Protein And Energy Requirements In Infancy And Childhood Nestle Nutrition Workshop Series Pediatric Program

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.

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

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.

When developing a new product, many obstacles have to be overcome from the idea to the shelf: know-how from different subject areas is called for to create a product that is not only technically feasible, but also complies with regulations and meets consumer needs and preferences. This book addresses and tries to identify forces that potentially drive innovation in pediatric nutrition, an endeavor which surpasses research, clinical and academic thinking. The likelihood of translating innovative research concepts into practical applications depends on a large number of factors; Clinical studies, adherence to regulatory standards and environments of various countries, policy and politics on child health and nutrition, marketing issues, economic considerations as well as the state of food technology all determine whether and how a product can be brought to the market. Expectations and response of both consumers and health care professionals are likewise of very high importance.Due to its broad scope, this publication is of interest to everyone involved in one way or another in the development and launch of new products for pediatric nutrition.

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.

Research shows that humans respond differently to diets and, moreover, that they display varying predispositions to many diet-dependent metabolic and degenerative diseases. The focus of nutritional science is thus shifting from dietary guidelines for populations to individualized foods and diets. It is the aim of nutrigenomics to assign this human diversity in nutritional response to diet - as well as the subsequent consequences to human health - to specific genetic elements. At the same time, evidence suggests that diet itself is a critical determinant of human diversity. Supplying answers to some crucial issues, as well as identifying directions for further research and practical applications by the food industry, this publication is an important source of information for all those involved in the subject of diet and individual responses.

Essentials of Pediatric Nutrition relays the key information that is needed to work in pediatric nutrition and with various age groups and diseases/conditions. It is different from the very successful fourth edition of Pediatric Nutrition, which is a complete textbook that includes evidence-based research, discussion behind the clinical decisions and best-practice guidelines. This consolidated and modified version covers the core best-practice guidelines with limited discussion on the most needed information on the normal child from preconception through adolescence as well as infants and children with diseases/conditions affecting nutritional status. Essentials of Pediatric Nutrition provides the tools and resources needed to assess, monitor, and determine appropriate interventions aimed at maximal nutrition status and growth. Because infants and children have unique nutritional needs and physiology, advanced study in pediatric nutrition by health practitioners is vital for exemplary health care. This book contains the essential and unique nutritional information that pediatric practitioners can use and apply in their individual settings for each infant or child. This book is intended for use by all students learning about pediatric nutrition and for practitioners managing the nutrition of pediatric groups and individuals.