\t2015\n).\nBy\tlaw,\tinfant\tformulas\tare\trequired\tto\thave\ta\tnutrient\tlevel\tthat\tis\tconsistent\twith\tthese\tguidelines.\nThey\twere\tmost\trecently\tupdated\tin\t2015\tto\tadd\tminimum\tand\tmaximum\tlevels\n\tof\tselenium\t(\nTable\n15.4\n).\tRefer\tto\tindividual\tmanufacturers’\twebsites\tto\tobtain\tthe\tmost\taccurate\tinformation\tand
|
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compare\tthe\tcomposition\tof\tvarious\tinfant\tformulas\tand\tfeeding\tproducts.\tOrganic\tinfant\tformulas\nare\tincreasingly\tavailable,\tand\tthey\tmust\talso\tmeet\tall\tstandards\trequired\tfor\tUnited\tStates\nDepartment\tof\tAgriculture\tOrganic\tcertification.\tHomemade\tinfant\tformulas\tare\tnot\trecommended.
|
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] |
Table\t15.4\nNutrient\tLevels\tin\tInfant\tFormulas\tas\tSpecified\tby\tthe\tInfant\tFormula\tAct\nSpecified\tNutrient\tComponent\nMinimum\tLevel\tRequired\t(per\t100\tkcal\tof\tEnergy)\nProtein\t(g)\n1.8\nFat\t(g)\n3.3\nPercentage\tof\tcalories\tfrom\tfat\n30\nLinoleic\tacid\t(mg)\n300\nPercentage\tof\tcalories\tfrom\tlinoleic\tacid\n2.7\nVitamin\tA\t(IU)\n250\nVitamin\tD\t(IU)\n40\nVitamin\tE\t(IU)\n0.7
|
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2.4199303432943483e-33,
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0.02417803555727005,
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0.0025139686185866594,
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0.07304028421640396,
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0.08701379597187042,
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0.0800979882478714,
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0.006612654775381088,
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0.014741781167685986,
0.06097863242030144,
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0.027841590344905853,
0.07619732618331909,
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0.04853522777557373,
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0.05038289353251457,
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0.07115093618631363,
0.05008360743522644,
0.04769870638847351,
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0.023409467190504074,
0.0014386567054316401,
0.00808800384402275,
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0.03000454418361187,
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0.11184695363044739,
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0.0547657310962677,
0.06032435595989227,
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0.14119133353233337,
0.022910695523023605,
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0.04258177801966667,
0.017785239964723587,
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] |
2.7\nVitamin\tA\t(IU)\n250\nVitamin\tD\t(IU)\n40\nVitamin\tE\t(IU)\n0.7\nVitamin\tK\t(mcg)\n4\nThiamin\t(B\n1\n)\t(mcg)\n40\nRiboflavin\t(B\n2\n)\t(mcg)\n60\nPyridoxine\t(B\n6\n)\t(mcg)\n35\nVitamin\tB\n12\n\t(mcg)\n0.15\nNiacin\t(mcg)\n250\nFolic\tacid\t(mcg)\n4\nPantothenic\tacid\t(mcg)\n300\nBiotin\t(mcg)\t(nonmilk-based\tformulas\tonly)\n1.5\nVitamin\tC\t(Ascorbic\tacid)\t(mg)\n8
|
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] |
