Современные возможности и будущее в создании детских молочных смесей
Современные возможности и будущее в создании детских молочных смесей
Mičetić-Turk D., Šikić Pogačar M. Современные возможности и будущее в создании детских молочных смесей. Педиатрия (Прил. к журн. Consilium Medicum). 2018; 1: 10–14. DOI: 10.26442/2413-8460_2018.1.10-14
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For citation: Mičetić-Turk D., Šikić Pogačar M. Recent development and future of infant milk formula. Pediatrics (Suppl. Consilium Medicum). 2018; 1: 10–14.
DOI: 10.26442/2413-8460_2018.1.10-14
Современные возможности и будущее в создании детских молочных смесей
Mičetić-Turk D., Šikić Pogačar M. Современные возможности и будущее в создании детских молочных смесей. Педиатрия (Прил. к журн. Consilium Medicum). 2018; 1: 10–14. DOI: 10.26442/2413-8460_2018.1.10-14
________________________________________________
For citation: Mičetić-Turk D., Šikić Pogačar M. Recent development and future of infant milk formula. Pediatrics (Suppl. Consilium Medicum). 2018; 1: 10–14.
DOI: 10.26442/2413-8460_2018.1.10-14
Рациональное вскармливание имеет огромное значение для развития детей, особенно новорожденных и недоношенных младенцев. До 1900-х годов выживаемость и здоровье детей грудного возраста были непосредственно связаны с возможностью естественного вскармливания. Грудное молоко было и остается лучшим питанием практически для всех младенцев. Наряду с обеспечением нормального темпа роста к преимуществам грудного вскармливания можно отнести его влияние на становление функций кишечника, иммуномодулирующий эффект, а также участие в постнатальном формировании структур головного мозга. Хотя грудное вскармливание рекомендовано всем младенцам, к сожалению, оно не всегда возможно и доступно. Несмотря на относительно низкую популярность молочных смесей в настоящее время, на рынке все же присутствует большое разнообразие продуктов. Современные молочные смеси доступны в трех формах: в виде порошка, требующего растворения перед кормлением; концентрированной жидкости, которая должна быть смешана с водой в равных пропорциях; наиболее дорогих готовых к употреблению продуктов. В статье представлены обзор современных возможностей производства детского питания, а также классификация молочных смесей, доступных на современном рынке. Также авторами рассмотрены возможные перспективы создания детских молочных смесей в будущем. Ключевые слова: детская молочная смесь, современные возможности производства, настоящее и будущее.
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Optimal nutrition is one of the most important aspects in the care of infants, especially for the preterm infants and neonates. Until the 1900s, an infant’s survival and health were closly related to the availability of breastmilk. Human milk was and still is the best food for nearly all infants. Besides physical growth, human milk offers a variety of other benefits, including modulation of postnatal intestinal function, maturation of immune system, and has positive effect on brain development. Even though breastfeeding is highly recommended, it may not always be possible, suitable or adequate. Despite somewhat lower popularity of infant milk formula at the moment, there is a wide range of products on the market. They are available in three different forms: powder, that must be mixed with water before feeding; concentrated liquid, that must be mixed with an equal amount of water; and ready-to-feed, the most expensive form of infant formula that requires no mixing. In the following article we presented a overview of the development and types of infant milk formulas, which are today available on the market. In the article, some thoughts about the future of infant milk formulas is also presented. Key words: infant milk formula, recent development, present and future.
Список литературы
1. Bode L, McGuire M, Rodriguez JM et al. It’s Alive: Microbes and Cells in Human Milk and Their Potential Benefits to Mother and Infant. Adv Nutr 2014; 5: 571–3. DOI:10.3945/an.114.006643
2. Martin CR, Ling P-R, Blackburn GL. Review of Infant Feeding: Key Features of Breastmilk and Infant Formula. Nutrients 2016; 8: 279. DOI:10.3390/nu8050279
3. Victora CG, Bahl R, Barros AJD et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387: 475–90.
4. Fewtrell M, Bronsky J, Campoy C et al. Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. JPGN 2017; 64: 119–32.
5. American Academy of Pediatrics (AAP) Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012; 129: e827–e841.
6. WHO/UNICEF. Global strategy for infant and young child fe eding. 2003. Available at: http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/ (Accessed 23 August 2017).
