Welcome to professional know-how
Get practical videos and helpsheets on pregnancy and baby care, plus all the personalized know-how you need
You already have an account?

What are the key minerals for infant nutrition?

Iron

Iron is an essential component of haemoglobin; the oxygen carrying component of red blood cells and myoglobin in muscle. It also has a role in many of the metabolic processes in the body, including energy metabolism and electron transfer1.    

Iron is very important during infancy as it’s a key nutrient for brain function and development2. The uptake of iron into the brain is at its greatest during the rapid period of brain growth which occurs in the first two years of infancy. At birth the brain has only reached 27% of its adult size and it continues to grow rapidly for the next two years3. A lack of iron in the diet of infants in their early years has been linked with problems in cognitive and behavioural functioning in later life4,5.  

 

While the iron content of breast milk is low, it’s well utilised by the body. Breastfed infants absorb approximately 50% of the iron in breast milk6, whereas formula fed infants only tend to absorb about 10% of the iron in formula, hence there are higher levels of iron in formula than in breast milk6

 

In the first 4-6 months of life, babies rely on their own body stores for iron. However, from 4-6 months of age, infants’ iron stores begin to run out, so they need to get a good supply of iron from dietary sources7.   

 

Calcium and phosphorus

Calcium is essential for bone mineralisation and teeth development, making it a key nutrient for infants. In fact, 99% of the body’s calcium is deposited as calcium salts within the matrix of the bones and teeth, and this provides their structural rigidity1,8. Within the first year of life the skeletal mass of an infant doubles, highlighting the importance of an adequate calcium intake9.

The remainder of the body’s calcium is found within tissue and body fluids where it plays a key role in cell membrane transport and stability1. Calcium also plays a role in regulating muscle contraction, nerve transmission and blood clotting1,10.  

Phosphorus is another key nutrient involved in bone mineralisation. The levels of phosphorus found within the body’s bones are approximately 85%1. The rest of the phosphorus in the body is found in substances such as phospholipid membranes and within DNA and RNA. Phosphorus plays a key role inside cells which are associated with energy metabolism11  in the release of energy and oxygen to the cells11,12.     

During infancy and childhood, it’s important that there are appropriate levels of calcium and phosphorus in an infant’s diet to achieve optimum bone mineralisation.  

 

Zinc

Zinc is important for growth and muscle development. It’s also essential for the synthesis of lean tissue1 and plays a role in both DNA and RNA synthesis and cell division13. During infancy there’s a massive amount of cell division. Therefore it’s crucial that infants have sufficient zinc in their diet to achieve normal growth and development14.

Zinc also plays a role in supporting the immune system. It affects the integrity of the epithelial barrier and the function of white blood cells such as neutrophils, monocytes and macrophages15. Many of the body's hormones and enzymes also need zinc to function normally16. It’s important for both infants and adults to have an adequate intake of zinc as the body has no specialised zinc storage system17.  

 

Summary

Minerals are required for normal body function and are particularly important during the rapid period of growth during the first two years of infancy. Breast milk contains the optimum balance of nutrients required for optimal growth and development18-22. For those babies whose mothers cannot or choose not to breastfeed, all necessary vitamins and minerals are added to infant formula to make it nutritionally complete. 

