Improved bowel habits11,27
Fibre is considered an essential nutrient for human health,*1 and a child’s body needs the right amount and balance of fibre to support their organs and bodily systems. Fibre provides the body with a range of short and long-term benefits that influence the child’s overall health.2
Yet 86% of children† in the general population don’t get enough fibre in their diets3, and inadequate fibre intake is even more likely for children requiring nutritional support.1,4-6,‡
A lack of dietary fibre is associated with several disorders in children, including:2
Irritable Bowel
Syndrome (IBS)
Allergies
Immune-related
disorders
Children living with neurodisabilities and chronic conditions such as cancer and gastrointestinal (GI) disorders, may experience inadequate fibre intake through malnutrition, resulting in issues including:7-10
Constipation
Abdominal pain and
diarrhoea
Nausea and
vomiting
When fibre passes through the gut, it is not digested but instead utilised by the body to perform two important roles:11-20
Metabolised in the large intestine, fermentable fibres increase the bacterial biomass in the colon – promoting the growth of especially healthy microbial species, such as Bifidobacteria and Lactobacillus.
Fermentation produces short-chained fatty acids (SCFAs), which provide health benefits in the gut and beyond. As well as helping support nutrient uptake and reduce peptide-degradation. SCFAs also support the immune system, metabolism and have anti-inflammatory effects to help reduce dysbiosis, which is an imbalance of microbiota within the GI tract.
Other fibres that are not fermented are instead utilised within the distal colon where they have considerable water-holding capacity and are used to bulk and soften stools – aiding transit and helping to protect the colon by diluting toxins.
Through these dual roles of fermentation and stool-bulking, fibre supports child health and provides short and long-term benefits within and beyond the gut.2
Gut function
benefits
Immune system
benefits
Physiological
benefits
RECOMMENDED FIBRE INTAKE FOR CHILDRENChildren have different nutritional needs at different stages of growth and development, so it’s important to provide nutritional support that is specifically formulated to meet their requirements. The table below shows UK and European guidance for daily fibre intake in children aged 2 – 18.
REGION
| DAILY FIBRE RECOMMENDATION | |
|---|---|---|
| Age (Years) | g/day | |
UK | 2-5 | 15 |
| 5-11 | 20 | |
| 11-16 | 25 | |
| 16-18 | 30 | |
| EU European Food Safety Authority (EFSA)22 | 4-6 | 14 |
| 7-10 | 16 | |
| 11-14 | 19 | |
| 15-17 | 21 | |
By comparison, the recommended fibre intake for an adult is 30g per day.23
THE POWER OF FIBREConsuming the right balance of fermentable and bulking fibres provides both short and long-term health benefits, including:
Improved bowel habits11,27
Reduced
inflammation24-25
Reduced blood
cholesterol11,24
Protection against
cancers14,24
High-fibre feeds, designed specifically to meet the unique nutritional needs of malnourished children that would benefit from an increased fibre intake, are associated with several benefits, including:
Improved GI symptoms¶#26
Reduced
constipation§26
Reduced nausea and
vomiting#26
Support healthy growth
and development27-30
Additionally, through supporting GI function, high-fibre feeds mean a significant reduction in laxative prescriptions.§26
PaediaSure Plus Fibre has been specially formulated for children at risk of malnutrition who may benefit from an increased fibre intake.
Nutritionally complete
2.2g fibre per 200ml – Reducing GI symptoms and supporting gut health26,31-32
A unique blend of ~50:50 fermentable & bulking fibres to provide benefits in the gut and beyond**††26-29,33
20% of fats as MCTs - Providing easily absorbed energy and promoting effective digestion34-35
8.4g protein per 200ml - Delivering an optimal protein-energy ratio of 11% for catch-up growth of lean and fat mass development36
Suitable for kosher, halal, vegetarian‡‡ and gluten-free diets
In a crowded field of nutrition options, finding the right product can be challenging.
PaediaSure Plus Fibre 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 200 ML SERVING | PAEDIASURE PLUS FIBRE | FORTINI MULTI FIBRE37 | FREBINI ENERGY FIBRE38 |
|---|---|---|---|
ENERGY | 304 kcal | 306 kcal | 300 kcal |
PROTEIN | 8.4 g | 6.6 g | 7.6 g |
PROTEIN: ENERGY RATIO | 11.1% | 9% | 10.2% |
FATS AS MCTS | 19.8% | 0% | 19.4% |
FIBRE | 2.2 g | 3 g | 2.2 g |
OSMOLARITY | 389 (mOsm/l) | 440 (mOsm/l) | 400-420 (mOsm/l) |
OSMOLALITY | 500 (mOsm/Kg) | 570 (mOsm/Kg) | 500-530 (mOsm/Kg) |
Fibre is an essential nutrient for human health that has short and long-term benefits1. Despite this, most children, including those with disease-related malnutrition receiving nutrition support…
This consensus article from Iva Hojsak and colleagues highlights the importance of dietary fibre, an essential nutrient that is crucial for children in health and disease. Differing…
Footnotes:
*A UK online survey of HCPs' view on the importance and role of fibre in paediatric medical nutrition. Out of 71 HCPs, 60 responded on how strongly they agreed with the following statement: 'Fibre is an essential nutrient and should be included in all oral and enteral feeds provided to children'. 48 of the 60 (80%) respondents agreed strongly or agreed slightly with the statement.