1.5\nVitamin\tC\t(Ascorbic\tacid)\t(mg)\n8\nCholine\t(mg)\t(nonmilk-based\tformulas\tonly)\n7\nInositol\t(mg)\t(nonmilk-based\tformulas\tonly)\n4\nCalcium\t(mg)\n60\nPhosphorus\t(mg)\n30\nMagnesium\n\t(mg)\n6\nIron\t(mg)\n0.15\nZinc\t(mg)\n0.5\nManganese\t(mcg)\n5\nCopper\t(mg)\n60\nIodine\t(mg)\n5\nSelenium\t(mcg)\n2\nSodium\t(mg)\n20\nPotassium\t(mg)\n80\nChloride\t(mcg)\n55
|
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] |
5\nSelenium\t(mcg)\n2\nSodium\t(mg)\n20\nPotassium\t(mg)\n80\nChloride\t(mcg)\n55\nFrom\tFood\tand\tDrug\tAdministration:\tElectronic\tCode\tof\tFederal\tRegulations:\tTitle\t21:107,\tInfant\tFormulas,\tFinal\tRule\t(21\tCFR\t107),\t\nFed\tReg\n50:45108,\t1985.\t\nAmended\tFed\tReg\n\t80:35841,\t2015.\nVarious\tproducts\tare\tavailable\tfor
|
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] |
Amended\tFed\tReg\n\t80:35841,\t2015.\nVarious\tproducts\tare\tavailable\tfor\n\tinfants\twho\tcannot\ttolerate\tthe\tprotein\tin\tcow’s\tmilk–based\nformulas.\tSoy-based\tinfant\tformulas\tare\trecommended\tfor\t(1)\tterm\tinfants\tin\tvegetarian\tfamilies,\t(2)\nterm\tinfants\twith\tgalactosemia\tor\thereditary\tprimary\tlactase\tdeficiency,\tand\t(3)\tterm\tinfants\twith
|
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] |
documented\timmunoglobulin\tE-associated\tallergy\tto\tcow’s\tmilk\twho\tare\tnot\talso\tallergic\tto\tsoy\nprotein.\tIn\tmany\tcases,\tan\tinfant\tmay\tbe\tallergic\n\tto\tboth,\tand\tsoy\tformula\twould\tnot\tbe\tappropriate.\nSoy-based\tformulas\tare\tnot\trecommended\t(1)\tfor\tpreterm\tinfants\tbecause\tof\tthe\tincreased\trisk\tof
|
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] |
osteopenia\tand\taluminum\tcontent,\t(2)\tfor\tthe\tprevention\tof\tcolic\tor\tallergy,\tor\t(3)\tfor\tinfants\twith\ncow’s\tmilk\tprotein-induced\tenterocolitis\tor\tenteropathy\t(\nAAP,\t2014b\n;\tsee\t\nChapter\t25\n).\nThe\tprotein\tin\tsoy\tinfant\tformula\tis\tsoy\tprotein\tisolate\tsupplemented\n\twith\tL-methionine,\tL-
|
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] |
with\tL-methionine,\tL-\ncarnitine,\tand\ttaurine.\tA\tconcern\traised\tabout\tsoy\tformula\tincludes\tits\tcontent\tof\tphytates,\twhich\nmay\timpair\tthe\tabsorption\tof\tminerals\tand\ttrace\telements.\tExposure\tto\thigher\tlevels\tof\nphytoestrogens,\tisoflavones,\tand\taluminum\tand\ttheir\tpotential\thealth\tconsequences\thave\talso\tbeen
|
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] |
areas\tof\tdiscussion.\tAluminum\tfrom\tmineral\tsalts\tis\tfound\tin\tsoy\tinfant\tformulas\tat\tconcentrations\n\tof\n500\tto\t2500\tng/mL,\tlevels\tthat\texceed\taluminum\tconcentrations\tin\thuman\tmilk\tof\t4\tto\t65\tng/mL\tand\nin\tcow’s\tmilk\tformula\tof\t15\tto\t400\tmg/mL.\tThis\tappears\tto\tbe\tof\tno\tconcern\texcept\tfor\tpreterm
|
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] |
infants\tand\tinfants\twith\trenal\tfailure.\tA\tsystematic\treview\twith\tmeta-analysis\tof\tinfants\tconsuming\nsoy\tformula\tfound\tthat\tthe\tpatterns\tof\tgrowth;\tbone\thealth;\tand\tmetabolic,\treproductive,\tendocrine,\nimmune,\tand\tneurologic\tfunctions\twere\tsimilar\tto\tthose\tof\tinfants\tfed\thuman\tmilk\tor\tcow’s\tmilk-\nbased\tformula\t(\nVandenplas\tet\tal,\t2014\n).
