{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:57:13Z","timestamp":1772326633096,"version":"3.50.1"},"reference-count":129,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>Preterm infants face significant growth challenges due to high metabolic demands, limited nutrient reserves, poor temperature control, and prolonged illness. These challenges are prevalent in all neonatal intensive care units, irrespective of the level of resources available. In low- and middle-income countries (LMICs), preterm infant nutrition risk can be exacerbated by constrained tangible and human resources, making the provision of adequate nutrition even more difficult. In this article, we explore neonatal growth and nutrition in LMICs and identify key strategies that clinicians can adopt to optimize the use of available enteral and parenteral nutrition resources. We address the following approaches: (1) when and how to use alternative fortifiers if infant formula is cost-prohibitive, (2) strategies to optimize intravenous fluids in the absence of total parenteral nutrition, (3) nonfeeding interventions to optimize growth, and (4) discharge feeding strategies and ongoing growth assessments for extremely low-birth-weight infants. The findings of this article highlight the importance of tailored nutritional approaches, the need for innovative resource management, and the critical role of interdisciplinary collaboration in enhancing the care of preterm infants globally.<\/jats:p>","DOI":"10.1542\/neo.27-3-101","type":"journal-article","created":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:03:50Z","timestamp":1772323430000},"page":"e130-e143","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal Nutrition in Low- and Middle-Income Countries: Promoting Growth and Development"],"prefix":"10.1542","volume":"27","author":[{"given":"Sarah","family":"Gregory","sequence":"first","affiliation":[{"name":"1Division of Neonatology, Duke University, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merhawit","family":"Abadi Hagos","sequence":"additional","affiliation":[{"name":"2Saint Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyne","family":"Bukeyeneza","sequence":"additional","affiliation":[{"name":"3King Faisal Hospital Kigali, Kigali, Rwanda"},{"name":"4African Health Science University, Kigali, Rwanda"},{"name":"5University of Rwanda, Kigali, Rwanda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Hadfield","sequence":"additional","affiliation":[{"name":"5University of Rwanda, Kigali, Rwanda"},{"name":"6Rwanda Military Referral and Teaching Hospital, Kigali Rwanda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharla","family":"Rent","sequence":"additional","affiliation":[{"name":"1Division of Neonatology, Duke University, Durham, North Carolina"},{"name":"7Duke Global Health Institute, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"issue":"5","key":"2026022819034711100_r1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3390\/tropicalmed7050064","article-title":"2.5\u00a0million annual deaths-are neonates in low- and middle-income countries too small to be seen? 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