SCIENCE INSPIRED BY NATURE
SMA High Energy® Formula
Food for Special Medical Purposes
A nutrient dense formula for the dietary management of infants and young children aged 0 – 18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.
Product description
NUTRIENT DENSE FORMULA TO SUPPORT CATCH-UP GROWTH1
Protein: energy ratio of 10.4% to support optimal catch-up growth1 in babies with medically identified high energy needs
WELL TOLERATED 2,3
100% whey, partially hydrolysed protein for easier digestion2,3
HELPS SUPPORT LIPID AND CALCIUM ABSORPTION4,5
The only nutrient-dense formula in the UK & I to contain a fat blend enriched with SN-2 palmitate6-8, which aids lipid and calcium absorption4,5
The first 1,000 days are of particular importance for infants with faltering growth. Providing these infants with additional nutrition, including adequate protein and energy, vitamins and minerals, is essential to help them to achieve catch-up growth and to avoid the long-term consequences of inadequate nutrition.1,3
SMA High Energy® Formula 200 ml ready-to-use cartons are available to purchase over the counter at pharmacies, or on prescription
PIP code (UK only): 253-3693
SMA High Energy® Formula 90 ml bottles are available for hospital use only
NHS Catalogue code (UK only): ABA073
Supplier code (Ireland only):
12337116 (200 ml carton), 12369910 (32 x 90 ml bottles)
NUTRIENT DENSE FORMULA TO SUPPORT CATCH-UP GROWTH1
WELL TOLERATED 2,3
HELPS SUPPORT LIPID AND CALCIUM ABSORPTION4,5
Data card
Formats
90 ml bottle
Available for hospital use only
NHS Catalogue code (UK only): ABA073
Supplier code (Ireland only): 12369910 (32 x 90 ml bottles)
200 ml carton
Available to purchase over the counter at pharmacies, or on prescription
PIP code (UK only): 253-3693
Supplier code (Ireland only): 12337116
Comparison charts
SMA High Energy® is specifically designed to promote digestion and tolerance1–3 and is the only High Energy formula in the UK and Ireland to contain a fat blend enriched with SN-2 palmitate,4–6 shown to promote softer stools.3
| High Energy Formulas | SMA High Energy®4 | Similac High Energy5 | Infatrini6 |
|---|---|---|---|
| Protein:energy ratio | 10.4% | 10.4% | 10.4% |
| Whey:Casein ratio | 100:0 | 59:41 | 60:40 |
| Protein Type | Partially hydrolysed | Intact | Intact |
| SN-2 palmitate enriched fat blend | Yes | No | No |
| Omega 3 & 6 LCPs | Yes | Yes | Yes |
| Potential Renal Solute Load (mOsm/L) | 236 | RSL = 226 | 228 |
| Osmolality (mOsm/kg H2O) | 392 | 333-373 | 360 |
- Billeaud et al. Eur J Clin Nutr 1990; 44: 577–583.
- Lama More RA et al. Poster presentation at LASPGHAN 26–29 March 2014.
- Kennedy K et al. Am J Clin Nutr 1999; 70: 920–927.
- SMA Nutrition. SMA High Energy® Datacard. Currently available from SMA Nutrition UK & Ireland. Accessed March 2019.
- Abbott. Similac High Energy datacard. Available here. Accessed June 2020.
- Nutricia. Infatrini datacard. Available here. Accessed June 2020.
LCPs, Long Chain Polyunsaturates
Preparation
Information for you to give to parents
Preparing your baby's feed – 90 ml bottle
Failure to follow instructions on preparation and storage may make your baby ill.
Special Safety Feature
Reject bottle if the foil under cap is missing or damaged prior to opening.
Wash hands well.
SMA High Energy® can be fed at room temperature. If required to heat, stand the bottle in warm water.
Shake bottle well and remove cap and aluminium foil. Unwrap SMA® NUK®orthodontic pre-sterilised teat and holding the teat ring, screw directly onto the bottle.
If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.
Preparing your baby's feed – 200 ml carton
Failure to follow instructions on preparation and storage may make your baby ill.
Wash hands well. Wash and sterilise all utensils according to manufacturer’s instructions.
If carton is damaged in anyway, do not use. Check best before date. Ensure top of carton and scissors are clean. Shake carton well, snip open and pour into sterilised bottle. Add sterilised teat and cap.
SMA High Energy® can be fed at room temperature. If required to heat, stand filled bottle in warm water, do not immerse the teat.
Before feeding shake the bottle well. If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.