|
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] |
based\tformula\t(\nVandenplas\tet\tal,\t2014\n).\nInfants\twho\tcannot\ttolerate\tcow’s\tmilk–based\tor\tsoy\tproducts\tcan\tbe\tfed\tformulas\tmade\tfrom\ta\ncasein\thydrolysate\n,\twhich\tis\tcasein\tthat\thas\tbeen\tsplit\tinto\tsmaller\tcomponents\tby\ttreatment\twith\nacid,\talkali,\tor\tenzymes.\tThese\tformulas\tdo\tnot\tcontain\tlactose.\tFor\n\tinfants\twho\thave\tsevere\tfood
|
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] |
infants\twho\thave\tsevere\tfood\nprotein\tintolerances\tand\tcannot\ttolerate\thydrolysate\tformulas,\tfree\tamino\tacid–based\tformulas\tare
|
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] |
available.\tHydrolysate\tand\tfree\tamino\tacid–based\tformulas\toften\tcontain\tsome\tmedium-chain\ntriglycerides\t(MCT)\tas\ta\tportion\tof\tthe\tfat,\twhich\tis\thelpful\tin\tcertain\tmalabsorptive\tconditions.\nOther\tformulas\tare\tavailable\tfor\tchildren\twith\tproblems\tsuch\tas\tmalabsorption\tor\tmetabolic\ndisorders\t(e.g.,\tphenylketonuria)\t(see\t\nBox\t25.9\n\tin\t\nChapter\t25\n).
|
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] |
disorders\t(e.g.,\tphenylketonuria)\t(see\t\nBox\t25.9\n\tin\t\nChapter\t25\n).\nFormulas\tare\talso\tavailable\tfor\tolder\tinfants\tand\ttoddlers.\tHowever,\t“older\tinfant”\tformulas\tare\nusually\tunnecessary\tunless\ttoddlers\tare\tnot\treceiving\tadequate\tamounts\tof\tinfant\tor\ttable\tfoods.\nWhole\tcow’s\tmilk
|
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] |
Whole\tcow’s\tmilk\nSome\tparents\tmay\tchoose\tto\ttransition\ttheir\tinfant\tfrom\tformula\tto\tfresh\tcow’s\tmilk\tbefore\t1\tyear\tof\nage.\tHowever,\tthe\n\tAAP\tCommittee\ton\tNutrition\thas\tconcluded\tthat\tinfants\tshould\tnot\tbe\tfed\twhole\ncow’s\tmilk\tduring\tthe\tfirst\tyear\tof\tlife\t(\nAAP,\t2014b\n).\tInfants\twho\tare\tfed\twhole\tcow’s\tmilk\thave\tbeen
|
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AAP,\t2014b\n).\tInfants\twho\tare\tfed\twhole\tcow’s\tmilk\thave\tbeen\nfound\tto\thave\tlower\tintakes\tof\tiron,\tlinoleic\tacid,\tand\tvitamin\tE,\tand\texcessive\tintakes\tof\tsodium,\npotassium,\tand\tprotein.\tCow’s\tmilk\tmay\tcause\ta\tsmall\tamount\tof\tGI\tblood\tloss.\tWhen\tintroduced\tat\t1\nyear\tof\tage,\tonly\n\tpasteurized\tcow’s\tmilk\tand\tmilk\tproducts\tshould\tbe\toffered\t(
|
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pasteurized\tcow’s\tmilk\tand\tmilk\tproducts\tshould\tbe\toffered\t(\nAAP,\t2014a\n).\nLow-fat\t(1%\tto\t2%)\tand\tnonfat\tmilk\tare\talso\tinappropriate\tfor\tinfants\tduring\tthe\tfirst\t12\tmonths\tof\nlife.\tThe\tinfants\tmay\tingest\texcessive\tamounts\tof\tprotein\tin\tlarge\tvolumes\tof\tmilk\tin\tan\teffort\tto\tmeet
|
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] |
their\tenergy\tneeds,\tand\tthe\tdecreased\tamount\tof\tessential\tfatty\tacids\tmay\tbe\tinsufficient\tfor\npreventing\tdeficiency\t(\nAAP,\t2014b\n).\tSubstitute\tor\timitation\tmilks\tsuch\tas\tsoy,\trice,\toat,\tor\tnut\tmilks\nare\talso\tinappropriate\tduring\tthe\tfirst\tyear\tof\tlife\tdue\tto\ttheir\tlow\tcontent\tof\tcalories,\tfat,\tvitamins,\nand\tminerals.\nFormula\tpreparation
|
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] |
and\tminerals.\nFormula\tpreparation\nCommercial\tinfant\tformulas\tare\tavailable\tin\tready-to-feed\tforms\tthat\trequire\tno\tpreparation,\tas\nconcentrates\tprepared\tby\tmixing\twith\tequal\tparts\tof\twater,\tand\tin\tpowder\tform\tthat\tis\tdesigned\n\tto\nbe\tmixed\twith\t2\toz\tof\twater\tper\tlevel\tscoop\tof\tpowder.
