March 1978

Feeding the Premature Infant

Author Affiliations

Department of Pediatrics UCLA School of Medicine Los Angeles, CA 90024

Am J Dis Child. 1978;132(3):321. doi:10.1001/archpedi.1978.02120280105026

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Sir.—An article by Fomon et al advocating higher protein feedings for premature infants than those provided by human milk was published in the Journal (131:463-467, 1977). Please note the last paragraph on page 464. The authors discuss our work by citing reference 31 (Ann NY Acad Sci 110:830-839, 1963), while they list another of our reports (reference 32) (Am J Clin Nutr 25:1153-1164, 1972), among "References" and they do not discuss this one in the text. The results of our study as published in the American Journal of Clinical Nutrition are not as simple as they stated. Our report in the American Journal of Clinical Nutrition, 1972, showed clearly that "electrolytes, their relative amounts in the milk, and the ratio of electrolytes (namely potassium) to protein influence body composition." Furthermore, it is not true that "data have not been presented in sufficient detail..." as they say on page 467, first

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