Body composition of the male and female reference infants.

During infancy, especially early infancy, a substantial proportion of the requirements for energy and specific nutrients are those needed for growth. Knowledge of the body composition of a reference infant (body size and chemical composition at the 50th centile for age) permits an estimate of the growth needs of the infant. In this communication, we review efforts from the 1960s to the present at defining the composition of the male and female reference infants. We and others have demonstrated that accumulation of fat is remarkably rapid during the first 4 or 6 months of life. As a percentage of fat-free mass, water decreases throughout infancy whereas protein and minerals increase. However, the quantitative nature of these changes remains uncertain. After identifying the areas in which further data are needed, we conclude that the single most important area for further work is determining the relation of "bone mineral content" determined by dual energy X-ray absorptiometry to the osseous mineral content of the infant.