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'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
Published on: September 18, 2018
Evaluation of adequacy of protein and energy
Jatinder Bhatia1, Patricia Mena, Scott Denne
1Medical College of Georgia, Georgia Health Sciences University, Augusta, GA 30912, USA. jatindeb@georgiahealth.edu
Insights
Assessing infant growth is key for nutritional adequacy, particularly in preterm neonates. This review covers growth measures, biochemical markers, and long-term health outcomes for preterm infants.
Area of Science:
- Pediatrics
- Neonatology
- Nutritional Science
Background:
- Growth assessment is the primary method for evaluating nutritional adequacy in pediatrics.
- The American Academy of Pediatrics guidelines for preterm infant growth approximate fetal growth rates.
- Fetal accretion of fat and lean body mass differs from postnatal accretion patterns.
Purpose of the Study:
- To review anthropometric measures for assessing growth in preterm infants.
- To discuss biochemical markers for monitoring nutritional sufficiency.
- To examine the impact of growth trajectory on long-term health outcomes in preterm infants.
Main Methods:
- Review of anthropometric measurements.
- Analysis of biochemical markers.
- Examination of growth trajectory data.
Main Results:
- Growth assessment is critical for preterm neonates' nutritional status.
- Postnatal growth and body mass accretion in preterm infants differ from fetal development.
- Growth trajectory significantly impacts later health outcomes.
Conclusions:
- Accurate growth assessment and nutritional monitoring are essential for preterm infants.
- Understanding differences between fetal and postnatal growth is crucial for optimal infant nutrition.
- Early nutritional interventions based on growth trajectory can improve long-term health.
Abstract:
Growth assessment is the most common measure of nutritional adequacy in pediatrics, especially when evaluating nutrition of preterm neonates. The American Academy of Pediatrics defines postnatal nutrient intake to promote growth as one that "approximates the rate of growth...for a normal fetus of the same post-menstrual age." It is known that in the fetus, fat and lean body mass are accreted progressively as gestation progresses, whereas postnatal growth and observed accretion of fat and lean body mass differ. This review discusses anthropometric measures used to assess growth, biochemical markers used to monitor nutritional sufficiency, and the effect of growth trajectory in preterm infants on health outcomes later in life.
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