{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:31:05Z","timestamp":1788957065996,"version":"build-2803163510"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T00:00:00Z","timestamp":1173225600000},"content-version":"unspecified","delay-in-days":218,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Proc. Nutr. Soc."],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>Managing infants, children and adolescents, ranging from premature infants to 18-year-old adolescents, on parenteral nutrition (PN) is a challenge. The ability of children to withstand starvation is limited and, unlike adults, children require nutrition for growth. PN in children is often required secondary to a congenital bowel problem rather than because of an acquired condition. Conditions requiring PN include motility disorders, congenital disorders of the intestinal epithelium and short-bowel syndrome (SBS). Intestinal failure may be temporary and children with SBS may be weaned from PN. However, other children require permanent PN. There are no comprehensive guidelines for the nutritional requirements of children and adolescents requiring PN. Practice in individual centres is based on clinical experience rather than clinical trials. Requirements are assessed on an individual basis according to age, nutritional status and clinical condition. These requirements need regular review to ensure that they remain appropriate for the changing age and weight of the child. Assessments of intakes use different methods, e.g. reference tables and predictive equations. Complications of PN include infection, accidental damage to, or removal of, the line and cholestatic liver disease. Home parenteral nutrition (HPN) is associated with fewer line infections and allows continuation of nutritional support in a more normal environment, encouraging normal development and participation in family activities. However, having a child at home on HPN is associated with physical and psychological stresses. A feeling of depression, loneliness and social isolation is common amongst children and their families. Home-care services are essential to supporting children at home and should be tailored to, and sensitive to, the individual needs of each family.<\/jats:p>","DOI":"10.1079\/pns2006502","type":"journal-article","created":{"date-parts":[[2008,9,16]],"date-time":"2008-09-16T13:54:59Z","timestamp":1221573299000},"page":"217-221","source":"Crossref","is-referenced-by-count":25,"title":["Managing children and adolescents on parenteral nutrition: challenges for the nutritional support team"],"prefix":"10.1017","volume":"65","author":[{"given":"Tracey","family":"Johnson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Sexton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,3,7]]},"reference":[{"key":"S0029665106000280_ref014","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpg.0000181841.07090.f4"},{"key":"S0029665106000280_ref012","doi-asserted-by":"publisher","DOI":"10.12968\/bjch.1996.1.6.7349"},{"key":"S0029665106000280_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90609-6"},{"key":"S0029665106000280_ref025","first-page":"1028","article-title":"A review of homecare packages developed for home parenteral nutrition patients and their families","volume":"14","author":"Sexton","year":"2005","journal-title":"British Journal of Nursing"},{"key":"S0029665106000280_ref009","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-200403000-00006"},{"key":"S0029665106000280_ref003","doi-asserted-by":"publisher","DOI":"10.1136\/adc.73.4.348"},{"key":"S0029665106000280_ref002","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.114481"},{"key":"S0029665106000280_ref020","first-page":"9","article-title":"Transition of enterally fed young people to adult service","volume":"10","author":"Rollins","year":"2005","journal-title":"Clinical Nutrition Update"},{"key":"S0029665106000280_ref013","first-page":"197","volume-title":"Nutrition and Child Health","author":"Holden","year":"2000"},{"key":"S0029665106000280_ref024","first-page":"197","volume-title":"Nutrition and Child Health","author":"Sexton","year":"2000"},{"key":"S0029665106000280_ref018","doi-asserted-by":"publisher","DOI":"10.1136\/adc.66.3.335"},{"key":"S0029665106000280_ref011","doi-asserted-by":"publisher","DOI":"10.7748\/paed.3.3.13.s11"},{"key":"S0029665106000280_ref023","first-page":"5","article-title":"Predicting basal metabolic rate \u2013 new standards and review of previous work","volume":"39C","author":"Schofield","year":"1985","journal-title":"Human Nutrition Clinical Nutrition"},{"key":"S0029665106000280_ref001","doi-asserted-by":"publisher","DOI":"10.1097\/01.MPG.0000163735.92142.87"},{"key":"S0029665106000280_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(44)80004-X"},{"key":"S0029665106000280_ref027","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-199808000-00001"},{"key":"S0029665106000280_ref028","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1072247"},{"key":"S0029665106000280_ref017","first-page":"132","article-title":"The place of nutritional care team in paediatric practice","volume":"11","author":"Puntis","year":"1990","journal-title":"Intestinal Therapy and Clinical Monitoring"},{"key":"S0029665106000280_ref026","volume-title":"Standards and Guidelines for Nutritional Support of Patients in Hospital Maidenhead","author":"Sizer","year":"1996"},{"key":"S0029665106000280_ref019","first-page":"461","volume-title":"Artificial Nutrition Support in Clinical Practice","author":"Puntis","year":"2002"},{"key":"S0029665106000280_ref008","volume-title":"Human Energy Requirements. 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