|
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] |
to\nbe\tmixed\twith\t2\toz\tof\twater\tper\tlevel\tscoop\tof\tpowder.\nInfant\tformulas\tshould\tbe\tprepared\tin\ta\tclean\tenvironment.\tAll\tequipment,\tincluding\tbottles,\nnipples,\tmixers,\tand\tthe\ttop\tof\tthe\tcan\tof\tformula,\tshould\tbe\twashed\tthoroughly.\tWater\tused\tfor\nmixing\tinfant\tformula\tmust\tbe\tfrom\ta\tsafe\twater\tsource.\tIf\tthere\tis\tconcern\tor\tuncertainty\tabout\tthe
|
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] |
giving\tit\tto\tinfants\tunder\t1\tyear\tof\tage\t(\nAAP,\t2014b\n).\nFormula\tmay\tbe\tprepared\tfor\tup\tto\ta\t24-hour\tperiod\tand\trefrigerated.\tFormula\tfor\teach\tfeeding\nshould\tbe\twarmed\tin\ta\thot\twater\tbath.\tMicrowave\theating\tis\tnot\trecommended\tbecause\tof\tthe\trisk\nof\tburns\tfrom\tformula\tthat\tis\ttoo\thot\tor\tunevenly\theated.\tAny\tformula\toffered\tand\tnot\tconsumed\tat
|
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] |
that\tfeeding\tshould\tbe\tdiscarded\tand\tnot\treused\tlater,\tbecause\tof\tbacterial\tcontamination\tfrom\tthe\ninfant’s\tmouth.\nBisphenol-A\t(BPA)\tis\ta\tchemical\tthat\twas\tpresent\tin\tmany\thard\tplastic\tbottles,\tsuch\tas\n\tbaby\tbottles\nand\treusable\tcups,\tand\tmetal\tfood\tand\tbeverage\tcontainers,\tincluding\tcanned\tliquid\tinfant\tformula.
|
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Due\tto\tconcerns\tabout\tthe\tpotential\teffects\tof\tBPA\ton\tthe\tbrain,\tbehavior,\tand\tprostate\tgland\tin\nfetuses,\tinfants,\tand\tyoung\tchildren,\tBPA\thas\tnot\tbeen\tused\tto\tmake\tbottles,\tinfant\tfeeding\tcups,\tor\ninfant\tformula\tpackaging\tfor\tthe\tU.S.\tmarket\tsince\t2013.\nFood\nInfants\tcan\tmeet\ttheir
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] |
Food\nInfants\tcan\tmeet\ttheir\n\tnutrition\tneeds\tfrom\thomemade\tor\tcommercial\tinfant\tfood.\tSome\tfamilies\nchoose\tto\toffer\ta\tcombination\tof\tboth.\tFamilies\twho\twould\tlike\tto\tmake\ttheir\town\tinfant\tfood\tcan\tdo\nso\teasily\tby\tfollowing\tthe\tdirections\tin\t\nBox\t15.1\n.\tHome-prepared\tfoods\tgenerally\tare\tmore
|
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] |
Box\t15.1\n.\tHome-prepared\tfoods\tgenerally\tare\tmore\nconcentrated\tin\tnutrients\tthan\tcommercially\tprepared\tfoods\tbecause\tless\twater\tis\tused.\tSalt\tand\nsugar\tshould\tnot\tbe\tadded\tto\tfoods\tprepared\n\tfor\tinfants.\tDry\tinfant\tcereals\tare\tfortified\twith\nelectrolytically\treduced\tiron\n,\twhich\tis\tiron\tthat\thas\tbeen\tfractionated\tinto\tsmall\tparticles\tfor
|
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] |
,\twhich\tis\tiron\tthat\thas\tbeen\tfractionated\tinto\tsmall\tparticles\tfor\nimproved\tabsorption.\tFour\tlevel\ttablespoons\tof\tcereal\tprovide\tapproximately\t5\tmg\tof\tiron,\tor\napproximately\thalf\tthe\tamount\tthe\tinfant\trequires.\tTherefore\tinfant\tcereal\tis\tusually\tthe\tfirst\tfood\nadded\tto\tthe\tinfant’s\tdiet.\tRice\tand\trice\tproducts\thave
|
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] |
added\tto\tthe\tinfant’s\tdiet.\tRice\tand\trice\tproducts\thave\n\tbeen\tfound\tto\tcontain\tarsenic,\tbut\tat\tlevels\nthat\tare\tsafe\tto\tbe\tconsumed\tas\tpart\tof\ta\tvaried\tdiet\t(\nFDA,\t2016\n).\nBox\t15.1\nDirections\tfor\tHome\tPreparation\tof\tInfant\tFoods\n1.\t\nSelect\tfresh,\thigh-quality\tfruits,\tvegetables,\tor\tmeats.\n2.
