Familiarity of Pediatricians With Different Commercially Available Neonatal and Infant Formulas

Abstract

To assess the familiarity of pediatricians with commercially available formulas and their use for cow's milk protein allergy and colic, a list of formulas was generated by visiting several grocery stores. Pediatricians were ask to indicate their familiarity with these and other “specialized” formulas with regard to protein and carbohydrate sources, energy content, hypoallergenicity, and indication for infant colic. The participants answered an average of 46% of the questions correctly. Respondents were very familiar with 27% of the formulas, and unfamiliar with 35%. The highest score was 70%, and 10% of the responders correctly answered 65% or more of the questions. Fifty-one percent correctly identified the protein source of the formulas; 32% correctly identified the carbohydrate source. The energy content of the formulas was correctly identified by 54%. These data suggest that pediatricians have a poor understanding of the content and appropriate use of neonatal and infant formulas.

Keywords

hypoallergenic hydrolysate soy cow's milk protein amino acid colic nutrition

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References

American Academy of Pediatrics, Committee on Nutrition. Hypoallergenic infant formulas. Pediatrics. 2000;106: 346-349.

American Academy of Pediatrics. Soy protein-based formulas: recommendations for use in infant feeding. Pediatrics. 1998;101:148-153.

American Academy of Pediatrics. Iron fortification of infant formula. Pediatrics. 1999; 104:119-123.

Conkin CA , Gilger MA , Jennings HC , et al. The Baylor Pediatric Nutrition Handbook. 2nd ed. Houston, Tex: Baylor College of Medicine; 2001:69-102.

Hardiman G. In: Walker WA , Duggan C , Watkins JB , eds. Nutrition in Pediatrics: Enteral Nutrition, Appendix. 3rd ed. Hamilton, Ontario, Canada: BC Decker Inc; 2003: 1060-1074.

Forchielli ML , Bines J. In: Walker WA , Duggan C , Watkins JB , eds. Nutrition in Pediatrics: Enteral Nutrition. 3rd ed. Hamilton, Ontario, Canada: BC Decker Inc; 2003: 945-956.

Berger-Achituv S. , Shosat T. , Romano-Zelekha O. , et al. Widespread use of soy-based formula without clinical indications. J Pediatr Gastroenterol. 2005;41(5):660-666.

Hide DW , Guyer BM Prevalence of infant colic. Arch Dis Child. 1982;57:559-560.

Estep DC , Kulczycki A.

Colic in breast milk-fed infants: treatment by temporary substitution of Neocate infant formula. Act

Pediatr. 2001;90(3):359-360.

10.

Lucassen PL , Assendelft WJ , Gubbels JW , et al. Effectiveness of treatments for infantile colic: systematic review. Br Med J. 1998;316(144):1563-1569.

11.

Thomas DW , McGilligan K. , Eisenberg LD , et al. Infantile colic and type of milk feeding. Am J Dis Child. 1987; 141 (4):451-453.

12.

Blass EM , Hoffmeyer LB Sucrose as an analgesic for newborn infants. Pediatrics. 1991;87:215-218.

13.

Taubman B. Parental counseling compared with elimination of cow's milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. Pediatrics. 1988;81:756-761.