Approaches to growth faltering

Brenda Poindexter

Research output: Chapter in Book/Report/Conference proceedingChapter

7 Citations (Scopus)

Abstract

Postnatal growth failure remains a nearly universal complication of extreme prematurity. The incidence of postnatal growth failure is inversely related to gestational age. Unfortunately, by the time growth faltering is recognized, the nutrient deficits that have accumulated can be difficult, if not impossible, to recover. The perceived severity of illness in the first week can significantly impact decisions made related to early nutritional support. It is becoming increasingly clear that optimizing nutrient intake in the first few weeks of life is critical to reduce growth faltering. In order to promote growth and reduce growth faltering, a goal of 120 kcal/kg/day and 3.8 g/kg/day of protein should be supplied to very low birth weight infants by the end of the first week. A combined strategy of both parenteral and enteral nutrition is necessary to ensure that adequate protein and energy intake is delivered and that nutrient deficits are minimized. Finally, careful monitoring of growth-including both linear and head circumference growth-is necessary to achieve optimal outcomes.

Original languageEnglish
Title of host publicationWorld Review of Nutrition and Dietetics
PublisherS. Karger AG
Pages228-238
Number of pages11
Volume110
ISBN (Print)9783318026405
DOIs
StatePublished - 2014

Publication series

NameWorld Review of Nutrition and Dietetics
Volume110
ISSN (Print)00842230
ISSN (Electronic)16623975

Fingerprint

head circumference
premature birth
low birth weight
gestational age
nutritional support
enteral feeding
nutrients
parenteral feeding
Growth
protein intake
nutrient intake
energy intake
incidence
monitoring
Food
proteins
Very Low Birth Weight Infant
Nutritional Support
Parenteral Nutrition
Enteral Nutrition

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science
  • Medicine(all)

Cite this

Poindexter, B. (2014). Approaches to growth faltering. In World Review of Nutrition and Dietetics (Vol. 110, pp. 228-238). (World Review of Nutrition and Dietetics; Vol. 110). S. Karger AG. https://doi.org/10.1159/000358471

Approaches to growth faltering. / Poindexter, Brenda.

World Review of Nutrition and Dietetics. Vol. 110 S. Karger AG, 2014. p. 228-238 (World Review of Nutrition and Dietetics; Vol. 110).

Research output: Chapter in Book/Report/Conference proceedingChapter

Poindexter, B 2014, Approaches to growth faltering. in World Review of Nutrition and Dietetics. vol. 110, World Review of Nutrition and Dietetics, vol. 110, S. Karger AG, pp. 228-238. https://doi.org/10.1159/000358471
Poindexter B. Approaches to growth faltering. In World Review of Nutrition and Dietetics. Vol. 110. S. Karger AG. 2014. p. 228-238. (World Review of Nutrition and Dietetics). https://doi.org/10.1159/000358471
Poindexter, Brenda. / Approaches to growth faltering. World Review of Nutrition and Dietetics. Vol. 110 S. Karger AG, 2014. pp. 228-238 (World Review of Nutrition and Dietetics).
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