INFANT MILKS COMMONLY AVAILABLE IN THE UK CATEGORY OF INFANT MILK NAMES OF INFANT MILKS INCLUDED IN THIS CATEGORY Aptamil 1 Cow &Gate 1 SMA First Infant milk Hipp Organic First Infant Milk ADDITIONAL INFORMATION Infant milks marketed for hungrier babies, suitable from birth(cow’s milk based) Aptamil Hungry Milk 2 Cow &Gate Infant milk for Hungrier Babies 2 SMA Extra Hungry-not staged Hipp Organic Hungry infant milk Whey:casein ratio of approx 20:80. Thought to result in slower gastric emptying, resulting in greater satiety as casein protein takes longer to digest. No evidence that these milks help a baby to settle better or sleep longer or delay weaning Follow on formula suitable from 6 months of age Aptamil 3 Follow on milk Cow &Gate 3 Follow on milk SMA 2 Follow on milk Hipp Organic Follow on milk Growing up milks and toddler milks from 12 onwards. One brand is marketed for children aged 2-3 years Aptamil Growing up milk Cow&Gate Growing up milk Hipp Organic Growing up milk SMA toddler milk- 3 SACN (2007) ‘ There is no published evidence that the use of any follow on formula offers any nutritional advantage over the use of whey based formula amongst infant artificially fed’ Claims of them being a good source of iron has been vigorously marketed but the little extra added doesn’t make huge difference to amount absorbed. Only a small amount of extra Vit D added. Growing up milks contain almost twice as much sugar as cow’s milk. More expensive than Cow’s milk but fastest growing sector of infant milk marketheavily advertised. Guess if you can’t increase number of children formula feeding good idea to increase the length of time they are on the product. Infant milks suitable from birth( cows’milk based) Little variation between brands in content. Whey:casein protein ratios are 60:40 to mimic breastmilk. Some variation in additional ingredients not considered mandatory. These include Long chain polyunsaturated fatty acids(LCPs) and prebiotics. Soy protein based infant milks marketed as suitable from birth Cow and Gate Infasoy SMA Wysoy Lactose free infant milks suitable from birth SMA LF Enfamil O-Lac Thickened infant milks suitable from birth Enfamil AR SMA Staydown Aptamil Anti-Reflux Cow&Gate Anti-reflux Partially hydrolysed infant milks suitable from birth Aptamil Comfort Cow&GateComfort SMA Comfort Use Glucose syrup as carbohydrate source. Have been used to treat CMPA but these children can be allergic to soy protein. The higher levels of phyto-oestrogens in soya milk can pose a risk to future reproductive health. Not recommended for infants under 6 months of age However lactose free and suitable for vegetarians Glucose used instead of lactose. Lactose intolerance can cause abdominal pain,diarrhoea,flatulence and /or bloating. These milks are suitable if lactose intolerance has been proven. ESPGHAN consider the use of lactose free formula to treat acute diarrhoea unjustified. Thickening agent in SMA staydown is corn starch, Enfamil AR is rice starch, Aptamil and cow and gate it is carob bean gum. The issue with all of these products is the temperature of the water is lower than 70c in reconstitution because of how it can affect the thickeners. These formulas are casein based. Research is inconclusive as to the benefits of these milks to deal with symptoms of gastro-oesophageal reflux. Proteins are partially broken down(whey based). Also reduced lactose and fat blend Suggested that they help with minor digestive problems in babies such as colic and constipation.