Journal Article10.1097/MPG.0B013E3181ADAEE0
Enteral nutrient supply for preterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition
Carlo Agostoni,Giuseppe Buonocore,Virgilio P. Carnielli,M. De Curtis,Dominique Darmaun,Tamás Decsi,Magnus Domellöf,Nicholas D. Embleton,Christoph Fusch,Orsolya Genzel-Boroviczény,Olivier Goulet,Satish C. Kalhan,Sanja Kolaček,Berthold Koletzko,Alexandre Lapillonne,Walter A. Mihatsch,Luis A. Moreno,Josef Neu,Brenda B. Poindexter,John W. L. Puntis,G Putet,Jacques Rigo,Arieh Riskin,Bernard L. Salle,Pieter J. J. Sauer,Raanan Shamir,Hania Szajewska,Patti J. Thureen,Dominique Turck,J.B. van Goudoever,Ekhard E. Ziegler +30 more
TL;DR: This guideline aims to provide proposed advisable ranges for nutrient intakes for stable-growing preterm infants up to a weight of approximately 1800 g, because most data are available for these infants.
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Abstract: The number of surviving children born prematurely has increased substantially during the last 2 decades. The major goal of enteral nutrient supply to these infants is to achieve growth similar to foetal growth coupled with satisfactory functional development. The accumulation of knowledge since the previous guideline on nutrition of preterm infants from the Committee on Nutrition of the European Society of Paediatric Gastroenterology and Nutrition in 1987 has made a new guideline necessary. Thus, an ad hoc expert panel was convened by the Committee on Nutrition of the European Society of Paediatric Gastroenterology, Hepatology, and Nutrition in 2007 to make appropriate recommendations. The present guideline, of which the major recommendations are summarised here (for the full report, see http://links.lww.com/A1480), is consistent with, but not identical to, recent guidelines from the Life Sciences Research Office of the American Society for Nutritional Sciences published in 2002 and recommendations from the handbook Nutrition of the Preterm Infant. Scientific Basis and Practical Guidelines, 2nd ed, edited by Tsang et al, and published in 2005. The preferred food for premature infants is fortified human milk from the infant's own mother, or, alternatively, formula designed for premature infants. This guideline aims to provide proposed advisable ranges for nutrient intakes for stable-growing preterm infants up to a weight of approximately 1800 g, because most data are available for these infants. These recommendations are based on a considered review of available scientific reports on the subject, and on expert consensus for which the available scientific data are considered inadequate.
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Citations
A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants
TL;DR: The revised sex-specific actual-age growth charts are based on the recommended growth goal for preterm infants, the fetus, followed by the term infant, and may support an improved transition of preterm infant growth monitoring to the WHO growth charts.
Formula versus donor breast milk for feeding preterm or low birth weight infants
TL;DR: In preterm and low birth weight infants, feeding with formula compared with donor breast milk results in a higher rate of short-term growth but also a higher risk of developing necrotising enterocolitis.
A systematic review and meta-analysis of the nutrient content of preterm and term breast milk
TL;DR: Although breast milk is highly variable between individuals, postnatal age and gestational stage (preterm versus term) were found to be important predictors of breast milk content.
Vitamin D in the healthy European paediatric population.
Christian Braegger,Cristina Campoy,Virginie Colomb,Tamás Decsi,Magnus Domellöf,Mary Fewtrell,Iva Hojsak,Walter A. Mihatsch,Christian Mølgaard,Raanan Shamir,Dominique Turck,Johannes B. van Goudoever +11 more
TL;DR: There is insufficient evidence from interventional studies to support vitamin D supplementation for other health benefits in infants, children, and adolescents, and national authorities should adopt policies aimed at improving vitamin D status using measures such as dietary recommendations, food fortification, vitamin D supplements, and judicious sun exposure, depending on local circumstances.
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World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Probiotics
Alessandro Fiocchi,Ruby Pawankar,Carlos A. Cuello-Garcia,Carlos A. Cuello-Garcia,Kangmo Ahn,Suleiman Al-Hammadi,Arnav Agarwal,Arnav Agarwal,Kirsten Beyer,Wesley Burks,Giorgio Walter Canonica,Motohiro Ebisawa,Shreyas Gandhi,Shreyas Gandhi,Rose Kamenwa,Bee Wah Lee,Haiqi Li,Susan L. Prescott,John J. Riva,Lanny J. Rosenwasser,Hugh A. Sampson,Michael Spigler,Luigi Terracciano,Andrea Vereda-Ortiz,Susan Waserman,Juan José Yepes-Nuñez,Jan Brozek,Holger J. Schünemann +27 more
TL;DR: WAO recommendations about probiotic supplementation for prevention of allergy are intended to support parents, clinicians and other health care professionals in their decisions whether to use probiotics in pregnancy and during breastfeeding, and whether to give them to infants.
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References
•Book
Nutrition of the Preterm Infant: Scientific Basis and Practical Guidelines
RC Tsang,Ricardo Uauy,Berthold Koletzko,S Zlotkin +3 more
- 01 Jan 2005
TL;DR: Comprehensive in scope, this book effectively brings together current information available and takes into account the needs of different countries.
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Probiotics for prevention of necrotising enterocolitis in preterm neonates with very low birthweight: a systematic review of randomised controlled trials
TL;DR: Probiotics might reduce the risk of necrotising enterocolitis in preterm neonates with less than 33 weeks' gestation, however, the short-term and long-term safety of probiotics needs to be assessed in large trials.
359
Longchain polyunsaturated fatty acid supplementation in preterm infants
TL;DR: The main areas of interest were the effects of supplementation on the visual function, development and growth of preterm infants and the effect of LCPUFA-supplemented formula on neurodevelopment and physical growth.
345
Changes in carbohydrate composition in human milk over 4 months of lactation
TL;DR: The changes in carbohydrate composition found indicate that carbohydrate synthesis by the mammary gland is a dynamic process and the physiological and biological relevance of human milk oligosaccharides is discussed.
303
The role of essential fatty acids in development
TL;DR: Results leave largely unanswered the question of whether these fatty acids are beneficial for either the term or preterm infant, however, evidence that preterm infants might benefit is somewhat more convincing than that for term infants.
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