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what to feed an infant with cystic fibrosis

by Dr. Erik Morissette Published 2 years ago Updated 2 years ago
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  • Formula or Breast Milk. Breast milk is excellent nutrition for babies with CF, and we encourage families who wish to breastfeed.
  • Pancreatic Status. By far, most individuals with CF are “pancreatic insufficient.” This means that the digestive enzymes that are made by the pancreas are not able to help with digestion.
  • Pancreatic Enzyme Replacement Therapy. There are several brands of prescription enzymes used to treat pancreatic insufficiency, such as Creon®, Pancreaze®, Zenpep®.
  • CF Vitamin Therapy. Individuals with CF have trouble absorbing the fat-soluble vitamins A, D, E and K. ...
  • Salt. People with CF lose more salt through sweat than people without the condition. Salt depletion can lead to serious health problems.
  • Fluids. Generally, babies that drink enough breast milk or formula to grow well are getting enough fluid. ...
  • Introducing Solid Foods. For a baby with CF, the guidelines for starting baby food and table food may sometimes be different from the child without CF.
  • Reaching Nutrition Goals. Calorie and protein needs are generally higher in those with CF than in the non-CF population. ...
  • The "Dream Diet" Dietary fat is a concentrated source of calories and it plays a very important role in CF nutrition.
  • Your Nutritionist. You will find that the CF team asks a lot of questions at each visit to know how your baby is doing.

Breast milk and infant formula milks are both suitable for most babies with cystic fibrosis. However, occasionally infants will require a special high- protein, high-energy formula, or a pre-digested feed to achieve the required weight gain.

Full Answer

How many calories does a child with cystic fibrosis need?

Women with CF should consume 2,500 calories a day to maintain their weight and 3,000 calories a day to gain weight. Men with CF should consume 3,000 calories a day to maintain their weight and up to 3,700 calories a day to gain weight.

Does cystic fibrosis have a cure?

Unfortunately, there is no cure for cystic fibrosis, but proper treatment can ease your symptoms, reduce complications, and improve your quality of life. Doctors may decide that certain medications are necessary.

What vaccinations should a person with cystic fibrosis get?

Will the vaccine work for me?

  • All of the COVID-19 vaccines available in Canada are safe, and they do not contain any live virus. ...
  • Doctors and researchers have looked at the evidence. ...
  • People with cystic fibrosis were not included in the clinical trials of the COVID-19 vaccines. ...

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What is a CF diet?

The cystic fibrosis diet is a guideline on how to get enough nutrition, rather than a diet that involves restricting foods. In general, the cystic fibrosis diet involves foods that are high in nutritional value that will add calories from the macronutrients (fats, carbohydrates and proteins). Compliant Foods.

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What kind of diet should a child with cystic fibrosis have?

Like other children, those with CF should eat a balanced diet that includes whole grains, fruits and vegetables, dairy products, and protein. High-fat, high-calorie foods and snacks; foods with extra salt and low in sugar, can benefit children and teens with CF.

What foods should be avoided with cystic fibrosis?

Dietary Restrictions As with any diet, eating foods with empty calories (such as sugar-laden drinks) is not recommended on the cystic fibrosis diet. People with CF need to eat a balanced diet with a variety of bright-colored fruits and vegetables, whole grains, whole-fat dairy products, and healthy protein.

Do babies with CF eat more?

People with CF need more calories than people who do not have CF, especially if they do not absorb all the food they eat. Extra calories are needed to fight infection as well. formula or breast milk before feeding your baby solid food.

How do you take care of a baby with cystic fibrosis?

Work with your child's schoolgive them time and privacy to perform airway clearance therapy.let them take medication.adjust attendance rules to let them go to medical appointments.provide extensions and help them catch up on lessons and assignments they miss due to medical appointments or illness.

What food is good for fibrosis?

Eat a diet low in sodium (salt), added sugars, saturated and trans fat. Try and get most of your calories from lean meats and fish, fruits, whole grains, beans, vegetables and low-fat dairy products.

What I eat in a day with cystic fibrosis?

