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

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

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

Ziegler, Ekhard E.·2011·Annals of Nutrition and Metabolism
DOI 10.1159/000323381
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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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  1. 10.1111%2Fj.1651-2227.2003.tb00504.x · DOI
  2. 10.1016%2Fj.jpeds.2009.08.009 · DOI
  3. 10.1097%2F00005176-199909000-00017 · DOI

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Metadata

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
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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