Middle East consensus recommendations on the use of young child formula (YCF) in toddlers

Affiliations

08 July 2022

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doi: 10.1017/jns.2022.54


Abstract

The transition of foods during toddlerhood and the suboptimal diets consumed in the Middle East make children susceptible to malnutrition and micronutrient deficiencies. Based on international recommendations, coupled with the merits of clinical studies on the application of young child formula (YCF), a group of fourteen experts from the Middle East reached a consensus on improving the nutritional status of toddlers. The recommendations put forth by the expert panel comprised twelve statements related to the relevance of YCF in young children; the impact of YCF on their nutritional parameters and functional outcomes; characteristics of the currently available YCF and its ideal composition; strategies to supply adequate nutrition in young children and educational needs of parents and healthcare professionals (HCPs). This consensus aims to serve as a guide to HCPs and parents, focusing on improving the nutritional balance in toddlers in the Middle Eastern region. The panellists considere YCF to be one of the potential solutions to improve the nutritional status of young children in the region. Other strategies to improve the nutritional status of young children include fortified cow's milk and cereals, vitamin and mineral supplements, early introduction of meat and fish, and the inclusion of diverse foods in children's diets.

Keywords: Diet; Macronutrients; Malnutrition; Micronutrients; Vitamin D deficiency.


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References

  1.  
    1. Suthutvoravut U, Abiodun P, Chomtho S, et al. (2015) Composition of follow-up formula for young children aged 12–36 months: recommendations of an international expert group coordinated by the nutrition association of Thailand and the early nutrition academy. Ann Nutr Metab 67, 119–132. doi:10.1159/000438495. - DOI - PubMed
  2.  
    1. Chouraqui J, Turck D, Tavourlaris G, et al. (2019) The role of young child formula in ensuring a balanced diet in young children. Nutrients 11, 2213. doi:10.3390/nu11092213. - DOI - PMC - PubMed
  3.  
    1. Al-Jawaldeh A, Taktouk M & Nasreddine L (2020) Food consumption patterns and nutrient intakes of children and adolescents in the Eastern Mediterranean Region: a call for policy action. Nutrients 12, 3345. doi:10.3390/nu12113345. - DOI - PMC - PubMed
  4.  
    1. Ali H, Ng S, Zaghloul S, et al. (2013) High proportion of 6 to 18-year-old children and adolescents in the United Arab Emirates are not meeting dietary recommendations. Nutr Res 33, 447–456, doi:10.1016/j.nutres.2013.03.008. - DOI - PubMed
  5.  
    1. Alsubaie A (2018) Intake of fruit, vegetables and milk products and correlates among school boys in Saudi Arabia. Int J Adolesc Med Health 33, 20180051, doi:10.1515/ijamh-2018-0051. - DOI - PubMed
  6.  
    1. Nasreddine L, Ayoub JJ & Al Jawaldeh A (2018) Review of the nutrition situation in the Eastern Mediterranean Region. East Mediterr Health J 24, 77–91, doi:10.26719/2018.24.1.77. - DOI - PubMed
  7.  
    1. World Health Organization (2013) Essential nutrition actions: improving maternal, newborn, infant and young child health and nutrition. Available at https://apps.who.int/iris/bitstream/handle/10665/84409/9789241505550_eng... (accessed 24 February 2022). - PubMed
  8.  
    1. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2013) Scientific opinion on nutrient requirements and dietary intakes of infants and young children in the European Union. EFSA J 11, 3408. doi:10.2903/j.efsa.2013.3408. - DOI
  9.  
    1. Kehoe L, Walton J, McNulty BA, et al. (2017) Dietary strategies for achieving adequate vitamin D and iron intakes in young children in Ireland. J Hum Nutr Diet 30, 405–416. doi:10.1111/jhn.12449. - DOI - PubMed
  10.  
    1. Hojsak I, Bronsky J, Campoy C, et al. (2018) Young child formula: a position paper by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 66, 177–185, doi:10.1097/MPG.0000000000001821. - DOI - PubMed
  11.  
    1. European Commission (2016) Report from the Commission to the European Parliament and the Council on Young Child Formulae. Available at https://publications.europa.eu/en/publication-detail/-/publication/bf730... (accessed 24 February 2022).
  12.  
    1. Eussen S, Pean J, Olivier L, et al. (2015) Theoretical impact of replacing whole cow's milk by young-child formula on nutrient intakes of U.K. young children: results of a simulation study. Ann Nutr Metab 67, 247–256. doi:10.1159/000440682. - DOI - PubMed
  13.  
