This is a presentation about Milk powder and special formulas for some diseases. شیرخشک

1. Dr. Milad MohamadYari

2.  A food which purports to be or is represented
for special dietary use solely as a food for
infants by reason for its simulation of human
milk or its suitability as a complete or partial
substitute for human milk.
‫یا‬ ‫کامل‬ ‫جایگزین‬ ‫عنوان‬‫به‬ ‫که‬‫شیرمادر‬‫مشابه‬ ‫غذایی‬‫مواد‬
‫شو‬ ‫می‬ ‫استفاده‬ ‫شیرخوار‬ ‫ای‬‫ر‬‫ب‬‫شیرمادر‬ ‫از‬ ‫ی‬ ‫بخش‬ ‫جایگزین‬‫ا‬‫ر‬ ‫د‬
‫گویند‬ ‫می‬ ‫شیرخشک‬.

3.  Complementary feeding
‫شدن‬‫سیر‬ ‫ای‬‫ر‬‫ب‬ ‫شیرخشک‬ ‫سپس‬ ‫و‬ ‫ل‬‫او‬ ‫غذای‬ ‫عنوان‬‫به‬ ‫مادر‬‫شیر‬
‫کودک‬
 Supplementary feeding
‫شو‬ ‫می‬‫شیرمادر‬ ‫جایگزین‬ ‫شیرخشک‬ ‫ز‬‫و‬‫ر‬ ‫در‬ ‫وعده‬ ‫چند‬ ‫یا‬ ‫یک‬ ‫ای‬‫ر‬‫ب‬‫د‬
 Substitutive feeding
‫شود‬ ‫می‬ ‫مادر‬‫شیر‬ ‫جایگزین‬ ‫کامل‬‫ر‬‫طو‬ ‫به‬ ‫شیرخشک‬

5.  In 1867, Henri Nestlé created the first
commercially sold formula.
 The first formula containing wheat flour,
cow’s milk, malt flour, and potassium
bicarbonate.

7. Dates events
1867 A formula containing wheat
flour, cow’s milk, malt flour,
and potassium bicarbonate was
developed
1915 A powder form of infant
formula was introduced,
containing cow’s milk, lactose,
oleo oil, and vegtable oils
1929 Soy formula was introduced
1935 Protein was added to formula
1959 Iron fortification was
introduced

8. Dates events
1966 First premmie formula
designed to meet the special
nutritional needs of rapidly
growing low–birth–weight
infants
1984 First nutritionally complete
protein hydrolysate formula
containing MCT oil
Late 1990 lactose free cow milk-based
formulas appeared
Late 1990 Nucleotides were added to
some formulas
Early 2000 DHA and ARA were added to
formulas

9. Breast milk Cow’s Formula Soy’s Formula
20cal/oz 20cal/oz 20cal/oz
Lactose Lactose Corn syrup/sucrose
Protein: 9gr/L Protein: >15gr/L Protein: 17gr/L
Iron: 0.3mg/L Iron: 12mg/L Iron: 12mg/L
Vitamin D: 21 IU/L Vitamin D: 405 IU/L Vitamin D: 405 IU/L
260 mOsm/kg H2O
265-300 mOsm/kg
H2O
200 mOsm/kg H2O

11.  Milk protein intolerance (IGE mediated)
 Lactose intolerance (rare)
 Galactosemia
 Vegetarian diet

12.  Preterm infants < 1800 grams d/t risk of
osteopenia and growth concerns
 Hereditary fructose intolerance (contains
sucrose)

13. 1 ‫تولد‬‫از‬‫تا‬6‫ماهگی‬
2 ‫از‬6‫سال‬ ‫یک‬‫تا‬‫ماهگی‬
3 ‫از‬‫سال‬ ‫یک‬‫سال‬ ‫دو‬ ‫تا‬

14. Formula
Conventional Special
Pre mature
HA
LF
Other
High MCT
Special Dis.

15. Hypo Allergic
Hydrolysed Protein
Partial (whey) Extensive
Soy based
Cow’s milk based
AA Based

16. HA
Hydrolysed Protein Partial(whey)
Bebelac HA
NAN HA
Aptamil HA
Biomil HA
HA
AA Based
Hydrolysed Protein
Partial(whey)
Extensive

17. Extensive
Soy Based Percomida
Cow’s milk
Casein
Pregestimil
Nutramigen
Alimentum
Whey
Aptamil Pepti
Aptamil Pepti
Junior
HA
AA Based
Hydrolysed Protein
Partial(whey)
Extensive

18. HA
AA Based
Neocate
Comidagen
HA
AA Based
Hydrolysed Protein
Partial(whey)
Extensive

19. LactoseFree
Soy Based
Isomil
Biomil
SMA wysoy
Cow’s milk
AL-110
Bebelac LF
Similac LF
Biomil LF

20. Other
With high MCT
Caprilon
Portagen
Special Disease

21. Gluten Free Multi, Biomil soy, Pro Sorbee
Low Sodium Similac, Lonalac, Enfamid
Corn Free Nursoy
Sucrose Free Isomid, Formula S.
Low Phenylalanine Phenyldon mixture, Lofenalac
Phenylalanine Free Phenyldon Formula, Phenyl Free

22. Thank You