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Empfehlungen für die Nährstoffzufuhr

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Ernährungsmedizin Pädiatrie
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Zusammenfassung

Im Folgenden werden, abgeleitet aus der Physiologie (▶ Kap. 2) und dem vermuteten Bedarf von Säuglingen, Kindern und Jugendlichen, Empfehlungen für die Zufuhr angegeben. Die Angaben bezüglich der Flüssigkeits- und der Energiezufuhr gelten für alle Formen der Nahrungszufuhr (enteral/parenteral). Weitere Angaben sind auf parenterale Nährstoffzufuhr ausgerichtet. Je nach Resorption des jeweiligen Nahrungssubstrats kann bei enteraler Ernährung eine höhere Zufuhr notwendig sein. Hierbei kann für den Klinikalltag in der Pädiatrie häufig davon ausgegangen werden, dass der Bedarf bei physiologischer altersentsprechender enteraler Ernährung gedeckt wird. Bei einer teilparenteralen Ernährung mit einem Nahrungsanteil von z. B. 40% gemessen am altersentsprechenden Energiebedarf und korrigiert für die enterale klinische Situation müssen dann nährungsweise 60% des angegebenen Bedarfs parenteral zugeführt werden.

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Literatur

  • Al-Dahhan J, Haycock GB, Chantler C, Stimmler L (1983a) Sodium homeostasis in term and preterm neonates. I. Renal aspects. Arch Dis Child 58: 335–342

    Article  CAS  Google Scholar 

  • Al-Dahhan J, Haycock GB, Nichol B, Chantler C, Stimmler L (1984) Sodium homeostasis in term and preterm neonates. III. Effect of salt supplementation. Arch Dis Child 59: 945–950

    Article  PubMed  CAS  Google Scholar 

  • Allison SP, Lobo DN (2000) Debate: Albumin administration should not be avoided. Crit Care 4: 147–150

    Article  PubMed  CAS  Google Scholar 

  • Bell EF, Acarregui MJ (2000) Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev, CD000503

    Google Scholar 

  • Chessex P, Laborie S, Lavoie JC, Rouleau T (2001) Photoprotection of solutions of parenteral nutrition decreases the infused load as well as the urinary excretion of peroxides in premature infants. Semin Perinatol 25: 55–59

    Article  PubMed  CAS  Google Scholar 

  • Coulthard MG, Hey EN (1985) Effect of varying water intake on renal function in healthy preterm babies. Arch Dis Child 60: 614–620

    Article  PubMed  CAS  Google Scholar 

  • Engle WD, Arant BS (1984) Urinary potassium excretion in the critically ill neonate. Pediatrics 74: 259–264

    PubMed  CAS  Google Scholar 

  • Fidler N, Sauerwald TU, Demmelmair H, Koletzko B (2001) Fat content and fatty acid composition of fresh, pasteurized, or sterilized human milk. Adv Exp Med Biol 501: 485–495

    Article  PubMed  CAS  Google Scholar 

  • Flenady VJ, Woodgate PG (2002) Radiant warmers versus incubators for regulating body temperature in newborn infants. Cochrane Database Syst Rev, CD000435

    Google Scholar 

  • Fusch C, Jochum F (2005) Water, sodium, potassium, and chloride. In: Tsang RC, Lucas A, Uauy R, Zlotkin S (eds) Nutritional needs of the preterm Infant. Williams & Wilkins, Baltimore

    Google Scholar 

  • Fusch C, Bauer K, Böhles HJ et al.; Working group for developing the guidelines for parenteral nutrition of The German Society for Nutritional Medicine (2009) Neonatology/Paediatrics – Guidelines on Parenteral Nutrition, Chapter 13. Ger Med Sci 18: Doc15

    Google Scholar 

  • Fusch C, Moeller H (1991) Kurzdauernde Infusionstherapie im Kindesalter. Ein Vergleich individuell gemischter mit kommerziell erhältlichen Infusionslösungen. Infusionstherapie 18: 85–90

    PubMed  CAS  Google Scholar 

  • Hartnoll G, Betremieux P, Modi N (2000a) Randomised controlled trial of postnatal sodium supplementation on body composition in 25 to 30 week gestational age infants. Arch Dis Child Fetal Neonatal Ed 82: F24–28

