Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 4 Issue 9

Nutrient Assessment and Potential Renal Load of Solutes in Infant Powder Formulas Available on the Honduran Market

Adriana Beatriz Di Iorio*, Erika Yomalli Mera Cruz, Aquileo Daniel González De León Gómez and Adriana Hernandez Santana

Department of Food Sciences, Zamorano University, Municipality of San Antonio de Oriente, Francisco Morazan, Honduras

*Corresponding Author: Adriana Beatriz Di Iorio, Department of Food Sciences, Zamorano University, Municipality of San Antonio de Oriente, Francisco Morazan, Honduras.

Received: June 17, 2020; Published: August 28, 2020

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Abstract

Introduction: Infant formulas (FIP) are food products that have been modified to partially or totally satisfy the physiological needs of the baby, manufactured under the rules of the Alimentarius Codex.

Objective: To evaluate whether the FIP available in the Honduran market comply with the international regulations European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGAN) and the European Technical Regulation (RTS), regarding the potential renal load of solutes (CRPS) and the content of vitamins, minerals and proteins.

Methods: The sample was 39 FIP, descriptive statistics was used, a review of the nutritional labeling was performed and the CRPS of each FIP was estimated. Statistical correlation was established between minerals, proteins and CRPS using the SPSS 25.0 program.

Results: 55% of FIP come from Mexico, the estimated CRPS is correlated with their protein content; FIP CRPS for > 1 year was 237.28 mOsm/L and 130.36 mOsm/L on average. A higher caloric and micronutrient concentration was observed in FIP for premature infants. In all FIP, the macronutrient content was in accordance with the recommendations of ESPGAN and RTS.

Conclusion: FIPs of 0 - 12 months do not comply with the CRPS recommendation for the age of 0 - 6 months. The fat-soluble vitamins were located in the minimum limits established by the RTS. 5% of the FIP evaluated contained trans fatty acids and for over a year were above the maximum limit established for vitamin B3.

