Nutrition Publication

Early Nutrition Influence – Preventive and Therapeutic Aspects

Editor(s): Mike Poßner.

At this NNI European Meeting 3 main chapters were discussed: Functional Gastrointestinal Disorders (FGID), the influence of microbiome and nutrition and cognition.

FGID are not strictly a medical issue, but an important concern for parents, which generates a lot of visits to the practitioners. Topics such as the relevance of FGID in clinical practice, how probiotics can be used in their management and the impact of these disorders on quality of life of infants and their parents were presented.

What is new on microbiota and health was also discussed, approaching the role of microbiome on different diseases such as necrotizing enterocolitis and allergy. The role of Human Milk Oligosaccharides and new research on this field were included in this section as well.

Impact of early nutrition on brain outcomes on term and preterm infants were also topic of debate in this workshop.

Related Articles

The relevance of FGIDs in the daily pediatric practice

Author(s): Yvan Vandenplas

FGIDs are very frequent. Indeed, for many of us, it’s one of the most common diagnoses of the patients that we see is that they suffer from FGIDs. I will focus on regurgitation, infant colic and constipation because they are definitely the most frequent. 

The Pediatric Rome IV Criteria - What is New?

Author(s): Ilan J.N. Koppen

FGIDs are defined by the Rome criteria, which were established by working groups of the Rome Foundation. These criteria are symptom based and based on literature and consensus meetings. The name “Rome” comes from the place where the first meetings took place. 

Lactobacillus reuteri for GER and Infantile Colics – Where do we stand?

Author(s): Flavia Indrio

The pathophysiology of f FGID is common. This condition could be considered a disease because more than one organ is involved. I like to define FGID as a lack of communication among the organs. Maybe they talk different languages and there is still no interpreter to translate for the different organs involved in the patophisiolog.

FGID and the role of probiotics

Author(s): Iva Hojsak

For the functional abdominal pain disorders or pain-related FGID, we have four categories in the Rome IV criteria: functional dyspepsia, irritable bowel syndrome (IBS), abdominal migraine and functional abdominal pain, now characterized as “not otherwise specified.” Here I would try to focus more on the children who were older than infant age, meaning toddlers and older children.

Quality of Life of Infants with FGID: A Large Prospective Observational Study

Author(s): Camille Jung

Functional gastrointestinal disorders (FGID) are very common during infancy, leading to frequent medical consultations. Parents are often worried about the health of their child and they want appropriate medical management. For the most of the times, it is not so easy and the family’s quality of life could be impaired. 

Age-appropriate microbiome maturation and the role of HMO

Author(s): Olga Sakwinska

Infant microbiota dynamically develops during the first weeks and months of life. Bacterial diversity generally increases with age, accompanied by changes in microbiota composition. Microbiota consists of numerous taxa; this complexity can be described as “microbiota types” where samples with similar microbiota composition are clustered using complex algorithms.

Influence on Microbiome and Necrotising Enterocolitis – What is new?

Author(s): Tim de Meij

Necrotising enterocolitis (NEC) is an inflammation and ischemia of intestinal mucosa. 10% of neonates < 1500 gram develop NEC and the mortality is still very high: 15–30%. There are many complications, e.g. short bowel syndrome, stenosis and developmental delay.

Modifying the Balance – What is the Role of the Gut Microbiome in Allergic Disease?

Author(s): Christina E. West

The immune system is a system of cells and tissues that protects us against invading pathogens. It must learn how to provide tolerance to “non-threats” such as food components, commensal microbiota and to the organism itself. So it must actually learn how to distinguish “harmless” from “dangerous” – and this is an active process.

What is the evidence that nutrition affects brain outcomes in preterm infants?

Author(s): Nicholas D. Embleton

The last 30 years have seen a dramatic increase in survival of infants born preterm. The reasons for these improvements are complex, but there is strong reason to believe that improved attention to nutritional management has had a key impact on improving short- and long-term outcomes.

Nutrition and Cognition in Term Infants

Author(s): Magnus Domellöf

The brain is the fastest-growing organ in young children. Furthermore, the brain develops very rapidly during the latter part of gestation and the first 2–3 years of life, and adequate nutrition is essential for the processes of neural proliferation, neural migration, axonal and dendrite growth and arborization, synapse formation and myelination.