High-energy milk is a nutritional product with a higher energy density than regular milk for the same volume. While standard formula or nutritional milk typically provides about 65-70 kcal per 100 ml, high-energy milk can deliver 100 kcal per 100 ml or more.

This type of milk is typically prescribed for children at risk of malnutrition, those with slow weight gain, or those suffering from chronic illnesses. Children with congenital heart disease, chronic lung disease, or neurological conditions should only use it under the guidance of a nutrition expert.

A nutrition expert advises on a balanced diet for children. *Photo: Tam Anh General Hospital*

High-energy milk is not suitable for all children. For healthy children with normal growth or those who are only temporarily picky eaters, supplementing with this type of milk can easily lead to an energy intake exceeding their actual needs, resulting in fat accumulation and unhealthy weight gain.

Supplementation should be based on a child's growth chart, age, gender, weight, height, and developmental rate at each stage. Some children who are naturally small due to genetics may still be developing normally and do not require this milk.

A common mistake is using high-energy milk to replace main meals, hoping for rapid weight gain. Milk cannot substitute for a diverse, balanced diet. Prolonged use without proper indication can also cause constipation, bloating, micronutrient imbalance, and dependence on the product.

Children with slow weight gain or picky eating habits need a doctor's evaluation to identify underlying causes, which may include micronutrient deficiencies, digestive disorders, or hidden medical conditions. Without addressing the root cause, simply supplementing with milk is unlikely to yield lasting results.

When prescribed, parents must prepare the milk according to the manufacturer's instructions. Children should have their weight, height, and growth rate regularly monitored to adjust their nutritional regimen. Once their nutritional status improves, a doctor should reassess the child to consider transitioning to a suitable diet and milk type.

Parents should establish healthy eating habits for children, including three main meals and appropriate snacks, along with a diverse range of foods. Children need sufficient vegetables and fruits and should maintain age-appropriate physical activity. Parents should avoid forcing children to eat, prolonging meal times, or using sweets to entice them.

Tran Pham Thuy Hoa, Nutrition Expert

Department of Nutrition

Tam Anh General Hospital Hanoi