MyTubeFeeding.ca | Nutrition and Tube Feeding Formulas

Nutrition & Tube
Feeding Formulas

Importance of good nutrition
Types of formulas
Formula packaging and hang time
Storing your formula at home

Nutrition and tube feeding formulas

Tube feeding is a way of providing nutrition to a child who cannot eat and drink enough by mouth. There is a wide range of tube feeding formulas available to provide the nutrition your child’s body needs. Learn more about nutrition and tube feeding formulas.

If my child is on a feeding tube, can she still drink or eat by mouth?
Taking foods or fluids by mouth while receiving nutrition from a tube feeding may be possible and may help your child to learn the skills needed to eat and drink at a later time. Always speak to your healthcare provider before giving any food or fluid to your child by mouth to be sure it is safe.

Importance of Good Nutrition

The goal of providing nutrition to a child is to support growth and development. This may come from food or fluid taken by mouth, a tube feeding or sometimes both. A healthy diet is more than just “food” – it provides fuel as well as the building blocks to keep or restore health and to help with healing.

Maintaining a healthy diet and good nutrition is important for everyone, but is crucial to the child who has an illness, is receiving certain medical treatments, is recovering from surgery, or who is not gaining weight and growing like other children the same age. A child’s body may be working extra hard to restore good health, and this may increase his or her nutrient needs. Some children may also have special needs such as digestive problems or food allergies that affect their food or formula choices. Your healthcare professional will consider all of these factors when deciding the type of formula and amount needed each day. Good nutrition is important to support your child’s needs. The nutrients needed by the body include:

  • carbohydrates
  • fat
  • protein
  • vitamins
  • minerals
  • water

These nutrients work together to maintain and build body tissue and provide energy for your child’s body. Normally, these nutrients are provided by eating a variety of foods. However, because of your child’s special needs, he or she is getting their nutrition in a liquid form through a tube.

There are many ways to make sure your child is getting the right types and amounts of nutrients, including:

  • Growth charts – tracking weight and height for your child over time
  • Blood tests – to see blood levels of certain factors like iron, proteins or blood glucose
  • Checking skin, bones, hair and teeth for overall health and development

Your healthcare team will set up a care plan to monitor how your child is doing with their tube feeding, including tracking his or her weight and height to make sure the nutrition in the tube feeding is supporting your child’s growth and overall needs.


Types of formulas for children 1 to 13 years of age

There is a wide range of tube feeding formulas which may come in different types of packaging. Your child’s healthcare professional will consider his or her unique needs when choosing a formula – this includes not only your child’s nutrition needs but also the feeding method you are using at home. Similar products in the same categories below are available for adults and may be recommended for children over 13 years of age.

Standard Formulas

Standard pediatric formulas are nutritionally complete and are designed for children ages 1 to 13 who have normal digestion. Some of these formulas can be used for both tube feeding and oral feeding, and some contain additional ingredients, such as fibre.

There are also pediatric formulas available which contain real food ingredients such as chicken, vegetables and fruit along with other vitamins and minerals to create a nutritionally complete formula.

Nutren® Junior, Resource® Kid Essentials 1.5 and Compleat® Pediatric are examples of standard formulas.


Semi-elemental/Peptide-based Formulas

Like standard formulas, semi-elemental formulas are nutritionally complete. Semi-elemental formulas are different because they contain some nutrients, like protein and fat, which are ‘broken down’ into smaller units to make them easier to digest. This is the reason these formulas are also called “peptide-based” formulas – because “peptides” is the name used to describe smaller units of protein. Some semi-elemental/peptide-based formulas can also be used for both tube feeding and oral feeding, and some contain ingredients, such as fibre.

Peptamen® Junior is an example of a semi-elemental/peptide-based formula.

Specialized Formulas

Specialized formulas are available for children with particular needs such as Crohn’s disease, multiple food allergies, or those with severe issues digesting fat and protein.

Modulen® IBD and Vivonex® Pediatric® are examples of specialized formulas.

Modular Products

Modular products are individual nutrients that may be added to formula for children who require additional nutrition. Modular products provide extra protein, fat or calories without adding much volume to the formula itself. If modulars are needed, your healthcare professional will teach you how to use them and provide a recipe if needed.

Microlipid, MCT Oil and Beneprotein are examples of modular products.


Formula packaging and hang time

Formula Packaging

Tube feeding formulas come in different types of packages:

  • Ready-to-use liquids in ‘drink box’ packaging, bottles, or cans
  • Powder in a can or small packet that is prepared by mixing with water

All of these formulas are fed using either a syringe or container that the formula is poured into before feeding.

FORMULA HANG TIME

The term “formula hang time” refers to how long a tube feeding formula should remain at room temperature for feeding – after the formula package has been opened or the original package seal has been broken. The following are commonly suggested hang times:

  • Up to 8 hours* for ready-to-use liquids
  • Up to 4 hours* for powders or formulas that have been mixed with water or other modular products

*Important Note:
Always check with your healthcare professional about the formula hang time for your child’s tube feeding formula. A shorter open-time may be recommended for your child, depending on his/her medical condition.

Do I need to refrigerate my child’s formula before opening?
No. Most often, tube feeding formula is stored and used at room temperature.

If a liquid formula package is opened and not used right away, it should be kept in the refrigerator for up to 24 hours.


Storing your child's formula at home

The following information is a general guide. The formula package or your child’s healthcare professional may provide other instructions for your child’s particular formula.

Liquid Formulas
  • Check the expiry date on the formula. Throw away formula that is past its expiry date.
  • Packages that have not been opened can be stored at room temperature.
  • Once a formula package is opened it should be used right away OR covered and stored in the refrigerator. Use it within 24 hours. If not used in 24 hours, throw it away.
Powdered Formulas
  • Check the expiry date on the formula. Throw away formula that is past its expiry date.
  • Store powdered formula in a cool, dry place.
  • Check the package to see how long to keep the powdered formula after it is opened.
Common Questions and Answers about Formula Storage and Handling

Should I shake liquid feeding formula before using?

  • Yes. Always gently shake unopened liquid formula packages before using.

Do I need to refrigerate my child's formula before opening?

  • No. Most often, tube feeding formula is stored and used at room temperature. If a liquid formula package is opened and not used right away, it should be kept in the refrigerator for up to 24 hours.

Will using cold formula upset my child's stomach?

  • Cold formula may upset your child's stomach. You can take refrigerated formula out of the refrigerator for 30 minutes to slowly warm up to room temperature before feeding.

Nestlé Health Science has made every effort to include on this website only information that it believes to be accurate and reliable. This site is applicable to children ages 1-16 years and contains information from a variety of sources including practice-based resources, guidelines from professional organizations, and experiences of healthcare professionals who have managed patients on home tube feeding. Information provided on this site is for education purposes. It is not intended to replace the advice or instruction of your child’s healthcare professionals, or to substitute medical care. Contact a qualified healthcare professional if you have any questions regarding your child’s tube feeding product, prescription and supplies, or if you have specific question or issues about what is best for your child as you manage your child’s tube feeding at home.