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

Umaporn Suthutvoravut, Philip Olayele Abiodun, Sirinuch Chomtho, Nalinee Chongviriyaphan, Sylvia Cruchet, Peter S.W. Davies, George J. Fuchs, Sarath Gopalan, Johannes B. Van Goudoever, Etienne De La Rey Nel, Ann Scheimann, Jose Vicente Spolidoro, Kraisid Tontisirin, Weiping Wang, Pattanee Winichagoon, Berthold Koletzko

Research output: Contribution to journalReview article

Abstract

Background: There are no internationally agreed recommendations on compositional requirements of follow-up formula for young children (FUF-YC) aged 1-3 years. Aim: The aim of the study is to propose international compositional recommendations for FUF-YC. Methods: Compositional recommendations for FUF-YC were devised by expert consensus based on a detailed literature review of nutrient intakes and unmet needs in children aged 12-36 months. Results and Conclusions: Problematic nutrients with often inadequate intakes are the vitamins A, D, B12, C and folate, calcium, iron, iodine and zinc. If used, FUF-YC should be fed along with an age-appropriate mixed diet, usually contributing 1-2 cups (200-400 ml) of FUF-YC daily (approximately 15% of total energy intake). Protein from cow's milk-based formula should provide 1.6-2.7 g/100 kcal. Fat content should be 4.4-6.0 g/100 kcal. Carbohydrate should contribute 9-14 g/100 kcal with >50% from lactose. If other sugars are added, they should not exceed 10% of total carbohydrates. Calcium should provide 200 mg/100 kcal. Other micronutrient contents/100 kcal should reach 15% of the World Health Organization/Food and Agriculture Organization recommended nutrient intake values. A guidance upper level that was 3-5 times of the minimum level was established. Countries may adapt compositional requirements, considering recommended nutrient intakes, habitual diets, nutritional status and existence of micronutrient programs to ensure adequacy while preventing excessive intakes.

Original languageEnglish (US)
Pages (from-to)119-132
Number of pages14
JournalAnnals of Nutrition and Metabolism
Volume67
Issue number2
DOIs
StatePublished - Oct 9 2015

Keywords

  • Follow-up formula
  • Food standards
  • Nutritional requirements
  • Young child feeding

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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    Suthutvoravut, U., Abiodun, P. O., Chomtho, S., Chongviriyaphan, N., Cruchet, S., Davies, P. S. W., Fuchs, G. J., Gopalan, S., Van Goudoever, J. B., De La Rey Nel, E., Scheimann, A., Spolidoro, J. V., Tontisirin, K., Wang, W., Winichagoon, P., & Koletzko, B. (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. Annals of Nutrition and Metabolism, 67(2), 119-132. https://doi.org/10.1159/000438495