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1 ESPGHAN - How can it contribute to optimizing early nutrition? European Society for PaediatricGastroenterology, Hepatologyand Nutrition Berthold Koletzko ESPGHAN Immediate Past President Ludwig-Maximilians-Universität Dr. von Hauner Children s Hospital Munich, Germany What is ESPGHAN ESPGHAN is a non-profit organisation founded in 1968 Aims: promote the knowledge of Paediatric Gastroenterology, Hepatology and Nutrition (PGHN), stimulate the research in these fields, support best clinical care, and disseminate knowledge at meetings and elsewhere Representation of all professionals involved in PGHN Advice for governments, international agencies and relevant stakeholders ESPGHAN Committees Nutrition (founded 1974) Gastroenterology (founded 2005) Hepatology ESPGHAN Comm. Nutrition: current aims (1) Writing and publishing authoritative commentaries of clinical and scientific relevance on pertinent questions in the area of paediatric nutrition in health and disease Providing advice on matters related to paediatric nutrition to ESPGHAN and other scientific societies, regulatory bodies, non-governmental organisations, industry and other interested parties ESPGHAN Comm. Nutrition: current aims (2) Contributing to the exchange of scientific information, e.g. by promoting high-quality research and training, by organising workshops and scientific meetings, training courses, and other suitable approaches Providing guidance on teaching in paediatric nutrition, the organisation of nutritional care and education, practical approaches to nutrition, the quality of nutritional products and their use and other questions ESPGHAN Committee on Nutrition: early papers Composition of an adapted formula (1977) Follow-up formula and Beikost (1981) Recommendations for infant feeding (1982) Summary on feeding of preterm infants (1987) Summary on feeding preterm infants (1987) Cows milk-based follow-up formulas (1990) Soy protein-based infant and follow-up formulas (1990) Lipids and infant formulas (1991) Antigen reduced infant formulas (1993) Response to comments on antigen reduced infant formulae (1993) 1
2 ESPGHAN Committee on Nutrition: more papers Childhood diet and prevention of coronary heart disease (1994) Population reference intakes are not recommended intakes" (1997) Vitamin E content in formulae for infants (1998) Pesticides in baby foods (1999) Dietary products for infants for food allergy treatment & prevention (1999) The nutritional safety assessment of dietary products for infants (2001) Iron metabolism and needs an early childhood (2002) Antireflux or anti-regurgitation milk products for infants and young children (2002) and many more Formal observer status since 2003 Key contributions to Codex Standard for Infant Formula (Codex Stan ) Codex Standard for Follow-up Formula (Codex Stand ) Koletzko B, Baker S, Cleghorn G, Neto UF, Gopalan S, Hernell O, Hock QS, Jirapinyo P, Lonnerdal B, Pencharz P, Pzyrembel H, Ramirez-Mayans J, Shamir R, Turck D, Yamashiro Y, Zong-Yi D. Global standard for the composition of infant formula: recommendations of an ESPGHAN coordinated international expert group. JPGN 2005;41: : Adoption of Revised Standard for Infant Formula and Formulas for Special Medical Purposes intended for Infants Koletzko B, Bhutta ZA, Cai W, Cruchet S, El Guindi M, Fuchs GJ, Goddard EA, van Goudoever JB, Quak SH, Kulkarni B, Makrides M, Ribeiro H, Walker A. Compositional requirements of follow-up formula for use in infancy: recommendations of an international expert group coordinated by the Early Nutrition Academy. Ann Nutr Metab. 2013;62: doi: / Suthuvoravut U, Abiodun P, Chomtho S, Chongviriyaphan N, Cruchet S, Davies P, Fuchs G, Gopalan S, van Goudoever J, Nel E, Scheimann A, Spolidoro J, Tontisirin K, Wang W, Winichagoon P, Koletzko B. Composition of Follow-Up Formula for Young Children Aged Months: Recommendations of an International Expert Group Coordinated by the Nutrition Association of Thailand and the Early Nutrition Academy. Ann Nutr Metab 2015;67: doi: /
3 ESPGHAN Comm. Nutrition: Working Groups open toall membersofespghan Core Outcomes in Nutrition trials (COMMENT) Clinical Malnutrition Early Nutrition Research Pre- and Probiotics ESPGHAN COMMENT WG Koletzko B et al. Documentation of functional and clinical effects of infant nutrition. Ann Nutr Metab. 2012;60: Karas J et al. A core outcome set for clinical trials in acute diarrhoea. Arch Dis Child Apr;100(4): Koletzko B et al. Core data necessary for reporting clinical trials on nutrition in infancy. Ann Nutr Metab. 2015;66: ESPGHAN Early Nutrition Research WG Fewtrell MS et al, Attrition In Long-Term Nutrition Research Studies: A Commentary by the ESPGHAN Early Nutrition Research Working Group JPGN 2016;62: Fidler-Mis, N et al, Acceptable incentives for clinical trials on nutrition involving infants, children & adolescents. In preparation Lobbying for support for Early Nutrition Research Lobbying for support at the European Parliament
4 ESPGHAN: Nutrition Education ESPGHAN: Nutrition Education Biannual Nutrition Summer Schools (next 2017, IT) Master classes 2015 Sharing Data from Clinical Trials 2016 Parenteral Nutrition 2017 Clinical Trials In cllabrotaion in collaboration with Footer Text MODULES Nutrition & Lifestyle in Pregnancy Breastfeeding Infant Formula Feeding Complementary Feeding Nutritional Care of Preterm Infants Early Nutrition in Low- Resource Settings CME Tests Self assessments Case based trainings Aimsof ENeA high-quality, CME accredited e-learning on early nutrition based on current recommendations and evidence of latest findings from international research global education mission for health care professionals with no access restriction (free of charge) 24 4
5 elearning Modules Enea Moodle Statistics >5,600 participants from 146 countries joined ENeA! Module: Early Nutrition and Life in Low Resource Settings Upcoming New Modules Trailer on Nutrition & Lifestyle in Pregnancy Epigenetics and Health Outcomes in 2016 Early Nutrition and Lifestyle in Low Resource Countries in 2016 Anthropometry of neonates, infants and children in 2017 Critical Nutrients In Pregnancy and Lactation Early Nutrition Programming of Long-term Health Early Nutrition and Brain Development in
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