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12 Nov 2014
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3rd World Congress of Public Health Nutrition 2014

Regular yogurt consumption may help prevent cardiometabolic diseases

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One of the most recent studies has suggested that people who regularly eat yogurt are almost 30% less likely to develop type 2 diabetes than those who do not (1). Speaking to public health officials at the III World Congress of Public Health Nutrition in Spain, Dr André Marette from the Heart and Lung Institute of Laval Hospital in Quebec, Canada, said it was time to recognize the all-round health benefits of yogurt and encourage more people to eat yogurt on a daily basis.

“Recent epidemiological studies have shown that yogurt consumption is associated with a better quality diet and metabolic profile and negatively associated with long-term weight gain,” he said. “New information has now emerged that fermented milk and yogurt consumption have the potential to reduce the risk of type 2 diabetes and cardiovascular disease.” Yogurt contains indeed important nutrients and specific peptides that may have positive effects on glucose metabolism and insulin sensitivity, thereby reducing cardiometabolic risk.”

Evidence for the prevention of type 2 diabetes

Individual studies and meta-analyses have evaluated the association between yogurt consumption and a reduced risk of type 2 diabetes. The most recent systematic review of the literature – which included 7 cohort studies– found a non-linear relationship between yogurt consumption and risk of type 2 diabetes in people consuming up to 120 g/day of yogurt (2). No additional risk reduction was observed with an intake >120–140 g/day.

In a large epidemiological study, researchers at Cambridge University monitored the health of more than 4000 people over 11 years through the European Prospective Investigation into Cancer (EPIC) Norfolk cohort. Assessing food intake using comprehensive 7-day food diaries at study baseline, together with repeated health examinations, revealed that those who regularly ate low-fat fermented dairy products (i.e. products with <4% fat content such as yogurt – which accounted for 87% of all low-fat products consumed in this study – cheese and sour cream) were 24% less likely to develop type 2 diabetes than those who did not.

And when researchers examined consumers of yogurt specifically, they found that people who ate approximately 4.5 standard pots of yogurt (80 g/day) each week benefitted from a 28% reduced relative risk of developing type 2 diabetes compared to non consumers. “This study confirmed that yogurt was the most potent of all the dairy products studied in terms of diabetes risk reduction,” explained Dr. Marette. “Importantly, the association between yogurt consumption and a reduced risk of diabetes remained even after adjusting for potential confounding factors.”

Incorporating yogurt into daily life

While evidence from epidemiological studies for the benefits of yogurt in reducing cardiometabolic risk is now compelling, these studies have been performed in different countries using diverse methodologies (2). This makes it hard to draw firm conclusions on the amount of yogurt that should be consumed in order to reduce the risk of type 2 diabetes. Most national dietary guidelines recommend two to three servings of dairy products each day – with yogurt to be consumed alongside other dairy products as part of a healthy diet.

“When choosing a yogurt, look for low energy-dense but high nutrient-dense products,” suggested Dr. Marette. “There is also some evidence that yogurts with probiotics have the potential to act on the gut microbiota, which can impact obesity-related diseases. Those made from milk fortified with vitamin D could potentiate the effect of yogurt on type 2 diabetes and health in general.”

Dr. Marette urged researchers to conduct more prospective studies investigating the effects of yogurt on cardiometabolic risk factors and to initiate clinical trials and experimental studies to demonstrate the causal effect of yogurt on the prevention of type 2 diabetes and the mechanisms underlying these beneficial effects. Such studies are needed to strengthen the evidence that yogurt, as part of a healthy, balanced diet, can help prevent type 2 diabetes and associated cardiometabolic disorders.

References
1. O’Connor LM, Lentjes MA, Luben RN, et al. Dietary dairy product intake and incident type 2 diabetes: a prospective study using dietary data from a 7-day food diary. Diabetologia 2014;57(5):909-17.
2. Aune D, Norat T, Romundstad P, et al. Dairy products and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. Am J Clin Nutr 2013;98(4):1066-83.

About the Yogurt in Nutrition Initiative (YINI)

The Yogurt in Nutrition Initiative for a Balanced Diet is a multi-year global, collaborative project led by the Danone Institute International (DII) in collaboration with the American Society for Nutrition (ASN) and the International Osteoporosis Foundation (IOF) which aims to evaluate the current evidence base on the nutritional impact of yogurt. The mission of the project is to uncover scientific data related to yogurt, stimulate new research and identify gaps in our understanding of the health effects of this food category in order to share this information with professionals and the public. https://www.yogurtinnutrition.com; Twitter: @YogurtNutrition

Press contact: impressum health & science communication

Frank von Spee
Email: vonspee@impressum.de
Tel: +49 (0)40 – 31 78 64 10
Fax: +49 (0)40 – 31 78 64 64

12 Nov 2014
5 min read
3rd World Congress of Public Health Nutrition 2014

Yogurt consumption is associated with less weight gain over time

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The potential benefits of yogurt consumption to reduce weight gain over time have been confirmed in several recently-reported studies discussed today (1,2). Scientists have found that regular yogurt consumption is associated with less weight gain and a reduced risk of becoming overweight or obese.

