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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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1. Proteins (quantity & quality)

2. Fats (quality!)

3. Carbohydrates

4. Minerals
      Iron
      Copper

5. Vitamins
       Vit. D
       Vit. E


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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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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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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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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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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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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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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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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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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 babymore 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
iron defeciency symptoms( low
resistance to effort, drowsiness,
weakness, vertigo, lack of appetite, rughts reserved by Mahdi
12 January 2013
                                   All
                                  Sufian.mahdisufin@gmail.com
weigh gain delay)
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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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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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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Special thanks to




                       All rughts reserved by Mahdi
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Q&A




                   All rughts reserved by Mahdi
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Why full cream milk is not suitable

  • 1. All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 3. 1. Proteins (quantity & quality) 2. Fats (quality!) 3. Carbohydrates 4. Minerals  Iron  Copper 5. Vitamins  Vit. D  Vit. E All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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% All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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). All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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. All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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! All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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. All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 babymore 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 iron defeciency symptoms( low resistance to effort, drowsiness, weakness, vertigo, lack of appetite, rughts reserved by Mahdi 12 January 2013 All Sufian.mahdisufin@gmail.com 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. All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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 All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 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. All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 16. Special thanks to All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com
  • 17. Q&A All rughts reserved by Mahdi 12 January 2013 Sufian.mahdisufin@gmail.com