Energy And Protein Needs During Infancy

Abstract: A reference text for clinicians and nutrition researchers presents the proceedings of a recent symposium that focused on energy and protein requirements during infant development. The text includes 11 authoritative, critical reviews and 4 technic al discussions, prepared by experts in the respective fields of study, that have been grouped among 4 principal themes: (1) energy needs during infancy (including a model to explain metabolic rate variability); (2) protein requirements during infancy (covering the needs of both term and preterm infants, and the types of proteins and growth modulators in human milk); (3) protein-energy interactions, including their assessments and mechanisms; and (4) problems in meeting the energy and protein requirements of infants (including amino acid needs and glucose and lipid metabolism in parenteral feeding of infants). A discussion paper is appended to each of these 4 sections. Tabular data and illustrations are provided throughout the text, and literature citations are appended to each of the reviews.

In this volume, world-renowned specialists review the latest scientific information and recommendations for protein and energy requirements of infants and children. New data obtained with the latest techniques show significantly lower requirements for both energy and protein than previously thought. This will have far-reaching implications for nutrition and health, not only during infancy and childhood, but also for long-term health outcomes, such as obesity and related disorders. Indeed for the latest generation of some infant formulas, many of the new nutrition concepts presented in this volume (especially those concerning protein level and quality) have already been translated into clinically tested products that are coming ever closer to the "gold standard" human milk, not only in terms of composition, but also of outcome. The important public health implications of the information reviewed in this volume provide essential reading for pediatricians, clinical investigators and health workers engaged in the prevention of nutrition-related disorders.

The Model Chapter on Infant and Young Child Feeding is intended for use in basic training of health professionals. It describes essential knowledge and basic skills that every health professional who works with mothers and young children should master. The Model Chapter can be used by teachers and students as a complement to textbooks or as a concise reference manual.

The first chapters discuss growth and development, nutrient needs of infants and children, and the clinical approach to assessing and collecting food intake information. The next chapters focus on nourishment of well infants and the special needs of preterm and low-birth-weight infants. The following chapters deal with behavior; how food patterns are developed, shaped and changed. Subsequent chapters focus on more current issues related to the development of food patterns for young children, parent and child interactions as they influence food patterns and the use of behavior modification techniques to achieve the acceptance of foods and teaching feeding skills to young children. Also discusses the application of nutrition in special circumstances, such as children who are vegetarians and the prevention of chronic diseases by dietary intervention.

Lipids have been in clinical use as components of intravenous nutrition for over 50 years. Over the last 15 years, new and improved lipids that include olive oil and/or fish oil have replaced the more traditional ones. These new lipids offer the opportunity to deliver high amounts of fatty acids and possess different functional properties: in particular, they can influence inflammatory processes, immune responses and hepatic metabolism. This book brings together articles written by leading international authorities in the area of intravenous lipids. Contributions discuss the latest findings in the field, ranging from pre-clinical research to the most recent clinical trials. Lipid functionality and utility in pediatric, adult surgical and critically ill patients are covered, as is the use of lipids in long-term home parenteral nutrition. Addressing a broad spectrum of topics, this publication provides a wealth of information for basic scientists, clinical researchers and clinical practitioners alike.

Abstract: The role played by nutrition in growth anddevelopment, and the energy and nutrient requirements ofchildren are the focus of a text for students of health care occupations. How much and what kinds of foods areappropriate for children are described. The collection andassessment of food intake information is discussed. Manyaspects of eating and feeding during infancy, childhood and adolescence are examined. These include the development offeeding patterns; management of mealtime behavior; nutrition and athletics; vegetarian diets; diet and hyperactivity;nutrition of the developmentally handicapped; and otherspecial nutritional problems and concerns.

In this volume, world-renowned specialists review the latest scientific information and recommendations for protein and energy requirements of infants and children. New data obtained with the latest techniques show significantly lower requirements for both energy and protein than previously thought. This will have far-reaching implications for nutrition and health, not only during infancy and childhood, but also for long-term health outcomes, such as obesity and related disorders. Indeed for the latest generation of some infant formulas, many of the new nutrition concepts presented in this volume (especially those concerning protein level and quality) have already been translated into clinically tested products that are coming ever closer to the "gold standard" human milk, not only in terms of composition, but also of outcome. The important public health implications of the information reviewed in this volume provide essential reading for pediatricians, clinical investigators and health workers engaged in the prevention of nutrition-related disorders

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.

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.

With the aim to improve clinicians' understanding of the important effects nutrition can have on maternal health and fetal and neonatal development, Maternal-Fetal Nutrition During Pregnancy and Lactation defines the nutritional requirements with regard to the stage of development and growth, placing scientific developments into clinical context.