Speaking to public health officials at the III World Congress of Public Health Nutrition in Spain, Professor Frans J Kok from the Division of Human Nutrition at Wageningen University in the Netherlands, underlined the potentially unique role of daily yogurt consumption for weight management. However, he also highlighted the need for randomized controlled trials and mechanistic studies to help understand how this might occur.

“Rising levels of overweight and obesity are a major concern across the globe and one of the most serious public health challenges of the 21st century,” he said. “Most adults between the ages of 18 and 49 years gain around one kilogram each year, which makes preventing weight gain a very real public health issue.”

Two studies demonstrated potential benefits

Two recently-reported studies have demonstrated the potential benefits of yogurt in weight management and in reducing the risk of becoming overweight or obese. In the first study,1 which assessed the longitudinal association between dairy consumption and changes in body weight using 17 years of data (1991–2008) from members of the Framingham Heart Study Offspring Cohort, people who ate three or more servings of yogurt a week were found to gain 50% less weight over that time (P=0.03) and to have around a 20% smaller waistline circumference per year (P=0.008) than those who ate less than one serving of yogurt per week.

The second study prospectively followed more than 8500 men and women every 2 years between 1999 and 2012 to evaluate the association between yogurt consumption, annual weight gain, and the development of obesity (2). None of the study participants were overweight at the start of the study, however, after a median of 6.6 years, 1860 people had become overweight or obese.

The study found that those individuals who ate the most yogurt (at least seven servings per week) were least likely to become overweight or obese – with at least a 12% lower risk reported. “These studies add to the growing body of evidence suggesting that yogurt may have a beneficial effect on weight gain, but we need randomized, controlled studies to confirm this,” said Prof. Kok. “We also need to investigate the potential role of yogurt for weight loss in overweight individuals and to look specifically at the effects of yogurt in reducing excess body fat.”

How might yogurt exert its beneficial effects on weight?

Yogurt is rich in many nutrients, including protein, vitamins B-2, B-6, B-12, calcium, potassium, zinc and magnesium, and the acidity of yogurt increases the bioavailability of specific nutrients such as calcium. A recent review by Jacques and Wang (3) suggests a number of potential underlying mechanisms including the ability of calcium and other nutrients (e.g. whey and casein proteins, bioactive peptides, amino acids and fatty acids), which are abundant in yogurt, to facilitate loss of weight and fat mass, the possibility that yogurt may be more satiating than other foods, and the potential of the probiotic bacteria in yogurt to interact favorably with the gut microbiota.

“Yogurt is a concentrated source of nutrients and probiotics that have proven health benefits,” said Prof. Kok. “While further evidence for the benefit of yogurt consumption on weight management is needed, there seems little doubt that plain yogurt fits well in a healthy diet because it is a nutrient-dense, lower-calorie food that can help individuals meet their nutritional targets.”

References
1. Wang H, Troy LM, Rogers GT, et al. Longitudinal association between dairy consumption and changes of body weight and waist circumference: the Framingham Heart Study. Int J Obes (Lond) 2014;38(2):299-305.
2. Martinez-Gonzalez MA, Sayon-Orea C, Ruiz-Canela M, et al.Yogurt consumption, weight change and risk of overweight/obesity: The SUN cohort study. Nutr Metab Cardiovasc Dis 2014 Jun 15. pii: S0939-4753(14)00197-5. doi: 10.1016/j.numecd.2014.05.015. [Epub ahead of print]
3. Jacques PF, Wang H. Yogurt and weight management. Am J Clin Nutr 2014 May;99(5 Suppl):1229S-34S.

About the Yogurt in Nutrition Initiative (YINI)

The Yogurt in Nutrition Initiative for a Balanced Diet is a multi-year global, collaborative project led by the Danone Institute International (DII) in collaboration with the American Society for Nutrition (ASN) and the International Osteoporosis Foundation (IOF) which aims to evaluate the current evidence base on the nutritional impact of yogurt. The mission of the project is to uncover scientific data related to yogurt, stimulate new research and identify gaps in our understanding of the health effects of this food category in order to share this information with professionals and the public. https://www.yogurtinnutrition.com; Twitter : @YogurtNutrition

Press contact: impressum health & science communication

Frank von Spee
Email: vonspee@impressum.de
Tel: +49 (0)40 – 31 78 64 10
Fax: +49 (0)40 – 31 78 64 64

12 Nov 2014
5 min read
3rd World Congress of Public Health Nutrition 2014

People who regularly eat yogurt are less likely to develop type 2 diabetes

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Experts at the III World Congress of Public Health Nutrition in Spain have today discussed the most recent evidence demonstrating the benefits of regular yogurt consumption on health, and have urged more people to eat yogurt every day as part of a healthy, balanced diet.