People with CF are also usually encouraged to eat as much as they'd like of high-calorie, high-fat, high-salt foods, along with fruits and vegetables. A diet with 40 percent of total calories from fat is generally recommended.

Do babies with cystic fibrosis gain weight?

Children with cystic fibrosis (CF) often have poor weight gain. This can happen even when they get enough calories. Infections, breathing problems, and the body's inability to take in certain nutrients (malabsorption) can all lead to the need for extra calories.

Can babies with cystic fibrosis be breastfed?

Although early studies suggested that the breastmilk from mothers with cystic fibrosis had higher-than-normal levels of sodium, subsequent research has confirmed that women with CF can safely breastfeed their babies and provide them with the appropriate amounts of protein and sodium.

Do all CF patients need a feeding tube?

This often causes people with CF to have vitamin deficiencies that lead to poor growth and poor weight gain. If you or your child with cystic fibrosis are struggling to maintain a healthy weight, a gastrostomy tube (G-tube) feeding may help. This is a tube inserted into the stomach to directly deliver nutrition.

Do babies with CF poop a lot?

Most kids with CF don't have certain digestive enzymes that absorb fats and proteins. This can cause large, bulky, loose stools.

What is the life expectancy of a baby with cystic fibrosis?

Currently, about half of people with cystic fibrosis will live past the age of 40. Children born with the condition nowadays are likely to live longer than this.

What are 3 symptoms of cystic fibrosis?

People with CF can have a variety of symptoms, including:Very salty-tasting skin.Persistent coughing, at times with phlegm.Frequent lung infections including pneumonia or bronchitis.Wheezing or shortness of breath.Poor growth or weight gain in spite of a good appetite.More items...

Does dairy cause cystic fibrosis?

Cows' milk sensitive enteropathy is an important cause of failure to thrive in children with cystic fibrosis. Small intestinal biopsy is an important investigation in younger children who fail to thrive and have diarrhoea despite adequate treatment.

Why is high fat diet for cystic fibrosis?

A high- calorie. People with CF need more calories than people who do not have CF, especially if they do not absorb all the food they eat. Extra calories are needed to fight infection as well. , high-fat diet, with 40 percent of total calories from fat is generally recommended.

Why is diet important with CF?

Eating well is vital for people with cystic fibrosis (CF). Good nutrition and a healthy body weight have been directly linked to having better lung function and a reduced frequency of chest infections.

What protein causes cystic fibrosis?

Cystic fibrosis is caused by mutations in the gene that produces the cystic fibrosis transmembrane conductance regulator (CFTR) protein. In people with CF, mutations in the CFTR gene can disrupt the normal production or functioning of the CFTR protein found in the cells of the lungs and other parts of the body.

How many calories does my child need?

Children with cystic fibrosis (CF) often have poor weight gain. This can happen even when they get enough calories. Infections, breathing problems, and the body's inability to take in certain nutrients (malabsorption) can all lead to the need for extra calories. Children with CF should have a diet high in calories.

How can extra calories be added?

You can add extra calories to your child's meals and snacks with these steps:

Does my child need extra vitamins?

Vitamins are important for proper growth and development. Vitamins A, D, E, and K are known as fat-soluble vitamins. Many children with CF don’t get enough of these vitamins from the foods they eat. That’s because they have trouble digesting and absorbing fat. When this happens, your child may need to take extra vitamins.

Does my child need extra salt?

Children with CF need extra salt in their diets. This is because they lose more salt in their sweat than other children. Add extra salt by using the salt shaker at meals and including salty foods and snacks. These include chips, pretzels, fast foods, French fries, pickles, nuts, and lunch meats.

What if my child is not gaining weight?

Sometimes children with CF don't grow or gain weight even with a high-calorie diet. This can happen if your child's appetite is poor, they have frequent infections, or your child has malabsorption. Tell the provider if feeding your child butter, sour cream, cream cheese, or other fatty foods leads to symptoms of malabsorption (see below).

What should a child with cystic fibrosis eat?