    Article  CAS  Google Scholar 

  • Hartnoll G, Betremieux P, Modi N (2000b) Randomised controlled trial of postnatal sodium supplementation on oxygen dependency and body weight in 25–30 week gestational age infants. Arch Dis Child Fetal Neonatal Ed 82_ F19–23

    Google Scholar 

  • Hartnoll G, Betremieux P, Modi N (2001) Randomised controlled trial of postnatal sodium supplementation in infants of 25–30 weeks gestational age: effects on cardiopulmonary adaptation. Arch Dis Child Fetal Neonatal Ed 85: F29–F32

    Article  PubMed  CAS  Google Scholar 

  • Hooper L, Bartlett C, Davey-Smith G, Ebrahim S (2003) Reduced dietary salt for prevention of cardiovascular disease. Cochrane Database Syst Rev, CD003656

    Google Scholar 

  • Jensen RG, Lammi-Keefe CJ, Koletzko B (2001) Consumption of lipophilic contaminants in human milk by infants: quantities are usually incorrect. Adv Exp Med Biol 501: 541–545

    Article  PubMed  CAS  Google Scholar 

  • Jochum F, Lombeck I (2000) Genetic defects related to metals other than copper. In: Fernandes J, Saudubray JM, Bergheand B van den (eds) Inborn metabolic diseases – diagnosis and treatment. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Jurgens G, Graudal NA (2003) Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterols, and triglyceride. Cochrane Database Syst Rev, CD004022

    Google Scholar 

  • Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R; Parenteral Nutrition Guidelines Working Group; European Society for Clinical Nutrition and Metabolism; European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN); European Society of Paediatric Research (ESPR) (2005) 1. Guidelines on Paediatric Parenteral Nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), Supported by the European Society of Paediatric Research (ESPR). J Pediatr Gastroenterol Nutr 41 Suppl 2: S1–87

    Article  PubMed  Google Scholar 

  • Koo WW, Fong T, Gupta JM (1980) Parenteral nutrition in infants. Aust Paediatr J 16: 169–174

    PubMed  CAS  Google Scholar 

  • Koo WW, Tsang RC, Steichen JJ et al. (1987) Parenteral nutrition for infants: effect of high versus low calcium and phosphorus content. J Pediatr Gastroenterol Nutr 6: 96–104

    Article  PubMed  CAS  Google Scholar 

  • Laborie S, Lavoie JC, Chessex P (2000) Increased urinary peroxides in newborn infants receiving parenteral nutrition exposed to light. J Pediatr 136: 628–632

    Article  PubMed  CAS  Google Scholar 

  • Lentze MJ (2002) Mikronährstoffe im Jugendalter. In: Biesalski HK, Köhrle J, Schümann K (Hrsg) Vitamine, Spurenelemente und Mineralstoffe. Thieme, Stuttgart

    Google Scholar 

  • Leung SS, Chan SM, Lui S, Lee WT, Davies DP (2000) Growth and nutrition of Hong Kong children aged 0–7 years. J Paediatr Child Health 36: 56–65

    Article  PubMed  CAS  Google Scholar 

  • Manz F, Hof MA van’t, Haschke F (2000) Iodine supply in children from different european areas: the Euro-growth study. Committee for the Study of Iodine Supply in European Children. J Pediatr Gastroenterol Nutr 31 [Suppl 1]: S72–75

    Article  PubMed  Google Scholar 

  • Meyer MP, Payton MJ, Salmon A, Hutchinson C, Klerk A de (2001) A clinical comparison of radiant warmer and incubator care for preterm infants from birth to 1,800 grams. Pediatrics 108: 395–401

    Article  PubMed  CAS  Google Scholar 

  • Soll RF, Edwards WH (2000) Emollient ointment for preventing infection in preterm infants. Cochrane Database Syst Rev, CD001150

    Google Scholar 

  • Stephens BE, Walden RV, Gargus RA et al. (2009) First-week protein and energy intakes are associated with 18-month developmental outcomes in extremely low birth weight infants. Pediatrics 123: 1337–1343

    Article  PubMed  Google Scholar 

  • Tinggi U (2003) Essentiality and toxicity of selenium and its status in Australia: a review. Toxicol Lett 137: 103–110

    Article  PubMed  CAS  Google Scholar 

  • Vinceti M, Wei ET, Malagoli C, Bergomi M, Vivoli G (2001) Adverse health effects of selenium in humans. Rev Environ Health 16: 233–251