|
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] |
1.\t\nSelect\tfresh,\thigh-quality\tfruits,\tvegetables,\tor\tmeats.\n2.\t\nBe\tsure\tthat\tall\tutensils,\tincluding\tcutting\tboards,\tgrinder,\tknives,\tand\tother\titems,\tare\nthoroughly\tcleaned.\n3.\t\nWash\thands\tbefore\tpreparing\tthe\tfood.\n4.\t\nClean,\twash,\tand\ttrim\tthe\tfood\tin\tas\tlittle\twater\tas\tpossible.\n5.
|
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] |
Clean,\twash,\tand\ttrim\tthe\tfood\tin\tas\tlittle\twater\tas\tpossible.\n5.\t\nCook\tthe\tfoods\tuntil\ttender\tin\tas\tlittle\twater\tas\tpossible.\tAvoid\tovercooking,\twhich\tmay\ndestroy\theat-sensitive\tnutrients.\n6.\t\nDo\tnot\tadd\tsalt\tor\tsugar.\tDo\tnot\tadd\thoney\tto\tfood\tintended\tfor\tinfants\tyounger\tthan\t1\tyear\nof\tage.\t\n*\n7.
|
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] |
of\tage.\t\n*\n7.\t\nAdd\tenough\twater\tfor\tthe\tfood\tto\tbe\teasily\tpuréed.\n8.\t\nStrain\tor\tpurée\tthe\tfood\tusing\tan\telectric\n\tblender,\ta\tfood\tmill,\ta\tbaby\tfood\tgrinder,\tor\ta\nkitchen\tstrainer.\n9.\t\nPour\tpurée\tinto\tan\tice\tcube\ttray\tand\tfreeze.
|
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] |
10.\t\nWhen\tthe\tfood\tis\tfrozen\thard,\tremove\tthe\tcubes\tand\tstore\tin\tfreezer\tbags.\n11.\t\nWhen\tready\tto\tserve,\tdefrost\tand\theat\tin\ta\tserving\tcontainer\tthe\tamount\tof\tfood\tthat\twill\nbe\tconsumed\tat\ta\tsingle\tfeeding.\n*\nClostridium\tbotulinum\n\tspores,\twhich\tcause\tbotulism,\thave\tbeen\treported\tin\n\thoney;\tyoung\tinfants\tdo\tnot
|
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honey;\tyoung\tinfants\tdo\tnot\nhave\tthe\timmune\tcapacity\tto\tresist\tthis\tinfection.\nMost\tstrained\t(“Stage\t1”\tor\t“Stage\t2”)\tand\tjunior\t(“Stage\t3”)\tmeats\tare\tprepared\twith\twater.\nStrained\tmeats,\twhich\thave\tthe\thighest\tenergy\tdensity\tof\tany\tof\tthe\tcommercial\tbaby\tfoods,\tare\tan
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excellent\tsource\tof\thigh-quality\tprotein\tand\theme\tiron.\tVegetable\tand\tfruit\tbaby\tfoods\tprovide\ncarbohydrates\tand\tvitamins\n\tA\tand\tC.\tVitamin\tC\tis\tadded\tto\tnumerous\tcommercial\tfruit\tproducts.\nStage\t1\tfruits\tand\tvegetables\tare\ttypically\tsingle-ingredient,\twhereas\tStage\t2\tand\tStage\t3\tfoods\tmay\ncontain\tadditional\tingredients\tsuch\tas\tgrain\tor\tdairy.
