CNS 2019: Dusting off human milk composition values to re-assess Dietary Reference Intakes for infants

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Speakers:

Kellie Casavale, Maya Villeneuve

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Speakers: Kellie Casavale, PhD, RD; Maya Villeneuve; Kyly Whitfield, PhD

Similar to the joint Dietary Reference Intakes (DRI) effort, several federal agencies from the US and Canada are now collaborating to re-address the needs for advancing knowledge on human milk composition (HMC), including how to inform updating DRIs for infants. This session will introduce the 'Human Milk Composition Initiative' and its potential outreach with experts, including in academia.

Currently, federal dietary guidance in both countries addresses individuals 2 years of age and older. In the US, new legislation requires that, from the 2020 edition, the Dietary Guidelines for Americans will include recommendations from birth through 24 months. In Canada, nutrition recommendations for birth to 24 months are housed in the Nutrition for Healthy Term Infants, a joint statement by Health Canada, the Canadian Paediatric Society, Dietitians of Canada, and the Breastfeeding Committee for Canada. The World Health Organization's global recommendations include exclusive breastfeeding for the first 6 months and continued breastfeeding for 2 years and beyond; thus, human milk is a major nutrient source during this time. A recent review in the US identified there is inadequate data to update nutrient profiles for human milk in the food composition databases managed by the US government. Further, while current DRIs (e.g., Adequate Intake Levels) for infants are based on HMC values, another recent review suggests the evidence used to establish the DRIs for many micronutrients was based on a small number of milk samples and often used outdated laboratory methods.

Learning Objectives:

• •o describe the mandate that dietary guidance for children from birth to 24 months of age be included in future Dietary Guidelines for Americans.
• To introduce the 'Human Milk Composition Initiative' and describe its recent and forthcoming activities.
• To contextualize the current state of knowledge of nutrient composition of human milk in the US and Canada.
• To explore how current DRIs for infants were derived.

Kellie Casavale: Dusting off human milk composition values to re-assess Dietary Reference Intakes for infants

Kyly Whitfield: Contextualizing current DRIs for infants

Maya Villeneuve: Dietary Reference Intakes for infants and young children: Current Uses, limitations and potential next steps

** Original Source: "CNS 2019 Annual Conference" Saturday, May 4, 2019

Length: 1:08:20

Type: Video

Last Updated: June 18, 2019