    Article  PubMed  CAS  Google Scholar 

  • Aggett PJ, Fairweather-Tait S (1998) Adaptation to high and low copper intakes: its relevance to estimated safe and adequate daily dietary intakes. Am J Clin Nutr 67 Suppl: 1061S–1063S

    PubMed  CAS  Google Scholar 

  • Al-Dahhan J, Haycock GB, Chantler C, Stimmler L (1983b) Sodium homeostasis in term and preterm neonates. II. Gastrointestinal aspects. Arch Dis Child 58: 343–345

    Article  CAS  Google Scholar 

  • Allison ME, Walker V (1986) The sodium and potassium intake of 3 to 5 year olds. Arch Dis Child 61: 159–163

    Article  PubMed  CAS  Google Scholar 

  • American Academy of Pediatrics, Committee on Nutrition (1998) Nutritional needs of preterm Infants. In: Kleinman RE (ed) Pediatric nutrition handbook. American Academy of Pediatrics, Elk Grove Village, pp 55–87

    Google Scholar 

  • Arant BS, Seikaly MG (1989) Intrarenal angiotensin II may regulate developmental changes in renal blood flow. Pediatr Nephrol 3: C142

    Google Scholar 

  • Asano H, Taki M, Igarashi Y (1987) Sodium homeostasis in premature infants during the early postnatal period: results of relative low volume of fluid and sodium intake. Pediatr Nephrol 1: C38

    Google Scholar 

  • Babson SG, Bramhall JL (1969) Diet and growth in the premature infant. The effect of different dietary intakes of ash-electrolyte and protein on weight gain and linear growth. J Pediatr 74: 890–900

    Article  PubMed  CAS  Google Scholar 

  • Bell EF, Rios GR (1983) A double-walled incubator alters the partition of body heat loss of premature infants. Pediatr Res 17: 135–140

    Article  PubMed  CAS  Google Scholar 

  • Burcar PJ, Norenberg MD, Yarnell PR (1977) Hyponatremia and central pontine myelinolysis. Neurology 27: 223–226

    Article  PubMed  CAS  Google Scholar 

  • Butterfield J, Lubchenco L, Bergstedt J, O’Brien D (1960) Patterns in electrolyte and nitrogen balance in the newborn premature infant. Pediatrics 26: 777–791

    PubMed  CAS  Google Scholar 

  • Costarino A, Baumgart S (1986) Modern fluid and electrolyte management of the critically ill premature infant. Pediatr Clin North Am 33: 153–178

    PubMed  CAS  Google Scholar 

  • Dahl LK (1969) Salt and blood pressure. Lancet 1: 622–623

    Article  PubMed  CAS  Google Scholar 

  • Deutsche Arbeitsgemeinschaft für künstliche Ernährung (DAKE), Österreichische Arbeitsgemeinschaft für künstliche Ernährung (ÖAKE) (1987) Empfehlungen zur parenteralen Infusions- und Ernährungstherapie im Kindesalter. Klin Padiatr 199: 315–317

    Google Scholar 

  • Ehrenkranz RA, Gettner PA, Nelli CM, Sherwonit EA, Williams JE, Ting BT, Janghorbani M (1989) Zinc and copper nutritional studies in very low birth weight infants: comparison of stable isotopic extrinsic tag and chemical balance methods. Pediatr Res 26: 298–307

    Article  PubMed  CAS  Google Scholar 

  • Ekblad H, Kero P, Takala J, Korvenranta H, Valimaki I (1987) Water, sodium and acid-base balance in premature infants: therapeutical aspects. Acta Paediatr Scand 76: 47–53

    Article  PubMed  CAS  Google Scholar 

  • Engelke SC, Shah BL, Vasan U, Raye JR (1978) Sodium balance in very low-birth-weight infants. J Pediatr 93: 837–841

    Article  PubMed  CAS  Google Scholar 

  • Engle WD, Magness R, Faucher DJ, Arant BS, Rosenfeld CR (1985) Sodium balance in the growing preterm infant. Infant Pediatr Res 19: 376a

    Article  Google Scholar 

  • Giles MM, Fenton MH, Shaw B, Elton RA, Clarke M, Lang M, Hume R (1987) Sequential calcium and phosphorus balance studies in preterm infants. J Pediatr 110: 591–598

    Article  PubMed  CAS  Google Scholar 

  • Gillis J, Jones G, Pencharz P (1983) Delivery of vitamins A, D, and E in total parenteral nutrition solutions. JPEN J Parenter Enteral Nutr 7: 11–14