Keywords: CRPS; Infant Formulas; Water-Soluble Vitamins; Iron; Premature

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References

  1. World Health Organization (WHO). Feeding of infants and young children (2018).
  2. Honduras Ministry of Health, National Institute of Statistics INE and ICF International. National Health and Demographic Survey 2011-2012. Tegucigalpa, Honduras: SS, INE and ICF International; 2013. World Health Organization and UNICEF. Acceptable medical reasons for the use of breast milk substitutes (2009).
  3. Fernández Palacios L., et al. “Degree of malnutrition and its relationship to the main structural and food factors of the Honduran preschool population. Prevalence of breastfeeding in breastfeeding”. Hospital Nutrition3 (2017): 639-646.
  4. Hernández Aguilar MT and Aguayo Maldonado J. “Breastfeeding. How to promote and support breastfeeding in pediatric practice. Recommendations of the LAP Breastfeeding Committee”. Annals of Pediatrics4 (2015): 340-356
  5. Aragon M., et al. “Maternity in adolescence and lactation”. Revista Nursing Docente104 (2015): 49-54.
  6. Ashwini S., et al. “Comparison of breast feeding practices among urban and rural mothers: A cross-sectional study”. International Journal of Medicine and Public Health 1 (2014): 120-124.
  7. World Health Organization (WHO). Feeding of infants and young children (2018).
  8. CODEX ALIMENTARIUS (1981): Standard For Infant Formula And Formulas For Special Medical Purposes Intended For Infants. Codex. In FAO.org CODEX STAN 72-1981 (2007).
  9. Marquez, Mayra., et al. “Microbiologic contamination in infant powder formulas in two hospitals in Honduras”. Revista Chilena 5 (2019): 571-578.
  10. Wakida-Kuzunoki G., et al. “Consumption of cow's milk in paediatric age. Review of the scientific evidence. Consensus document of the Mexican Society of Pediatrics”. Revista Mexicana De Pediatría 86 (2019): S3-S16.
  11. López Marín B., et al. “Reasons for early abandonment of exclusive breastfeeding: an unresoCMed public health problem in the city of Medellin”. National Faculty of Public Health: The Scenario for Public Health From Science 31.1 (2013): 117-126.
  12. Commission Directive 2006/141/EC of the Commission of the European Union. “Child formulas and tracking formulas”. Official Journal of the European Communities (2015).
  13. International Codex Alimentarius Food Standards. Standard for infant formula and formulas for special medical purposes intended for infants (2014).
  14. Raspini M., et al. “Healthy child feeding. Practical work guide” (2014).
  15. Lorenzo J., et al. “Healthy Child Nutrition: Renal Load of Solutes”. Chapter 7. 1st ed. Editorial and distributor corpus (2015).
  16. Cuadros-Mendoza CA., et al. “Complementary feeding news”. Pediatric Act of Mexico3 (2017): 182-201.
  17. Torrasani Maria Elena. Nutritional care of the child born pretermino. Potential Renal Load of solutes. 1st edition. Buenos A: Editorial Universitaria de Buenos Aires 1 (2007).
  18. ML Cillerruelo and CaCMo Cristina. “Formulas adapted for infants and current modifications of infants”. Anales de Pediatría Continuada 6 (2004): 325-338.
  19. De Abreu Jorge., et al. “Osmolality of products and formulas for nutritional therapy”. Investigación Clínica 50 (2009): 433-445.
  20. 2006/141/EC of the European Commission of 22 December on infant formulae and follow-on preparations amending Directive 1999/21/EC. DOCE L401, 30.12.2006;1-33.
  21. Vasquez-Garibay EM. First year of life. Human milk and substitutes for human milk”. Gaceta medica de Mexico 1 (2016): 13-21.
  22. Martin CR., et al. “Review of Infant Feeding: Key Features of Breast Milk and Infant Formula”. Nutrients 5 (2006): 279.
  23. Wei W., et al. “Composition of phospholipids and fatty blood cell structure I: Comparison of human milk fat of different gestational ages, lactation stages and infant formulas”. Journal of Agricultural and Food Chemistry (2019).
  24. AGOSTONI Carlo., et al. “Enteral nutrient supply for preterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition”. Journal of Pediatric Gastroenterology and Nutrition 1 (2010): 85-91.
  25. Unicef. Institutional Policy on Breastfeeding. Basic criteria for a model proposal. Ministry of Health Argentina (2001).
  26. Lönnerdal B. “Infant formula and infant nutrition: Bioactive proteins of human milk and implications for composition of infant formulas”. American Journal of Clinical Nutrition3 (2014).
  27. Ziegler E. “Adverse effects of cow's milk in infants”. In Nestle Nutrition Workshop Series: Pediatric Program 60 (2007): 185-196.
  28. Shaw V and Lawson M. “Nutritional assessment, dietary requirements, feed supplementation”. Clinical Paediatric Dietetics. 3rd ed. Oxford: Blackwell Publishing (2007): 3-20.
  29. Cabrera RM., et al. “Investigations into the etiology of neural tube defects”. Birth Defects Research Part C - Embryo Today: Reviews (2004).
  30. Vuilleumier JP., et al. “Clinical chemical methods for the routine assessment of the vitamin status in human populations. Part II: The water-soluble vitamins B1, B2 and B6”. International Journal for Vitamin and Nutrition Research 53 (1983): 359e70.
  31. Kwan BC., et al. “Lipoprotein metabolism and lipid management in chronic kidney disease”. Journal of the American Society of Nephrology 18 (2007): 1246e61.
  32. Ramaekers VT. “Folate Deficiency States”. Encyclopedia of Neuroscience (2010): 283-295.
  33. Black MM. “Effects of vitamin B12 and folate deficiency on brain development in children”. The Food and Nutrition Bulletin (2008)
  34. Jardí Piñana, C., et al. “Nutritional composition of infant milk formulas. Level of compliance in their manufacture and adequacy of nutritional needs”. Annals of Pediatrics6 (2015): 417-429.
  35. De Paz R., et al. “Megaloblastic anemia”. Clinical Medicine5 (2006): 185-188.
  36. Agostoni C., et al. “Free Amino Acid Content in Standard Infant Formulas: Comparison with Human Milk”. Journal of the American College of Nutrition4 (2000): 434-438.
  37. KLEIN Catherine J. “Nutrient requirements for preterm infant formulas”. The Journal of Nutrition6 (2002): 1395S-1577S.
  38. World Health Organization (WHO). Iron Deficiency Anemia Assessment, Prevention and Control: A guide for programme managers: World Health Organization (2001).
  39. Chesney RW., et al. “The Role of Taurine in Infant Nutrition”. En: Schaffer S., Lombardini JB, Huxtable RJ (eds) Taurine 3 (1998): 463-476.
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Citation

Citation: Adriana Beatriz Di Iorio., et al. “Nutrient Assessment and Potential Renal Load of Solutes in Infant Powder Formulas Available on the Honduran Market". Acta Scientific Nutritional Health 4.9 (2020): 99-107.




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