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According to others, for example, specialists of the French Society of Pediatrics and the authors of the National Nutrition and Health Program of France, ordinary cow's milk is not suitable for children of this age, so you should recommend the use of modified cow's milk, which they call “milk of growth” (MR).

Our opinion is that only home-made milk should be used in feeding a baby, from a milk machine or from a farm, which bypassing all competitors and intermediaries is delivered directly to you, and does not lie on store shelves for an indefinite time. Of course, if the child is not allergic to milk. As studies have shown, the milk from the dairy machine is perfectly preserved, and it is slowly mixed during storage, which makes it possible to stir the cream without beating the butter.

Since this is a discussion of the advantages and disadvantages of cow's milk and MR, it is practically impossible to use the principles of evidence-based medicine, based mainly on the results of randomized clinical trials.

Unfortunately, this evidence base is hardly appropriate for most nutrition-related topics. Sure, you need to bring evidence obtained in randomized, placebo-controlled studies, but such studies are difficult to conduct with the participation of young children, observing all the requirements of evidence-based medicine and the principles of bioethics.

The results of such studies often lead to incorrect conclusions, especially because of the inevitable errors. Thus, no such study suggests that when consuming cow's milk in children from 1 to 3 years old, there is no adverse effect or special milk formulas and MR do not play an important role because they have no health benefits.

Today, the only way to assess the respective benefits and risks of the two types of milk is to assess the quality of the nutrients obtained from their use, and to compare them with customized consumption by day or average daily requirement in this age group.

A study in France in 2005 showed that children aged 12 to 24 months who consumed only cow's milk (360 ± 24 ml / day) and dairy products with cow's milk (156 ± 14 g / d) and did not use either infant formula for infants or MP, compared with the recommended in France consumption of the day, often had an excessive level of protein intake (3-4 times more than safe), with a low content of essential fatty acids, iron, zinc and vitamins C, D and E.

A high percentage of these children consumed iron (59%), zinc (56%), vitamin C (49%), vitamin E (94%) and vitamin D (100%) in lower daily average daily doses, and linoleic acid ( 51%) and linolenic acid (84%) – in the minimum acceptable limits recommended in France. The reason for this situation was the use of cow's milk.

While the volume of cow's milk and dairy products with cow's milk was for these young children 43% of the mass of food consumed per day, 35% of the total energy and 44% of protein, only 17% of linoleic acid was received with these products , 24% – linolenic acid, 11% – iron, 41% – zinc, 8% – vitamin C, 16% – vitamin E and 24% – vitamin D per day from the recommended. Nutritional value in cow-based diets for this age was often insufficient compared with the required intake.

Obviously, in order to talk about the risks of such nutrition and its delayed effects, a significant number of diverse, including clinical studies should be conducted.

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