Malnutrition associated with a formula of barley water, corn syrup, and whole milk

R. J. Fabius, R. J. Merritt, P. M. Fleiss and J. M. Ashley

Five infants, age 1 to 7 months, were given a formula of barley water, whole milk, and corn syrup (Karo) or honey. Three patients had subnormal growth, two fit the criteria for failure to thrive, and two demonstrated a microcytic hypochromic anemia. The delayed growth and anemia were corrected by institution of a standard infant formula and nutrient supplementation. The barley water formula provides less than the recommended daily allowance of iron and vitamins A and C. The illnesses of these infants and the deficiencies of the diet illustrate the importance of obtaining a careful dietary history for all infants not receiving standard diets.