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0-1 Age Vitamins in Infants,Mineral and Trace Element Support

Year 2018, Volume: 10 Issue: 1, 1 - 6, 21.01.2018

Abstract

Abstract

Human milk is recommended as the exclusive nutrient source for infants duringthe first six months of life. Human milk should be continued along with complementary foods through 12 months of age, and subsequent breast feeding can continue depending on the mutual agreement between mother and infant. Human milk providesthe necessary nutrients for the fullterm infant, including energy, protein, lipid, carbohydrate, vitamin, mineral, and trace elements with two exceptions. Prophylactic vitamin K supplementation is given to newborns shortly after birth to prevent vitamin K deficiency related bleeding. Vitamin D supplementation is recommended for all infants, at a dose of 400 IU/day.Premature infants have greater nutritional needs to achieve optimal growth in theneonatal period than at any other time of their life for several reasons. Human milkis the preferred feeding for all infants, although supplementation with human milk fortifiers is required to meet the nutritional needs of premature newborns. They also need vitamin and trace element supplementation such as calcium, phosphorus, iron, zinc,fluoride and copper.

References

  • Kaynaklar 1.Section on Breastfeeding. Breastfeeding and the use of humanmilk. Pediatrics 2012; 129: e827. 2.Neville MC, Keller RP, Seacat J, et al. Studies on human lac-tation. I. Within-feed and between-breast variation in selec-ted components of human milk. Am J Clin Nutr 1984; 40: 635. 3.Duryea T. Introducing solid foods and vitamin and mineralsupplementation during infancy. Uptodate Dec 2017. 4.Munns CF, Shaw N, Kiely M, et al. Global Consensus Recom-mendations on Prevention and Management of Nutritional Ric-kets. J Clin Endocrinol Metab 2016; 101: 394. 5.Greer FR. Fat-soluble vitamin supplements for enterally fedpreterm infants. Neonatal Netw 2001; 20: 7. 6.Henderson A. Vitamin D and the breastfed infant. J ObstetGynecol Neonatal Nurs 2005; 34: 367. 7.Kültürsay N, Bilgen H, Türkyılmaz C. Türk NeonatolojiDerneği Prematüre ve Hasta Term Bebeğin Beslenmesi Reh-beri 2016. 8.Mitchell SM, Rogers SP, Hicks PD, Hawthorne KM, Parker BR,Abrams SA. High frequencies of elevated alkaline phosphata-se activity and rickets exist in extremely low birth weight infantsdespite current nutritional support. BMC Pediatr. 2009; 9: 47. 9.Sommer A, West KP Jr. Vitamin A deficiency: Health, survi-val, and vision, Oxford University press, New York 1996: 130. 10.Dietary reference intakes for Thiamin, Riboflavin, Niacin, Vi-tamin B6, Folate, Vitamin B12, Panthothenic acid, Biotin, andCholine (1998); Dietary reference intakes for Vitamin C, Vi-tamin E, Selenium, and Carotenoids (2000); Dietary Referen-ce Intake reports of the Food and Nutrition Board, Instituteof Medicine (2010). 11.Management of severe malnutrition: a manual for physiciansand other senior health workers, WHO, Geneva 1999. 12.Darlow BA, Graham PJ. Vitamin A supplementation to pre-vent mortality and short- and long-term morbidity in very lowbirthweight infants. Cochrane Database Syst Rev 2011. 13.Balcı E. Anne sütünün çocuk büyüme ve gelişmesi üzerine et-kisi. Türk Aile Hek Derg 2011; 15 (3): 135-38. 14.American Academy of Pediatrics Committee on Nutrition. Fat-soluble vitamins. In: Kleinman RE, Greer FR, (eds). Pediat-ric Nutrition, 7th ed. American Academy of Pediatrics, Elk Gro-ve Village, IL, 2014: 495. 15.Dewey KG. Nutrition, growth, and complementary feeding ofthe breastfed infant. Pediatr Clin North Am 2001; 48: 87-104. 16.Orzalesi M, Colarizi P. Critical vitamins for low birthweightinfants. Acta Paediatr Scand Suppl 1982; 296: 104–109. 