    Article  PubMed  CAS  Google Scholar 

  • Gordon NH (1955) Studies of tocopherol deficiency in infants and children: I. Hemolysis of erythrocytes in H2O2. Am J Dis Child 90: 570–571

    Google Scholar 

  • Greene HL, Hambidge KM, Schanler R, Tsang RC (1988) Guidelines for the use of vitamins, trace elements, calcium, magnesium, and phosphorus in infants and children receiving total parenteral nutrition: report of the Subcommittee on Pediatric Parenteral Nutrient Requirements from the Committee on Clinical Practice Issues of the American Society for Clinical Nutrition. Am J Clin Nutr 48: 1324–1342

    PubMed  CAS  Google Scholar 

  • Gross SJ (1983) Growth and biochemical response of preterm infants fed human milk or modified infant formula. N Engl J Med 308: 237–241

    Article  PubMed  CAS  Google Scholar 

  • Hammarlund K, Nilsson GE, Oberg PA, Sedin G (1979) Transepidermal water loss in newborn infants. II. Relation to activity and body temperature. Acta Paediatr Scand 68: 371–376

    Article  PubMed  CAS  Google Scholar 

  • Hoehn GJ, Carey DE, Rowe JC, Horak E, Raye JR (1987) Alternate day infusion of calcium and phosphate in very low birth weight infants: wasting of the infused mineral. J Pediatr Gastroenterol Nutr 6: 752–757

    Article  PubMed  CAS  Google Scholar 

  • Ibrahim HM, Jeroudi MA, Baier RJ, Dhanireddy R, Krouskop RW (2004) Aggressive early total parental nutrition in low-birth-weight infants. J Perinatol 24: 482–486

    Article  PubMed  Google Scholar 

  • Jauch KW, Suchner U (1994) Aktuelle Aspekte und Perspektiven in der klinischen Ernährung. Infusionsther Transfusionsmed 21: 5–6

    PubMed  CAS  Google Scholar 

  • Jochum F, Fuchs A, Cser A, Menzel H, Lombeck I (1995) Trace mineral status of full-term infants fed human milk, milk-based formula or partially hydrolysed whey protein formula. Analyst 120: 905–909

    Article  PubMed  CAS  Google Scholar 

  • Jochum F, Terwolbeck K, Meinhold H, Behne D, Menzel H, Lombeck I (1999) Is there any health risk of low dietary selenium supply in PKU-children. Nutr Res 19: 221–226

    Article  Google Scholar 

  • Kanarek KS, Williams PR, Curran JS (1982) Total parenteral nutrition in infants and children. Adv Pediatr 29: 151–181

    PubMed  CAS  Google Scholar 

  • Kimura S, Nose O, Seino Y et al. (1986) Effects of alternate and simultaneous administrations of calcium and phosphorus on calcium metabolism in children receiving total parenteral nutrition. JPEN J Parenter Enteral Nutr 10: 513–516

    Article  PubMed  CAS  Google Scholar 

  • Kishi T, Fujita N, Eguchi T, Ueda K (1997) Mechanism for reduction of serum folate by antiepileptic drugs during prolonged therapy. J Neurol Sci 145: 109–112

    Article  PubMed  CAS  Google Scholar 

  • Kojima T, Fukuda Y, Hirata Y, Matsuzaki S, Kobayashi Y (1989) Effects of aldosterone and atrial natriuretic peptide on water and electrolyte homeostasis of sick neonates. Pediatr Res 25: 591–594

    Article  PubMed  CAS  Google Scholar 

  • Koo WW, Tsang RC, Succop P, Krug-Wispe SK, Babcock D, Oestreich AE (1989) Minimal vitamin D and high calcium and phosphorus needs of preterm infants receiving parenteral nutrition. J Pediatr Gastroenterol Nutr 8: 225–233

    Article  PubMed  CAS  Google Scholar 

  • Lane AT, Drost SS (1993) Effects of repeated application of emollient cream to premature neonates’ skin. Pediatrics 92: 415–419

    PubMed  CAS  Google Scholar 

  • Leake RD, Zakauddin S, Trygstad CW, Fu P, Oh W (1976) The effects of large volume intravenous fluid infusion on neonatal renal function. J Pediatr 89: 968–972

