Pub Date : 2014-08-01DOI: 10.1177/1941406414541665
Misha Klein, D. Vanderbilt, K. Kendall-Tackett
{"title":"PTSD and Breastfeeding Let It Flow","authors":"Misha Klein, D. Vanderbilt, K. Kendall-Tackett","doi":"10.1177/1941406414541665","DOIUrl":"https://doi.org/10.1177/1941406414541665","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133870605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-01DOI: 10.1177/1941406414532685
Meghan R. Cain, M. Harris, Kristin Kim, Jason Homme
This report describes a toddler who presented to the emergency department with reported leg weakness and a petechial rash who ultimately was diagnosed with severe ascorbic acid deficiency (scurvy) due to restricted dietary intake. The diagnosis was delayed, and this report highlights the role of a detailed dietary history as part of the diagnostic process.
{"title":"Ascorbic Acid Deficiency (Scurvy) in a Toddler With Restricted Dietary Intake Presenting With “Leg Weakness” and a Rash","authors":"Meghan R. Cain, M. Harris, Kristin Kim, Jason Homme","doi":"10.1177/1941406414532685","DOIUrl":"https://doi.org/10.1177/1941406414532685","url":null,"abstract":"This report describes a toddler who presented to the emergency department with reported leg weakness and a petechial rash who ultimately was diagnosed with severe ascorbic acid deficiency (scurvy) due to restricted dietary intake. The diagnosis was delayed, and this report highlights the role of a detailed dietary history as part of the diagnostic process.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133574480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-01DOI: 10.1177/1941406414542095
L. Heller
{"title":"What About PTSD in New Mothers","authors":"L. Heller","doi":"10.1177/1941406414542095","DOIUrl":"https://doi.org/10.1177/1941406414542095","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"47 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113940987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-25DOI: 10.1177/1941406414541293
S. Groh-Wargo, M. Thompson
Preterm, very-low-birth-weight (VLBW) infants are at high nutritional risk because of poor nutrient stores at birth, digestive and neurodevelopmental immaturity, and increased risk of medical and surgical complications. Human milk (HM) is the preferred feeding for nearly all newborns. It is easily digested, well absorbed, and decreases the risk of infection. To meet the nutritional needs of small babies, however, HM requires fortification. HM fortification is the accepted norm during neonatal intensive care unit (NICU) hospitalization. This article reviews how to manage the human-milk-fed preterm VLBW infant at NICU discharge. Recent evidence suggests that HM alone after discharge may not replenish nutrient deficits accumulated during the hospital stay or sustain growth in the immediate follow-up period. Practitioners are challenged with devising nutritionally adequate diets that are practical and sustainable while preserving the HM supply and protecting the breastfeeding experience. We will review the av...
{"title":"Managing the Human-Milk-Fed, Preterm, VLBW Infant at NICU Discharge The Sprinkles Dilemma","authors":"S. Groh-Wargo, M. Thompson","doi":"10.1177/1941406414541293","DOIUrl":"https://doi.org/10.1177/1941406414541293","url":null,"abstract":"Preterm, very-low-birth-weight (VLBW) infants are at high nutritional risk because of poor nutrient stores at birth, digestive and neurodevelopmental immaturity, and increased risk of medical and surgical complications. Human milk (HM) is the preferred feeding for nearly all newborns. It is easily digested, well absorbed, and decreases the risk of infection. To meet the nutritional needs of small babies, however, HM requires fortification. HM fortification is the accepted norm during neonatal intensive care unit (NICU) hospitalization. This article reviews how to manage the human-milk-fed preterm VLBW infant at NICU discharge. Recent evidence suggests that HM alone after discharge may not replenish nutrient deficits accumulated during the hospital stay or sustain growth in the immediate follow-up period. Practitioners are challenged with devising nutritionally adequate diets that are practical and sustainable while preserving the HM supply and protecting the breastfeeding experience. We will review the av...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129303909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-18DOI: 10.1177/1941406414541292
J. Worobey, U. Trytko
Previous research has identified numerous risk factors that are associated with the development of childhood obesity. In recent years, the possible role of parenting has also been explored, with the assumption made that parental control in the context of feeding may exert an influence on child eating and child weight. The aim of the present study was to explore whether parent feeding styles were associated with young children’s body mass index (BMI) and specifically if the authoritative style was predictive of a lower weight status. For this, 80 mother-child dyads were visited when children were 3 and 4 years old. Maternal feeding style was reported by the mothers at the 3-year visit, and children’s anthropometric measurements were made at 3 and 4 years. Although not different across groups at 3 years, children whose mothers reported an authoritative feeding style had the lowest mean BMI percentile scores at ages 3 and 4 years. Although the subgroup of children of authoritarian mothers showed a significan...