    1. Vieux F, Brouzes C, Maillot M, et al. (2016) Role of young child formulae and supplements to ensure nutritional adequacy in U.K. young children. Nutrients 8, 539. doi:10.3390/nu8090539. - DOI - PMC - PubMed
  14.  
    1. Verger E, Eussen S & Holmes B (2016) Evaluation of a nutrient-based diet quality index in U.K. young children and investigation into the diet quality of consumers of formula and infant foods. Public Health Nutr 19, 1785–1794. doi:10.1017/S1368980015003134. - DOI - PubMed
  15.  
    1. Akkermans M, Eussen S, van der Horst-Graat J, et al. (2017) A micronutrient-fortified young-child formula improves the iron and vitamin D status of healthy young European children: a randomized, double-blind controlled trial. Am J Clin Nutr 105, 391–399. doi:10.3945/ajcn.116.136143. - DOI - PubMed
  16.  
    1. Kosuwon P, Lao-Araya M, Uthaisangsook S, et al. (2018) A synbiotic mixture of scGOS/lcFOS and Bifidobacterium breve M-16V increases faecal Bifidobacterium in healthy young children. Benef Microbes 9, 541–552. doi:10.3920/BM2017.0110. - DOI - PubMed
  17.  
    1. Chatchatee P, Lee W, Carrilho E, et al. (2014) Effects of growing-up milk supplemented with prebiotics and LCPUFAs on infections in young children. J Pediatr Gastroenterol Nutr 58, 428–437. doi:10.1097/MPG.0000000000000252. - DOI - PMC - PubMed
  18.  
    1. Chouraqui J, Tavoularis G, Emery Y, et al. (2018) The French national survey on food consumption of children under 3 years of age – Nutri-Bébé 2013: design, methodology, population sampling and feeding practices. Public Health Nutr 21, 502–514. doi:10.1017/S1368980017002518. - DOI - PubMed
  19.  
    1. Hower J, Knoll A, Ritzenthaler KL, et al. (2013) Vitamin D fortification of growing up milk prevents decrease of serum 25-hydroxyvitamin D concentrations during winter: a clinical intervention study in Germany. Eur J Pediatr 172, 1597–1605. doi:10.1007/s00431-013-2092-6. - DOI - PubMed
  20.  
    1. Wall C, Hill R, Lovell A, et al. (2019) A multicenter, double-blind, randomized, placebo-controlled trial to evaluate the effect of consuming growing up milk “Lite” on body composition in children aged 12–23 months. Am J Clin Nutr 109, 576–585. doi:10.1093/ajcn/nqy302. - DOI - PubMed
  21.  
    1. World Health Organization (2011) Regional strategy on nutrition 2010–2019 and plan of action. Available at https://applications.emro.who.int/dsaf/dsa1230.pdf?ua=1 (accessed 25 February 2022).
  22.  
    1. Hwalla N, Al Dhaheri A, Radwan H, et al. (2017) The prevalence of micronutrient deficiencies and inadequacies in the Middle East and approaches to interventions. Nutrients 9, 229. doi:10.3390/nu9030229. - DOI - PMC - PubMed
  23.  
    1. Green RJ, Samy G, Miqdady MS, et al. (2015) Vitamin D deficiency and insufficiency in Africa and the Middle East, despite year-round sunny days. S Afr Med J 105, 603–605. doi:10.7196/SAMJNEW.7785. - DOI - PubMed
  24.  
    1. World Health Organization (2019) WHO Global Anaemia estimates, 2021 Edition. Available at https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_chi... (accessed 25 February 2022).
  25.  
    1. Abdulrazzaq YM, Nagelkerke N, Abdulla S, et al. (2016) Nutrient intake of infants and toddlers in the United Arab Emirates: The feeding infants and toddlers study. East Mediterr Health J 22, 293–300. https://apps.who.int/iris/handle/10665/259965 - PubMed
  26.  
    1. Ghisolfi J, Fantino M, Turck D, et al. (2013) Nutrient intakes of children aged 1–2 years as a function of milk consumption, cows’ milk or growing-up milk. Public Health Nutr 16, 524–534. doi:10.1017/S1368980012002893. - DOI - PubMed
  27.  
    1. Walton J & Flynn A (2013) Nutritional adequacy of diets containing growing up milks or unfortified cow's milk in Irish children (aged 12–24 months). Food Nutr Res 57, 21836. doi:10.3402/fnr.v57i0.21836. - DOI - PMC - PubMed
  28.  
    1. Lippman H, Desjuex J, Ding Z, et al. (2016) Nutrient recommendations for growing-up milk: a report of an expert panel. Crit Rev Food Sci Nutr 56, 141–145. doi:10.1080/10408398.2012.702702. - DOI - PubMed
  29.  
    1. Kostecka M, Jackowska I, Kostecka J, et al. (2021) A comparison of the effects of young-child formulas and cow's milk on nutrient intakes in Polish children aged 13–24 months. Nutrients 13, 2511. doi:10.3390/nu13082511 - DOI - PMC - PubMed
  30.  
    1. Vandenplas Y, De Ronne N, Van De Sompel A, et al. (2014) A Belgian consensus-statement on growing-up milks for children 12–36 months old. Eur J Pediatr 173, 1365–1371. doi:10.1007/s00431-014-2321-7. - DOI - PubMed
  31.  
    1. Alkazemi D & Salmean Y (2021) Fruit and vegetable intake and barriers to their consumption among university students in Kuwait: a cross-sectional survey. J Environ Public Health 9, 9920270. doi:10.1155/2021/9920270. - DOI - PMC - PubMed