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Milk alternatives for cow’s milk allergy CMPA
The document discusses milk alternatives for children with cow’s milk protein allergy (CMPA), highlighting the prevalence of CMPA in infants and the characteristics of suitable milk alternatives. It details commonly used hypoallergenic formulas, including extensively hydrolyzed and amino acid-based options, as well as animal and plant-based alternatives. Additionally, it mentions a2 milk as a safer option that contains only a2 beta-casein.
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Milk alternatives for cow’s milk allergy CMPA
- 1. Milk Alternatives forCow’s Milk Protein Allergy (CMPA) Prof. Louay Labban
- 2. Breast feeding isthe best
- 3. Why we usecow’s milk in children feeding?
- 6. Prevalence • In infants0.5- 4.9 % 1st year • In Syria ?
- 12. Characteristics of MilkAlternative • Free of allergens • Availability • Cost • Nutritive value • Palatability • Processing • Ease of supplementation • Shelf-life
- 13. Common milk alternativesfor CMPA • Hypoallergenic formulas (Commercially manufactured) • < 1 year old
- 14. > 1 yearold • Animal based • Plant based
- 15. Hypoallergenic formulas • Frombirth to two years Extensively hydrolyzed formulas • These formulas contain proteins that have been broken down into smaller segments so they are less likely to cause an allergic reaction. Examples include:
- 16. Extensively Hydrolyzed Formulas •Extensively hydrolyzed formulas break casein into pieces. • About 90% of babies with cow’s milk allergy will tolerate these formulas. • Enfamil® Nutramigen®, Pregestimil®, Similac® Alimentum® or Similac® Expert Care®
- 17. • Some ofthese may contain prebiotics that promote the growth of good bacteria in the gut and lactose, which improves the taste.
- 18. Amino Acid-Based (elemental) Formulas •Recommended when an extensively hydrolyzed formula has either not been tolerated • Offer complete nutrition for infants, toddlers and older children who need additional nutrition support. • They are tolerated by most children because do not contain any whole proteins. • Neocate®, EleCare®, PurAmino™, Alfamino™
- 19. Partially Hydrolyzed Formulas •Whey, casein are broken into smaller pieces. These formulas are NOT used for infants allergic to cow’s milk. • (e.g., Enfamil NeuroPro™ Gentlease®, Gerber® Good Start® Gentle or Similac® Pro- Total Comfort™)
- 20. Animal source ofmilk alternatives • Sheep’s milk • Goat’s milk • Buffaloes' milk • Camel’s milk • Donkey’s milk??????????????
- 22. Plant sources ofmilk alternatives • Soymilk • Coconut milk • Cashew milk • Rice milk • Chickpea milk • Oats milk
- 26. Protein sources forsupplementation • Pea Protein • Hemp Protein • Pumpkin Seed Protein • Brown Rice Protein • Lentils Protein • Soy Protein • Sunflower Seed Protein • Sacha Inchi Protein فول ( فستق ) األنكا • Chia Protein
- 27.
- 28. A2 Milk • A2milk contains only A2 beta-casein. • Studies suggest that A1 beta-casein may be harmful and that A2 beta-casein is a safer choice. • A2 Milk are not genetically modified. • A simple DNA test is performed on calves using a hair follicle then separated from the rest of the herd
- 29. • A2 milkis produced by the A2 Milk Company and contains no A1 beta-casein.
- 30.