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Calcium supplements and you may Vitamin D Standards out of Enterally Provided Preterm Infants
Steven A beneficial. Abrams, new Panel For the Diet, Jatinder J. S. Bhatia, Steven Good. Abrams, Draw R. Corkins, Sarah D. de Ferranti, Neville H. Fantastic, inside the D Conditions out of Enterally Given Preterm Children. Pediatrics -0420
Calcium supplements and Supplement D Criteria away from Enterally Fed Preterm Kids
Bone health is a critical concern in managing preterm infants. Key nutrients of importance are calcium, vitamin D, and phosphorus. Although human milk is critical for the health of preterm infants, it is low in these nutrients relative to the needs of the infants during growth. Strategies should be in place to fortify human milk for preterm infants with birth weight <1800 to 2000 g and to ensure adequate mineral intake during hospitalization and after hospital discharge. Biochemical monitoring of very low birth weight infants should be performed during their hospitalization. Vitamin D should be provided at 200 to 400 IU/day both during hospitalization and after discharge from the hospital. Infants with radiologic evidence of rickets should have efforts made to maximize calcium and phosphorus intake by using available commercial products and, if needed, direct supplementation with these minerals.
Last year, new Institute away from Medicine (IOM) released dieting guidelines getting calcium and you may supplement D consumption for everyone age range. step 1 Although not, no intake advice were made especially for preterm infants, as they have been considered a different people and didn’t match when you look at the advice to possess weight reduction source consumption produced by the fresh IOM. Preterm infants enjoys novel limbs nutrient standards that will not thought becoming like the ones from full-title infant infants. Past statements in america don’t have a lot of its guidance so you’re able to full-name children. 2 , 3 However, The newest Western european Area to possess Pediatric Gastroenterology, Hepatology, and you will Nutrients has recently discussed enteral diet suggestions for preterm kids.
