Facts
Movement of gastric contents into the mouth.
What is Regurgitation
Designed for feeding full-term infants who spit up frequently. It may be used as the sole source of nutrition for infants up to age 6 months and as a major source of nutrition for infants up until 12 months.
What is Enfamil AR
The AAP, NASPGHAN, & ESPGHAN guidelines recommend against using _______ or ________ for treatment of frequent spit-up in otherwise healthy infants
What is PPIs or H2RAs
Research : Lightdale JR, Gremse DA; Section on Gastroenterology, Hepatology, and Nutrition. Gastroesophageal reflux: management guidance for the pediatrician. Pediatrics. 2013;131(5):e1684-1695.
Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric
Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr.
2018;66(3):516-554.
A widely studied and recommended thickening agent
What is Rice
Give infants small, more frequent feedings,
Keeping babies upright for 30 mins after feeding
Trying thickened formulas
What is helpful tips for parents
Movement of gastric contents into the esophagus.
What is GER (gastroesophageal reflux)
Enfamil A.R. has a higher viscosity than that of routine infant formulas yet flows readily through a standard nipple opening. Its viscosity is about ten times that of routine infant formula and increases a further __x in an acidic environment, similar to that in the stomach.
What is 12x
Enfamil AR is proven to reduce both ______ & _______ .
What is Reflux and Spit-Up
Research: Vanderhoof JA, Moran JR, Harris CL, Merkel KL, Orenstein SR. Efficacy of a pre-thickened infant formula: a
multicenter, double-blind, randomized, placebo-controlled parallel group trial in 104 infants with symptomatic gastroesophageal
reflux. Clin Pediatr (Phila). 2003;42(6):483-495.
The Enfamil A.R. Powder mixing instructions.
What is 1 unpacked level scoop of powder per 2 fl oz water.
Cost of 12.9oz. can of Enfamil AR at Walmart or Target
What is $26.97 at Walmart or $26.99 at Target
In most infants, GER usually resolves spontaneously by: __ to __ months of age
What is 12 to 14 months of age
The content of this CHO in Enfamil A.R. is reduced compared to routine infant formulas in order to include rice starch and maintain a balanced proportion of carbohydrates.
What is Lactose
Enfamil AR is proven to decrease the frequency and volume of regurgitation by ____%.
What is >50%
Frequency = 54% reduction and Volume = 52% reduction
Research: Vanderhoof, Clin Pediatr 2003
Immaturity of the lower esophageal sphincter. • Small stomach size. • Short esophagus. • Peristaltic dysfunction.
What is developmental factors contribute to the high incidence of GER and regurgitation among young infants
In this year, Major events took place including the tragic Boston Marathon bombing, the Edward Snowden NSA leaks, the election of Pope Francis, the death of Nelson Mandela, the emergence of "selfie" and "twerk," the movie Frozen, and the acquittal of George Zimmerman in the Trayvon Martin trial and the AAP recommended conservative dietary management as a first line strategy for GER.
What is 2013
The balance of fat, protein, and carbohydrate is disrupted
What is the main nutritional disadvantage of adding rice cereal to infant formula is that:
These Fats contribute 46% of total calories in Enfamil A.R. The fat sources in Enfamil A.R. are the same as those in Enfamil Infant
What is palm olein, soy, coconut, high oleic sunflower, and single-cell oils of DHA and ARA.
This ingredient is recommended by the Food and Agriculture Organization of the United Nations/World Health Organization (FAO/WHO): >0.20% to 0.36% of total fatty acids.
What is expert-recommended DHA to
support brain-building milestones
Enfamil A.R. has 17 mg/100 Cal (0.33% of formula fatty acids) and 34 mg/100 Cal (0.67% of formula fatty acids), similar to the levels found in the average worldwide breast milk
What is DHA and ARA
Florida WIC Approved Specialty Products
What is Enfacare, Nutramigen, Pregestimil, PurAmino, and PurAmino Jr.
Conditions in which reflux or regurgitation causes harm to the infant, such as pain, esophagitis, aspiration, or failure to thrive.
What is GERD (gastroesophageal reflux disease)
Enfamil A.R. provides 10% of calories as protein, derived from these nonfat milk sources with the ratio of 20:80.
What is the whey : casein ratio 20:80
In the 1987 study by Orensteinetal, both volume and episodes of regurgitation were decreased
What was the effect of thickened formula on regurgitation
In this year the Titanic film won 11 Oscars, including Best Picture and Enfamil A.R. was launched as the first infant formula pre-thickened with rice starch.
What is 1998
Enfamil Routine Product that is available thru Florida WIC and requires medical documentation.
What is Enfamil AR