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Toddler milk is ‘potentially harmful,’ AAP warns amid calls for stricter regulations

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Toddler milk is ‘potentially harmful,’ AAP warns amid calls for stricter regulations

Toddler milk products have grown into a multibillion-dollar global business, despite warnings from health authorities that the benefits of this milk formula are unproven.

The products are marketed with claims of improving brain development or immune function, but the American Academy of Pediatrics (AAP) warned in an Oct. 2023 report that toddler formula is “unnecessary and potentially harmful to young children.”

“For healthy toddlers without a specific medical diagnosis, there is no evidence of a need [for] or benefit from toddler milk,” Dr. Jenelle Ferry, a neonatologist and director of feeding, nutrition and infant development at Pediatrix Medical Group in Tampa, Florida, told Fox News Digital in an interview.

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In spite of these warnings, toddler milk has grown into a $20 billion worldwide business, according to a recent report.  

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“It is disappointing that regulations have not been strengthened, given package claims and marketing messages that imply toddler milks are beneficial, or even necessary, for a toddler’s healthy growth,” Fran Fleming-Milici, PhD, director of marketing initiatives at the Rudd Center for Food Policy and Health at the University of Connecticut, told Fox News Digital.

Toddler milk has grown into a $20 billion worldwide business, according to a recent report, even as some say that “for healthy toddlers without a specific medical diagnosis, there is no evidence of a need [for] or benefit from toddler milk.” (Getty/iStock)

Infant formula vs. toddler milk

Most infants in the U.S. receive some or all of their nutrition from formula, according to the U.S. Food and Drug Administration (FDA).

Standard infant formula can be supplemented with appropriate solid foods at around 4 to 6 months of age, ensuring intake of essential nutrients like iron, calcium and zinc, the AAP said in a previous statement.

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Infant formula is regulated under The Infant Formula Act, which requires that the products meet nutritional requirements as the only source for babies through the first 12 months of age, the statement added.

If a toddler beverage is intended for infants younger than 12 months, the product must comply with the FDA’s infant formula regulations in addition to all other applicable food regulations, an FDA spokesperson told Fox News Digital. 

The American Academy of Pediatrics (AAP) warned in an Oct. 2023 report that toddler formula is “unnecessary and potentially harmful to young children.” Advocates for the formula, however, feel differently.  (iStock)

There are two different types of toddler milk on the market: transition formulas for infants and toddlers 9 months to 24 months old, and toddler milk for children 12 months to 36 months age, according to a previous research report from the NYU College of Global Public Health

Unlike infant formulas, toddler milks are not nutritionally complete, experts said.

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“A healthy diet for toddlers would limit excess processed foods, salt and sugar.”

Approximately 80% of toddler milks have higher sugar content than whole milk and 100% have less protein, the AAP stated.

After toddlers are weaned off breast milk or infant formula, Ferry recommends that they drink milk and water, with the majority of their nutrients coming from solid foods.

“A healthy diet for toddlers would limit excess processed foods, salt and sugar,” she said.

Regulation of toddler milk

“Toddler beverage products intended for children 1 year and older are regulated as conventional foods and must comply with the FDA’s labeling regulations,” an FDA spokesperson told Fox News Digital.

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“This includes providing the Nutrition Facts label, specifically for children 1 to 3 years of age.”

When it comes to marketing toddler milks, manufacturers must adhere to certain rules.

Most infants in the U.S. receive some or all of their nutrition from formula, according to the FDA. (iStock)

“Manufacturers cannot make claims regarding disease conditions, but can use language relating to symptoms, even if they are not supported by evidence,” he told Fox News Digital in an email.

They can claim their product is lactose-free, for example — but cannot claim that it is helpful for lactase deficiency, he said.

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“Nutrient content claims or health claims are not allowed on food products intended specifically for use by infants and children under 2 years of age unless specifically provided for by regulation,” added the FDA spokesperson.