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contain\tadditional\tingredients\tsuch\tas\tgrain\tor\tdairy.\nBaby\tyogurts\tare\tusually\tfull\tfat\tand\tfortified\twith\tvitamin\tD\tand\tare\tgood\tsources\tof\tcalcium.\tThey\nare\tavailable\tplain\tor\tflavored\twith\tpureed\tfruits\tor\tvegetables.\tSome\n\tmay\thave\tadded\tsweeteners,
|
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may\thave\tadded\tsweeteners,\nwhich\tmost\tinfants\tdo\tnot\tneed\tin\ttheir\tdiet.\tThey\toften\tcontain\tthickeners\tsuch\tas\tpectin,\ttapioca\nstarch,\tor\tflour.\nVarious\tcommercially\tprepared\tfoods\tand\torganically\tgrown\tproducts\tare\tavailable\tfor\tinfants.\tSee\nFocus\tOn:\n\tIs\tOrganic\tProduce\tHealthier?\tin\t\nChapter\t8\n\tfor\ta\tdiscussion\tof\torganic\tfoods.\tThese
|
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] |
Chapter\t8\n\tfor\ta\tdiscussion\tof\torganic\tfoods.\tThese\nproducts\tvary\twidely\tin\ttheir\tnutrient\tvalue.\tFoods\tfor\tinfants\n\tshould\tbe\tthoughtfully\tselected\tto\nmeet\ttheir\tnutritional\tand\tdevelopmental\tneeds.\nPreviously,\tfamilies\twere\tadvised\tto\tdelay\tintroducing\tpotentially\tallergenic\tfoods\tsuch\tas\tdairy,
|
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peanuts,\tegg\twhites,\tand\tfish\tuntil\tafter\tthe\tfirst\tbirthday.\tAllergy\texperts\tnow\tsay\tthat\tfor\tinfants\nwith\tno\tfamily\thistory\tof\tfood\tallergy,\tthere\tis\tno\treason\tto\tdelay\tintroducing\tthese\tfoods,\tand\tin\tfact\nintroducing\n\tthese\tfoods\tbefore\tthe\tinfant’s\tfirst\tbirthday\tmay\thave\tprotective\teffects\tagainst\ndeveloping\tfood\tallergies\tlater\tin\tlife\t(
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developing\tfood\tallergies\tlater\tin\tlife\t(\nFleischer\tet\tal,\t2013\n).\nFeeding\nEarly\tfeeding\tpatterns\nBecause\tmilk\tfrom\ta\tmother\twith\tan\tadequate\tdiet\tis\tdesigned\tuniquely\tto\tmeet\tthe\tneeds\tof\tthe\nhuman\tinfant,\tbreastfeeding\tfor\tthe\tfirst\t6\tmonths\tof\tlife\tis\trecommended\tstrongly.\tMost\tchronic\nmedical\tconditions\n\tdo\tnot\tcontraindicate\tbreastfeeding.
