Walker's Nutrition in Pediatrics

The field of pediatric nutrition has developed into an area essential to components of academic pediatric program throughout the world. Among the pediatric texts available, none deals with the physiologic or pathophysiologic basis of nutrition in pediatric health and disease in children of all ages. Nutrition in Pediatrics, 4e, fills this void, extending physiologic and pathophysiologic considerations to their coverage of nutritional needs with respect to disease and covers diagnosis of nutritional imbalance and management as well.

The 4th edition includes an entirely new section on pediatric obesity: epidemiology, pathophysiology, assessment and treatment. It includes new chapters on celiac disease, food allergies and iron.

This edition includes updated growth curves, including the newly released WHO growth curves for exclusively breastfed infants. Expanded and updated chapters on international nutrition, including protein energy malnutrition and community nutrition.

This edition of this textbook continues to be dedicated to establishing a comprehensive and accessible approach to pediatric nutrition. Sections include basic concepts in the development of nutritional requirements of infants and children and a pathophysiology section examining cardinal manifestations and development. These sections will augment a comprehensive approach to perinatal nutrition, nutrition of specific disease states and nutritional management.


About the authors


Christopher Duggan, MD, MPH Associate Professor of Pediatrics Children?s Hospital, Boston Harvard Medical School Associate Professor Dept of Nutrition Harvard School of Public Health Boston, Massachusetts
John B. Watkins, MD Associate Professor of Pediatrics Harvard Medical School Division of Gastroenterology and Nutrition Children?s Hospital, Boston Boston, Massachusetts

W. Allan Walker, MD Conrad Taff Professor of Nutrition Professor of Pediatrics Harvard Medical School Chief Mucosal Immunology Laboratory Pediatric Gastroenterology and Nutrition Unit Massachusetts General Hospital Boston, Massachusetts






Table of contents

PART I: General Concepts
1: Pediatric Nutrition: A Distinct Subspecialty
2: Clinical Assessment of Nutritional Status
3: Laboratory Assessment of Nutritional Status
4: Body Composition and Growth
5: Macronutrient Requirements for Growth:Carbohydrates
6: Macronutrient Requirements for Growth: Protein and Amino Acids
7: Macronutrient Requirements for Growth: Fat and Fatty Acids
8: Trace Elements in Human Nutrition
9: Iron
10: Vitamins
11: Dietary Reference Intakes and Recommended Dietary Allowances
12: International Nutrition
13: Protein-Energy Malnutrition: Pathophysiology, Clinical Consequences and Treatment
14: Community Nutrition and Its Impact on Children: Developing Countries (The Chilean Experience)
15: Community Nutrition and Its Impact on Children: Developed Countries
16: Nutritional Epidemiology
17: Food Safety
18: Drug Therapy and Role of Nutrition
PART II: Physiology and Pathophysiology
19: Gene Expression
20: Humoral Regulation of Growth
21: Gastrointestinal Development: Implications for Infant Feeding
22: Immunophysiology and Nutrition of the Gut
23: Malnutrition and Host Defenses
24: Nutrition and Brain Development
25: Nutrition and the Behavior of Children
PART III: Perinatal Nutrition
26: Nutrition and Pregnancy
27: Fetal, infant and childhood growth and disease in later life
28: Development of the Fetus: Carbohydrate and Lipid Metabolism
29: Amino Acid Nutrition In Utero: Placental Function and Metabolism
30: Human Milk: Nutritional Properties
31: Protective Properties of Human Milk
32: Approach to Breast-Feeding
33: The Low Birth Weight Infant: Inpatient Care
34: The Low Birth Weight Infant: Outpatient Care
35: The Term Infant
36: Complementary Feeding
PART IV: Obesity and Energy Balance
37: Energy Metabolism and Requirements in Health and Disease
38: Energy and Substrate Regulation in Obesity
39: Evaluation and Management of Obesity
40: Complications of Obesity: Metabolic Syndrome
41: Popular Diets for Obesity
PART V: Nutritional Aspects of Specific Disease States
42: Feeding Difficulties
43: Failure to Thrive: Malnutrition in the Pediatric Outpatient Settings
44: Nutrition Assessment of the Hospitalized Patient
45: Developmental Disabilities
46: Inborn Errors of Fasting Adaptation
47: Persistent Renal Disease
48: Inflammatory Bowel Disease
49: Pediatric HIV Infection
50: Celiac Disease
51: Food Allergies
52: Exocrine Pancreatic Disease including Cystic Fibrosis
53: Acute and Chronic Liver Disease
54: Cancer Prevention
55: Cancer Treatment
56: Diabetes Mellitus
57: Acute Diarrhea
58: Intestinal Failure, Transplantation and Short Gut Syndrome
59: The Critically Ill Child
60: Hyperlipidemia and Cardiovascular Disease
61: Carbohydrate Absorption and Malabsorption
62: Nutritional Anemias
63: Function and Nature of the Component in the Oral Cavity
64: Adolescence: Healthy and Disordered Eating
65: The Adolescent Athlete: Performance-Enhancing Drugs and Dietary Supplements
66: Adolescence: Bone Disease
PART VI: Approach to Nutritional Support
67: Standard and Specialized Formula
68: Enteral Nutrition
69: Parenteral Nutrition
70: Dietary Supplement (Nutraceuticals)
71: Special Diets
APPENDIX
I: Nutritional Assessment
II: Nutritional Requirements
III: Enteral Products