Choosing the Right Formula for Your Toddler's Growth and Development - Pediatrics

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Infant growth formula


Hello Dr.
Tsai: My baby is currently 1 year and 5 months old and is drinking Abbott Similac HMO formula.
A friend recommended that I switch to Abbott PediaSure.
However, PediaSure does not contain DHA.
Will this have any impact on my baby's growth and development? Is it good or bad for formula to be lactose-free? (My baby does not have a lactose allergy.) My baby is 78 cm tall and weighs 10 kg.
Dr.
Tsai, could you please recommend which formula I should use? Additionally, I have another question: My baby started teething around 1 year old and has only grown 4 teeth since then, with no new teeth coming in.
Is this normal? Could it be due to a lack of calcium? Is there anything I need to supplement for my baby? Thank you, Dr.
Tsai~~~

Ms. Chen, 20~29 year old female. Ask Date: 2005/07/29

Dr. Cai Zhengxian reply Pediatrics


Dear Ms.
Chen,
I am writing on behalf of Dr.
Lin Huizhen, the Director of Pediatrics at Tainan Hospital, Department of Health.
Thank you for your understanding regarding the personnel changes.
Generally, the manufacturing and nutritional supplementation of major brand infant formulas are compliant with standards and pose no issues.
However, there is no direct and substantial evidence supporting the claimed benefits of additional nutrients promoted by various brands.
Typically, children consuming 500-600cc of milk and maintaining a balanced diet should not have concerns regarding calcium deficiency.
Wishing you good health and all the best from the Pediatrics Department of Tainan Hospital.

Reply Date: 2005/07/29

More Info


When it comes to choosing the right formula for your toddler's growth and development, there are several factors to consider, especially regarding nutritional content and your child's specific needs. Your child is currently consuming Abbott's Similac Gain Plus, which is designed to support growth and development in toddlers. You mentioned a friend's suggestion to switch to Abbott's Pediasure, which does not contain DHA.
DHA (Docosahexaenoic Acid) is an omega-3 fatty acid that is crucial for brain development and function. It is particularly important during the early years of life when the brain undergoes rapid growth. While Pediasure is formulated to provide balanced nutrition for toddlers, the absence of DHA could be a concern if your child is not receiving sufficient amounts from other dietary sources. If your toddler's diet includes fish, eggs, and other DHA-rich foods, the lack of DHA in Pediasure may not be a significant issue. However, if these foods are not part of their diet, you might want to consider a formula that includes DHA to support optimal brain development.

Regarding lactose, the presence or absence of lactose in formula can vary based on individual needs. Since your child does not have lactose intolerance, lactose-containing formulas can be beneficial as they help with calcium absorption and support gut health. Lactose is a natural sugar found in milk that can aid in the development of beneficial gut bacteria. If your child is thriving on their current formula, there may not be a need to switch to a lactose-free option unless there are specific concerns.

As for your child's growth metrics, a height of 78 cm and a weight of 10 kg at 1 year and 5 months places them within a healthy range, but it's always best to consult with a pediatrician for personalized growth assessments.
You also expressed concern about your child's dental development, noting that they began teething around 1 year old and have only four teeth so far. It's important to remember that teething patterns can vary widely among children. While some may get their first teeth early, others may take longer. The average age for the first tooth to appear is around 6 months, but it's not uncommon for some children to start teething later.
If your child has only four teeth at this age, it may not necessarily indicate a calcium deficiency. However, ensuring that your child receives adequate calcium and vitamin D is essential for healthy teeth and bones. Foods rich in calcium include dairy products, leafy greens, and fortified foods. If you're concerned about your child's calcium intake or dental development, it would be wise to consult with your pediatrician or a pediatric dentist. They can provide guidance on whether any supplements are necessary and assess if your child's dental development is on track.

In summary, when choosing a formula for your toddler, consider the nutritional content, including DHA, and whether the formula meets your child's dietary needs. If your child is thriving on their current formula and receiving a balanced diet, it may not be necessary to switch. Regarding dental development, while variations in teething patterns are normal, consulting with a healthcare professional can provide reassurance and guidance on ensuring your child's nutritional needs are met for healthy growth and development.

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