Introducing solid foods to preterm infants in developed countries

Annals of Nutrition & Metabolism
D J Palmer, M Makrides

Abstract

The addition of solid foods to an infant's diet is required to provide adequate nutrition, as eventually an infant will be unable to consume a sufficient volume of breast milk to meet their nutritional needs. The timing of this important dietary change for infants born preterm (<37 weeks of gestation) should take into consideration their delayed early gross motor developmental progress, increased nutritional requirements, organ immaturity, increased gut permeability and increased risk of hospitalization from infections. Good head control is important for safe eating of solid foods: this developmental milestone may be delayed in preterm infants up to 3 months of corrected age. One randomized controlled trial has demonstrated improved nutritional intakes with the introduction of nutrient-dense solid foods from 13 weeks of uncorrected age, resulting in improved nutritional iron status and greater rate of growth during infancy. There is neither current evidence for an increased infection rate with an early introduction of solid foods in developed countries, nor is there evidence that in preterm infants maturation of renal function is reduced. However, one observational study has determined that preterm infants who had 4 or more sol...Continue Reading

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Citations

Nov 28, 2012·Pediatric Clinics of North America·Christina J Valentine, Carol L Wagner
Jan 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Susan BraidNana Matoba
May 6, 2020·Nutrients·Maria Elisabetta BaldassarreNicola Laforgia
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Jun 25, 2020·Nutrients·Nadia Liotto On Behalf Of The Study Group On Neonatal Nutrition And Gastroenterology-Italian Society Of Neonatology
Dec 6, 2018·Nutrients·Maria L GiannìFabio Mosca
Sep 25, 2019·Public Health Nutrition·Jane ClearyIan M Wright
Jan 28, 2021·BMC Pediatrics·Edda HofstätterMartin Wald
Dec 4, 2020·Nutrients·Guglielmo SalvatoriOn Behalf Of The Study Group On Neonatal Nutrition And Gastroenterology-Italian Society Of Neonatology

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