Letters to the Editor

PEDIATRICS ◽  
1980 ◽  
Vol 66 (1) ◽  
pp. 158-158
Author(s):  
Norman Tinanoff

There is presently some difficulty with fluoride supplementation for a child in the first year of life. The American Academy of Pediatrics regimen for supplemental fluorides produced mild fluorosis in some subjects (Aasenden R, Peebles IC: Arch Oral Biol 19:321-326, 1974), and infant formulas may presently have variable amounts of fluorides. See Table in the PDF File This regimen is needed only in areas that do not have optimally fluoridated water, and when infants are ingesting commercial infant formula, no supplementation may be necessary.

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-161
Author(s):  
Alex J. Steigman ◽  
Edwin L. Kendig

In a statement from the Section on Diseases of the Chest of the American Academy of Pediatrics entitled "The Tuberculin Test,"1 the second paragraph of a comprehensive article begins as follows: "A routine tuberculin test should be performed sometime during the first year of life and annually or biennially thereafter." This recommendation for the frequency of routine tuberculin testing differs from that currently proposed by others. The same issue of Pediatrics contains an article by Dr. Phyllis Q. Edwards entitled "Tuberculin Testing of Children."2 The Summary of the article states "The pediatrician should review and analyze tuberculin test results based on his personal experience.


2020 ◽  
Vol 59 (6) ◽  
pp. 566-572
Author(s):  
Nan Du ◽  
Dina M. DiMaggio ◽  
Jamila K. Williams ◽  
Ine Leus ◽  
Veronika Shabanova ◽  
...  

In 2018, the American Academy of Pediatrics warned consumers over the increasing use of imported infant formulas. The purpose of this study was to assess the usage of imported European infant formula among parents in a large urban private practice. An anonymous survey was distributed at well-child appointments to a convenience sample of parents at an urban private pediatric practice from November 2017 to March 2018. Of the 750 eligible respondents, 552 (74%) completed the survey. Of the parents using formula, 20% were using imported European infant formulas. The most commonly used formula was Holle (33%), and 72% were acquired from web-based third-party vendors. Parents chose to use these formulas because they believed that European formulas contained better ingredients. Only 8% of parents received information about European infant formula from their pediatricians. Pediatricians need to be aware of these formulas and their risks to educate families on the use and safety of these formulas.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (2) ◽  
pp. 515-515
Author(s):  
WM. LANE M. ROBSON ◽  
ALEXANDER K. C. LEUNG

To the Editor.— In June 1992, the Committee on Nutrition of the American Academy of Pediatrics recommended that if breast-feeding is not possible then an infant formula is the appropriate alternative, and that cow's milk is not suitable as an alternative to breast milk for the first year of life.1 We agree with this recommendation and with the rationale included in the June 1992 statement. In lieu of the recent evidence that cow's milk protein may be implicated in the pathogenesis of diabetes mellitus,2 we believe that the Committee on Nutrition should clarify whether cow's milk is ever appropriate for children and whether or not infant formulas that are based on cow's milk protein are appropriate alternatives to breast milk.


Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1276
Author(s):  
Franka Neumer ◽  
Orenci Urraca ◽  
Joaquin Alonso ◽  
Jesús Palencia ◽  
Vicente Varea ◽  
...  

The present study aims to evaluate the effects of an infant formula supplemented with a mixture of prebiotic short and long chain inulin-type oligosaccharides on health outcomes, safety and tolerance, as well as on fecal microbiota composition during the first year of life. In a prospective, multicenter, randomized, double-blind study, n = 160 healthy term infants under 4 months of age were randomized to receive either an infant formula enriched with 0.8 g/dL of Orafti®Synergy1 or an unsupplemented control formula until the age of 12 months. Growth, fever (>38 °C) and infections were regularly followed up by a pediatrician. Digestive symptoms, stool consistency as well as crying and sleeping patterns were recorded during one week each study month. Fecal microbiota and immunological biomarkers were determined from a subgroup of infants after 2, 6 and 12 months of life. The intention to treat (ITT) population consisted of n = 149 infants. Both formulae were well tolerated. Mean duration of infections was significantly lower in the prebiotic fed infants (p < 0.05). The prebiotic group showed higher Bifidobacterium counts at month 6 (p = 0.006), and higher proportions of Bifidobacterium in relation to total bacteria at month 2 and 6 (p = 0.042 and p = 0.013, respectively). Stools of infants receiving the prebiotic formula were softer (p < 0.05). Orafti®Synergy1 tended to beneficially impact total daily amount of crying (p = 0.0594). Supplementation with inulin-type prebiotic oligosaccharides during the first year of life beneficially modulates the infant gut microbiota towards higher Bifidobacterium levels at the first 6 months of life, and is associated with reduced duration of infections.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1105-1109 ◽  
Author(s):  

