2. Children 1 – 3 yrs
• Diversified food + FCM(*) DO NOT
meet the requirements.
• Diversified food + GUF (**)
DO meet the requirements.
GUF
(*) FCM = full cream milk (**) GUF = growing-up milk formula
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3. 1. Proteins (quantity & quality)
2. Fats (quality!)
3. Carbohydrates
4. Minerals
Iron
Copper
5. Vitamins
Vit. D
Vit. E
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4. Recommendations 2 x 200ml milk/formula per day
FCM GUF
13 g/day 103% 80%
13.4 8.0
DRI DRI
• Babies 1-3 years: on average: 40 g/day (meat
fish,poultry,egg.)
• 7-8 g protein from diversified food.
• Total protein intake/day:
• * with FCM: 20.9 g prot./day
• * with GUF: 15.5 g prot./day
• According to the E.U. Panel of Experts and other
reports:
• Food intake too rich in proteins among infants and
young children
• risk of renal failure
• risk of overweight
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5. MM FCM GUF
Whey= lactoserum 50% 18% 50%
Casein 50% 82% 50%
It is recommended that babies’ milk complement
at least until 2 years, should have amino- acid
profile
close to that of breast milk.
Whey/Casein ratio in mother milk:
Colostrum Mature Late
breast milk lactation
Whey 90% 55% 50%
Casein 10% 45% 50%
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6. FATS
• * Quantity of total fats : same in FCM and REGALAC®3
FCM GUF
DRI 1-3 Y
2 x 200 ml 2 x 200 ml
Linoleic Ac. (ω6) 7000 mg 60mg 1160mg
α- Linolenic
700 mg 28mg 60mg
(ω3)
Some ω6 are found in usual food
ω3 is seldom present in usual food and always in
very small quantity
Low ω6 desquamation, loss of hair, slow scarring
and growth retardation
Low ω3 impaired development and physiology of
the retina, of brain and neurological function (DHA
accumulates in the brain at least till the age of 2).
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7. Carbohydrates
Strictly on a pure nutritional point of view, FCM is
convenient for children 1-3 years in term of
composition of its carbohydrates (100% lactose).
However, FCM contains only 4.7 g carbohydrates
whilst a GUF ( just like like Breast Milk) contains 7.6
g/100 ml (7g/100ml in Breast Milk).
Some sucrose is added in GUF in order to make it
more palatable, taking into account that children of
that age do not accept easily new food (neophobia)
and tend to reject any kind of food.
Moreover some maltodextrin is added for an optimal
tolerance.
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8. IRON
mg/DAY DRI 2 x 200 ml
GUF FCM
IRON 7 mg/d
5.5 mg/d 0.24 mg/d
Meat : 2.5 mg Iron per 100 g of meat
30 g meat/day 0.75 mg iron per day
+ 400 ml FCM => 0.99mg Fe: !!!
+ 400 ml GUF => 6.25 mg Fe: ok
50 g meat/day 1.25 mg iron perday
+ 400 ml FCM => 1.49 mg Fe: !!!
+ 400 ml GUF => 6.75 mg Fe: ok
Iron deficiency anemia (IDA) is the most
widespread illness due to intake deficiency
around the world based on a UNICEF report!
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9. COPPER
DRI (µg/d) 2 x 200 ml
FCM GUF
340 µg/d
26 µg 282µg
40 g (lamb, chicken, fish, beef) => 120 µg
+ FCM => 146 µg/d !!!
+ GUF => 402 µg/d ok
Cu is a co-factor of oxydation enzymes that intervenes in the collagene on
elastin synthesis.
Lack of Cu - poor cartilages quality
- poor bones mineralization
- poor immunity
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10. VITAMIN D
DRI (µg/d) 2 x 200 ml
FCM GUF
5.0
0.36 5.3
3 years old children usual food : 350 g
(Vit. D in fish, cheese, egg): 40 g 1.2 µg/d
Usual food + FCM
=> 1.2 µg + 0.36 µg = 1.56 µg Vit. D. !!!
Usual food + GUF
=> 1.2 µg + 5.3 µg = 6.5 µg Vit. D.: OK
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11. VITAMIN E
DRI 2 x 200 ml.
FCM GUF
6 IU/d
0.4 IU/d 3.6 IU/d
Usual food : 1 year old baby: 1.9 IU
3 years old baby: 2.7 IU
1 year:
1.9 IU + 0.4 IU (FCM) => 2.3 IU/d !!!
1.9IU + 3.6 IU (GUF) => 5.5 IU/d ok
3 years:
2.7 IU + 0.4 IU (FCM) => 3.1 IU/d !!!
2.7 IU + 3.6 IU (GUF) => 6.3 IU/d ok
Cell membranes anti-oxydant.
Neutralizes free radicals that create toxic lipidic peroxydes
Intervenes in platelets aggregations.
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12. Full cream milk is not • Why Junior Formulas
adapted to adapted to
1-3 yrs? 1-3 yrs?
Too high Pro=> risk of overweight & • Adequate Pro quality=> lower risk
renal failure later stage of overweight & renal failure later
stage
older babymore FCM varies from • Junior Formulas has an AA profile
breast milk in Pro. Composition identical to that breast feeding milk
FCM contains few ω6 & ω3 risk of
impaired crain & retina development, • More secure growth, brain & retina
intellectual & neurobiological development, intellectual &
functtions,retrded growth, slow scarring, neurological functions.
hair desquamation
1-3 yrs can show • Junior Formulas are:
- intolerance to FCM -well tolerated
- rejection of FC for a matter of taste - is tasty
High risk of iron deficiency anemia & othe • 12
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weigh gain delay)
13. Full cream milk is not • Why Junior Formulas
adapted to adapted to
1-3 yrs? 1-3 yrs?
Cu: FCM is very poor. Junior Formulas have been widely
supplemented
=> Poor cartilage quality, bone
mineralization and immunity deficiency. => Strong joints and bones, excellent
immunity.
Vit. D.: far from requirements Vit. D: strong bones and teeth also thanks
to the appropriate Ca intake.
=> Weak bones and teeth mineralization,
rickets.
Vit. E: Negative effect on fats Vit. E: protects body tissues integrity,
helps in hemostasis.
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14. Why not Full Cream Milk?
• The composition of milk is specific to the needs of each species.
Nutritional needs vary considerably from one species to another.
Young animals have a much faster growth rate than that of small
children. Young calves are able to walk after only a few days, and
this is far from the case with babies. The composition of milk
produced by each animal species is different and therefore
corresponds to the needs of its young. This is why FCM is
extremely rich in proteins and mineral salts.
• Breast milk, for its part, is very low in proteins and low in mineral
salts, whilst it is rich in amino acids and fatty acids deemed to be
essential for humans, as they do not have the ability to produce
them and must consequently garner them from their diet.
• FCM is not therefore suitable in the diet of small children.
Preparations for infants are mostly produced using FCM as a basis.
The FCM undergoes a large number of modifications and
enrichments in order to imitate breast milk as closely as possible.
Martine Robert, Head of Nutrition Department,
Queen Fabiola Children Hospital, Brussels Free University, Belgium
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15. Conclusion
For children 1 – 3 years old, Full Cream Milk cannot be
considered as a suitable nutritional complement to
diversified usual food: FCM is produced for calves…
Opposite, a suitable Growing-Up Formula has been
developed and carefully formulated to complement usual
food, taking into account the intake concentration of
each ingredient in order to meet all requirements for an
optimal growth and development of babies of that age.
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16. Special thanks to
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17. Q&A
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