{"title":"Associations Between Maternal Feeding Style and Child Overweight","authors":"J. Worobey, U. Trytko","doi":"10.1177/1941406414541292","DOIUrl":"https://doi.org/10.1177/1941406414541292","url":null,"abstract":"Previous research has identified numerous risk factors that are associated with the development of childhood obesity. In recent years, the possible role of parenting has also been explored, with the assumption made that parental control in the context of feeding may exert an influence on child eating and child weight. The aim of the present study was to explore whether parent feeding styles were associated with young children’s body mass index (BMI) and specifically if the authoritative style was predictive of a lower weight status. For this, 80 mother-child dyads were visited when children were 3 and 4 years old. Maternal feeding style was reported by the mothers at the 3-year visit, and children’s anthropometric measurements were made at 3 and 4 years. Although not different across groups at 3 years, children whose mothers reported an authoritative feeding style had the lowest mean BMI percentile scores at ages 3 and 4 years. Although the subgroup of children of authoritarian mothers showed a significan...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116020911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-04DOI: 10.1177/1941406414536611
S. Groh-Wargo, Jennifer Valentic, Sharmeel Khaira, D. Super, M. Collin
Human milk is the preferred feeding for babies but requires fortification to meet the needs of low-birth-weight infants. Human milk is known to vary with length of gestation and state of lactation. We describe the degree of variability both between mothers and within a mother’s own milk supply in the setting of the neonatal intensive care unit. Aliquots from 24-hour supplies of human milk from mothers of infants weighing <2 kg at birth who were between 2 and 6 weeks of life were analyzed for lactose, bioavailable protein, and fat using a mid-infrared milk analyzer. Variability was estimated for each macronutrient by calculating the coefficient of variation (%) and was significantly less within one mother than between mothers (P < .05). The variability in macronutrient content between mothers supports the use of human milk analysis when establishing a nutritional management plan for low-birth-weight infants. Low variability within a mother’s own milk supply suggests that weekly analysis is sufficient to es...
{"title":"Considering Human Milk Variability in the Nutritional Management of Low-Birth-Weight Infants:","authors":"S. Groh-Wargo, Jennifer Valentic, Sharmeel Khaira, D. Super, M. Collin","doi":"10.1177/1941406414536611","DOIUrl":"https://doi.org/10.1177/1941406414536611","url":null,"abstract":"Human milk is the preferred feeding for babies but requires fortification to meet the needs of low-birth-weight infants. Human milk is known to vary with length of gestation and state of lactation. We describe the degree of variability both between mothers and within a mother’s own milk supply in the setting of the neonatal intensive care unit. Aliquots from 24-hour supplies of human milk from mothers of infants weighing <2 kg at birth who were between 2 and 6 weeks of life were analyzed for lactose, bioavailable protein, and fat using a mid-infrared milk analyzer. Variability was estimated for each macronutrient by calculating the coefficient of variation (%) and was significantly less within one mother than between mothers (P < .05). The variability in macronutrient content between mothers supports the use of human milk analysis when establishing a nutritional management plan for low-birth-weight infants. Low variability within a mother’s own milk supply suggests that weekly analysis is sufficient to es...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115947699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1177/1941406414523649
L. Lowenstein, K. Brown, D. Barrows, Tara R. Foti, Lori Scholer, Carla LeVant, J. Schriefer
Despite the known benefits of human milk (HM) feedings for high-risk infants, many barriers still remain to providing HM. We implemented a quality improvement (QI) project to increase HM use at 3 t...
