II. General
- No Bovine milk products until older than age 1 year
- No Whole Milk
- No infant formula prepared from evaporated milk
III. Types: Calories
- Term infant formula: 68 kcals/dl (20 kcal/oz)
- Enriched infant formula (home, >1.8 kg, >34 weeks): 73 Kcals/dl (22 Kcal/oz)
- Preterm Infant formula (hospital <1.8 kg, <34 weeks): 80 Kcals/dl (24 kcal/oz)
IV. Types: Proteins
- Overview
- Whey Protein (more in human Breast Milk)
- Contains much more cystine
- Contains much less Tyrosine and Phenylalanine
- Protein intake crucial
- Dietary variation affects Neurotransmitter levels
- Whey Protein (more in human Breast Milk)
- Human Breast Milk
- Total Protein: 0.9 to 1.0 grams per dl
- Whey to Casein ratio: 70:30
- Infant Formula
- Total Protein: 1.5 grams per dl
- Whey to Casein ratio: 18:82
- Bovine Whole Milk (unmodified)
V. Types: Carbohydrates
- Lactose (Glucose and Galactose) is major source
- Lactose is required Carbohydrate in first year
- Lactose needs reduced to minimal after first year
- Galactose component of brain
- Cerebrosides (myelin components)
- Gangliosides (neural components)
VI. Types: Lipids
- Overview
- Linoleic Acid is an Essential Fatty Acid
- Present in both Breast Milk and infant formula
- Requirements increased in Preterm Infants
- Preterm Infants have decreased lipid storage
- Adipose tissue is laid down just before term
- Affects Temperature instability
- Avoid excessive lipid intake
- Obesity pattern may be initiated
- Linoleic Acid is an Essential Fatty Acid
- Human Breast Milk
- Increased long chain unsaturated acids (Oleic acids)
- Linoleic Acid increased much more than Bovine milk
- Cholesterol increased much more than Bovine milk
- Newborns require Cholesterol for growth
- Lipid content responds to maternal dietary intake
- Bovine Milk and infant formula
- Contains Saturated Fatty Acids
- Contains unsaturated fats
- Bovine milk modified during manufacturing
- Bovine milk fat replaced with vegetable oil
- Increase infants ability to absorb lipids
- Contains short chain Fatty Acids
- Not present in human Breast Milk