Published online December 31, 2007
PEDIATRICS Vol. 121 No. 1 January 2008, pp. 181-182 (doi:10.1542/peds.2007-3017)
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COMMENTARY

Nutritional Rehabilitation for Brain-Injured Infants: Catch-up Growth Is Good

David H. Adamkin, MD

Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky

The first 20% of the full text of this article appears below.

No longer in neonatal nutrition are we focusing on just meeting nutritional needs. New questions to consider include, "Can nutrition in early life affect the patient's response to disease?" and "Does nutrition matter for long-term health and neurodevelopment?" In this issue of Pediatrics, Dabydeen et al1 provide insight into the possibilities.

Term and preterm infants with severe neonatal encephalopathy were randomly assigned; the study included a treatment group that consisted of infants receiving 120% energy and protein intake from term through 12 months of age. Occipitofrontal circumference and axonal diameters in the corticospinal tract, estimated by transcranial magnetic stimulation, were increased in those who were receiving the higher-energy and -protein diet.

Does this study's results strictly demonstrate nutritional rehabilitation (ie, providing an intervention to . . . [Full Text of this Article]

Address correspondence to David H. Adamkin, MD, University of Louisville, Neonatal Medicine, 571 S Floyd St, Louisville, KY 40202. E-mail: david.adamkin@louisville.edu