7. Koletzko B, Baker S, Cleghorn G et al. Global standard for the composition of infant formula: Recommendations of an ESPGHAN coordinated internation expert group. J Pediatr Gastroenterol Nutr 2005; 41: 584–99.
8. Fanaro S, Ballardini E, Vigi V. Different pre-term formula for different pre-term infants. Early Hum Dev 2010; 86 (1): 27–31.
9. Michaelsen KF, Greer FR. Protein needs early in life and long-term health. Am J Clin Nutr 2014; 99: 718S–722S.
10. Guo M. Human Milk Biochemistry and Infant Formula. In Manufacturing Technology. Elsevier: Cambridge, UK. 2014.
11. Owens CJW, Labuschagne IL, Lombard MJ. The basics of prescribing infant formulas. Afr Fam Pract 2012; 54 (1): 25–30.
12. O'Conner NR. Infant formula. Am Fam Physician 2009; 79 (7): 565–70.
13. Szajewska H, Skórka A, Pieścik-Lech M. Fermented infant formulas without live bacteria: a systematic review. Eur J Pediatr 2015; 174: 1413–20.
14. Commission Directive 2006/141/EC of 22 December 2006 on infant formulae and follow-on formulae and amending Directive 1999/21/EC Text with EEA relevance. Official Journal of the European Union. 2006. Available at: http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:32006L0141 (Assessed 24.10.2017).
15. Aggett PJ, Agostini C, Goulet O et al. The nutritional and safety assessment of breast milk substitutes and other dietary products for infants: A commentary by the ESPGHAN Committee on nutrition. J Pediatr Gastroenterol Nutr 2001; 32: 256–8.
16. Szabo E, Bowhm G, Bwwemn C et al. Fatty acid profile comparisons in human milk sampled from the same mothers at the sixth week and the sixth month of lactation. J Pediatr Gastroenterol Nutr 2010; 50: 316–20.
17. Veereman-Wauters G. Application of prebiotics in infant foods. Br J Nutr 2005; 93 (S1): S57–S60.
18. Meyer R. Infant feed first year: feeding practices in the first six months of life. J Fam Health Care 2009; 19 (1): 13–6.
19. Christensen B, Sørensen ES. Structure, function and nutritional potential of milk osteopontin. Int Dairy J 2016; 57: 1–6.
20. Mountzouris KC, McCartney AL, Gibson GR. Intestinal microflora of human infants and current trends for its nutritional modulation. Brit J Nutr 2002; 87 (5): 405–20.
21. Rivero-Urgell M, Santamaria-Orleans A. Oligosaccharides: application in infant food. Early Hum Dev 2001; 65: S43–52.
22. Ferruzzi M, Neilson A. Technological progress as a drive of innovation in infant foods, in Koletzko B, Koletsko S, Ruemmele F (eds): Drivers of Innovation in Pediatric Nutrition. Nestle Nutr Inst Workshop Ser Pediatr Program, Basel: Nestec Ltd., Vevey/S.Karger AG, 2010.
23. Lo CW, Kleinman RE. Infant formula, past and future: opportunities for improvement. Am J Clin Nutr 1996; 63 (4): 646S–650S.
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1. Bode L, McGuire M, Rodriguez JM et al. It’s Alive: Microbes and Cells in Human Milk and Their Potential Benefits to Mother and Infant. Adv Nutr 2014; 5: 571–3. DOI:10.3945/an.114.006643
2. Martin CR, Ling P-R, Blackburn GL. Review of Infant Feeding: Key Features of Breastmilk and Infant Formula. Nutrients 2016; 8: 279. DOI:10.3390/nu8050279
3. Victora CG, Bahl R, Barros AJD et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387: 475–90.
4. Fewtrell M, Bronsky J, Campoy C et al. Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. JPGN 2017; 64: 119–32.
5. American Academy of Pediatrics (AAP) Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012; 129: e827–e841.
6. WHO/UNICEF. Global strategy for infant and young child fe eding. 2003. Available at: http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/ (Accessed 23 August 2017).
