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Doody's Review ServiceReviewer: John J Jaramillo, MD (Ochsner Clinic Foundation)
Description: This is a comprehensive summary of many issues related to nutrition in pediatric patients. It goes beyond food and vitamin topics, providing the clinician with the latest research findings on perinatal nutrition's effect on disease predisposition as well as important nutritional aspects of therapy in disorders seen across many specialties. This new edition updates the 1996 edition with needed updates that address the obesity/diabetes epidemic, and recent explosion in nutriceuticals and supplements area.
Purpose: The purpose is to provide a comprehensive text in nutrition as a reference source for the proper care of the pediatric patient. This is a very worthy objective since an increasing body of research is revealing the previously unrecognized importance of nutritional issues in many disease states. This book satisfies the need quite well.
Audience: The book's target audience is primary care physicians who treat pediatric patients, as well as pediatric subspecialists. While it is often difficult to address both primary and subspecialty audiences, this book does a very good job. It is written in a way which provides useful clinical information that includes the latest related research findings not necessarily recognized by primary care physicians, but can be taken to a higher level, if desired, by further use of the references. The authors are credible authorities.
Features: The book starts with calorie, vitamin, and mineral information as it relates to perinatal health, growth, body composition, disease prevention, and disease predisposition. Traditional subjects such as vitamin deficiency are covered in-depth, moving on to newer subjects like food epidemiology, food safety, and drug effects on nutrition. After discussing nutrition effects on gene expression and other developmental topics, a large section on infant feeding follows, with breast feeding, formula issues, and parenteral nutrition discussed in detail. Management of specific disease states then logically finishes the book with an appendix of useful growth charts and tables on formula content and nutritional requirements in health and disease. What is best about the book is that it can be used as much more than a reference, with many chapters providing enlightenment to readers when read in their entirety. The only shortcoming is perhaps because of its comprehensiveness, which makes it quite bulky. This problem, however, is solved technologically by the easily searchable CD-ROM which accompanies the book.
Assessment: I feel fortunate to have discovered this book as it currently has no peer. A limited number of books are written as references for milk and formula content, vitamin requirements, etc., but with very little information on physiologic effect and disease states, including PDR for Nutritional Supplements (Medical Economics, 2001), by Handler and Rovnik; Recommended Dietary Allowances, 10th edition, by National Research Council (National Academy of Sciences, 1989); and Pediatric Nutrition Handbook, 4th edition, Committee on Nutrition (American Academy of Pediatrics, 1989).