Optimising preterm nutrition: present and future

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dc.contributor.authorBrennan, Ann-Marie
dc.contributor.authorMurphy, Brendan P.
dc.contributor.authorKiely, Mairead E.
dc.date.accessioned2021-11-23T12:21:12Z
dc.date.available2021-11-23T12:21:12Z
dc.date.issued2016-04-01
dc.date.updated2021-11-23T12:07:13Z
dc.description.abstractThe goal of preterm nutrition in achieving growth and body composition approximating that of the fetus of the same postmenstrual age is difficult to achieve. Current nutrition recommendations depend largely on expert opinion, due to lack of evidence, and are primarily birth weight based, with no consideration given to gestational age and/or need for catch-up growth. Assessment of growth is based predominately on anthropometry, which gives insufficient attention to the quality of growth. The present paper provides a review of the current literature on the nutritional management and assessment of growth in preterm infants. It explores several approaches that may be required to optimise nutrient intakes in preterm infants, such as personalising nutritional support, collection of nutrient intake data in real-time, and measurement of body composition. In clinical practice, the response to inappropriate nutrient intakes is delayed as the effects of under- or overnutrition are not immediate, and there is limited nutritional feedback at the cot-side. The accurate and non-invasive measurement of infant body composition, assessed by means of air displacement plethysmography, has been shown to be useful in assessing quality of growth. The development and implementation of personalised, responsive nutritional management of preterm infants, utilising real-time nutrient intake data collection, with ongoing nutritional assessments that include measurement of body composition is required to help meet the individual needs of preterm infants.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBrennan, A.-M., Murphy, B. P. and Kiely, M. E. (2016) 'Optimising preterm nutrition: present and future', Proceedings of the Nutrition Society, 75(2), pp. 154-161. doi: 10.1017/S0029665116000136en
dc.identifier.doi10.1017/S0029665116000136en
dc.identifier.eissn1475-2719
dc.identifier.endpage161en
dc.identifier.issn0029-6651
dc.identifier.issued2en
dc.identifier.journaltitleProceedings of the Nutrition Societyen
dc.identifier.startpage154en
dc.identifier.urihttps://hdl.handle.net/10468/12249
dc.identifier.volume75en
dc.language.isoenen
dc.publisherCambridge University Press on behalf of The Nutrition Societyen
dc.relation.ispartofThe Nutrition Society Irish Section Meeting, University College Cork, Cork,16–19 June 2015: Conference on ‘Nutrition at key life stages: new findings, new approaches’ Symposium 2: Nutrition in early life
dc.rights© 2016, the Authors. Published by Cambridge University Press on behalf of The Nutrition Society. This material is free to view and download for personal use only. Not for re-distribution, re-sale or use in derivative works.en
dc.subjectBody compositionen
dc.subjectNutritional requirementsen
dc.subjectPEA PODen
dc.subjectPreterm infanten
dc.titleOptimising preterm nutrition: present and futureen
dc.typeArticle (peer-reviewed)en
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