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Letter from Robert W. Winters to the American Academy of Pediatrics

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  • Biology
  • Medicine


College of Physicians & Surgeons of Columbia University 1 New York, N-I-: 10032 DEPARTMENT OF PEDIATRICS 630 West 168th Street November 11, 1976 Jean D. Lockhart, M.D. Director, Department of Committees American Academy of Pediatrics P.O. Box-1034 Evanston, Illinois 60204 Dear Dr. Lockhart: I wish to nominate Dr. Gerald Gaul1 for the Borden Award from the American Academy of Pediatrics for 1977. Although in recent years the Borden Award has been given "for outstanding research in the development of infants and children" earlier citations for this award focused more closely upon recognition of excel- lence in nutritional research. But whichever of these criteria is appropriate, I feel that Dr. Gaull's work eminently qualifies him for the award at this time. By way of brief introduction to my evaluation of Gaull's work, let me sketch what I believe to have been the state of the problem of optimal protein in- . take for the low birth weight infant as of about 1970. This is the central question to which Gaull's research has provided important new answers, many of which have important ramifications to the areas of nutrition and metabolism in general. Prior to the classic paper of Gordon and coworkers in 1947, feeding human milk with its 1oL proteiqcontent to low birth weight infants was a very wide- spread practice. Gordon, however, showed that weight gain and nitrogen balance were significantly greater with 6.0 g/kg/d of [email protected] than with human milk. As a result of this paper, the results of which were widely confirmed, feeding practices abruptly changed and low birth weight American babies were fed predominately high protein feedings for the next 15 or so years. I A few skeptics, however, took up the question originally posed by Gordon, namely that the augmented weight gain was really due to an increased ash intake rather than to the high protein intake, and there ensued a long series of papers over the next 20 years aimed at answering this qu

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