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MALNUTRITION &  REDUCED APPETITE

For children with serious health conditions, such as cancer and other chronic diseases, maintaining good nutrition can be a significant challenge.1 They may experience difficulty getting the nutrition they need due to a variety of factors related to their disease. Depending on the condition this may be caused by:2-4

Increased energy
expenditure

Altered metabolic
function

Malabsorption of
nutrients due to
vomiting or
diarrhoea

Inflammation

Difficulty eating
due to dysphagia

In many cases, a child’s inadequate nutritional intake may be linked to reduced appetite as a result of their condition and/or treatment – such as chemotherapy.2,3,5-10

Nausea and
vomiting

Gastrointestinal
problems

Changes in sense
of taste or smell

Pain and fatigue

Effective nutritional management is important to support a child’s growth and development.11 Without appropriate nutrition support, children with disease-related malnutrition can be significantly impacted by:7

Increased risk of
infection

Reduced tolerance
to treatment

Increased
frequency and
length of hospital
stay

Decreased quality
of life

Increased
mortality risk

 APPETITE DECLINE IN RESPONSE TO THERAPEUTIC INTERVENTIONS

Children with cancer and other chronic diseases may receive different therapeutic interventions, depending on their condition, that can impact the GI tract. For example, children undergoing chemotherapy may experience gastrointestinal (GI) symptoms resulting from GI toxicity induced by the treatment itself.10 Chemotherapy targets rapidly dividing cells, including both cancer cells and healthy cells in the GI tract, leading to side effects such as inflammation of the mucosal tissues (mucositis) which can cause pain when swallowing.12-13


Symptoms such as these are associated with a decline in appetite, meaning important nutrients are lost and not replaced,7 contributing to the child's undernutrition.10,14

 START SMALL, GROW TOGETHER

Children with a reduced appetite or who are unable to consume large volumes of food may benefit from nutritional support to ensure they receive the essential nutrients they need - in the form of energy-dense, low-volume (or ‘compact-style’) oral nutritional supplements (ONS) designed specifically for children.11

Compact-style ONS play a key role in nutrition support strategies and can significantly increase:11

Compliance

Energy intake

Protein intake

Body weight

The use of compact ONS may also promote greater capacity to gradually consume more foods.11 While food is the most important source of nutrition, drinking a compact ONS before their meal can help them meet age appropriate nutrient intake, and has been shown to improve appetite.11

After a bottle of PaediaSure Compact, most children were just as hungry and ate just as much as usual:*15

·       68% of children said they felt just as hungry as before, or even hungrier15

·       80% of parents said their child ate just as much, if not more, after drinking PaediaSure Compact15

Resources Icon

PAEDIASURE COMPACT

PaediaSure Compact has been specially formulated for children at risk of malnutrition who may benefit from a smaller volume of feed.

  • Nutritionally complete

  • 19.4% fats as MCTs, supporting improved tolerance

  • 16% more protein than other compact paediatric ONS

  • Suitable for kosher, halal, vegetarian and gluten-free diets

  • 3 great-tasting16-17 flavours with a consistency that’s “just right”§18

peptide

In a crowded field of nutrition options, finding the right product can be challenging.

PaediaSure Compact stands out from the crowd with its unique formulation and benefits, helping you make an informed prescription choice that meets the highest standards for your patient's health and growth.

PER 125 ML SERVING
PAEDIASURE COMPACT
FORTINI COMPACT
MULTI FIBRE19
ALTRINI COMPACT FIBRE20

ENERGY

301 kcal300 kcal300 kcal

PROTEIN

8.4 g7.1 g7.5 g

PROTEIN: ENERGY RATIO

11.2%10%10%

SUGARS

5.38g20.3g9.4%

FATS AS MCTS

19.4%0%0%

RELATED RESOURCES

TACKLING GASTROINTESTINAL INTOLERANCE IN CHILDREN – SYMPTOM BASED...

The consensus guide ‘A practical guide to identifying and managing….


SPOTLIGHT ON ARFID

Spotlight on ARFID: Tips for the identification and management fro…

Footnotes:

MCT, medium chain triglycerides
ONS, oral nutritional supplement
*In a satiety study
†Compared with Fortini Compact Multi Fibre.
‡Vitamin D is synthesised from cholesterol, extracted from the grease in wool sheared from live sheep. Most manufacturers use vitamin D from this source, which is approved by the Vegetarian Society
§ Independent taste research involving 23 children found that 83% of children scored the thickness of PaediaSure Compact as ‘just right’.

References:

1. NHS 2023. Malnutrition. Available online: https://www.nhs.uk/conditions/malnutrition Last accessed February 2024.
2.  Jeong SJ. Korean J Pediatr 2011;54(7):277-281.
3. Puoti MG. Köglmeier J. Nutrients 2023;15:62.
4. Knebusch N et al. Nutrients. 2023;14:4142.
5. Bischoff SC et al. Clin Nutr 2020;39:632e653.
6. Balestrieri P et al. Nutrients 2020;12(2):372.
7.  Triarico S et al. Eur Rev Med Pharmacol Sci. 2019;23(3):1165-1175.
8. Romano C et al. J Pediatr Gastroenterol Nutr 2017;65(2):242-264.
9. Blackburn C et al. Annual Report of the Chief Medical Officer 2012; 9.
10. Akbarali HI et al. Adv Cancer Res. 2022;155:131-166.
11. Hubbard GP et al. Eur J Pediatr. 2020;179(9):1421-1430.
12. Deleemans JM et al. BMC Cancer. 2019;1243
13. NHS. Mucositis. Available online: https://www.nhs.uk/conditions/mucositis/
14. Pedretti L et al. Nutrients. 2023;15(3):710.
15. Data on file. Abbott Laboratories Ltd., 2017 (PaediaSure Compact satiety claims research)
16. Data on file. Abbott Laboratories Ltd., 2017 (Sensory research and evaluation:PaediaSure Plus vs. PaediaSure Compact).
17. Data on file. Abbott Laboratories Ltd., 2017 (Sensory research and evaluation: PaediaSure Compact banana flavour and PaediaSure Compact strawberry flavour).
18.  Data on file. Abbott Laboratories Ltd., 2017 (Palatability and taste research).
19. Fortini Compact Multi Fibre datasheet [Accessed November 2024].
20. Altrini Compact Fibre datasheet [Accessed January 2025].

 
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1,5 kcal / ml

Nutrition Information

Energy
 UnitPer {ml-col-1} mlPer {ml-col-2} ml
 
Vitamins
 UnitPer {ml-col-1} mlPer {ml-col-2} ml
 
Minerals
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footnotes

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