    Article  PubMed  CAS  Google Scholar 

  • Leslie GI, Carman G, Arnold JD (1990) Early neonatal hyperkalaemia in the extremely premature newborn infant. J Paediatr Child Health 26: 58–61

    Article  PubMed  CAS  Google Scholar 

  • Liappis N, Reimnitz P (1984) Referenzwerte der Natrium-, Kalium-, Kalzium-, Chlorid- und anorganischen Phosphat-Ausscheidung im 24 h-Urin gesunder Kinder. Klin Padiatr 196: 367–369

    Article  PubMed  CAS  Google Scholar 

  • Lucas A, Baker BA, Cole TJ (1990) Plasma prolactin and clinical outcome in preterm infants. Arch Dis Child 65: 977–983

    Article  PubMed  CAS  Google Scholar 

  • Nakamaru M, Misono KS, Naruse M, Workman RJ, Inagami T (1985) A role for the adrenal renin-angiotensin system in the regulation of potassium-stimulated aldosterone production. Endocrinology 117: 1772–1778

    Article  PubMed  CAS  Google Scholar 

  • Nopper AJ, Horii KA, Sookdeo-Drost S, Wang TH, Mancini AJ, Lane AT (1996) Topical ointment therapy benefits premature infants. J Pediatr 128: 660–669

    Article  PubMed  CAS  Google Scholar 

  • Pelegano JF, Rowe JC, Carey DE, Barre DJ la, Edgren KW, Lazar AM, Horak E (1991) Effect of calcium/phosphorus ratio on mineral retention in parenterally fed premature infants. J Pediatr Gastroenterol Nutr 12: 351–355

    Article  PubMed  CAS  Google Scholar 

  • Polberger SK, Axelsson IA, Raiha NC (1989) Growth of very low birth weight infants on varying amounts of human milk protein. Pediatr Res 25: 414–419

    Article  PubMed  CAS  Google Scholar 

  • Raiha NC, Heinonen K, Rassin DK, Gaull GE (1976) Milk protein quantity and quality in low-birthweight infants: I. Metabolic responses and effects on growth. Pediatrics 57: 659–684

    PubMed  CAS  Google Scholar 

  • Roshchupkin DI, Murina MA (1998) Free-radical and cyclooxygenase-catalyzed lipid peroxidation in membranes of blood cells under UV irradiation. Membr Cell Biol 12: 279–286

    PubMed  CAS  Google Scholar 

  • Rutter N, Hull D (1981) Reduction of skin water loss in the newborn. I. Effect of applying topical agents. Arch Dis Child 56: 669–672

    Article  PubMed  CAS  Google Scholar 

  • Sosulski R, Polin RA, Baumgart S (1983) Respiratory water loss and heat balance in intubated infants receiving humidified air. J Pediatr 103: 307–310

    Article  PubMed  CAS  Google Scholar 

  • Tsang R, Lucas A, Uaay R, Zlotkin S (eds) (1993) Nutritional needs of the preterm infant: scientific basis and practical guidelines. Williams & Wilkins, Baltimore

    Google Scholar 

  • Vuori E (1979) Intake of copper, iron, manganese and zinc by healthy, exclusively-breast-fed infants during the first 3 months of life. Br J Nutr 42: 407–411

    Article  PubMed  CAS  Google Scholar 

  • Walli R, Stettler T, Largo RH, Fanconi A, Prader A (1980) Gewicht, Lange und Kopfumfang neugeborener Kinder und ihre Abhängigkeit von mütterlichen und kindlichen Faktoren. Normwerte für das intrauterine Wachstum. Helv Paediatr Acta 35: 397–418

    PubMed  CAS  Google Scholar 

  • Wu PY, Hodgman JE (1974) Insensible water loss in preterm infants: changes with postnatal development and non-ionizing radiant energy. Pediatrics 54: 704–712

    PubMed  CAS  Google Scholar 

  • Yeh TF, Vidyasagar D, Pildes RS (1975) Critical care problems of the newborn: insensible water loss in small premature infants. Crit Care Med 3: 238–241

    Article  PubMed  CAS  Google Scholar 

  • Ziegler EE, Fomon SJ (1974) Major minerals. In: Fomon SJ (ed) Infant nutrition. Saunders, Philadelphia, pp 267–297

    Google Scholar 

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Jochum, F. (2013). Empfehlungen für die Nährstoffzufuhr. In: Jochum, F. (eds) Ernährungsmedizin Pädiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29817-2_6

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