17.Ek J, Behnecke L, Halvorsen KS, et al. Plasma and red cellfolate values and folate requirements in formula-fed prema-ture infants. Eur J Pediatr 1984; 142: 78–82. 18.Tsang RC, Lucas A, Uauy R. Nutritional Needs of the PretermInfant: Scientific Basis and Practical Guidelines. New York:Caduceus Medical; 2005: 56-65. 19.Agostoni C, Buonocore G, Carnielli VP, et al. Enteral nutri-ent supply for preterm infants: commentary from the Europe-an Society of Paediatric Gastroenterology, Hepatology, andNutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr2010; 50: 85-91. 20.Lozoff B, Beard J, Connor J, et al. Long-lasting neural andbehavioral effects of iron deficiency in infancy. Nutr Rev 2006;64: S34–43. Discussion S72–S91. 21.Berglund S, Domellöf M. Meeting iron needs for infants and child-ren. Curr Op in Clin Nutr Metab Care 2014; 17 (3): 267-72. 22.Venkataraman PS, Luhar H, Neylan MJ. Bone mineral me-tabolism in full-term infants fed human milk, cow milk-based,and soy-based formulas. Am J Dis Child 1992; 146: 1302. 23.Abrams S, and the Committee on Nutrition. Calcium and vi-tamin D requirements of enterally fed preterm infants. Pedi-atrics 2013; 131: 5. 24.Schanler RJ, Rifka M. Calcium, phosphorus and magnesiumneeds for the low-birth-weight infant. Acta Paediatr Suppl 1994;405: 111 .25.Fitzpatrick TB, Johnson RA, Wolf K. Color Atlas and Synop-sis of Clinical Dermatology, 3rd ed. McGraw Hill, New York,1997: 442. 26.Shankar AH, Prasad AS. Zinc and immune function: the bio-logical basis of altered resistance to infection. Am J Clin Nutr1998; 68: 447S. 27.Prasad AS. Zinc and immunity. Mol Cell Biochem 1998; 188:63. 28.Canani RB, Cirillo P, Buccigrossi V, et al. Zinc inhibits cho-lera toxin-induced, but not Escherichia coli heat-stable ente-rotoxin-induced, ion secretion in human enterocytes. J InfectDis 2005; 191: 1072. 29.Crane JK, Naeher TM, Shulgina I, et al. Effect of zinc in en-teropathogenic Escherichia coli infection. Infect Immun2007; 75: 5974. 30.Mayo-Wilson E, Junior JA, Imdad A, et al. Zinc supplemen-tation for preventing mortality, morbidity, and growth failu-re in children aged 6 months to 12 years of age. Cochrane Da-tabase Syst Rev 2014: CD009384. 31.Mcdonald CM, Manji KP, Kisenge R, et al. Daily zinc but notmultivitamin supplementation reduces diarrhea and upper res-piratory infections in Tanzanian infants: A randomized, do-uble-blind, placebo-controlled clinical trial. J Nutr 2015; 145:2153. 32.Lassi ZS, Moin A, Bhutta ZA. Zinc supplementation for the pre-vention of pneumonia in children aged 2 months to 59months. Cochrane Database Syst Rev 2016; 12: CD005978. 33.WHO/UNICEF Joint statement: Clinical management ofacute diarrhea. WHO/FCH/CAH/04.7. Geneva, 2004. 34.Lukacik M, Thomas RL, Aranda JV. A meta-analysis of the ef-fects of oral zinc in the treatment of acute and persistent di-arrhea. Pediatrics 2008; 121: 326. 35.Rao R, Georgieff MD. Microminerals in nutrition of the pre-term infant. In: Tsang RC (ed). Digital Educational Publis-hing Inc: Cincinnati, Ohio, 2005: 277-310. 36.Casey CE, Hambidge KM, Neville MC. Studies in human lac-tation: zinc, copper, manganese and chromium in human milkin the first month of lactation. Am J Clin Nutr 1985; 41: 1193 .37.Lönnerdal B, Hernell O. Iron, zinc, copper and selenium sta-tus of breast-fed infants and infants fed trace element fortifi-ed milk-based infant formula. Acta Paediatr 1994; 83: 367. 38.Schanler RJ, Shulman RJ, Lau C. Feeding strategies for pre-mature infants: beneficial outcomes of feeding fortified humanmilk versus preterm formula. Pediatrics 1999; 103: 1150. 39.Clark MB, Slayton RL. Section on Oral Health. Fluoride usein caries prevention in the primary care setting. Pediatrics2014; 134: 626. 40.Committee on practice and ambulatory medicine, bright fu-tures periodicity schedule workgroup. 2017 Recommendati-ons for Preventive Pediatric Health Care. Pediatrics 2017.

