Gaining and Growing: Assuring Nutritional Care of Preterm Infants in the Community

Infant Formulas

 

APPROXIMATE COMPOSITION OF PEDIATRIC FORMULAS

Product Name

Kcals
/oz

Protein Source

 

gm/dl

Fat
Source

 

gm/dl

Carbohydrate Source

 

gm/dl

Na mEq
/dl

Ca

mg

/dl

A

IU

/dl

Fe

mg
/dl

 

Osmolality

 

mOsm/kg water

K

mEq
/dl

Ph

mg
/dl

D

IU

/dl

HUMAN MILK

Mature Human Milk

20

Human Milk

1.0

Human Milk

4.4

Lactose

6.9

0.7

32

225

0.03

300

1.3

14

2

PREMATURE TRANSITIONAL FORMULAS

EnfaCare LIPIL

(Mead Johnson)

22

Whey Protein Concentrate, Nonfat Milk

2.1

High Oleic Sunflower, Soy, MCT and Coconut Oils, Single Cell Oils rich in DHA and ARA

4.0

Powder: Lactose, Corn Syrup Solids Liquid: Maltodextrin, Lactose

7.8

1.1

90

338

1.35

Powder: 260

Liquid: 230

2

49

60

Similac NeoSure Advance

(Ross)

22

Nonfat Milk, Whey Protein Concentrate

1.9

Soy, Coconut, MCT (24.9%) Oils [DHA & ARA]

4.1

Maltodextrin, Lactose

7.7

1.1

78

342

1.34

250

2.7

46

52

COW'S MILK BASED FORMULAS

Product Name

Kcals
/oz

Protein Source

 

gm/dl

Fat
Source

 

gm/dl

Carbohydrate Source

 

gm/dl

Na mEq
/dl

Ca

mg

/dl

A

IU

/dl

Fe

mg
/dl

Osmolality

 

mOsm/kg water

K

mEq
/dl

Ph

mg
/dl

D

IU

/dl

Enfamil LIPIL with Iron

(Mead Johnson)

20

Reduced Minerals Whey, Nonfat Milk

1.4

Palm Olein, Soybean, Coconut, High-Oleic Safflower Oils, Single Cell Oils rich in DHA and ARA

3.6

Lactose

7.3

0.8

53

203

1.2

300

1.9

36

40

Enfamil with Iron

(Mead Johnson)

20

Reduced Minerals Whey, Nonfat Milk

1.4

Palm Olein, Soybean, Coconut, High-Oleic Safflower Oils

3.6

Lactose

7.3

0.8

53

203

1.2

300

1.9

36

40

Enfamil LactoFree LIPIL

(Mead Johnson)

20

Milk Protein Isolate

1.4

Palm Olein, Soybean, Coconut, High-Oleic Safflower Oils, Single Cell Oils rich in DHA and ARA

3.6

Corn Syrup Solids

7.4

0.9

55

203

1.2

200

1.9

37

40

Enfamil AR LIPIL

(Mead Johnson)

20

Nonfat Milk

1.7

Palm Olein Soybean, Coconut, High-Oleic Safflower Oils, Single Cell Oils rich in DHA and ARA

 

3.5

Lactose, Rice Starch, Maltodextrin

 

7.4

1.2

53

203

1.2

240

1.9

36

40

Good Start Supreme (Nestlé)

20

Enzymatically Hydrolyzed Reduced Minerals Whey Protein Concentrate

1.5

Palm Olein, Soy, Coconut, High Oleic Safflower Oils

 

3.5

Lactose, Maltodextrin

 

7.6

0.7

43

204

1.02

265

1.7

24

41

Good Start Supreme

DHA-ARA (Nestlé)

20

Enzymatically Hydrolyzed Reduced Minerals Whey Protein Concentrate

1.5

Palm Olein, Soy, Coconut, High Oleic Safflower Oils, Single Cell Oils rich in DHA and ARA

 

3.5

Lactose, Maltodextrin

 

7.6

0.7

43

204

1.02

265

1.7

24

41

Good Start Essentials

(Nestlé)

20

Reduced Minerals Whey Protein Concentrate, Nonfat Milk

1.5

Palm Olein, Soy, Coconut, High Oleic Safflower Oils

 

3.5

Lactose,

Corn Syrup

 

7.6

0.7

50

 

204

 

1.02

300

1.7

28

41

NAN

(Nestlé)

