Irene L Labuschagne

The basics of prescribing infant formulas

Abstract All infant formulas must support the normal growth and development of infants, and this needs to be scientifically demonstrated. Formulas have to contain sufficient amounts of basic nutrients, and so are nutritionally interchangeable, with no evidence indicating that one brand is superior to another.1,2

The use of prebiotics and probiotics in infant formula

Abstract Gastrointestinal flora influences health, but the composition of flora can be changed with prebiotics or probiotics. The addition of probiotics to powdered infant formula has not been demonstrated to be harmful to healthy term infants. However, evidence of clinical efficacy regarding their addition is insufficient to recommend the routine use of such formula. The administration of probiotic (single or in combination) supplementation in infant or follow-on formula, and given beyond early infancy, may be associated with some clinical benefits, such as a reduction in the risk of nonspecific gastrointestinal infections, a reduced risk of antibiotic use and a lower frequency of colic and irritability. Confirmatory well-designed clinical research studies are necessary.

Understanding lactose intolerance and the dietary management thereof

Abstract Diets that exclude dairy may decrease gastrointestinal symptoms in symptomatic individuals who have lactose malabsorption or lactose intolerance. However, most lactose-intolerant adults can consume some lactose without experiencing major symptoms, thereby reducing the need for strict elimination of dairy products from the diet.

Introducing solid foods

Abstract There are recommendations to guide parents to help their infants make the transition from milk to weaning foods, but they differ in their focus in developed or developing countries and on the physiological and behavioural reasons that underlie the introduction of weaning foods. According to recommendations, ideally, term infants should begin weaning at six months, while breastfeeding should continue for two years. The recommendations on nutrients in complementary foods are based on the nutrient gap between the composition and volume of breast milk after approximately six months of exclusive breastfeeding and the physiology of infant nutritional requirements.

Acidified infant formula explained

Abstract The development of effective methods to prevent acute gastroenteritis is an important goal for infant health. Exclusive breastfeeding and postponement of complementary foods until the age of six months is recommended for healthy infants. However, at times, infant formula is required. Various types are commercially available. Acidified cows milk formula has been found to prevent the growth of pathogenic bacteria and concurring diarrhoeal disease.

Infant formula for gastro-oesophageal reflux disease

Abstract Thickened infant formula is widely used as a first-line treatment for gastro-oesophageal reflux (GOR) in infants. The use thereof remains controversial, and conflicting evidence exists with regards to its efficiency. The safety of anti-reflux formula has been proven, with only a few adverse effects reported, making it safe for infants with mild symptoms of reflux.

Diet and childhood asthma: review

Childhood asthma is the most common chronic inflammatory childhood disease with almost 20% children and adolescents reporting asthma symptoms in South Africa. Associations between asthma and dietary antioxidants (vitamin E, vitamin C, carotenoids, selenium, polyphenols, and fruit), polyunsaturated fatty acids (PUFA), and vitamin D have been found. Adherence to the Mediterranean diet seems protective. This condensed review briefly reports on available data of possible protective dietary patters and practices.

Development of a diabetes mellitus nutritional management manual for South African healthcare professionals

Background: The objective was to develop a standardised education manual for healthcare professionals in South Africa on the nutritional management of diabetes mellitus. Method: The manual was developed using seven steps: needs assessment and problem definition, a literature search, the first draft of the manual, peer review, the second draft of the manual, expert panel evaluation and the final manual. Results: Following the literature search, the first draft of the manual was developed and sent for peer review and language editing. Recommended changes were made and the second draft was developed and sent to 77 dietitians, of whom the majority were satisfied with the content, which led to the final manual. Conclusion: A diabetes mellitus nutritional management manual for healthcare professionals in South Africa was developed using a systematic approach using peer review and expert panels. The next step will be to evaluate its impact on the knowledge of healthcare professionals.

Prescribing infant formula to allergic babies

Abstract Exclusive breastfeeding and postponement of complementary foods to four to six months of age are recommended for the prevention of food allergies. However, many infants receive formula milk for a number of reasons. Various types of formula are indicated to prevent or treat allergy and food intolerance.