0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği

Year 2018, Volume: 10 Issue: 1, 1 - 6, 21.01.2018

Abstract

Öz

Bebeklerin doğumdan sonraki ilk 6 ayda mutlaka anne sütü ile beslenmeleri önemlidir. Daha sonra da 12. aya kadar anne sütü ile birlikte tamamlayıcı besinler başlanır. Bebeğin ve annenin durumuna göre anne sütüne daha sonra da devam edilebilir. Anne sütü, miadında doğan bir bebeğin enerji, protein, lipid, karbonhidrat, vitamin,mineral ve eser elementler dahil tüm ihtiyaçlarını karşılar. Ancak K vitamini eksikliğine bağlı kanamaları önlemek için doğumdan hemen sonra K vitamini verilir. Tümbebeklere ayrıca 400 ünite/gün D vitamini desteği yapılması gerekir. Prematüre bebeklerin optimal büyümelerinin sağlanabilmesi için daha fazla ve farklı besin ihtiyaçları vardır. Anne sütü prematüre bebekler için de optimal besin kaynağıdır ancak yeterli büyümenin sağlanabilmesi için anne sütünün güçlendirilmesi gerekir. Ayrıca vitaminler ile kalsiyum, fosfor, demir, çinko ve bakır gibi eser elementlerin de verilmesi gerekir.

