Submitted to: American Academy of Pediatrics
Publication Type: Book / Chapter
Publication Acceptance Date: 10/1/2003
Publication Date: 10/1/2003
Citation: Fiorotto, M.L. 2003. Proteins. In: Kleinman, R.E. editor. Pediatric Nutrition Handbook. 5th Edition. Elk Grove Village, IL:American Academy of Pediatrics. P.229-240. Interpretive Summary: Thoroughly updated and greatly expanded, the new fifth edition provides practicing clinicians with evidence-based guidance on the full spectrum of childhood nutrition issues. Expanded to more than 1,200 pages, the new fifth edition encompasses nutrient requirements and metabolism, methods for assessing nutritional status, nutrition support for healthy infants and children, and the role of nutrition in treating diverse pediatric diseases.
Technical Abstract: More than 70 individuals have contributed to the chapters in this handbook. They constitute a broad spectrum of highly respected experts with both scientific and clinical experience in pediatric nutrition. Over the past 25 years, attention has increasingly shifted toward recognizing the long-term health consequences of an excess of selected nutrients. Thus the scope of this fifth edition of the "Pediatric Nutrition Handbook" has expanded considerably to reflect the new scientific insights into the mechanisms by which nutrients influence and direct growth and development, as well as immediate and long-term health, from birth through the end of adolescence. As with the previous edition, this handbook is primarily intended to serve as a useful and ready reference for practicing clinicians who care for infants, children, and adolescents. The section on micronutrients and macronutrients provides a discussion of the metabolism and requirements for individual nutrients as well as a general description of methods for assessing nutritional status. Sections serve as the basis for other sections that provide evidence-based guidance on feeding healthy infants and children as well as an expanded section on the nutrition support of pediatric patients with acute or chronic health problems. A new chapter on cultural considerations in feeding children addresses this very important aspect of pediatric nutrition support in a multi-cultural society. Within the chapters, every attempt has been made to provide the reader with additional resources, including references to printed materials, agencies, and Web sites that may be useful in practice and for patients to access directly. The appendices are a particularly rich source of practical reference information, including growth charts for very low-and low-birth-weight infants, full-term infants, children, and adolescents. It is hoped that the readers of this handbook will find the text to be useful and a "state-of-the-art" guide.