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  Summer 2011

 

Table of Contents

IN THE NEWS

  • DHA Infant Claims Approved By European Parliament
  • 64th World Health Assembly Meets in Geneva
  • Maryland Becomes Third State to Ban Infant Formula Containing BPA
  • FDA Hosts Workshop on Cargo/Warehouse Theft of Medical Products and Infant Formula
  • Infant Feeding Guidelines From ADA PNPG Now Available

RESEARCH UPDATES

  • Timing of Solid Foods Affects Later Life Obesity
  • Cost Comparison of Baby-Friendly and Non-Baby-Friendly Hospitals in U.S.
  • Infant Formula Link To SIDS Unproven

RECENT & UPCOMING EVENTS

  • AOAC Stakeholder Panel on Infant Formula and Adult Nutritionals (SPIFAN) Meeting: April 4-6
  • 64th World Health Assembly: May 16-24
  • AOAC SPIFAN Meeting: June 29-30
  • Third Annual Summit on Breastfeeding: June 29-30
  • Codex Alimentarius Commission: June 28-July 1
  • World Breastfeeding Week: August 1-7

In the News

DHA Infant Claims Approved By European Parliament

Docosahexaenoic acid (DHA) omega-3 infant claims that apply to formula for infants between the ages of 6-12 months as well as products for infants were approved by the European Parliament in May and entered into European Union law. 

As a result of the approval since May 26, 2011, three claims may be made on certain foods on the EU market if specific conditions of use are met.  The claims are: 1. DHA intake contributes to the normal visual development of infants up to 12 months of age; 2. DHA maternal intake contributes to the normal development of the eye of the fetus and breastfed infants; 3. DHA maternal intake contributes to the normal brain development of the fetus and breastfed infants. Click here to see the claims as published into EU law.

64th World Health Assemply Meets in Geneva

The 64th World Health Assembly (WHA) took place May 16-24 in Geneva and focused on a number of infant nutrition-related issues, including the implementation plan for infant and young child feeding, the Millennium Development Goals, and a proposed resolution on the reduction of perinatal and neonatal mortality.

Member States discussed the prevention and control of noncommunicable diseases in regards to maternal, infant and young child nutrition. Still under development, the implementation plan aims to tackle the double burden of under-nutrition and overweight and focuses on early development between conception and the second year of life. International Formula Council (IFC) staff attended the meeting as part of the International Special Dietary Foods Industries (ISDI) delegation. Click here for more information about the WHA.

Maryland Becomes Third State to Ban Infant Formula Containing BPA

On May 10, Maryland Governor Martin O'Malley signed into law House Bill 4, making Maryland the third state in the U.S. to ban infant formula that is packaged in materials containing bisphenol A (BPA).  Beginning July 1, 2014, the new law prohibits the manufacture, sale or distribution of infant formula in containers with more than 0.5 parts per billion (ppb) of BPA.  The law also prohibits the state of Maryland from purchasing infant formula for the state's Special Supplemental Program for Women, Infants, and Children (WIC) that is packaged in containers with more than 0.5 ppb of BPA.  Click here for more information on House Bill 4. 

Maryland joins Connecticut and Vermont as the only U.S. states to have banned infant formula in packaging that contains BPA.

FDA Hosts Workshop on Cargo/Warehouse Theft of Medical Products and Infant Formula

On May 13, the U.S. Food and Drug Administration (FDA) hosted a workshop entitled, “Best Practices for the Prevention of Cargo and Warehouse Theft of FDA-Regulated Medical Products and Infant Formula.” The workshop, which was organized by the Drug Information Association, provided regulators, law enforcement, manufacturers, transporters, and others the opportunity to hear best practices that have been developed by affected industries to prevent and address the growing problem of cargo and warehouse theft.

IFC gave a presentation at the workshop on safeguarding the infant formula supply chain.  In addition, the following guidance documents have been posted to the IFC website to help minimize infant formula theft: guidance for retailers regarding purchase and return policies for infant formula products and guidance regarding unsaleable infant formula products.

Infant Feeding Guidelines From ADA PNPG Now Available

The second edition Infant Feeding Guidelines from the Pediatric Nutrition Practice Group (PNPG) of the American Dietetic Association (ADA) titled, “Infant Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities,” is now available for purchase at EatRight.Org. ADA notes the guidelines are not regulations, but guidance for health care professionals, based on the latest scientific evidence-based research. The goal of these guidelines is to “help ensure that infants at a health care facility receive optimal nutritional care.”

