Pediatrics in Review
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(Pediatrics in Review. 1997;18:84-85.)
© 1997 American Academy of Pediatrics

Formulae Odds and Ends

Harvey Aiges, MD
 North Shore University Hospital Manhasset, NY
Feeding and the consequences of feeding (growth and development) are central themes of pediatrics. How infants and toddlers feed and what they eat are affected by current fads, the media, and the family's ethnic background. However, certain facts about feeding and nutrition remain constant despite cultural variations. The pediatrician or other clinician must be aware of these facts to educate and assist a family in the appropriate feeding of its child.

Healthy term infants, whether breastfed or formula-fed, need about 95 to 115 kcal/kg per day during the first 6 months of life. Approximately 8% to 12% of calories should be provided by protein and about 30% to 50% by fat. If these requirements are met, a growing term infant can be expected to gain between 25 to 40 g/day in the first 3 months and about 15 to 20 g/day in the second 3 months.

Caloric and protein requirements for preterm infants are greater than those for term babies. To attain good growth, a healthy preterm baby needs about 120 to 130 kcal/kg per day, including about 2.0 g/kg per day of human milk protein or 2. 5 to 3.0 g/kg per day of formula protein. These nutritional requirements can be met by adding an available fortifier to human milk, adjusting the milk to a caloric density of 24 kcal/oz, or . . . [Full Text of this Article]

Henry M. Adam, MD
 Editor, In Brief





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Pediatrics Pediatrics in Review
Copyright © 1997 by the American Academy of Pediatrics.