{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:43:31Z","timestamp":1784889811747,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Dysphagia among infants, particularly high\u2010risk and preterm neonates, poses feeding challenges that can impact multiple systemic outcomes and delay hospital discharge. Limited therapeutic options for approved thickening agents for human milk and infant formula necessitate the exploration of alternatives, including banana puree.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study investigated the feasibility of using banana puree as a thickening agent for hospitalized infants with dysphagia. The International Dysphagia Diet Standardisation Initiative (IDDSI) flow test determined optimal volumes of banana puree mixed with infant formulas or human milk to achieve desired liquid thickness levels. Nutrition analysis considered potassium intake and calories from carbohydrates to assess dietary composition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Banana puree effectively achieved IDDSI Levels 1\u20133, with varying volumes required based on milk types and caloric concentrations. The nutrition analysis revealed the importance of restricting banana puree to 15% of feeding volumes to avoid exceeding recommended potassium levels while promoting appropriate nutrition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Banana puree represents a promising option for thickening feeds in infants with dysphagia, facilitating safe oral feeding opportunities, accelerating the introduction of oral feeding, and, potentially, improving long\u2010term outcomes. Further research is warranted to explore its impact on feeding progression, hospital stays, growth, patient outcomes, and feeding\u2010related behaviors compared with traditional thickening agents.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.11240","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T11:30:03Z","timestamp":1730979003000},"page":"227-238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The nutrition profile and utility of banana puree as a liquid thickener for medically complex infants with dysphagia"],"prefix":"10.1002","volume":"40","author":[{"given":"Kristin","family":"Brinker","sequence":"first","affiliation":[{"name":"Department of Pediatrics Primary Children's Hospital, Intermountain Health Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Winn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-5624","authenticated-orcid":false,"given":"Anne E.","family":"Woodbury","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8800-1141","authenticated-orcid":false,"given":"Amara","family":"Finch","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Taggart","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Primary Children's Hospital, Intermountain Health Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-5624","authenticated-orcid":false,"given":"Anna","family":"Ermarth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2421-2572","authenticated-orcid":false,"given":"Belinda","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2020.02.005"},{"key":"e_1_2_8_3_1","article-title":"Global state of the art and science of childhood dysphagia: similarities and disparities in burden [published online ahead of print March 19, 2024]","author":"Lefton\u2010Greif MA","journal-title":"Dysphagia"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26788"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2022-007038"},{"issue":"1","key":"e_1_2_8_6_1","first-page":"102","article-title":"Oral feeding assessment predicts length of hospital stay in late preterm infants","volume":"1","author":"Lau C","year":"2015","journal-title":"J Pediatr Mother Care"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002167"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0049"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419893720"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2018.07.005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-019-0697-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-012-9440-y"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9578-x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23700"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.11.028"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jtxs.12596"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-024-05434-5"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-021-10308-1"},{"key":"e_1_2_8_19_1","unstructured":"IDDSI Testing Methods. 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