Abstract
Nutrient requirements of infants have been based on observations of ad libitum intakes of normal breast-fed populations1,2 or derived from a factorial approach that sums nutrient needs for growth, maintenance, and activity.3 Both definitions rely heavily on criteria for normal growth. Estimates derived from ad libitum intakes depend on the identification of populations with normal anthropometric indices. The use of the factorial approach requires a more complex definition of normal growth. Measurements of body composition and anthropometric indices are needed. The combination of body composition and weight gain provides estimates of the net accretion of specific nutrients and the nutrient costs of tissue synthesis and deposition. Current applications of the factorial approach predict that the cost of growth falls from approximately 30 kcal/kg body weight the first month to less than 4 kcal/kg body weight by the end of the first year of life.4 The decline is not linear, but is more rapid during the first four months of life.
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Garza, C., Stuff, J., Butte, N. (1987). Growth of the Breast-fed Infant. In: Goldman, A.S., Atkinson, S.A., Hanson, L.Å. (eds) Human Lactation 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0837-7_12
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DOI: https://doi.org/10.1007/978-1-4899-0837-7_12
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