“In general, the product labeling must be truthful and not misleading.”

Cross-promotion in marketing and packaging

Some experts warn that infant formula and toddler milk are often marketed and packaged in a way that may lead parents to believe they are the same in terms of nutritional content.

“The cross-promotion of toddler milks with infant formula … allows for the trust caregivers have for formula brands to be transferred to a product that is not regulated, contains added sugar, and is not recommended by the AAP,” warned Fleming-Milici.

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Standard infant formula can be supplemented with appropriate solid foods at around 4 to 6 months of age, ensuring intake of essential nutrients like iron, calcium and zinc, the AAP said. (iStock)

“Research shows that these messages lead caregivers to believe toddler milks are superior to their family meals and plain cow’s milk – which is much less expensive and is what experts recommend.”

A WHO report noted that “formula milk marketing, not the product itself, disrupts informed decision-making and undermines breastfeeding and child health.” 

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Showing parents educational videos to correct misleading marketing can help to reduce sugary drink consumption in the first few years of a child’s life, Fleming-Milici’s research found.

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“Exposure to the videos significantly reduced positive attitudes toward toddler milks and fruit drinks, and reduced intentions to serve both,” she told Fox News Digital.

Potential nutritional benefits

Advocates, however, argue that toddler formula is helpful to many young children who don’t get the proper nutrients in their diet.

“In general, the product labeling must be truthful and not misleading.”

“Research demonstrates that nutrient intake for young children often falls below adequate levels for iron, vitamins D and E, calcium, choline, potassium and fiber,” a spokesperson from the Infant Nutrition Council of America (INCA) told Fox News Digital.

INCA is a Washington, D.C.-based association of manufacturers of infant formulas and toddler milks, representing brands including Abbott Nutrition, Gerber Products Company, Perrigo Nutritionals and Reckitt Benckiser.

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Advocates argue that toddler formula is helpful to many young children who don’t get the proper nutrients in their diet. (iStock)

“For kids 12 months to 36 months who need nutritional support, toddler nutritional drinks have been shown to contribute to nutritional intake and potentially fill nutrition gaps, as recognized globally in the international Codex Alimentarius standard,” the INCA spokesperson added.

When children need extra nutrition because of a medical condition — such as failure to thrive or an intestinal or metabolic disorder — they should receive specialty liquid nutrition rather than products marketed as toddler milk, Ferry noted.

A spokesperson from Nestlé, which makes a variety of powdered milk products for toddlers, said in response to an earlier Fox News Digital query that the company “seeks to provide a range of foods and beverages to support consumers at all stages of life.”

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“National health studies indicate that U.S. toddlers have nutritional gaps in their diet often related to picky eating,”  (iStock)

The spokesperson added, “Nestlé has consistent standards that apply to our responsible marketing for products intended for babies and young children. Those standards and practices fully comply with the WHO [World Health Organization] code and follow either local law or our own policy — whichever is stricter.”

A spokesperson from Similac also submitted a statement to Fox News Digital in response to an earlier query as well. 

“National health studies indicate that U.S. toddlers have nutritional gaps in their diet often related to picky eating,” the spokesperson said. “When they don’t do well transitioning to table foods, or won’t drink milk, our toddler drinks contain many of the complementary nutrients, such as vitamins and minerals, that they may be missing in their diet.”

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The spokesperson also said, “Toddler drinks may be an option to help fill nutrient gaps for these children 12 to 36 months of age. Abbott does not recommend or indicate its toddler drinks for infants under 12 months of age.”

Fox News Digital also reached out to other companies that make powdered milk products for toddlers.

Parents of young children should always check with their pediatricians for the best and latest nutrition advice.

Melissa Rudy of Fox News Digital contributed reporting.  

For more Health articles, visit www.foxnews.com/health

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

SUPER SPREAD — An “aggressive” new flu variant sweeps the globe as doctors warn of severe symptoms

The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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