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Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts
ND. Embleton, SJ. Moltu, A. Lapillonne, CHP. van den Akker, V. Carnielli, C. Fusch, K. Gerasimidis, JB. van Goudoever, N. Haiden, S. Iacobelli, MJ. Johnson, S. Meyer, W. Mihatsch, MS. de Pipaon, J. Rigo, G. Zachariassen, J. Bronsky, F. Indrio, J....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, přehledy, práce podpořená grantem
- MeSH
- dítě MeSH
- enterální výživa MeSH
- gastroenterologie * MeSH
- kojenec MeSH
- lidé MeSH
- mateřské mléko MeSH
- novorozenec nedonošený * MeSH
- novorozenec MeSH
- vitaminy MeSH
- voda MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
OBJECTIVES: To review the current literature and develop consensus conclusions and recommendations on nutrient intakes and nutritional practice in preterm infants with birthweight <1800 g. METHODS: The European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee of Nutrition (CoN) led a process that included CoN members and invited experts. Invited experts with specific expertise were chosen to represent as broad a geographical spread as possible. A list of topics was developed, and individual leads were assigned to topics along with other members, who reviewed the current literature. A single face-to-face meeting was held in February 2020. Provisional conclusions and recommendations were developed between 2020 and 2021, and these were voted on electronically by all members of the working group between 2021 and 2022. Where >90% consensus was not achieved, online discussion meetings were held, along with further voting until agreement was reached. RESULTS: In general, there is a lack of strong evidence for most nutrients and topics. The summary paper is supported by additional supplementary digital content that provide a fuller explanation of the literature and relevant physiology: introduction and overview; human milk reference data; intakes of water, protein, energy, lipid, carbohydrate, electrolytes, minerals, trace elements, water soluble vitamins, and fat soluble vitamins; feeding mode including mineral enteral feeding, feed advancement, management of gastric residuals, gastric tube placement and bolus or continuous feeding; growth; breastmilk buccal colostrum, donor human milk, and risks of cytomegalovirus infection; hydrolyzed protein and osmolality; supplemental bionutrients; and use of breastmilk fortifier. CONCLUSIONS: We provide updated ESPGHAN CoN consensus-based conclusions and recommendations on nutrient intakes and nutritional management for preterm infants.
Department of Clinical Sciences Paediatrics Umeå University Umeå Sweden
Department of Health Sciences University of Milan
Department of Medical and Surgical Sciences University of Foggia Italy
Department of Neonatal Intensive Care Oslo University Hospital Norway
Department of Paediatrics Ospedale dei Bambini Vittore Buzzi Milan Italy
Department of Paediatrics University Hospital Motol Prague Czech Republic
Department of Pediatrics Nuremberg General Hospital Paracelsus Medical School Nuremberg Germany
Medical University of Vienna Department of Clinical Pharmacology Austria
Neonatal Unit University of Liège CHR Citadelle Blvd du 12e de Ligne 1 4000 Liège Belgium
Newcastle Hospitals NHS Trust and Newcastle University Newcastle upon Tyne UK
Paediatric Gastroenterology Erasmus MC Sophia Children's Hospital Rotterdam Netherland
Paediatric Hepatology Gastroenterology and Transplantation ASST Papa Giovanni XXIIII Bergamo Italy
Polytechnic University of Marche and Division of Neonatology Ospedali Riuniti Ancona Ancona Italy
Réanimation Néonatale et Pédiatrique Néonatologie CHU La Réunion Saint Pierre France
University Hospital of Saarland Department of General Paediatrics and Neonatology Homburg Germany
Citace poskytuje Crossref.org
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- $a OBJECTIVES: To review the current literature and develop consensus conclusions and recommendations on nutrient intakes and nutritional practice in preterm infants with birthweight <1800 g. METHODS: The European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee of Nutrition (CoN) led a process that included CoN members and invited experts. Invited experts with specific expertise were chosen to represent as broad a geographical spread as possible. A list of topics was developed, and individual leads were assigned to topics along with other members, who reviewed the current literature. A single face-to-face meeting was held in February 2020. Provisional conclusions and recommendations were developed between 2020 and 2021, and these were voted on electronically by all members of the working group between 2021 and 2022. Where >90% consensus was not achieved, online discussion meetings were held, along with further voting until agreement was reached. RESULTS: In general, there is a lack of strong evidence for most nutrients and topics. The summary paper is supported by additional supplementary digital content that provide a fuller explanation of the literature and relevant physiology: introduction and overview; human milk reference data; intakes of water, protein, energy, lipid, carbohydrate, electrolytes, minerals, trace elements, water soluble vitamins, and fat soluble vitamins; feeding mode including mineral enteral feeding, feed advancement, management of gastric residuals, gastric tube placement and bolus or continuous feeding; growth; breastmilk buccal colostrum, donor human milk, and risks of cytomegalovirus infection; hydrolyzed protein and osmolality; supplemental bionutrients; and use of breastmilk fortifier. CONCLUSIONS: We provide updated ESPGHAN CoN consensus-based conclusions and recommendations on nutrient intakes and nutritional management for preterm infants.
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