G. Schoch et M. Kersting, THE REQUIREMENTS OF ENERGY AND PROTEIN AN D THE DIRECTIVES OF THE EUROPEAN-UNION (EU) FOR THE FIRST YEAR OF LIFE, Monatsschrift fur Kinderheilkunde, 144, 1996, pp. 184-192
The present recommendations for the energy and protein intake of infan
ts are based on a WHO report from 1985. The true energy requirement pe
r kg body weight is most likely lower than it was estimated by the WHO
on the basis of nutrition surveys. The protein requirement for the fi
rst half-year of life is deduced from breast milk intake, for the seco
nd half-year of life using the factorial method. During the second hal
f-year of life, the actual energy intake is slightly lower whereas the
actual protein intake is much higher than the recommendations. This i
s due to the fact that important sources for essential nutrients also
contain high amounts of protein. In the draft for the EU recommendatio
n for beikost, this tendency is emphasized. In this draft, a protein c
ontent of 12 energy-% for complete meals corresponding to the mixed di
et of adults is demanded. In contrast, the protein content of breast m
ilk during the time of the highest protein requirement due to growth i
s probably less than 6 % of the energy content. Therefore, it is very
unfortunate that the EU draft does not include the low protein, milk-f
ree cereal-fruit meal so well-established in German speaking countries
. It is also a problem that the product orientated draft for the EU re
commendation does not consider the crucial total intake of energy and
nutrients per day.