The new guidelines provide detailed information on how to safely prepare, handle, and store infant formula and human breast milk within the health care setting.  Updates in this edition of the guidelines include a description for handling infant formula preparation in situations where no feeding preparation room exists and an entire chapter describing safe handling of mother's own milk and donor human milk.  Section one presents a summary of infant feeding guidelines and chapters 1-8 contain more detail and technical support as well as documentation of references used to formulate the guidelines.

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Research Updates

Timing of Solid Foods Affects Later Life Obesity

A recent study in Pediatrics titled “Timing of Solid Food Introduction and Risk of Obesity in Preschool-Aged Children” found that, among formula-fed infants or infants weaned before four months of age, introduction of solid foods before four months increased the odds of obesity at three years of age.  This study adds to the growing body of evidence suggesting that the timing of the introduction of complementary foods can have an impact on later life obesity risk. 

The findings of this study support the recommendations of the American Academy of Pediatrics (AAP) that parents should delay the introduction of solids until at least four to six months of age.  The World Health Organization also recommends delayed introduction of complementary foods until six months of age.   To view a critique of the study, click here.

Cost Comparison of Baby-Friendly and Non-Baby-Friendly Hospitals in U.S.

Another recent study published in Pediatrics titled, “Cost Comparison of Baby-Friendly and Non-Baby-Friendly Hospitals in the United States,” reported that the cost difference between nursery services at a “baby-friendly” hospital compared to a “non-baby-friendly” hospital was not statistically significant. Although the findings of this cost analysis are interesting, they should be interpreted with caution.  The authors did not determine the cost of becoming a baby-friendly hospital and acknowledge that their “costing model did not include any organizational or structural costs of gaining approval to pursue a baby-friendly designation, reorganizing departments, facility redesign to accommodate single birthing rooms, clinical education and training, and program implementation, but these costs can be significant upfront costs.” 

It is likely that these potentially high upfront costs could prohibit some hospitals from becoming baby-friendly.  Before this study can be used for breastfeeding policy and hospital practice change, it is important that many unanswered questions, as raised by the study authors, be addressed and analyzed.  To view a more detailed critique of this study, please click here.

Infant Formula Link To SIDS Unproven

A study was published recently in Neuropeptides, which media reports incorrectly suggested established a link between infant formula consumption and increased risk of Sudden Infant Death Syndrome (SIDS).  According to this study, a cow protein component was found to be higher in infants fed a particular infant formula who also experienced an apparent life-threatening event (ALTE), than in infants fed breast milk or other formulas.  The cow protein is found in breast milk, cow's milk, and many infant formulas and may be released upon digestion. 

The infants who experienced an ALTE and who were fed casein-based infant formulas included a subgroup of infants fed specialty infant formulas.  Often unable to tolerate traditional cow's milk formulas, this subgroup could include many with underlying diseases that require the use of the specialized infant formula and were at higher risk for ALTE because of other medical conditions.  

In 2009, the European Food Safety (EFSA) reviewed the potential health impact of the cow protein component and found no substantial evidence to support a link with SIDS.  To view IFC's statement on this study, please click here.

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Recent & Upcoming Events

AOAC Stakeholder Panel on Infant Formula and Adult Nutritionals (SPIFAN) Meeting
April 4-6, 2011
Rockville, MD

64th World Health Assembly
May 16-24, 2011
Geneva, Switzerland

See full story above.

AOAC SPIFAN Meeting
June 29-30, 2011
Rockville, MD

For more information, visit the AOAC website.

Third Annual Summit on Breastfeeding
June 29-30, 2011
Washington, D.C.

For more information on the summit, visit http://www.bfmed.org/.

Codex Alimentarius Commission
June 28-July 1, 2011
Geneva, Switzerland

For more information, please click here.

World Breastfeeding Week
August 1-7, 2011

To learn more, visit http://worldbreastfeedingweek.org/.

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Current & Previous Issues

Infant Feeding & Nutrition Newsletter - Spring 2011

Infant Feeding & Nutrition Newsletter - Fall 2010

Infant Feeding & Nutrition Newsletter - Summer 2010

Infant Feeding & Nutrition Newsletter - Spring 2010

Infant Feeding & Nutrition Newsletter - Winter 2010

The IFC Infant Feeding & Nutrition Newsletter is a quarterly news summary provided for informational purposes. Its objective is to provide relevant and timely news of interest, including the latest research, on infant feeding and nutrition. The IFC does not control, monitor or guarantee information contained in external website links listed above, and is not responsible or liable, directly or indirectly, for any damage or loss caused or alleged to be caused by the use of or reliance on content, goods, or services available on or through any such site or resource.

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