Like other children, those with CF should eat a balanced diet that includes whole grains, fruits and vegetables, dairy products, and protein. 2 High-fat, high-calorie foods and snacks; foods with extra salt and low in sugar, can benefit children and teens with CF. 1,2.

How to feed a child with cystic fibrosis?

These are done through two kinds of feeding tubes. A NG tube, nasogastric, is a tube inserted through the nose into the stomach. A longer-term approach to supplemental feeding involves a G-tube (gastrostomy). This is a tube that is inserted into the stomach during a surgical procedure that can accommodate enhanced formulas which add up to 2,000 calories in an overnight feeding. 1

Why do children with cystic fibrosis need to eat more?

A child with cystic fibrosis (CF) generally needs to eat more food than other children into their diet in order to stay healthy. Cystic fibrosis, an inherited genetic disorder caused by a mutation on chromosome 7, affects the epithelial cells, specifically those in the lining of the lungs, pancreas and sweat glands. 1,2 CF causes an imbalance in salt and water in the body. When this happens, the body produces a thick mucus, which can coat the lungs and prevent the intestines from absorbing essential nutrients. That interferes with weight gain. 1,2

What vitamins are needed for CF?

Vitamins. Vitamins are important for everyone’s normal growth and development. Children with CF may not get enough vitamins A, D, E, and K. These are fat-soluble vitamins which are normally digested as part of fat absorption. 1 There are vitamins specially formulated for children with CF.

What foods should I eat with CF?

Keep a saltshaker on the table, allow salty foods and snacks like pretzels, french fries, pickles, and deli meats. 1.

What can a dietitian do for a child with malabsorption?

There are specially trained dietitians who can help you plan the best nutritional program for your child, accommodating any special needs. If your child suffers from malabsorption there are vitamins and enzymes that can be prescribed to help them maximize the benefits of what they are eating. A dietician and your health care team can accommodate the specific needs and likes of your particular child. 1,2

What to eat when you have CF?

Good food choices can include cheeseburgers, pizza with extra cheese and vegetables, eggs, sandwiches with all the toppings, drinking milkshakes and eating desserts made with dairy and topping them with whipped cream. 1,2. Extra salt is also important because children with CF lose more salt in their sweat than others do.

What is the best milk for cystic fibrosis?

Breast milk is the best milk for babies without medical problems and for most babies with cystic fibrosis. It contains everything needed for growth and development during the first six months of life. The nutrients it contains are easily digested and absorbed. In addition, it contains antibodies which offer some protection against certain infections, such as coughs and colds, ear infections and tummy upsets. Many babies with CF grow well on breast milk and it is encouraged wherever possible.

What to feed a 6-month-old baby?

At six months of age, your baby will be ready to eat mashed foods. Good foods to use are mashed or soft cooked fruit and vegetables like parsnip, potato, yam, sweet potato, carrot, apple or pear, all cooled before eating, or soft fruit like peach, melon, banana and avocado as finger foods or mashed. Baby rice or baby cereal can be mixed with your baby’s usual milk. Keep feeding them breast milk, infant formula or nutrient-dense feeds as well but don’t give them whole cows’ milk as a drink until they are a year old.

How old is a baby when it is ready for solids?

It is very rare for these signs to appear together before your baby is six months old.

What to feed a baby to help them gain weight?

This milk contains extra energy and other nutrients such as protein, vitamins and minerals to help your baby gain weight. There are three brands of nutrient-dense feed on the market in the UK and your dietitian will advise which one to use.Nutrient-dense feeds are specially produced for babies who are not gaining weight or growing well and they are available on prescription from your GP.

Can you feed a baby with cystic fibrosis?

Feeding a baby with cystic fibrosis should not be too different from feeding any other baby. It does require extra time and effort to give the pancreatic enzymes and perhaps prepare baby milk, but if a good routine is developed, these extra tasks should soon become second nature.

Can cystic fibrosis babies eat breast milk?

This is most commonly seen in babies who have needed surgery on their bowel. Many babies who have had surgery can tolerate breast or infant formula feeds, and special milks will only be used if your baby has had difficulty tolerating their usual feed .