{"title":"Continuous Quality Improvement in a Level IIIB NICU to Increase Human Milk Use at Day of Life 14, Day of Life 28, and Discharge:","authors":"L. Lowenstein, K. Brown, D. Barrows, Tara R. Foti, Lori Scholer, Carla LeVant, J. Schriefer","doi":"10.1177/1941406414523649","DOIUrl":"https://doi.org/10.1177/1941406414523649","url":null,"abstract":"Despite the known benefits of human milk (HM) feedings for high-risk infants, many barriers still remain to providing HM. We implemented a quality improvement (QI) project to increase HM use at 3 t...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123632625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1177/1941406414525993
Sunmin Lee, B. Young, E. Cooper, E. Pressman, R. Queenan, C. Olson, R. Guillet, K. O’Brien
A longitudinal study was undertaken in 156 pregnant adolescents (≤18 years old) to characterize dietary intake and to determine the degree to which prenatal supplement use compensates for dietary deficits. The adequacy of dietary intake was assessed by comparing self-reported intake from up to three 24-hour dietary recalls with the dietary reference intakes. The majority of teens did not meet the estimated average requirements (EAR) for vitamin D (93%), vitamin E (94%), Mg (90%), Fe (76%), and Ca (74%). More than half of the adolescents in each gestational window (<23 weeks; 23-30 weeks; and ≥31 weeks of gestation) self-reported daily use of prenatal supplements, but the additional supplement contributions were not sufficient to meet the EAR for Mg (90%) or Ca (54%). Pregnant adolescents are at risk for insufficient intake of several essential nutrients from diet alone in spite of adequate or excessive energy intakes. Daily use of prenatal supplements reduces the prevalence of dietary inadequacy for many ...
{"title":"Nutrient inadequacy is prevalent in pregnant adolescents, and prenatal supplement use may not fully compensate for dietary deficiencies","authors":"Sunmin Lee, B. Young, E. Cooper, E. Pressman, R. Queenan, C. Olson, R. Guillet, K. O’Brien","doi":"10.1177/1941406414525993","DOIUrl":"https://doi.org/10.1177/1941406414525993","url":null,"abstract":"A longitudinal study was undertaken in 156 pregnant adolescents (≤18 years old) to characterize dietary intake and to determine the degree to which prenatal supplement use compensates for dietary deficits. The adequacy of dietary intake was assessed by comparing self-reported intake from up to three 24-hour dietary recalls with the dietary reference intakes. The majority of teens did not meet the estimated average requirements (EAR) for vitamin D (93%), vitamin E (94%), Mg (90%), Fe (76%), and Ca (74%). More than half of the adolescents in each gestational window (<23 weeks; 23-30 weeks; and ≥31 weeks of gestation) self-reported daily use of prenatal supplements, but the additional supplement contributions were not sufficient to meet the EAR for Mg (90%) or Ca (54%). Pregnant adolescents are at risk for insufficient intake of several essential nutrients from diet alone in spite of adequate or excessive energy intakes. Daily use of prenatal supplements reduces the prevalence of dietary inadequacy for many ...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125157313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1177/1941406414531929
RichardH Haas, L. Hoy, Esther Berenhaut
{"title":"Supporting Children With Mitochondrial Disorders: A 360° Perspective","authors":"RichardH Haas, L. Hoy, Esther Berenhaut","doi":"10.1177/1941406414531929","DOIUrl":"https://doi.org/10.1177/1941406414531929","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123864571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-06-01DOI: 10.1177/1941406414524273
S. Samaan, D. Secker
Nutrition is a key component in the management of infants with chronic kidney disease (CKD). These infants often have poor appetites, small oral intakes, and difficulty meeting their nutritional re...
{"title":"Oral Feeding Challenges in Infants With Chronic Kidney Disease: Assessment and Intervention","authors":"S. Samaan, D. Secker","doi":"10.1177/1941406414524273","DOIUrl":"https://doi.org/10.1177/1941406414524273","url":null,"abstract":"Nutrition is a key component in the management of infants with chronic kidney disease (CKD). These infants often have poor appetites, small oral intakes, and difficulty meeting their nutritional re...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129426957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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