† Aged 4-10 years
‡ Due to reduced oral intake – and if food diversity is limited, the amount and variety of fibre consumed can be affected
§SACN fibre requirements start from 2 years of age.
¶Versus baseline. In a 6-month clinical study, 94% of children in the study received PaediaSure Fibre or PaediaSure Plus Fibre (N=345).
#For vomiting, baseline: 16.7%; endline (4–6 months): 7.2%. For constipation, baseline: 23.2%; endline (4–6 months): 5.1%. For laxative prescriptions, baseline: 21.7%; endline (4–6 months): 13.6%.
**Children consuming PaediaSure Fibre/Plus Fibre experienced less pain on defecation, less reluctance to defecate and a reduction in laxative use. Children defecated less than 3 times per week.
††PaediaSure Fibre/Plus Fibre contain fermentable and bulking fibres in a ratio of approximately 50:50. Soy polysaccharide has both fermentable and bulking properties.
‡‡ Vitamin D is synthesised from cholesterol, extracted from the grease in wool sheared from live sheep.
References:
1. Data on file. Abbott Laboratories Ltd., 2021 (Fibre in Paediatric Medical Nutrition).
2. Hojsak I, et al. Arch Dis Child. 2022;0:1–7
3. Public Health England. National Diet and Nutrition Survey: Rolling Programme Years 9 to 11 (2016/2017 to 2018/2019). Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/943114/NDNS_UK_Y9-11_report.pdf. Last accessed June 2024.
4. Gavin J et al. Arch Dis Child. 1997;76(1):35–37.
5. Hartman C et al. J Pediatr Gastroenterol Nutr. 2016;63(4):437–444.
6. Poulimeneas D et al. Nutrients. 2020;12(10):3126.
7. Penagini F et al. Nutrients 2015;7(11):9400-15.
8. Bischoff SC et al. Clin Nutr 2020;39:632e653.
9. Balestrieri P et al. Nutrients 2020;12(2):372.
10. Joffe L, Ladas EJ. Lancet Child Adolesc Health 2020;4(6):465-475.
11. Slavin J. Nutrients 2013;5:1417-1435.
12. Peng L et al. J Nutr. 2009 ;139(9) :1619-1625.
13. Silva YP et al. Front Endocrinol. 2020 ;11 :25.
14. O’Keefe SJD. Nat Rev Gastroenterol Hepatol. 2016;16:691-706.
15. Koh A et al. Cell 2016 ;165 :1332-1345.
16. Frost G et al. Nature Communications 2014 ;5 :3611.
17. Macfarlane GT, Macfarlane S. J OAOC Int. 2012;95(1):50-60.
18. Liu H et al. Adv Nutr. 2018;9(1):21-29.
19. Lunn J, Buttriss JL. Brit Nutr F. 2007 ;32(1) :21-64.
20. Blaak EE et al. Benef Microbes. 2020;11(5):411-455.
21. Scientific Advisory Committee on Nutrition (SACN). Carbohydrates and Health Report. 2015. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf. Last accessed June 2024.
22. European Food Safety Authority (EFSA). Dietary Reference Value (DRV) Finder. 2019. Available at: https://efsa.gitlab.io/multimedia/drvs/index.htm. Last accessed June 2024.
23. NHS. How to get more fibre into your diet. 2023. Available online: https://www.nhs.uk/live-well/eat-well/digestive-health/how-to-get-more-fibre-into-your-diet/
24. Gibson GR et al. Food Sci Tech Bulletin: Func. Foods. 2010;7:1–19.
25. Myhrstad M et al. Nutrients. 2020;12(3):859.
26. Kansu A et al. Acta Paediatrica. 2018;107(6):1036–1042.
27. Schley PD, Field CJ. Br J Nutr. 2002;87(suppl 2):S221–S230.
28. Kamal E et al. Front Nutr. 2021;10(8):552049.
29. Titgemeyer EC et al. Am J Clin Nutr. 1991;53(6):1418–1424.
30. Stephen AM et al. Nutr Res Rev. 2017;30(2):149–190.
31. de Vries J et al. World J Gastroenterol. 2015;21(29):8925-8963
32. Lunn J, Buttriss JL. Nutr Bull. 2007;32(1):1-98
33. PubChem. Croscarmellose sodium. February 2022. Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Carboxymethylcellulose-sodium. Last accessed February 2022.
34. Bach AC, et al. Clin Nutr. 1989;8:223-35.
35. Bach AC, Babayan VK. Am J Clin Nutr. 1982;36:950-62.
36. Joosten KF et al. Eur J Clin Nutr. 2010 May:64 Suppl 1:S22-4.
37. Fortini Multifibre datasheet [Accessed November 2024].
38. Frebini Energy Fibre datasheet [Accessed November 2024].
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ENSURE PLUS
1 x 220 ml
Flavor: Apple
1,5 kcal / ml
Nutrition Information
| Unit | Per {ml-col-1} ml | Per {ml-col-2} ml |
| Unit | Per {ml-col-1} ml | Per {ml-col-2} ml |
| Unit | Per {ml-col-1} ml | Per {ml-col-2} ml |
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