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关于婴儿营养的最新观点。

Recent views on infant nutrition.

作者信息

Lindquist B

出版信息

Paediatrician. 1979;8 Suppl 1:37-47.

PMID:492738
Abstract

Particular problems under discussion in the field of infant nutrition today are the following. (1) The frequency of breastfeeding including the effect of promotion to uncrease it. (2) The protein requirement of low birth weight infants including relevant parameters for evaluation of the requirement. Recent studies indicate that the protein requirement of low weight is only slightly higher (or may be the same) as that supplied by breast milk. (3) The tolerance for intake of certain nutrients in early infancy - mainly protein and minerals - in relation to the development of organ functions, including homeostatic disturbances that may arise when the tolerance is exceeded. Adverse effects of a too high protein intake are particularly acidosis and increased osmolar load on kidney function. Excess mineral adds to the renal solute load, implying a threat to water balance. (4) The introduction of Beikost, when and why, and (5) Atherosclerosis as a problem for the pediatrician. The need for identification of risk factors, especially screening for hyperilipidemia, in early life and for recommendation of dietary measures instituted in early childhood has to be further studied.

摘要

当今婴儿营养领域正在讨论的具体问题如下

(1)母乳喂养的频率,包括促进母乳喂养增加的效果。(2)低出生体重婴儿的蛋白质需求,包括评估需求的相关参数。最近的研究表明,低体重婴儿的蛋白质需求仅略高于(或可能与)母乳提供的量。(3)婴儿早期对某些营养素(主要是蛋白质和矿物质)的耐受性与器官功能发育的关系,包括当耐受性被超过时可能出现的体内平衡紊乱。蛋白质摄入过高的不良影响尤其包括酸中毒和对肾功能的渗透压负荷增加。过量的矿物质会增加肾脏溶质负荷,对水平衡构成威胁。(4)辅食的引入时间和原因,以及(5)动脉粥样硬化作为儿科医生面临的一个问题。在生命早期识别风险因素的必要性,特别是对高脂血症的筛查,以及在儿童早期推荐饮食措施,这些都有待进一步研究。

相似文献

1
Recent views on infant nutrition.关于婴儿营养的最新观点。
Paediatrician. 1979;8 Suppl 1:37-47.
2
[New aspects in the nutrition of newborn infants with low birth weight].[低出生体重新生儿营养的新进展]
Monatsschr Kinderheilkd. 1986 Aug;134(8):508-14.
3
Vitamin requirements of very low birth weight infants: a review.极低出生体重儿的维生素需求:综述
Indian J Matern Child Health. 1994 Apr-Jun;5(2):46-9.
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[Strategies for nutrition of the preterm infant with low and very low birth weight].[低出生体重和极低出生体重早产儿的营养策略]
Akush Ginekol (Sofiia). 2010;49(2):33-9.
5
Protein and infant formulas.蛋白质与婴儿配方奶粉。
Semin Perinatol. 1979 Oct;3(4):321-6.
6
American Academy of Pediatrics, Committee on Nutrition. Nutritional needs of low-birth-weight infants.美国儿科学会营养委员会。低出生体重婴儿的营养需求。
Pediatrics. 1977 Oct;60(4):519-30.
7
Effects of high protein intakes.
Nestle Nutr Workshop Ser Pediatr Program. 2006;58:121-9; discussion 129-31. doi: 10.1159/000095025.
8
Long-term consequences of early feeding on later obesity risk.早期喂养对后期肥胖风险的长期影响。
Nestle Nutr Workshop Ser Pediatr Program. 2006;58:1-18. doi: 10.1159/000094838.
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Growth of breast-fed and formula-fed infants.母乳喂养和配方奶喂养婴儿的生长情况。
Nestle Nutr Workshop Ser Pediatr Program. 2006;58:51-9; discussion 59-63. doi: 10.1159/000095010.
10
Metabolic acidosis and renal solute load in relation to the protein intake of low birth weight Malaysian neonates.马来西亚低出生体重新生儿的代谢性酸中毒和肾溶质负荷与蛋白质摄入量的关系。
Aust Paediatr J. 1979 Jun;15(2):101-6. doi: 10.1111/j.1440-1754.1979.tb01199.x.