Protein requirements of very low birth weight infants

Journal of Pediatric Gastroenterology and Nutrition
E E Ziegler

Abstract

To review existing information regarding protein (and energy) requirements of very low birth weight infants, and to determine whether revisions may be indicated in view of the commonly observed postnatal growth failure, or in view of adverse consequences of accelerated growth. Nutrient requirements of very low birth weight infants have been estimated by the factorial method and by empirical methods. These approaches yield similar estimates of nutrient requirements. The factorial method provides estimates of requirements for protein and energy, including those of extremely small infants. Empirical methods yield estimates of protein requirements but tend to exclude extremely small infants. They also provide estimates of protein intakes that lead to catch-up growth. Reports of actual nutrient intakes received by very low birth weight infants show that intakes are generally less than estimated requirements. Growth failure is adequately explained by insufficient nutrient intakes. Upward revision of requirements is not indicated until it can be shown that growth failure occurs despite intakes that match current estimates of requirements. Downward revision also is not indicated because accelerated growth, in spite of some adverse effe...Continue Reading

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Citations

May 31, 2014·Clinics in Perinatology·Laura D BrownWilliam W Hay
Mar 6, 2013·The Journal of Pediatrics·Alexandre LapillonneJacques Rigo
Feb 19, 2013·Clinics in Perinatology·Manimaran Ramani, Namasivayam Ambalavanan
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Mar 8, 2016·Pediatrics and Neonatology·Man-Yau Ho, Yu-Hsuan Yen
Apr 2, 2016·The Proceedings of the Nutrition Society·Ann-Marie BrennanMairead E Kiely
Sep 7, 2016·Seminars in Fetal & Neonatal Medicine·William W Hay, Kendra C Hendrickson
Jan 23, 2016·The American Journal of Clinical Nutrition·Daniel J RaitenUNKNOWN Pre-B Consultative Working Groups
Aug 22, 2015·Journal of Pediatric Gastroenterology and Nutrition·Luigi Corvaglia
May 17, 2019·Journal of Pediatric Gastroenterology and Nutrition·Alexandre LapillonneUNKNOWN ESPGHAN Committee on Nutrition
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Mar 31, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ekhard E Ziegler, Susan J Carlson

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