Dear Lactnet Friends:

What's this garbage about the role of pediatricians as innovators in
pediatric
nutrition????

What's to innovate?

Mothers make the only right food for babies. All human infants deserve human
milk. If pediatricians want to be innovators, they could put their academies
and their energies
behind that, instead of wasting time with substitutes.

Nestle Nutr Workshop Ser Pediatr Program. 2010;66:191-203. Epub 2010 Jul 21.
The role of pediatricians as innovators in pediatric nutrition.

Greer FR<
http://www.ncbi.nlm.nih.gov/pubmed?term=%22Greer%20FR%22%5BAuthor%5D>
.

University of Wisconsin School of Medicine and Public Health, Madison, WI,
USA.
 Abstract

"Innovation is about making changes. When it comes to health care,
innovations, though they may be something 'new', may not be beneficial if
not demonstrated to be an improvement over what is current practice.
Innovations in pediatric nutrition sometimes fall into this category.

The establishment of safe water and milk supplies at the end of the 19th and
beginning of the 20th centuries is viewed as one of the greatest advances in
preventative medicine and truly was an 'innovation', with its dramatic
impact on infant mortality. Other innovations in pediatric nutrition
included the development of the caloric method of infant feeding which led
to the large-scale adoption of a single infant formula. This required
cooperation with industry and ultimately led to the development of
life-saving specialty formulas for various disease states including inborn
errors of metabolism.

Over the last 50 years there have been further
modifications of term infant formula that have included taurine, carnitine,
nucleotides, whey proteins, PUFAs including decosahexenoic acid (DHA) and
arachidonic acid, probiotics, and prebiotics. Many of these additions are of
questionable benefit and are questioned as true innovations. Though the
addition of novel nutrients to infant formula has been an area of great
interest, more basic research (including randomized controlled trial) is
needed to determine many pediatric nutrient requirements including the lower
and upper limits of nutrients added to infant formula. Such research could
be facilitated by institutions such as the US National Institute of Child
Health whose establishment in 1962 was a significant 'innovation' as it led
to advances in pediatric nutritional research. Much more research is needed
to determine basic pediatric nutritional requirements and pediatricians
should strive for such true innovations."


warmly,

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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