Important feeding information
Information for you to give to parents
SMA High Energy® Formula – 90 ml bottle
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Strictly follow hospital procedures. |
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Check best before date. |
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Wash hands well, shake bottle before use, remove lid and aluminium foil and attach a hygienic teat. |
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Feed immediately after opening. For hygienic reasons, discard unfinished feed as soon as possible, and always within 1 hour. |
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After use, discard bottle, teat and remaining contents. Bottles and teats are for single use only. |
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For enteral use only. |
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For tube feeding, once the product is prepared it should be used within 4 hours. |
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Ensure all feeding equipment is sterilised before use. |
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In order to maintain a constant flow, the use of a pump is recommended. |
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Do not alter or add to formula unless medically directed. |
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Remember, cows’ milk should not be used as a drink during the first year of life. |
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Do not microwave, hot spots may occur and cause scalding. |
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Do not freeze. |
SMA High Energy® Formula – 200 ml carton
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Check best before date. |
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Once open, store in the fridge (5 °C or below) for up to 24 hours in the carton, corners turned down. |
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For hygienic reasons, discard unfinished feed in the bottle as soon as possible and always within 1 hour. |
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For older babies, ready to use SMA High Energy® formulae can be added to food. |
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For enteral use only. |
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If tube feeding, the use of a pump is recommended when a constant flow is necessary. |
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Do not alter or add to formulae unless medically directed. |
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Do not warm feeds in a microwave, hot spots may occur and cause scalding. |
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Remember, cows’ milk should not be used as a drink during the first year. |
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Do not freeze. |
Recipes
Banana and Raspberry Porridge Bars (12 months+)
150 g Rolled Oats
135 ml SMA High Energy® (Ready to use liquid)
75 g Raspberries
75 g Bananas
Makes approximately 15 bars
- Preheat the oven to 190 °C.
- Soak the oats in the SMA High Energy® milk for a few minutes until soft.
- Mash banana and cut raspberries in half then mix with the soaked oats.
- Line an ovenproof dish with baking paper and put in the oven to cook for 15 mins.
- Wait until cool then cut into fingers. Check that it has cooled to room temperature before serving.
Always check the label for allergens.
Never leave your baby unattended during feeding as there is a risk they may choke.
Macaroni Cheese (7months+)
1 tbsp Plain Flour
1 tbsp Butter
180 ml SMA High Energy® (Ready to use liquid)
50 g Dried Macaroni
50 g Cheddar Cheese
Makes 2–3 portions.
- Cook the macaroni according to instructions on the pack.
- Meanwhile, melt butter in saucepan and add plain flour to make a paste.
- Add SMA High Energy® milk gradually, mixing as you go, to make a white sauce.
- Once the macaroni is cooked, drain, then mix into the white sauce with half the cheese.
- Put the macaroni mixture into a small ramekin and add remaining cheese on top, then place under the grill until golden on top.
- Check that it has cooled to room temperature before serving and mash or puree to desired consistency.
- The high energy white sauce can also be used in a variety of other recipes for your baby.
Always check the label for allergens.
Never leave your baby unattended during feeding as there is a risk they may choke.
Growth guidelines
A link to the NICE guidelines on the recognition and management of faltering growth in children (launched Sept 2017) can be found here.
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WHO/FAO/UNU Report of a Joint Expert Consultation. Protein and Amino Acid. Requirements in Human Nutrition. Technical Report Series No. 935. World Health Organisation 2007; 185–193.
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Billeaud et al. Eur J Clin Nutr 1990; 44: 577–583.
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Lama More RA et al. Poster presentation at LASPGHAN 26–March 2014
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Kennedy K et al. Am J Clin Nutr 1999;70:920-927.
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Carnielli VP et al. J Paediatr Gastroenterol Nutr 1996;23(5):553-560
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SMA High Energy datacard (2019). Available at www.smahcp.co.uk/formula-milk/high-energy. Accessed June 2020.
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Nutricia Infatrini datacard. Available at https://www.nutriciahcp.com/adult/products/Infatrini/ Accessed June 2020.
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Abbott Similac High Energy datacard. Available at https://nutrition.abbott/uk/product/similac-high-energy Accessed June 2020.
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Emond A et al. Pediatrics 2007; 120(4): e1051 – 1058.
IMPORTANT NOTICE:
The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness. This product must be used under medical supervision. SMA High Energy® is a milk based formula for the dietary management of babies and young children with medically determined high energy requirements as identified by a healthcare professional. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 18 months of age. SMA High Energy® is not intended for use with preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA Gold Prem® 1 is more appropriate.