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Enteral nutrition in preterm infants (2022) : a position paper from the ESPGHAN committee on nutrition and invited experts

Embleton, Nicholas David (author)
Newcastle Hospitals NHS Trust and Newcastle University, Ward 35 Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
Jennifer Moltu, Sissel (author)
Department of Neonatal Intensive Care, Oslo University Hospital, Oslo, Norway
Lapillonne, Alexandre (author)
APHP Necker-Enfants Malades Hospital, Paris University, Paris, France; CNRC, Baylor College of Medicine, TX, Houston, United States
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Van Den Akker, Chris H.P. (author)
Department of Pediatrics Neonatology, Amsterdam UMC-Emma Children's Hospital, University of Amsterdam, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Carnielli, Virgilio (author)
Polytechnic University of Marche and Division of Neonatology, Ospedali Riuniti, Ancona, Italy
Fusch, Christoph (author)
Department of Pediatrics, Nuremberg General Hospital, Paracelsus Medical School, Nuremberg, Germany; Division of Neonatology, Department of Pediatrics, Hamilton Health Sciences, McMaster University, ON, Hamilton, Canada
Gerasimidis, Konstantinos (author)
Human Nutrition, School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow Royal Infirmary, Glasgow, United Kingdom
Van Goudoever, Johannes B. (author)
Amsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children's Hospital, Amsterdam, Netherlands
Haiden, Nadja (author)
Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria
Iacobelli, Silvia (author)
Réanimation Néonatale et Pédiatrique, Néonatologie-CHU la Réunion, Saint-Pierre, France
Johnson, Mark J. (author)
Department of Neonatal Medicine, University Hospital Southampton NHS Trust, Southampton, United Kingdom; National Institute for Health Research Biomedical Research Centre Southampton, University Hospital Southampton NHS Trust and University of Southampton, Southampton, United Kingdom
Meyer, Sascha (author)
Department of General Paediatrics and Neonatology, University Hospital of Saarland, Homburg, Germany
Mihatsch, Walter (author)
Department of Pediatrics, Ulm University, Ulm, Germany; Department of Health Management, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
De Pipaon, Miguel Saenz (author)
Department of Pediatrics-Neonatology, La Paz University Hospital, Autonoma University of Madrid, Madrid, Spain
Rigo, Jacques (author)
Neonatal Unit, University of Liège, CHR Citadelle, Liège, Belgium
Zachariassen, Gitte (author)
H.C. Andersen Children's Hospital, Odense University Hospital and University of Southern Denmark, Odense, Denmark
Bronsky, Jiri (author)
Department of Paediatrics, University Hospital Motol, Prague, Czech Republic
Indrio, Flavia (author)
Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
Köglmeier, Jutta (author)
Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom
De Koning, Barbara (author)
Paediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands
Norsa, Lorenzo (author)
Paediatric Hepatology, Gastroenterology and Transplantation, ASST Papa Giovanni XXIIII, Bergamo, Italy
Verduci, Elvira (author)
Department of Health Sciences, University of Milan, Milan, Italy; Department of Paediatrics, Ospedale Dei Bambini Vittore Buzzi, Milan, Italy
Domellöf, Magnus, 1963- (author)
Umeå universitet,Pediatrik
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 (creator_code:org_t)
Wolters Kluwer, 2023
2023
English.
In: Journal of Pediatric Gastroenterology and Nutrition - JPGN. - : Wolters Kluwer. - 0277-2116 .- 1536-4801. ; 76:2, s. 248-268
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Keyword

enteral nutrition
neonatal intensive care unit
neonate
nutritional requirements
preterm infant

Publication and Content Type

ref (subject category)
art (subject category)

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