Cited by 218Infant Nutrition and HealthClinical Nutrition and GastroenterologyInfant Development and Preterm Care

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Meeting the Nutritional Needs of the Low-Birth-Weight Infant

Ziegler, Ekhard E.·2011·Annals of Nutrition and Metabolism

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Abstract

Delivering adequate amounts of nutrients to premature infants at all times is challenging because the infant’s immature gastrointestinal tract is initially unable to accept feedings, necessitating the use of parenteral nutrition. In the past, inadequate amounts of nutrients have commonly been given to premature infants because the administration of nutrients was thought to be hazardous. Inadequate nutrient intakes have resulted in widespread postnatal growth restriction. Now that it is known that postnatal growth restriction is associated with poor neurocognitive development, efforts are made to increase nutrient intakes. In this review, nutrient requirements of premature infants that have been determined by the factorial and empirical methods are reviewed. Current good practices regarding parenteral nutrition are discussed, as are guidelines for the introduction and advancement of enteral feedings. Because of its trophic effects on the gastrointestinal tract and its anti-infectious effects, human milk is strongly preferred as the early feeding of choice for premature infants. Human milk also protects infants against necrotizing enterocolitis. Once full feeding is achieved, the challenge is to provide nutrients in amounts that support the infant’s growth like that of the fetus. In the case of the infant fed his/her mother’s milk or banked donor milk, nutrient fortification is necessary and is generally practiced. However, adequate intakes of protein are seldom achieved with routine fortification and methods of providing additional fortification are discussed.

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Authors: Ziegler, E. E.
Affiliations: University of Iowa (US)
Corresponding author: Ziegler, Ekhard E.
Venue: Annals of Nutrition and Metabolism
Publisher: S. Karger AG
Published: 2011
Volume: 58
Issue: Suppl. 1
Pages: 8-18
ISSN: 0250-6807 (ISSN-L)
1421-9697
DOI: 10.1159/000323381
OpenAlex: W2075593674
Cited by: 217
References: 60
Citations by year: 2026: 6 · 2025: 7 · 2024: 5 · 2023: 9 · 2022: 9 · 2021: 15 · 2020: 25 · 2019: 13 · 2018: 21 · 2017: 16 · 2016: 24 · 2015: 25 · 2014: 16 · 2013: 16 · 2012: 7
FWCI: 1.58
Type: journal article
Language: en
Open access: closed
Licence: www.karger.com/Services/SiteLicenses (vor)
www.karger.com/Services/SiteLicenses (tdm)
Locations: Annals of Nutrition and Metabolism (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords: low birth weight infants, preterm infants, nutrient requirements, parenteral nutrition, enteral nutrition, postnatal growth restriction, neurocognitive development, breast milk, donor human milk, necrotizing enterocolitis, nutrient fortification, protein intake, factorial method, empirical methods
MeSH terms: Energy Intake, Dietary Proteins, Enteral Nutrition, Food, Fortified, Humans, Infant, Infant Nutritional Physiological Phenomena, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Milk, Human, Nutritional Requirements, Parenteral Nutrition, Guidelines as Topic, Sepsis, Enterocolitis, Necrotizing, Empirical Research, Infant Formula, Gastrointestinal Tract

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Meeting the Nutritional Needs of the Low-Birth-Weight Infant

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