References

  • Kaynaklar 1.Section on Breastfeeding. Breastfeeding and the use of humanmilk. Pediatrics 2012; 129: e827. 2.Neville MC, Keller RP, Seacat J, et al. Studies on human lac-tation. I. Within-feed and between-breast variation in selec-ted components of human milk. Am J Clin Nutr 1984; 40: 635. 3.Duryea T. Introducing solid foods and vitamin and mineralsupplementation during infancy. Uptodate Dec 2017. 4.Munns CF, Shaw N, Kiely M, et al. Global Consensus Recom-mendations on Prevention and Management of Nutritional Ric-kets. J Clin Endocrinol Metab 2016; 101: 394. 5.Greer FR. Fat-soluble vitamin supplements for enterally fedpreterm infants. Neonatal Netw 2001; 20: 7. 6.Henderson A. Vitamin D and the breastfed infant. J ObstetGynecol Neonatal Nurs 2005; 34: 367. 7.Kültürsay N, Bilgen H, Türkyılmaz C. Türk NeonatolojiDerneği Prematüre ve Hasta Term Bebeğin Beslenmesi Reh-beri 2016. 8.Mitchell SM, Rogers SP, Hicks PD, Hawthorne KM, Parker BR,Abrams SA. High frequencies of elevated alkaline phosphata-se activity and rickets exist in extremely low birth weight infantsdespite current nutritional support. BMC Pediatr. 2009; 9: 47. 9.Sommer A, West KP Jr. Vitamin A deficiency: Health, survi-val, and vision, Oxford University press, New York 1996: 130. 10.Dietary reference intakes for Thiamin, Riboflavin, Niacin, Vi-tamin B6, Folate, Vitamin B12, Panthothenic acid, Biotin, andCholine (1998); Dietary reference intakes for Vitamin C, Vi-tamin E, Selenium, and Carotenoids (2000); Dietary Referen-ce Intake reports of the Food and Nutrition Board, Instituteof Medicine (2010). 11.Management of severe malnutrition: a manual for physiciansand other senior health workers, WHO, Geneva 1999. 12.Darlow BA, Graham PJ. Vitamin A supplementation to pre-vent mortality and short- and long-term morbidity in very lowbirthweight infants. Cochrane Database Syst Rev 2011. 13.Balcı E. Anne sütünün çocuk büyüme ve gelişmesi üzerine et-kisi. Türk Aile Hek Derg 2011; 15 (3): 135-38. 14.American Academy of Pediatrics Committee on Nutrition. Fat-soluble vitamins. In: Kleinman RE, Greer FR, (eds). Pediat-ric Nutrition, 7th ed. American Academy of Pediatrics, Elk Gro-ve Village, IL, 2014: 495. 15.Dewey KG. Nutrition, growth, and complementary feeding ofthe breastfed infant. Pediatr Clin North Am 2001; 48: 87-104. 16.Orzalesi M, Colarizi P. Critical vitamins for low birthweightinfants. Acta Paediatr Scand Suppl 1982; 296: 104–109. 17.Ek J, Behnecke L, Halvorsen KS, et al. Plasma and red cellfolate values and folate requirements in formula-fed prema-ture infants. Eur J Pediatr 1984; 142: 78–82. 18.Tsang RC, Lucas A, Uauy R. Nutritional Needs of the PretermInfant: Scientific Basis and Practical Guidelines. New York:Caduceus Medical; 2005: 56-65. 19.Agostoni C, Buonocore G, Carnielli VP, et al. Enteral nutri-ent supply for preterm infants: commentary from the Europe-an Society of Paediatric Gastroenterology, Hepatology, andNutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr2010; 50: 85-91. 20.Lozoff B, Beard J, Connor J, et al. Long-lasting neural andbehavioral effects of iron deficiency in infancy. Nutr Rev 2006;64: S34–43. Discussion S72–S91. 21.Berglund S, Domellöf M. Meeting iron needs for infants and child-ren. Curr Op in Clin Nutr Metab Care 2014; 17 (3): 267-72. 22.Venkataraman PS, Luhar H, Neylan MJ. Bone mineral me-tabolism in full-term infants fed human milk, cow milk-based,and soy-based formulas. Am J Dis Child 1992; 146: 1302. 23.Abrams S, and the Committee on Nutrition. Calcium and vi-tamin D requirements of enterally fed preterm infants. Pedi-atrics 2013; 131: 5. 24.Schanler RJ, Rifka M. Calcium, phosphorus and magnesiumneeds for the low-birth-weight infant. Acta Paediatr Suppl 1994;405: 111 .25.Fitzpatrick TB, Johnson RA, Wolf K. Color Atlas and Synop-sis of Clinical Dermatology, 3rd ed. McGraw Hill, New York,1997: 442. 26.Shankar AH, Prasad AS. Zinc and immune function: the bio-logical basis of altered resistance to infection. Am J Clin Nutr1998; 68: 447S. 27.Prasad AS. Zinc and immunity. Mol Cell Biochem 1998; 188:63. 28.Canani RB, Cirillo P, Buccigrossi V, et al. Zinc inhibits cho-lera toxin-induced, but not Escherichia coli heat-stable ente-rotoxin-induced, ion secretion in human enterocytes. J InfectDis 2005; 191: 1072. 29.Crane JK, Naeher TM, Shulgina I, et al. Effect of zinc in en-teropathogenic Escherichia coli infection. Infect Immun2007; 75: 5974. 30.Mayo-Wilson E, Junior JA, Imdad A, et al. Zinc supplemen-tation for preventing mortality, morbidity, and growth failu-re in children aged 6 months to 12 years of age. Cochrane Da-tabase Syst Rev 2014: CD009384. 31.Mcdonald CM, Manji KP, Kisenge R, et al. Daily zinc but notmultivitamin supplementation reduces diarrhea and upper res-piratory infections in Tanzanian infants: A randomized, do-uble-blind, placebo-controlled clinical trial. J Nutr 2015; 145:2153. 32.Lassi ZS, Moin A, Bhutta ZA. Zinc supplementation for the pre-vention of pneumonia in children aged 2 months to 59months. Cochrane Database Syst Rev 2016; 12: CD005978. 33.WHO/UNICEF Joint statement: Clinical management ofacute diarrhea. WHO/FCH/CAH/04.7. Geneva, 2004. 34.Lukacik M, Thomas RL, Aranda JV. A meta-analysis of the ef-fects of oral zinc in the treatment of acute and persistent di-arrhea. Pediatrics 2008; 121: 326. 35.Rao R, Georgieff MD. Microminerals in nutrition of the pre-term infant. In: Tsang RC (ed). Digital Educational Publis-hing Inc: Cincinnati, Ohio, 2005: 277-310. 36.Casey CE, Hambidge KM, Neville MC. Studies in human lac-tation: zinc, copper, manganese and chromium in human milkin the first month of lactation. Am J Clin Nutr 1985; 41: 1193 .37.Lönnerdal B, Hernell O. Iron, zinc, copper and selenium sta-tus of breast-fed infants and infants fed trace element fortifi-ed milk-based infant formula. Acta Paediatr 1994; 83: 367. 38.Schanler RJ, Shulman RJ, Lau C. Feeding strategies for pre-mature infants: beneficial outcomes of feeding fortified humanmilk versus preterm formula. Pediatrics 1999; 103: 1150. 39.Clark MB, Slayton RL. Section on Oral Health. Fluoride usein caries prevention in the primary care setting. Pediatrics2014; 134: 626. 40.Committee on practice and ambulatory medicine, bright fu-tures periodicity schedule workgroup. 2017 Recommendati-ons for Preventive Pediatric Health Care. Pediatrics 2017.
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Details

