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5 Questions and answers

5 Questions and answers. What are catch up formulas, what are the names, when should we use them ? Why do we need them ? What is protein:energy ratio ? What are other options ? What to expect, what the parents might ask you ?. PROTEIN : ENERGY RATIO >9–14% needed – depending on condition.

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5 Questions and answers

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  1. 5 Questions and answers • What are catch up formulas, what are the names, when should we use them ? • Why do we need them ? • What is protein:energy ratio ? • What are other options ? • What to expect, what the parents might ask you ?

  2. PROTEIN : ENERGY RATIO >9–14% needed – depending on condition * DRV UK ** GOSH data

  3. WASTING Wasted infants/children [without additional needs] require at least 9PE% to 11.5PE% to provide an adequate rate and composition of weight gain 1) Protein and amino acid requirements in human nutrition. Report of a joint FAO/WHO/UNU expert consultation, WHO 2007

  4. STUNTING Stunted and/or have additional needs a higher PE% (up to 15PE %) is needed to achieve an adequate rate and composition of weight gain. Length-for-Age (% of Median) Normal 95 - 105 % Mild 90 - 94 % Moderate 85 - 89 % (Severe: < 85 %) Stunting: - 2 Z < median 1) Protein and amino acid requirements in human nutrtion. Report of a joint FAO/WHO/UNU expert consultation, WHO 2007

  5. Alternative options • Do nothing • Fortification with supplements • Concentrate formula • Increase volume

  6. Can we use same volume/ How much should we give ? • What if they vomit / have loose stools ? • Are there any risks ? • How long will they be on it for ? • What happens when they come off ?

  7. 5 Questions and answers • What are catch up formulas, what are the names, when should we use them ? • Why do we need them ? • What is protein:energy ratio ? • What are other options ? • What to expect, what the parents might ask you ?

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