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A Cows Milk Free Diet

A simple overview for parents with children aged 1-5 advised to follow a cows' milk-free diet.

Classification: PiL (Patient Information Leaflet) Enforcement of healthy eating messages for self-management - advice is easily understood requiring no additional explanation.


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  • To support

    • Introducing solids, including through milk intolerance
    • Healthy eating for children Aged 1 - 12
    • Weight gain for children who may struggle to eat enough
    • Establishing eating patterns for children with eating difficulties

    Milk free guidance

    • Be aware of suitable alternative milks and milk containing foods
    • Know how to balance diet without milk and choose a milk free diet for a day
    • Know what milk derivatives are in foods

    Evidence Base:

    • Agostoni C, Turck D. Is cow's milk harmful to a child's health? J Pediatr Gastroenterol Nutr. 2011;53(6):594-600.
    • Allen KJ, Davidson GP, Day AS, et al. Management of cow's milk protein allergy in infants and young children: An expert panel perspective. J Paediatr Child Health. 2009;45(9):481-486.
    • Benhamou AH, Tempia MGS, Belli DC, Eigenmann PA. An overview of cow's milk allergy in children. Swiss Medical Weekly. 2009;139(21-22):300-307.
    • Brill H. Approach to milk protein allergy in infants. Canadian Family Physician. 2008;54(9):1258-1264.
    • Crawley Dr Helen (Caroline Walker Trust), Eating Well for under 5s in child care, Practical and nutritional guidelines 2006
    • D'Auria E. Nutritional value of a rice-hydrolysate formula in infants with cows' milk protein allergy: a randomized pilot study. Journal of international medical research (2003) 31;3: 215-22
    • De Greef E, Hauser B, Devreker T, Veereman-Wauters G, Vandenplas Y. Diagnosis and management of cow's milk protein allergy in infants. World Journal of Pediatrics. 2012;8(1):19-24.
    • Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects No. 41. HMSO, London Department of Health (1991)
    • Dr Helen Crawley (Caroline Walker Trust), Eating Well for under 5s in child care - Practical and nutritional guidelines 2006
    • First Steps Nutrition Trust 2016, Good Food Choices and Portion Sizes for 1-4 year olds
    • First Steps Nutrition Trust 2017 Eating Well: the First Year
    • Good Food Choices and Portion Sizes for 1-4 year olds First Steps Nutrition Trust 2016
    • Kneepkens CMF, Meijer Y. Clinical practice. diagnosis and treatment of cow's milk allergy. Eur J Pediatr. 2009;168(8):891-896.
    • Ludman S.,Managing cows' milk allergy in children, British medical journal 2013;347:f5424 doi: 10.1136/bmj.f5424 (Published 16 September 2013)
    • NICE (Clinical Knowledge summary) Cows’ milk protein allergy in children 2015
    • NICE Faltering growth guidelines (NG75) 2017
    • NICE Vitamin D: supplement use in specific population groups (PH56) 2017
    • Nutrition matters for the early years - Public Health Agency of Ireland
    • RCPCH Position Statement: breastfeeding in the UK 2017
    • Santos I.et al. Late preterm birth is a risk factor for growth faltering in early childhood: a cohort study, BMC paediatrics (2009) 9;71:1-8
    • Scientific Advisory Committee on Nutrition (SACN) 2011 Energy Requirements
    • Solinas C, Corpino M, Maccioni R, Pelosi U. Cow's milk protein allergy. Journal of Maternal-Fetal & Neonatal Medicine. 2010;23:76-79.
  • Publication Details

    NDR-UK Ref No:

    9409

    Publication Format:

    A5 leaflet

    Classification:

    PiL

    Pack size:

    10

    Publication date:

    01/15

    Last Review:

    02/18

    Next Review:

    2021