20

Reduced Minerals Whey Protein Concentrate, Nonfat Milk

1.5

Palm Olein, Soy, Coconut, High Oleic Safflower Oils

 

3.5

Lactose, Corn Syrup

 

7.6

0.7

50

204

1.02

300

1.7

28

41

Horizon Organic Infant Formula

(Horizon)

20

Certified Organic Whey, Nonfat Milk

1.4

Certified Organic High Oleic Sunflower, Coconut, Soy Oils

 

3.6

Certified Organic Lactose

 

7.3

0.8

52

200

1.2

300

1.9

36

40

Similac Advance

(Ross)

20

Nonfat Milk, Whey Protein Concentrate

1.4

High Oleic Safflower, Soy, Coconut Oils [DHA & ARA]

 

3.7

Lactose

 

7.3

0.7

53

203

1.2

300

1.8

28

41

Similac with Iron

(Ross)

20

Nonfat Milk, Whey Protein Concentrate

1.4

High Oleic Safflower, Coconut, Soy Oils

 

3.7

Lactose

 

7.3

0.7

53

203

1.2

300

1.8

28

41

Similac Lactose Free

(Ross)

 

20

Milk Protein Isolate

1.4

Soy, Coconut Oils

3.7

Maltodextrin, Sucrose

 

7.2

0.9

57

203

1.2

200

1.9

38

41

Similac PM 60/40

(Ross)

20

Whey Protein Concentrate, Sodium Caseinate

1.5

Corn, Coconut, Soy Oils

3.8

Lactose

6.9

0.7

38

203

0.5

280

1.5

19

41

Store Brand Milk-Based with lipids DHA and ARA (pwd)  (Wyeth Nutritionals Inc)

20

Nonfat Milk, Whey Protein Concentrate

1.5

Palm, High Oleic Safflower or Sunflower, Coconut, Soybean Oils, Single Cell Oils rich in DHA and ARA

3.6

Lactose

7.2

0.6

42

200

0.8

290

1.4

28

40

Store Brand Milk-Based

(Wyeth Nutritionals Inc)

20

Nonfat Milk, Whey Protein Concentrate

1.5

Palm, High Oleic Safflower or Sunflower, Coconut, Soybean Oils

3.6

Lactose

7.2

0.6

42

203

1.2

290

1.4

28

40

SOY BASED FORMULAS

Product Name

Kcals
/oz

Protein Source

 

gm/dl

Fat
Source

 

gm/dl

Carbohydrate Source

 

gm/dl

Na mEq
/dl

Ca

mg

/dl

A

IU

/dl

Fe

mg
/dl

Osmolality

 

mOsm/kg water

K

mEq
/dl

Ph

mg
/dl

D

IU

/dl

Enfamil Prosobee  LIPIL

(Mead Johnson)

20

Soy Protein Isolate with L-methionine

1.7

Palm Olein, Soy, Coconut, High Oleic  Sunflower Oils, Single Cell Oils rich in DHA and ARA

3.6

Corn Syrup Solids

7.2

1.0

71

203

1.2

200

2.1

56

40

Enfamil Prosobee 

(Mead Johnson)

20

Soy Protein Isolate with L-methionine

1.7

Palm Olein, Soy, Coconut, High Oleic Sunflower Oils

3.6

Corn Syrup Solids

7.2

1.0

71

203

1.2

200

2.1

56

40

Good Start Essentials Soy (Nestlé)

20

Soy Protein Isolate with L-methionine

1.9

Palm Olein, Soy, Coconut, High Oleic Safflower Oils

3.4

Corn Maltodextrin, Sucrose

7.5

1.0

70

201

1.21

200

2.0

42

40

Similac Isomil Advance

(Ross)

20

Soy Protein Isolate with L-methionine

1.7

High Oleic Safflower, Soy, Coconut Oils [DHA & ARA]

3.7

Corn Syrup, Sucrose

7.0

1.3

71

203

1.2

200

1.9

51

41

Similac Isomil

(Ross)

20

Soy Protein Isolate with L-methionine

1.7

High-Oleic Safflower, Coconut Oils

3.7

Corn Syrup, Sucrose

7.0

1.3

71

203

1.2

200

1.9

51

41

Similac

Isomil DF

(Ross)

20

Soy Protein Isolate with L-methionine

1.8

Soy, Coconut Oils

3.7

Corn Syrup, Sucrose,     Soy Fiber

6.8

1.3

71

203

1.3

240

1.9

51

41

Store Brand Soy (pwd)