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] |
they\tcan\tbe\tsupportive\tof\tbreastfeeding.\tIdeally,\tcounseling\tand\tpreparation\tfor\tbreastfeeding\tstarts\nin\tthe\tlast\tfew\tmonths\tor\tweeks\tof\tpregnancy\t(see\t\nChapter\t14\n).\nRegardless\tof\twhether\tinfants\tare\tbreastfed\tor\tformula\tfed,\tthey\tshould\tbe\theld\tand\tcuddled
|
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] |
during\tfeedings.\tOnce\ta\tfeeding\trhythm\thas\tbeen\testablished,\tinfants\tbecome\tfussy\tor\tcry\tto\tindicate\nthey\tare\thungry,\twhereas\tthey\toften\tsmile\tand\tfall\tasleep\twhen\tthey\tare\tsatisfied\t(\nTable\t15.5\n).\nInfants,\tnot\tadults,\tshould\testablish\tthe\tfeeding\tschedules.\tFeeding\tschedules\tvary\twidely\tamong\ninfants,\twith
|
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infants,\twith\n\tbreastfed\tinfants\ttending\tto\tfeed\tmore\tfrequently\tthan\tformula-fed\tinfants.\tInitially,\nmost\tinfants\tfeed\tevery\t2\tto\t3\thours;\tby\t2\tmonths\tof\tage\tmost\tfeed\tevery\t3\tto\t4\thours.\tBy\t6\tmonths\nof\tage\tinfants\tusually\tare\table\tto\tconsume\tenough\tduring\tthe\tday\tto\tallow\tthe\tparent\tor\tcaregiver\tto
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] |
omit\tnight\tfeedings.\tInfants\tmay\tfeed\tmore\tfrequently\tduring\tperiods\tof\trapid\tgrowth.
|
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] |
Table\t15.5\nHunger\tand\n\tSatiety\tBehaviors\tin\tInfants\nApproximate\tAge\nHunger\tCue\nSatiety\tCue\nBirth\tthrough\t5\nmonths\nWakes\tand\ttosses\nSucks\ton\tfist\nFusses\tor\tcries\nOpens\tmouth\twhile\tfeeding\tto\tshow\nwants\tmore\nFalls\tasleep\nTurns\thead\taway\nSeals\tlips\ttogether\nDecreases\trate\tof\tsucking\tor\tstops\nsucking\nPurses\tlips,\tbites\tnipple,\tspits\tnipple\tout,
|
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] |
sucking\nPurses\tlips,\tbites\tnipple,\tspits\tnipple\tout,\nor\tsmiles\tand\tlets\tgo\n4\tmonths\tthrough\t6\nmonths\nFusses\tor\n\tcries\nSmiles,\tcoos,\tgazes\tat\tcaregiver\nduring\tfeeding\nMoves\thead\ttoward\tspoon\nTries\tto\tswipe\tfood\ttoward\tmouth\nDistracted\tor\tpays\tmore\tattention\tto\nsurroundings\nTurns\thead\taway\nBites\tnipple\tor\tspits\tit\tout
|
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] |
surroundings\nTurns\thead\taway\nBites\tnipple\tor\tspits\tit\tout\nDecreases\trate\tof\tsucking\tor\tstops\nsucking\nObstructs\tmouth\twith\thands\n5\tmonths\tthrough\t9\nmonths\nReaches\tfor\tfood\nPoints\tto\tfood\nRate\tof\tfeeding\tslows\tdown\nPushes\tfood\taway\nKeeps\n\tmouth\ttightly\tclosed\nChanges\tposture\nUses\thands\tmore\tactively\n8\tmonths\tthrough\n11\tmonths
|
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Changes\tposture\nUses\thands\tmore\tactively\n8\tmonths\tthrough\n11\tmonths\nGets\texcited\twhen\tfood\tis\tpresented\nReaches\tfor\tfood\nPoints\tto\tfood\nClenches\tmouth\tshut\nPushes\tfood\taway\nRate\tof\tfeeding\tslows\tdown\nShakes\thead\tto\tsay\t“no\tmore”\nPlays\twith\tutensils,\tthrows\tutensils\n10\tmonths\tthrough\n12\tmonths\nExpresses\tdesire\tfor\tspecific\tfood\nwith\twords\tor\tsounds
|
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] |
12\tmonths\nExpresses\tdesire\tfor\tspecific\tfood\nwith\twords\tor\tsounds\nHands\tbottle\n\tor\tcup\tto\tcaregiver\nShakes\thead\tto\tsay\t“no\tmore”\nSputters\twith\ttongue\tand\tlips\nModified\tfrom\tU.S.\tDepartment\tof\tAgriculture:\t\nInfant\tNutrition\tand\tFeeding:\ta\tGuide\tfor\tUse\tin\tthe\tWIC\tAnd\tCSF\tPrograms\n,\tWashington\tDC,\t2009.\nDevelopment\tof\tfeeding\tskills
|
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] |
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