The pediatrician is faced with a difficult challenge in providing recommendations for optimal nutrition in older infants. Because the milk (or formula) portion of the diet represents 35% to 100% of total daily calories and because WCM and breast milk or infant formula differ markedly in composition, the selection of a milk or formula has a great impact on nutrient intake. Infants fed WCM have low intakes of iron, linoleic acid, and vitamin E, and excessive intakes of sodium, potassium, and protein, illustrating the poor nutritional compatibility of solid foods and WCM. These nutrient intakes are not optimal and may result in altered nutritional status, with the most dramatic effect on iron status. Infants fed iron-fortified formula or breast milk for the first 12 months of life generally maintain normal iron status. No studies have concluded that the introduction of WCM into the diet at 6 months of age produces adequate iron status in later infancy; however, recent studies have demonstrated that iron status is significantly impaired when WCM is introduced into the diet of 6-month-old infants. Data from studies abroad of highly iron-deficient infant populations suggest that infants fed partially modified milk formulas with supplemental iron in a highly bioavailable form (ferrous sulfate) may maintain adequate iron status. However, these studies do not address the overall nutritional adequacy of the infant's diet. Such formulas have not been studied in the United States. Optimal nutrition of the infant involves selecting the appropriate milk source and eventually introducing infant solid foods. To achieve this goal, the American Academy of Pediatrics recommends that infants be fed breast milk for the first 6 to 12 months. The only acceptable alternative to breast milk is iron-fortified infant formula. Appropriate solid foods should be added between the ages of 4 and 6 months. Consumption of breast milk or iron-fortified formula, along with age-appropriate solid foods and juices, during the first 12 months of life allows for more balanced nutrition. The American Academy of Pediatrics recommends that whole cow's milk and low-iron formulas not be used during the first year of life.


PEDIATRICS ◽  
1963 ◽  
Vol 32 (2) ◽  
pp. 308-308
Author(s):  
HARRY BAKWIN

In the report of the Nutrition Committee, American Academy of Pediatrics on the "Prophylactic Requirement and the Toxicity of Vitamin D" (Pediatrics, 31:512) the same prophylactic dose of vitamin D is recommended for children and adolescents as for infants. This seems to me unrealistic. Before the introduction of widespread vitamin D prophylaxis, all the babies over 3 or 4 months on the infant's ward at Bellevue Hospital had rickets during the late winter and spring. The only variation was in degree. Rickets was never seen after the first year or two except for an occasional case of "renal rickets" and "coeliac rickets."


PEDIATRICS ◽  
1968 ◽  
Vol 41 (6) ◽  
pp. 1144-1144
Author(s):  
Samuel M. Wishik

Recalling his excellent commentary "Should our Children Pay for the Cigarette Commercials?" (Pediatrics 31:535, 1963), we asked Dr. Samuel Wishik to comment. He writes as follows: It is important and laudable that the American Academy of Pediatrics joined others in a stand on the smoking problem. I am pleased that Dr. Staub's criticism of the Academy is in the direction of seeking a more aggressive position against smoking. I fully endorse the positive actions that he proposes, while I agree with those suggested by the Academy and the American Cancer Society.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (5) ◽  
pp. 754-754
Author(s):  

The Committee offers the following comments: The Committee on Drugs of the American Academy of Pediatrics appreciates the communication from Drs. Livingston, Berman, and Pauli concerning the use of amphetamines in the management of epilepsy. The Committee has carefully considered the two indications which Drs. Livingston et al. have raised in their letter. A thorough search of the medical literature by the Committee has failed to reveal any data documenting the efficacy of amphetamines in counteracting the side effects of usual anticonvulsant agents.


PEDIATRICS ◽  
1961 ◽  
Vol 28 (3) ◽  
pp. 515-515
Author(s):  

The dosage of gamma-globulin recommended for adults for the prevention of hepatitis with jaundice in the 1961 edition of the "Redbook" of the American Academy of Pediatrics has been questioned by Drs. Gellis and McComb in the preceding communication. The Committee on Control of Infectious Diseases, which is charged with the revision of the "Redbook," realizes that the optimum dose of gamma-globulin for adults is not known. Although there is good evidence based on well-controlled studies that 0.01 ml/lb is effective in preventing jaundice in children, comparable evidence is lacking for adults.


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