(Wyeth Nutritionals Inc)

20

Soy Protein Isolate with L-methionine

1.8

Palm, High Oleic Safflower or Sunflower, Coconut, Soybean Oils

3.6

Corn Syrup Solids, Sucrose

6.9

1.3

60

200

1.2

230

1.8

42

40

CASEIN HYDROLYSATE FORMULAS

Product Name

Kcals
/oz

Protein Source

 

gm/dl

Fat
Source

 

gm/dl

Carbohydrate Source

 

gm/dl

Na mEq
/dl

Ca

mg

/dl

A

IU

/dl

Fe

mg
/dl

 

Osmolality

 

mOsm/kg water

K

mEq
/dl

Ph

mg
/dl

D

IU

/dl

Enfamil Nutramigen LIPIL

(Mead Johnson)

20

Casein Hydrolysate with added Amino Acids

1.9

Pam Olein, Soy, Coconut, High Oleic Sunflower Oils, Single Cell Oils rich in DHA and ARA

3.6

Corn Syrup Solids, Modified Corn Starch

7.0

1.4

64

203

1.2

Powder: 260

Liquid: 320

1.9

43

34

Enfamil Pregestimil

(Mead Johnson)

20

Casein Hydrolysate with added Amino Acids

1.9

MCT (55%), Soy, Corn, High Oleic Safflower Oils

3.8

Corn Syrup Solids, Modified Corn Starch

6.9

1.4

78

203

1.27

1.2

Powder: 340

Liquid: 280

 

1.9

51

34

Similac Alimentum Advance

(Ross)

20

Casein Hydrolysate with added Amino Acids

1.9

High Oleic Safflower, MCT (33%), Soy Oils [DHA & ARA]

3.7

Sucrose, Tapioca Starch

6.9

1.3

71

203

1.2

370

(only available as ready-to-feed)

2.0

51

30

Similac Alimentum (Ross)

20

Casein Hydrolysate with added Amino Acids

1.9

High Oleic Safflower, MCT (33%), Soy Oils

3.7

Powder: Maltodextrin, Sucrose Liquid: Sucrose, Tapioca Starch

6.9

1.3

71

203

1.2

Powder: 320

Liquid: 370

2.0

51

30

AMINO ACID BASED FORMULAS

Product Name

Kcals
/oz

Protein Source

 

gm/dl

Fat
Source

 

gm/dl

Carbohydrate Source

 

gm/dl

Na mEq
/dl

Ca

mg

/dl

A

IU

/dl

Fe

mg
/dl

 

Osmolality

 

mOsm/kg water

K

mEq
/dl

Ph

mg
/dl

D

IU

/dl

EleCare

(Ross)

20

L-Amino Acids

2.0

High Oleic Safflower, MCT (33%), Soy Oils

3.2

Corn Syrup Solids

7.2

1.3

73

185

1.2

335

2.6

55

28

Neocate

(SHS)

20

L-Amino Acids

2.1

High Oleic Safflower, Refined Vegetable (coconut, soy) Oils

3.0

Corn Syrup Solids

7.8

1.0

82

270

1.2

342

2.6

62

58

 

For Children Beyond 1 Year of Age There a number of pediatric formulas appropriate for children beyond one year of age, who have reached 10 kilograms or more, and require continued nutrition intervention. Nutrient dense formulas are available for oral and tube feeding use and include products such as PediaSure (Ross), KinderCal (Mead Johnson), Nutren Jr. (Nestlé), Compleat Pediatric (Novartis), and Resource Just For Kids (Novartis). Additionally, modified protein based formulas are available for children. These include products such as Elecare (Ross), Neocate One+ (SHS), Neocate Junior (SHS), Pediatric E028 (SHS), Pepdite One+ (SHS), and Peptamen Junior (Nestlé). These products are not included in the infant formula table. Content information can be found at their respective product websites.

Mead Johnson http://www.meadjohnson.com

Nestlé http://www.nestleclinicalnutrition.com/

Novartis http://www.novartisnutrition.com/us/home

Ross Products http://www.ross.com

SHS http://www.shsna.com/


This table was adapted from Hattner, 2004 and updated with the most recent manufacturers’ product guides.

Infant Formulas

More information contact: Joan Zerzan
Page reviewed: 3/16/2007

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