Do fruits and vegetables need pancreatic enzymes?

Purees of fruit and vegetables do not need additional pancreatic enzymes. However you will need to adjust your dose of pancreatic enzymes with foods containing fat. Your dietitian will advise you about this.

How to keep a baby healthy with cystic fibrosis?

To help keep a baby or toddler with cystic fibrosis healthy, the child and everyone close to them should be up-to-date on their vaccines, including the flu and pneumonia vaccines. They should avoid close contact with other children that have CF, staying at least 6 feet apart at all times. 1-3.

How to keep a child with CF healthy?

House cleaning, disinfecting bottles and nebulizers, and other infection prevention and control measures such as frequent handwashing are ways that adults can keep their child with CF as healthy as possible. 1-3.

Why does cystic fibrosis make babies feel full?

Babies, toddlers, and preschoolers with cystic fibrosis often fail to gain weight because acid reflux makes them feel discomfort. This discomfort may be a burning sensation in the chest and slow emptying of the stomach that makes them feel full. Babies may appear healthy but are actually malnourished.

What are the symptoms of cystic fibrosis in babies?

Many gastrointestinal (GI) issues accompany cystic fibrosis and may begin appearing in infancy. Malabsorption, constipation, diarrhea, acid reflux (GERD), and greasy, bulky stools are all common among babies and preschoolers with CF and contribute to loss of appetite and lack of cooperation with airway clearance. 2

What to do with CF kids?

Just as with other children, playgroups, play centers, daycare, and preschool are great ways for young children with CF to socialize and learn. Parents will need to teach other parents, babysitters, daycare staff, and teachers about their child’s special needs. It is also recommended that parents check the cleanliness of the facility.

What is the best weight for CF?

It is recommended that infants, toddlers, and preschoolers with CF should weigh at or above the 50th percentile for their height/length, which may look slightly chubby. A higher BMI helps a young child grow properly and is linked to better lung function later in life. 1,2. To maintain a healthy weight, babies and small children with CF need ...

Why do babies need pancreatic enzymes?

Because of their gastrointestinal system does not work well , babies and small children with CF will need pancreatic enzymes and vitamin supplements added to their food to help them get the nutrients they need. These children are also prone to iron deficiency (anemia), constipation, acid reflux, and zinc deficiency.

How much should a toddler eat with cystic fibrosis?

The CF nutrition guidelines state that children with CF should eat between 20% and 50% more calories than children without CF.

How to help a child with cystic fibrosis?

Your cystic fibrosis (CF) dietitian can help you plan how to add calories, such as cream, oil, butter, margarine, and syrup.

How to help CF kids lose weight?

Because children with CF can lose weight very quickly, it is important to have a plan for managing sick days. Be sure to check with your CF dietitian about how to best give high-calories when your child is sick. Here are a few tips: 1. Offer high-calorie foods that you know your child likes, rather than a new food.

How to make a high calorie formula for babies?

Here are a few: 1. Mix your baby’s cereal with high-calorie breast milk or formula in a bowl. You can ask your CF dietitian how to make high-calorie formula. 2. Add oils (olive, canola, or safflower), butter, or margarine to fruits and vegetables (1 teaspoon to a ½ cup or 4 ounces).

What to do when your child is thirsty?

If you child is thirsty and it is not a regular time to eat, offer water. † Serve a high-calorie milk for meals and snacks. This drink has the highest calories and has important nutrition that other beverages do not have.

When can a child eat and drink?

At one year of age, your child will be able to eat and drink more foods on his own. The more practice your child gets with eating and drinking (especially new things), the more options you will have to meet Cystic Fibrosis (CF) Foundation nutrition and calorie recommendations.

What are some good breakfast foods?

Try to offer two different types of foods for breakfast, such as scrambled eggs made with heavy cream and cooked in butter/margarine and fruit packed in heavy syrup or a breakfast meat such as bacon or sausage. You can offer three different types of foods for lunch and dinner.

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