References
  1. Thomas B and Bishop J.  Manual of Dietetic Practice, Fourth Edition.  Blackwell Publishing, 2007.
  2. Beard J.  Why iron deficiency is important in infant development.  J Nutr 2008; 138(12): 2534-6.
  3. Dobbing J, Sands J. Comparative aspects of the brain growth spurt. Early Hum Dev 1979; 3: 79_/83.
  4. Walter T.  Effect of iron-deficiency anaemia on cognitive skills and neuromaturation in infancy and childhood.  Food Nut Bull 2003; 24(4): S104-S110
  5. Hulthén L.  Iron deficiency and cognition.  Scand J Nutr 2003; 47(3): 152-156.
  6. Department of Health (1991) Report on Health and Social Subjects No.41.Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. HMSO, London.
  7. Chaparro C.  Setting the stage for child health and development: prevention of iron deficiency in early infancy.  J Nutr 2008; 138: 2529-33.
  8. Greer F, Krebs N and American Academy of Pediatrics Committee on Nutrition.  Optimizing Bone Health and Calcium Intakes of Infants, Children, and Adolescents. Pediatrics 2006; 117(2): 578-585.
  9. Duggan C, Watkins J, Walker A. Nutrition in Pediatrics: basic science, clinical applications.  BC Decker, 2008: p30
  10. Lovinger R.  Rickets.  Pediatrics 1980; 66(3): 359-365.
  11. Geissler C and Powers H.  Human Nutrition, eleventh edition.  Elsevier Churchill Livingstone, 2005.  P232-246
  12. Lee M.  Basic skills in interpreting laboratory data, 4th Edition.   American Society of Health-System Pharmacists 2009; 507
  13. Prasad A.  Zinc deficiency in women, infants and children.  J Am Coll Nutr 1996; 15(2): 113-120
  14. Simmer K, Thompson RP. Zinc in the fetus and newborn. Acta Paediatr Scand 1985;319(Suppl):158
  15. Salgueiro M et al.  The role of zinc in the growth and development of children.  Nutrition 2002; 18: 510-519
  16. Cousins RI. Zinc. In: Present Knowledge in Nutrition. Ed. Zeigler EE, Filer LJ. Washington DC. ILSI Press 1996. 
  17. Rink L, Gabriel P. Zinc and the immune system. Proc Nutr Soc 2000;59:541-52.
  18. Work Group on Breastfeeding, American Academy of Pediatrics, Breastfeeding and the use of human milk. Pediatrics 1997; 100:1035–1039.
  19. Nutrition Committee of the Canadian Paediatric Society and the Committee on Nutrition of the American Academy of Pediatrics, Breast-feeding: A commentary in celebration of the International Year of the Child, 1979. Pediatrics 1978; 62:591–601.
  20. The Surgeon General’s Report on Nutrition and Health: Summary and Recommendations. DHHS (PHS) Pub. No. 88-50211. Washington, DC: Public Health Service of the United States Department of Health and Human Services, 1988.
  21. Nutrition Committee of the Canadian Paediatric Society, Infant feeding practices revisited. CMAJ 1980; 122:987–989.
  22. ESPGAN Committee on Nutrition, Guidelines on infant nutrition: I. Recommendations for the composition of an adapted formula. Acta Paediatr Scand 1977; (Suppl 262):1–20.
  1. Thomas B and Bishop J.  Manual of Dietetic Practice, Fourth Edition.  Blackwell Publishing, 2007.
  2. Beard J.  Why iron deficiency is important in infant development.  J Nutr 2008; 138(12): 2534-6.
  3. Dobbing J, Sands J. Comparative aspects of the brain growth spurt. Early Hum Dev 1979; 3: 79_/83.
  4. Walter T.  Effect of iron-deficiency anaemia on cognitive skills and neuromaturation in infancy and childhood.  Food Nut Bull 2003; 24(4): S104-S110
  5. Hulthén L.  Iron deficiency and cognition.  Scand J Nutr 2003; 47(3): 152-156.
  6. Department of Health (1991) Report on Health and Social Subjects No.41.Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. HMSO, London.
  7. Chaparro C.  Setting the stage for child health and development: prevention of iron deficiency in early infancy.  J Nutr 2008; 138: 2529-33.
  8. Greer F, Krebs N and American Academy of Pediatrics Committee on Nutrition.  Optimizing Bone Health and Calcium Intakes of Infants, Children, and Adolescents. Pediatrics 2006; 117(2): 578-585.
  9. Duggan C, Watkins J, Walker A. Nutrition in Pediatrics: basic science, clinical applications.  BC Decker, 2008: p30
  10. Lovinger R.  Rickets.  Pediatrics 1980; 66(3): 359-365.
  11. Geissler C and Powers H.  Human Nutrition, eleventh edition.  Elsevier Churchill Livingstone, 2005.  P232-246
  12. Lee M.  Basic skills in interpreting laboratory data, 4th Edition.   American Society of Health-System Pharmacists 2009; 507
  13. Prasad A.  Zinc deficiency in women, infants and children.  J Am Coll Nutr 1996; 15(2): 113-120
  14. Simmer K, Thompson RP. Zinc in the fetus and newborn. Acta Paediatr Scand 1985;319(Suppl):158
  15. Salgueiro M et al.  The role of zinc in the growth and development of children.  Nutrition 2002; 18: 510-519
  16. Cousins RI. Zinc. In: Present Knowledge in Nutrition. Ed. Zeigler EE, Filer LJ. Washington DC. ILSI Press 1996. 
  17. Rink L, Gabriel P. Zinc and the immune system. Proc Nutr Soc 2000;59:541-52.
  18. Work Group on Breastfeeding, American Academy of Pediatrics, Breastfeeding and the use of human milk. Pediatrics 1997; 100:1035–1039.
  19. Nutrition Committee of the Canadian Paediatric Society and the Committee on Nutrition of the American Academy of Pediatrics, Breast-feeding: A commentary in celebration of the International Year of the Child, 1979. Pediatrics 1978; 62:591–601.
  20. The Surgeon General’s Report on Nutrition and Health: Summary and Recommendations. DHHS (PHS) Pub. No. 88-50211. Washington, DC: Public Health Service of the United States Department of Health and Human Services, 1988.
  21. Nutrition Committee of the Canadian Paediatric Society, Infant feeding practices revisited. CMAJ 1980; 122:987–989.
  22. ESPGAN Committee on Nutrition, Guidelines on infant nutrition: I. Recommendations for the composition of an adapted formula. Acta Paediatr Scand 1977; (Suppl 262):1–20.

 Rate
Educational study days

The SMA Nutrition study day programmes are chaired and presented by leading healthcare professionals who are all experts in their fields.


They offer thought-provoking sessions designed to increase the knowledge and expertise of healthcare professionals, and to develop day-to-day professional skills.

Register now for regular updates
  • Unbranded helpsheets in 7 languages
  • Free downloadable literature and tools
  • Access to e-learning modules for professional development
  • Quarterly clinical updates
  • Be the first to hear about our educational study days

SMA products
SMA has 3 different ranges - Core, Specialist and Preterm - designed to meet different babies` nutritional needs. For more information, please click here