Breastfeeding/Human Milk

Scholarly Sessions

Public Health

Neonatology

Quality Improvement/Patient Safety

Pediatric Nutrition

Gastroenterology/Hepatology

Clinical Research Pathway

Addressing the Persistent Controversies and Questions in Preterm Infant Nutrition: Translating the Pre-B Project Into Clinical Practice and a Research Agenda

Chair(s)

• 

  Sarah Taylor, MD, MSCR

  Associate Professor
  Yale University School of Medicine
  New Haven, Connecticut, United States

After six years of interdisciplinary expert discussion and critical evidence review, the 2014 vision to develop evidence-informed guidance for the nutritional care of preterm infants has come to fruition. The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the Academy of Nutrition and Dietetics (AND) initiated this multiphase process involving expert physician, dietitian, and pharmacology scientists. The first phase, Pre-B, addressed the existing evidence and research needs for clinical questions within four themes 1) nutrient specifications for preterm infants, 2) clinical and practical issues in enteral feeding of preterm infants, 3) gastrointestinal and surgical issues, and 4) current standards of infant feeding. This first phase was published in 2016 by Raiten et al as “Working group reports: evaluation of the evidence to support practice guidelines for nutritional care of preterm infants—the Pre-B Project”. The second phase of this process is a systematic review of the literature led by the AND Evidence Analysis Center and includes an international workgroup of clinical and research experts who will now share the results of this extraordinary multi-disciplinary effort in this Hot Topic Symposium. Specifically, the presentations will focus on clinical questions where the existing evidence conflicts with current clinical nutrition recommendations and where the expert work group experienced more difficulty reaching a consensus. Each presentation also will describe areas where existing data is lacking and therefore research should be prioritized. The audience will participate throughout the presentation with polling and with a 15-minute question and answer with the expert work group.

Presentations:

• 1:00 PM - 1:15 PM US CT

  The accomplishments and process of the NICHD PreB and the Academy of Nutrition and Dietetics Evidence Analysis Center
  

  Presenter: Sharon Groh-Wargo, PhD, RDN – MetroHealth Medical Center
• 1:15 PM - 1:30 PM US CT

  Very low birthweight infant protein needs: Recognizing how the evidence differs from experience
  

  Presenter: Sarah Taylor, MD, MSCR – Yale University School of Medicine
• 1:30 PM - 1:50 PM US CT

  Energy and specifically fat sources for preterm infants: How is a seemingly basic question so complicated?
  

  Presenter: Camilia R. Martin, MD, MS – Harvard Medical School/Beth Israel Deaconess Medical Center
• 1:50 PM - 2:10 PM US CT

  The complex relationship between milk type and very low birthweight preterm infant outcomes
  

  Presenter: Ian Griffin, MD, MA – Biomedical Research Institute of NJ
• 2:10 PM - 2:30 PM US CT

  Does the evidence support the current clinical definitions of “extrauterine growth restriction” and “postnatal growth failure”?
  

  Presenter: Tanis Fenton, PhD RD – University of Calgary
• 2:30 PM - 3:00 PM US CT

  Q&A
  

  Presenter: Belinda Thomas