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Lookup NU author(s): Professor Nicholas EmbletonORCiD
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© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.The last 20 years has seen dramatic improvements in the survival of preterm infants due to improved antenatal and neonatal care. Closer attention to nutrition means early parenteral nutrition and mother's own milk are considered as standard of care. Many uncertainties remain however, such as optimal macronutrient intakes for longer term cognitive and metabolic outcomes, and the optimal probiotic regime to reduce the risk of necrotising enterocolitis. Nutrition involves macronutrients and micronutrients, immunonutrients, microbiomic aspects and nutrient delivery. It is also clear that there are behavioural and psychological aspects, and strongly held beliefs for parents and professionals that affect practice. While many healthcare professionals (HCPs) are aware of several key nutritional concepts on the neonatal intensive care unit (NICU), many HCPs lack a concise, systematic approach. This article provides a brief approach to nutritional assessment for use on the NICU summarised as ABCDE: A - anthropometry, B - biochemistry, C - clinical, D - dietary intakes, E - environment and evaluation.
Author(s): Embleton ND
Publication type: Review
Publication status: Published
Journal: Archives of Disease in Childhood: Education and Practice Edition
Pages: epub ahead of print
Online publication date: 21/05/2021
Acceptance date: 08/05/2021
ISSN (print): 1743-0585
ISSN (electronic): 1743-0593
Publisher: BMJ Publishing Group
PubMed id: 34021008