{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T16:21:21Z","timestamp":1777306881112,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The importance of breast\u2010feeding for very low birthweight (VLBW) infants has been pointed out. Some overseas studies suggested that the standardization of enteral nutrition (EN) leads to improved prognosis in VLBW infants. In Japan, however, physicians in charge of infants are responsible for making nutrition management decisions on an individual basis. We conducted an online survey to clarify the course of nutrition management of VLBW infants currently implemented in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We mailed a notice to 300 representative neonatologists throughout Japan requesting their participation in the online survey. On the survey website, neonatologists responded to questions regarding the nutritional strategy for five birthweight groups (less than 500\u00a0g, 500\u2013749\u00a0g, 750\u2013999\u00a0g, 1,000\u20131,249\u00a0g and 1,250\u20131,499\u00a0g).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses were recieved from 137 neonatologists. The first choice for EN up to 1\u00a0week after birth was breast milk regardless of birthweight (92.0% for 1,250\u20131,499\u00a0g to 95.6% for 500\u2013999\u00a0g). More than 30% of the respondents answered that they fast infants who weigh &lt;750\u00a0g at birth or feed them with other mothers\u2019 breast milk until their own mother\u2019s milk becomes available. The lower the birthweight, the later EN is started, and the greater the number of days to establish EN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The lower the birthweight, the more difficult it is to feed infants their own mother\u2019s milk and the later the EN is started. If donor milk is supplied in a stable manner, it takes fewer days to establish EN.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14074","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T11:13:45Z","timestamp":1575371625000},"page":"180-188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Survey of a nutrition management method for very low birthweight infants: Status before wide use of breast milk banks in Japan"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1439-734X","authenticated-orcid":false,"given":"Kosuke","family":"Oikawa","sequence":"first","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"},{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoichiro","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuro","family":"Murakawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reita","family":"Kidokoro","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0226-1592","authenticated-orcid":false,"given":"Yuya","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Asai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Ochiai","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takako","family":"Shirasawa","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiko","family":"Yoshimoto","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Minoura","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akatsuki","family":"Kokaze","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Public Health and Preventive Medicine Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6983-8851","authenticated-orcid":false,"given":"Katsumi","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Showa University School of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,27]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"13","article-title":"Improved outcomes among hi\u2010risk infants in japan:current status and issues chief director, board of directors, japan society for neonatal health and development","volume":"30","author":"Kusuda S","year":"2018","journal-title":"J. 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