Primary Language Turkish
Journal Section makale
Authors

Prof. Dr. Fahri Ovalı

Publication Date January 21, 2018
Published in Issue Year 2018 Volume: 10 Issue: 1

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APA Ovalı, P. D. F. (2018). 0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği. Klinik Tıp Pediatri Dergisi, 10(1), 1-6.
AMA Ovalı PDF. 0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği. Pediatri. January 2018;10(1):1-6.
Chicago Ovalı, Prof. Dr. Fahri. “0-1Yaş Bebeklerde Vitamin, Mineral Ve Eser Element Desteği”. Klinik Tıp Pediatri Dergisi 10, no. 1 (January 2018): 1-6.
EndNote Ovalı PDF (January 1, 2018) 0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği. Klinik Tıp Pediatri Dergisi 10 1 1–6.
IEEE P. D. F. Ovalı, “0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği”, Pediatri, vol. 10, no. 1, pp. 1–6, 2018.
ISNAD Ovalı, Prof. Dr. Fahri. “0-1Yaş Bebeklerde Vitamin, Mineral Ve Eser Element Desteği”. Klinik Tıp Pediatri Dergisi 10/1 (January 2018), 1-6.
JAMA Ovalı PDF. 0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği. Pediatri. 2018;10:1–6.
MLA Ovalı, Prof. Dr. Fahri. “0-1Yaş Bebeklerde Vitamin, Mineral Ve Eser Element Desteği”. Klinik Tıp Pediatri Dergisi, vol. 10, no. 1, 2018, pp. 1-6.
Vancouver Ovalı PDF. 0-1Yaş Bebeklerde Vitamin, Mineral ve Eser Element Desteği. Pediatri. 2018;10(1):1-6.