Indications | Formula description | Age | Examples (listed alphabetically, not comprehensive) |
Intact gut |
| 1 to 11 years | Standard: Boost Kid Essentials, Nutren Jr, PediaSure, PediaSure Reduced Calorie* Blenderized (homogenized food)¶: Compleat Organic Blends, Nourish, RealFood Blends |
≥12 years | Standard: Boost, Ensure, Nutren 1.0, Osmolite Blenderized¶: Real Food Blends, Compleat Organic Blends, Nourish, Liquid Hope | ||
Lactose intolerance |
| 1 to 11 years | Boost Kid Essentials, Nutren Jr, PediaSure, PediaSure Reduced Calorie* |
≥12 years | Boost, Ensure, Nutren 1.0, Osmolite | ||
Diarrhea, constipation, or expected long-term use |
| 1 to 11 years | Boost Kid Essentials with fiber, Nutren Jr with fiber, PediaSure with fiber |
≥12 years | Boost with fiber, Ensure, Jevity, Nutren 1.0 with fiber | ||
Increased protein needs |
| ≥12 years | Boost High Protein, Ensure High Protein, IsoSource HN, Osmolite HN, Promote, Nutren Replete Contain fiber: FiberSource HN, Jevity Plus, Promote with fiber, Nutren Replete with fiber |
Volume restriction (calorie dense) |
| 1 to 11 years | 1.5 kcal/mL: Boost Kid Essentials 1.5, Pediasure 1.5 |
≥12 years | 1.5 kcal/mL: Ensure Plus, IsoSource 1.5, Nutren 1.5, Osmolite 1.5, Jevity 1.5 (with fiber only), Glucerna 1.5 2 kcal/mL: Novasource Renal 2.0, Nutren 2.0, TwoCal | ||
Hypermetabolism |
| 1 to 11 years | Hydrolyzed protein: Pepdite Jr, Peptamen Jr, Peptamen Jr 1.5, Pediasure Peptide 1.0, Pediasure Peptide 1.5 |
≥12 years | Polymeric: Impact, Impact with fiber, Impact 1.5, TraumaCal Hydrolyzed protein: Crucial, Perative, Vital 1.0 cal, Vital 1.5 cal, Pivot 1.5, Optimental, Peptamen, Peptamen 1.5 | ||
Impaired digestion or impaired gut perfusion |
| 1 to 11 years | Elecare Jr, Neocate Jr, Vivonex Pediatric, EO28 Splash |
≥12 years | Tolerex, Vivonex Plus, Vivonex TEN, Vivonex RTF |
MCT: medium-chain triglycerides.
* Reduced-calorie formulas (eg, 0.6 kcal/mL) may be useful for children with reduced calorie requirements. By contrast, reducing calorie intake by feeding diluted or lower volumes of standard formulas may result in suboptimal micronutrient provision.
¶ Commercial blenderized formulas may or may not be nutritionally complete (ie, they meet estimated needs for energy and all macro- and micronutrients, when provided in the appropriate volume for the patient's age group). When these formulas are used, an expert clinician should review the composition and determine if the diet meets the child's estimated needs for all nutrients and fluid.Do you want to add Medilib to your home screen?