When Kelly Henchels' child was nearing toddler age in 1998, she sought information about a new toddler milk product. Wanting her baby to grow up strong and healthy, she reached out to a formula company representative to assess its value. The verdict? "He confidently informed me that it was primarily a marketing tactic and suggested sticking to infant formula."
Henchel, the medical director of the pediatric and adolescent medicine clinics at Johns Hopkins All Childrens, is among a group of pediatricians who strongly discourage the consumption of "toddler milk."
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The American Academy of Pediatrics released a clinical report on Friday stating that there are no nutritional advantages to "toddler formulas" designed for children aged 6 to 36 months.
Jenelle Ferry, a neonatologist and the director of feeding, nutrition, and infant development at Pediatrix Medical Group in Florida, expressed that the term "toddler formula" is misleading.
Infant formulas are specially formulated to provide complete nutrition for babies from birth to 12 months old and can be used as a substitute for breast milk for infants who are unable to receive it from their mothers.
According to Ferry, toddler milk differs from infant milk and is not essential for children in this age group.
In response to the latest AAP report, the spokesperson for Abbott Nutrition, a renowned brand of toddler formula, mentioned that studies on national health indicate that there are nutritional deficiencies in the diets of U.S. toddlers, often resulting from selective eating habits. When toddlers struggle with transitioning to solid foods or refuse to drink milk, our line of toddler drinks offers a range of complementary nutrients, including essential vitamins and minerals, which may be lacking in their diet. These toddler drinks can be considered as an option to bridge the nutrient gaps for children aged 12 to 36 months. It is important to note that Abbott does not recommend or endorse the use of its toddler drinks for infants under 12 months of age.
It's time for the baby's bottle. The mother is preparing baby formula by putting powdered milk into a milk bottle.
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The initial years of a child's life hold utmost significance in terms of their growth and development. The American Academy of Pediatrics recommends that infants below the age of 12 months should continue consuming infant formula or breast milk. As for toddlers, who are defined as children aged 12 months and above, it is crucial that they are introduced to a well-balanced diet consisting of fruits, vegetables, and cow's milk. Cow's milk serves as an exceptional source of vitamin D and calcium, both of which are essential for building strong bones. According to the current Dietary Guidelines for Americans, children between the ages of 12 to 23 months should consume approximately 1⅔ to 2 cup equivalents of dairy products per day.
Advertisements for toddler formula have been falsely portraying it as nutritionally beneficial for toddlers, according to a report. This finding is consistent with a World Health Organization report that exposed the aggressive digital marketing strategies employed by formula milk companies. The tactics highlighted by the WHO included infiltrating advice forums and social media groups for expecting parents and new mothers, spreading false health claims about milk substitutes.
A recent study published in Nutrition Reviews revealed that many mothers, particularly those from Black and Hispanic communities, wrongly believe that toddler milk is more nutritious than cow's milk. Furthermore, despite being more expensive, toddler milk actually contains lower levels of protein and higher levels of fat. "I have never recommended toddler milk in my practice," stated Henchel.
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The toddler formula industry is experiencing significant growth, despite concerns raised by pediatricians and professional organizations. According to a study in Public Health Nutrition, the industry's effective marketing strategies and product designs resembling infant formula have led to an increase in sales from $39 million in 2006 to $92 million in 2015.
George Fuchs, a pediatric gastroenterologist and lead author of the new report by the AAP, has recommended against using the term "formulas" for these products. He believes that this terminology is misleading for both children and their parents, as it suggests a continuous use of formula from infancy until 3 or 4 years of age.
The AAP report discovered that some toddler milk products contain added micronutrients, such as calcium. However, Fuchs cautions that the level of these micronutrients varies between different products. Unlike infant formula, toddler milk is not regulated by the US Food and Drug Administration and is not required to meet specific nutritional standards.
Additionally, toddler milk tends to have a high sugar content. Federal guidelines for children under 2 years old state that they should not consume any processed sugar, meaning that even one of these sugar-sweetened beverages is too many. Henchel explains that the addition of sweeteners can influence a toddler's palate and result in a continued preference for sweetened drinks later in life. "Personally, I would not give these products to my child," Fuchs concludes.
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Henchel advises parents who have already stocked up on toddler milk to consume it, but not as the sole source of nutrition for their children. She suggests incorporating five servings of fresh fruits and vegetables per day, along with other dairy sources, into their diet.
In the case of a child with a cow's milk allergy, Fuchs cautions against using toddler milk as a substitute since one-third of these products are cow's milk-based. Additionally, toddler milk products do not provide complete nutrition. Instead, Fuchs recommends that parents opt for almond milk or other nut-based beverages that offer equivalent amounts of calcium as cow's milk.
If unsure, Ferry advises parents to consult their pediatrician for guidance. She emphasizes that parents always have their children's best interests in mind but acknowledges the potential for misleading marketing. A conversation with a pediatrician can help parents understand confusing product labeling and determine the most suitable nutrition for their child."