7. Koletzko B, Baker S, Cleghorn G et al. Global standard for the composition of infant formula: Recommendations of an ESPGHAN coordinated internation expert group. J Pediatr Gastroenterol Nutr 2005; 41: 584–99.
8. Fanaro S, Ballardini E, Vigi V. Different pre-term formula for different pre-term infants. Early Hum Dev 2010; 86 (1): 27–31.
9. Michaelsen KF, Greer FR. Protein needs early in life and long-term health. Am J Clin Nutr 2014; 99: 718S–722S.
10. Guo M. Human Milk Biochemistry and Infant Formula. In Manufacturing Technology. Elsevier: Cambridge, UK. 2014.
11. Owens CJW, Labuschagne IL, Lombard MJ. The basics of prescribing infant formulas. Afr Fam Pract 2012; 54 (1): 25–30.
12. O'Conner NR. Infant formula. Am Fam Physician 2009; 79 (7): 565–70.
13. Szajewska H, Skórka A, Pieścik-Lech M. Fermented infant formulas without live bacteria: a systematic review. Eur J Pediatr 2015; 174: 1413–20.
14. Commission Directive 2006/141/EC of 22 December 2006 on infant formulae and follow-on formulae and amending Directive 1999/21/EC Text with EEA relevance. Official Journal of the European Union. 2006. Available at: http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:32006L0141 (Assessed 24.10.2017).
15. Aggett PJ, Agostini C, Goulet O et al. The nutritional and safety assessment of breast milk substitutes and other dietary products for infants: A commentary by the ESPGHAN Committee on nutrition. J Pediatr Gastroenterol Nutr 2001; 32: 256–8.
16. Szabo E, Bowhm G, Bwwemn C et al. Fatty acid profile comparisons in human milk sampled from the same mothers at the sixth week and the sixth month of lactation. J Pediatr Gastroenterol Nutr 2010; 50: 316–20.
17. Veereman-Wauters G. Application of prebiotics in infant foods. Br J Nutr 2005; 93 (S1): S57–S60.
18. Meyer R. Infant feed first year: feeding practices in the first six months of life. J Fam Health Care 2009; 19 (1): 13–6.
19. Christensen B, Sørensen ES. Structure, function and nutritional potential of milk osteopontin. Int Dairy J 2016; 57: 1–6.
20. Mountzouris KC, McCartney AL, Gibson GR. Intestinal microflora of human infants and current trends for its nutritional modulation. Brit J Nutr 2002; 87 (5): 405–20.
21. Rivero-Urgell M, Santamaria-Orleans A. Oligosaccharides: application in infant food. Early Hum Dev 2001; 65: S43–52.
22. Ferruzzi M, Neilson A. Technological progress as a drive of innovation in infant foods, in Koletzko B, Koletsko S, Ruemmele F (eds): Drivers of Innovation in Pediatric Nutrition. Nestle Nutr Inst Workshop Ser Pediatr Program, Basel: Nestec Ltd., Vevey/S.Karger AG, 2010.
23. Lo CW, Kleinman RE. Infant formula, past and future: opportunities for improvement. Am J Clin Nutr 1996; 63 (4): 646S–650S.
Авторы
D.Mičetić-Turk, M.Šikić Pogačar
Медицинский факультет Университета г. Марибора. 2000, Словения, Марибор, Сломшков trg 15
dusanka.turk13@gmail.com
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Dušanka Mičetić-Turk, Maja Šikić Pogačar
Faculty of Medicine, University of Maribor, Slovenia. 2000, Slovenia, Maribor, Slomškov trg 15
dusanka.turk13@gmail.com