Documentation of functional and clinical effects of infant nutrition: setting the scene for COMMENT.
The Early Nutrition Academy and the Child Health Foundation, in collaboration with the Committee on Nutrition, European Society for Paediatric Gastroenterology, Hepatology and Nutrition, held a workshop in March 2011 to explore guidance on acquiring evidence on the effects of nutritional interventions in infants and young children. The four objectives were to (1) provide guidance on the quality and quantity of evidence needed to justify conclusions on functional and clinical effects of nutrition in infants and young children aged <3 years; (2) agree on a range of outcome measures relevant to nutrition trials in this age group for which agreed criteria are needed; (3) agree on an updated 'core data set' that should generally be recorded in nutrition trials in infants and young children, and (4) provide guidance on the use of surrogate markers in paediatric nutrition research. The participants discussed these objectives and agreed to set up six first working groups under the auspices of the Consensus Group on Outcome Measures Made in Paediatric Enteral Nutrition Clinical Trials (COMMENT). Five groups will aim to identify and define criteria for assessing key outcomes, i.e. growth, acute diarrhoea, atopic dermatitis and cows' milk protein allergy, infections and 'gut comfort'. The sixth group will review and update the 'core data set'. The COMMENT Steering Committee will discuss and decide upon a method for reaching consensus which will be used by all working groups and plan to meet again within 2 years and to report and publish their conclusions.
Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Germany. office.koletzko@med.uni-muenchen.de
Berthold
B
Koletzko
Hania
H
Szajewska
Margaret
M
Ashwell
Raanan
R
Shamir
Peter
P
Aggett
Kurt
K
Baerlocher
Paul
P
Noakes
Christian
C
Braegger
Philip
P
Calder
Cristina
C
Campoy Folgoso
Virginie
V
Colomb
Tamás
T
Decsi
Magnus
M
Domellöf
Christophe
C
Dupont
Mary
M
Fewtrell
Johannes B
JB
van Goudoever
Kim F
KF
Michaelsen
Walter
W
Mihatsch
Alfredo
A
Guarino
Sibylle
S
Koletzko
Jacques
J
Rigo
Dominique
D
Turck
Jan
J
Taminiau
D002675:Child, Preschool; D004282:Documentation; D002149:Energy Intake; D004750:Enteral Nutrition; D005762:Gastroenterology; D017408:Guidelines as Topic; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D009751:Nutritional Requirements; D009752:Nutritional Status; D010372:Pediatrics; D012014:Reference Books, Medical