State of the Art: Precision Nutrition in Preterm Infants

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Unique from term infants, preterm infants’ enteral nutrition is not self-regulated. Feeding occurs according to a timed schedule with nutrient intake and feeding volume determined by the neonatal staff, while baby is required to metabolize what is fed. Christoph Fusch, MD, PhD, discusses evidence that reveals how to measure and strategically determine micro- and macronutrient needs for preterm neonates. He reviews the impact of balanced nutrient intake and nutritional research studies in preterm infants on clinical outcomes, as well as the significance of applying postnatal growth trajectories and optimal nutrition needs of preterm infants. Although the gold standard, mother’s breast milk can vary, and may not provide adequate nutrients for essential growth and neurodevelopment needed in preterm infants. Precision nutrition allows the neonatal staff to adjust nutritional content—including the appropriate amount of proteins, carbohydrates, and fat to result in optimal growth and development—according to individual preterm needs.

Course Credit:

1.00 AANP Contact Hour
1.00 AMA PRA Category 1 CreditTM
1.00 ANCC Contact Hour
1.00 CA-BRN Contact Hour
1.00 CDR Contact Hour

Dates:

Opens: 2019-11-22
Closes: 2021-11-22

Target Audience:

This activity was developed for pediatric physicians, nurses, nurse practitioners, dietitians, allergists and other health care providers who have an interest in newborns, infants and toddlers.

This activity is supported by an educational grant from Mead Johnson Nutrition.
  • Christoph Fusch, MD, PhD, FRCPC

    Professor of Pediatrics, Paracelsus Medical School
    Professor Emeritus, McMaster University
    Chief, Department of Pediatrics
    Nuremberg General Hospital
    Nuremberg, Germany

Learning Objectives

  • Explain how nutritional needs vary among preterm and term infants
  • Describe the clinical outcomes from nutrient research studies in preterm infants
  • Develop individual postnatal growth trajectories for preterm infants
  • Apply current recommendations based on nutrient research studies for the clinical management of preterm infants

Faculty Disclosures

Christoph Fusch, MD, PhD, FRCPC

  • Research Support     
    • Fresenius – clinical area: nutrition and growth
    • Milupa – clinical area: nutrition and growth
    • Prolacta Bioscience – clinical area: nutrition and growth
  • Consultant         
    • Abbott – clinical area: nutrition and growth
    • Baxter – clinical area: nutrition and growth
    • HiPP – clinical area: preterm formula
    • Mead Johnson Nutrition – clinical area: nutrition and growth
    • Nestlé – clinical area: nutrition and growth
    • Nutricia – clinical area: nutrition and growth
  • Speakers Bureau    
    • Abbott – clinical area: nutrition and growth
    • Baxter – clinical area: nutrition and growth
    • Fresenius – clinical area: nutrition and growth
    • Hamilton Medical – clinical area: ventilation and respiratory support
    • Heinen & Lowenstein – clinical area: nutrition and growth
    • HiPP – clinical area: preterm formula
    • Humana – clinical area: nutrition and growth
    • Ikaria – clinical area: nutrition and growth
    • Mead Johnson Nutrition – clinical area: nutrition and growth
    • Medela – clinical area: nutrition and growth
    • Milupa – clinical area: nutrition and growth
    • Nestlé – clinical area: nutrition and growth
    • Nutricia – clinical area: nutrition and growth
    • Prolacta – clinical area: nutrition and growth

Accreditation and Certification

The Annenberg Center for Health Sciences at Eisenhower is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Annenberg Center for Health Sciences at Eisenhower designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Annenberg Center for Health Sciences is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 040207.
This program is designated for up to 1.00 contact hour. Program ID# 5730-EM.
The Annenberg Center for Health Sciences is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
A maximum of 1.00 contact hour may be earned for successful completion of this activity.
Provider is approved by the California Board of Registered Nursing, Provider #13664, for 1.00 contact hour.
To receive credit for education contact hours outside of the state of California, please check with your state board of registered nursing for reciprocity.
Annenberg Center for Health Sciences at Eisenhower is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 1.00 hour continuing professional education unit (CPEU) for completion of this program/material.
Provider Number AC857; Activity Number 152303.
Learners may submit additional evaluations of the quality of this program/material to QualityCPE@eatright.org.

Additional Content Planners

Erin Allen, MS, RD, LDN (RD Reviewer)
No significant relationships to disclose.

Victoria Anderson (Medical Writer)
  • Individual Stockholder
    • Abbott – clinical area: N/A
    • AbbVie – clinical area: N/A

Coy Flowers, MD (Peer Reviewer)
No significant relationships to disclose.

Heather M. Jimenez, FNP-C (Lead Nurse Planner)
No significant relationships to disclose.

Annenberg Center for Health Sciences

All staff at the Annenberg Center for Health Sciences at Eisenhower have no relevant commercial relationships to disclose.