Recent studies continue to point out the
critical nature of a patient's nutritional status in helping to determine
important health outcomes in pediatrics. We review recent data concerning
the composition of breast milk and its adequacy to support infant growth
in the first six months of life, as well as trials that support
breastfeeding as an important method to delay or reduce the incidence of
atopic diseases such as eczema, allergies, and asthma. Studies have also
been published that show how physician education and training about
breastfeeding can be optimized. Studies showing how nutritional status is
measured (using standard anthropometric techniques as well as more modern
measures of basal metabolic rate) are highlighted, as well as the role of
micronutrient supplementation of patients with the human immunodeficiency
virus infection and diarrheal diseases.
Abbreviations
BMI body mass index
CHD coronary heart disease
HIV human immunodeficiency virus
NICU neonatal intensive care unit
ORS oral rehydration solutions
WHO World Health Organization
Clinical Nutrition Service,
Division of Gastroenterology and Nutrition, Children's
Hospital, Boston; Harvard Medical School, Boston,
Massachusetts, USA
Correspondence to Christopher
Duggan, MD, MPH, Children's Hospital, Harvard Medical School,
Clinical Nutrition Service, Division of Gastroenterology and
Nutrition, 300 Longwood Avenue, Boston, MA 02115; e-mail:
christopher.duggan@tch.harvard.edu
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as providing medical or legal advice. The decision whether or not to vaccinate
is an important and complex issue and should be made by you, and you alone, in
consultation with your health care provider.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
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