Human milk fortification and use of infant formulas to support growth in the neonatal intensive care unit.

Autor: Moreira DH; Department of Pediatrics, Division of Neonatology, Duke University School of Medicine, Durham, North Carolina, USA., Gregory SB; Department of Pediatrics, Division of Neonatology, Duke University School of Medicine, Durham, North Carolina, USA., Younge NE; Department of Pediatrics, Division of Neonatology, Duke University School of Medicine, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2023 Oct; Vol. 38 Suppl 2, pp. S56-S65.
DOI: 10.1002/ncp.11038
Abstrakt: Newborn infants require adequate nutrition to achieve full potential growth and development. Early life nutrition and health impacts long-term outcomes through adulthood. Human milk is the optimal source of nutrition during the first 6 months of life. However, infants admitted to the neonatal intensive care unit (NICU) often have comorbidities that create more or different nutrition demands than healthy newborns. There are different strategies to meet the nutrition needs of sick newborns, including use of parenteral nutrition, human milk fortifiers (HMFs), and infant formulas. Multinutrient HMFs are frequently used to achieve the higher nutrition demands of preterm infants. They are available in various presentations, such as human milk- or cow milk-derived, liquid or powder, and acidified or nonacidified, each of which has different risks and benefits associated with its use. Infant formulas are available to meet a demand when mother's own milk or donor breast milk is not available or sufficient, and there are also specialty formulas for infants with certain diseases that present unique nutrition needs. This review is focused on the use of HMFs to support the unique nutrition requirements of preterm infants for healthy growth, as well as the indications for the use of formulas among infants in the NICU.
(© 2023 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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