Protein In Neonatal And Infant Nutrition Recent Updates

Protein plays a vital role in growth and development and is able to 'program' healthy growth by influencing gene methylation for positive long-term health outcomes. The understanding of these mechanisms is critical to support and improve the health of future generations in both the short and long term.The first part of this book reviews the role of hydrolyzed proteins in infant feeding and the evidence-based benefits of their use in non-breastfed infants at risk of allergy and in infants with functional gastrointestinal disorders. The second part focuses on human milk and its potential alternatives in the feeding of healthy term infants. The final section is dedicated to preterm infants, their nutrition needs, and physiological capacities to ingest adequate amounts of protein for appropriate growth and development. Presenting the latest scientific findings on protein in early nutrition, this publication provides essential reading for pediatricians and researchers alike.

Protein plays a vital role in growth and development and is able to 'program' healthy growth by influencing gene methylation for positive long-term health outcomes. The understanding of these mechanisms is critical to support and improve the health of future generations in both the short and long term.The first part of this book reviews the role of hydrolyzed proteins in infant feeding and the evidence-based benefits of their use in non-breastfed infants at risk of allergy and in infants with functional gastrointestinal disorders. The second part focuses on human milk and its potential alternatives in the feeding of healthy term infants. The final section is dedicated to preterm infants, their nutrition needs, and physiological capacities to ingest adequate amounts of protein for appropriate growth and development. Presenting the latest scientific findings on protein in early nutrition, this publication provides essential reading for pediatricians and researchers alike.

Improved conditions of care for premature infants have led to markedly increased survival rates over the last few decades, particularly in very low and extremely low birth weight infants. Nutritional measures play a central role in the long-term outcome, health, and quality of life of these premature infants. In this updated and extended edition, leading experts from all over the world present the most recent evidence and critical analyses of nutrient requirements and the practice of nutritional care (with the focus on very low birth weight infants) to provide guidance for clinical application. The chapters of this publication show how growth and development can be nutritionally supported, which nutrients and non-nutrients can be supplied, and how nutritional care can get implemented. Approaches to nutritional care in various disease conditions are also addressed. The compilation of current information and recommendations should support the daily work of health care professionals such as neonatologists, paediatricians, other physicians involved in the care of preterm infants, nurses, nutritionists/dieticians, and others. The current book is also of interest for researchers who wish to keep up to date in this moving field.

A practical handbook for healthcare professionals that covers all aspects of pre-term nutrition, using evidence-based information to promote safe and effective practice. Readers will discover problem-solving strategies, interventions, and information on meeting the nutritional requirements of pre-term infants. Easily accessible information on all aspects of pre-term and neonatal nutrition Includes the latest research-based information on mammary physiology and the dynamics of milk expression Discusses the nutritional requirements of the pre-term breastfed infant - and how to succeed in meeting these needs Provides effective interventions to prevent pre-term breastfeeding failures Problem-solving strategies ensure a smooth transition from nasogastric to breastfeeding

Other chapters focus on the nutritional importance of nonprotein nitrogen; the role of essential and nonessential amino acids in neonatal nutrition; the significance of nucleic acids, nucleotides, and related compounds in infants; and the role of tumor necrosis factor in protein metabolism.

After 17 years, the Nutricia Symposium retumed to its horne grounds in The of the 10th Nutricia Netherlands, where the first five Symposia were held. The objective Symposium was to bring together a limited number of opinion leaders and key researchers in selected topics of infant nutrition to discuss the current state of the art based on original contributions and reviews. The discussion sessions after the papers were taped and edited and may give additional information and views. As a result of time constraints, the discussions on a few papers had to be cut short, or, unfortunately, could not take place at all. Nevertheless, we strongly recommend reading the discussion sections, such as the panel discussion on the requirements for LCPUFA for term and/or preterm infants. During the preparation of the Symposium the sad news that Professor J . H. P. Jonxis died prompted the organisers to dedicate one special lecture to the memory of the principal organiser of the first four Nutricia Symposia. This lecture entitled "What determines the production and composition ofbreast milk?" was given by Dr. Kathleen Moti!. Acknowledgement should be made to the co-organizers and co-chairmen Professor Sir David HuH, Professor Pieter Sauer and Dr. Terence Stephenson for their contri bution. Finally, without mentioning names, the editors wish to thank a number of persons within the Nutricia organization without whom the Symposium and its Pro ceedings would not have been possible.

Infant formulas are unique because they are the only source of nutrition for many infants during the first 4 to 6 months of life. They are critical to infant health since they must safely support growth and development during a period when the consequences on inadequate nutrition are most severe. Existing guidelines and regulations for evaluating the safety of conventional food ingredients (e.g., vitamins and minerals) added to infant formulas have worked well in the past; however they are not sufficient to address the diversity of potential new ingredients proposed by manufacturers to develop formulas that mimic the perceived and potential benefits of human milk. This book, prepared at the request of the Food and Drug Administration (FDA) and Health Canada, addresses the regulatory and research issues that are critical in assessing the safety of the addition of new ingredients to infants.

Adequate nutrition is especially important during infancy and childhood, where even short periods of malnutrition have long-lasting effects on growth, development and health in adult life. There are several high-risk scenarios for the development of malnutrition, which are the focus of the current publication: Atopic diseases, gastrointestinal disorders, and preterm delivery. For the pediatric allergist it is important to understand the mechanisms regulating IgE responses to food proteins since they may also be the earliest markers for the atopic march. As breastfeeding seems to have only limited effects regarding the atopic march, other measures to modulate infantile immune responses have to be taken, including the use of hypoallergenic formulae or the addition of probiotics or prebiotics to infant formulae. The second part of this book highlights the functional properties of nutrition with regard to diseases of the gastrointestinal tract and the ensuing chronic alterations of gastrointestinal function. Topics addressed include the molecular basis of some diseases, main causes of and nutritional measures in chronic enteropathy, including the role of parenteral and enteral nutrition, stressed mucosa and the role of nutrition in cholestatic liver disease. Nowadays, smaller and more immature infants are surviving - but the smaller the infant, the greater the accrued deficit as nutritional needs change with advancing maturity, and one formulation may not meet all requirements. Furthermore, there are no sensitive, accurate and precise measures of nutritional outcome. The net effect of these uncertainties is that all very-low-birth-weight infants are growth retarded at hospital discharge. Strategies for improving growth in these high-risk infants are at the center of the last part of this publication.