“Yogurt is a concentrated source of important nutrients that contribute to health in many different ways,” said Dr André Marette from the Heart and Lung Institute of Laval Hospital in Quebec, Canada. “Most dietary guidelines recommend two to three servings of dairy products each day, and all the evidence points to the importance of making yogurt one of them.”

 Yogurt helps reduce weight gain

Two recent studies have demonstrated the potential benefits of yogurt in reducing weight gain and the risk of becoming overweight or obese. In the first study (1) which followed more than 6500 people for 17 years, those who ate more than three servings of yogurt a week were found to gain 50% less weight during that time and to have around a 20% smaller waistline than those who ate less than one serving a week. The second study found that individuals who ate the most yogurt (an average of at least one yogurt a day) were least likely to become overweight or obese – reducing the risk by more than 10% (2).

“Rising levels of overweight and obesity are a major concern across the globe and one of the most serious public health challenges of the 21st century,” said Professor Frans J Kok from the Division of Human Nutrition at Wageningen University in the Netherlands. “While further evidence is needed, these recent studies add to the growing body of evidence suggesting that yogurt may have a beneficial effect on weight gain.”

Yogurt helps prevent the development of type 2 diabetes

Many studies have also confirmed the association between yogurt consumption and a reduced risk of developing type 2 diabetes – a condition causing high blood sugar levels that is more common in older people and those who are obese.

The most recent published review of the scientific literature found a clear relationship between increased yogurt consumption and a reduced risk of type 2 diabetes in people consuming up to 120 grams (approximately one standard pot) of yogurt per day (3). And in the latest study reported, researchers at Cambridge University found that people who ate approximately 4.5 standard pots of yogurt each week benefitted from a 28% reduction in the risk of developing type 2 diabetes (4).

Even teenagers can protect their hearts by eating yogurt

Many teenagers are already at risk of developing heart disease as a result of being overweight, having increased blood pressure or high cholesterol. The results of a recent Europe-wide survey (5) were presented at the meeting, with experts agreeing that girls and boys could potentially reduce their risk of developing heart disease by regularly eating yogurt. In this study involving more than 500 young people aged 12 to 17 years, girls who consumed yogurt and milk had fewer risk factors for heart disease than those who did not, and boys who consumed yogurt and milk were slimmer and fitter.

Incorporating yogurt into daily life for better health

According to Dr. Marette, when choosing a yogurt to incorporate into a healthy daily diet, people should look for low fat, high protein products. In addition, yogurts with probiotics have the potential to act on gut micro-organisms to help reduce obesity-related diseases and those made from milk fortified with vitamin D could enhance the benefits of yogurt on health and type 2 diabetes.

“Eating yogurt on a regular basis is an important part of a balanced, healthy diet,” said Professor Luis A. Moreno from the University of Zaragoza in Spain. “By helping to reduce weight gain, obesity, and the development of type 2 diabetes, yogurt will not only help individuals to stay healthy, but could have an important impact on public health.”

Sources
1. Wang H, Troy LM, Rogers GT, et al. Int J Obes (Lond) 2014;38(2):299-305.
2. Martinez-Gonzalez MA, Sayon-Orea C, Ruiz-Canela M, et al. Nutr Metab Cardiovasc Dis 2014 Jun 15. pii: S0939-4753(14)00197-5. doi: 10.1016/j.numecd.2014.05.015. [Epub ahead of print]
3. Aune D, Norat T, Romundstad P, et al. Am J Clin Nutr 2013;98(4):1066-83.
4. O’Connor LM, Lentjes MA, Luben RN, et al. Diabetologia 2014;57(5):909-17.
5. Bel-Serrat S, Mouratidou T, Jiménez-Pavón D, et al. Pediatr Obes 2014;9(5):401-410. (more…)
30 Oct 2014
3 min read
Other YINI Symposium

Yogurt: a daily partner for health International symposium presents latest findings on the role of yogurt in Public Health

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But how exactly is this impact to be defined? Which conditions does yogurt help to prevent? What are the underlying mechanisms?

“YOGURT: A DAILY PARTNER FOR HEALTH” is the title of an international symposium, where experts are going to provide answers to these questions by presenting data from a broad range of recent studies, that show the importance of this research field for health care. Leading nutritional and medical experts are going to address the impact of yogurt consumption on weight management as well as on metabolic and cardiovascular disease risks during adolescence and adulthood. Another topic will be dietary guidelines for dairy and yogurt consumption and the growing interest in evidence-based recommendations by government bodies.

The symposium, which is organized by the Yogurt in Nutrition Initiative for a Balanced Diet (YINI) will be held Monday, November 10, 2014 (5-7 pm) as part of the III World Congress of Public Health Nutrition in Las Palmas de Grand Canarias (9-12 November 2014).

The program was set up by YINI and will be chaired by Prof. Andrew Prentice and Luis Moreno:

1. Yogurt as part of Healthy Diet and Weight Management : Prof. Frans Kok (Wageningen University, The Netherlands)
2. Yogurt consumption and impact on cardiometabolic risk factors : Prof. André Marette (Laval University / Canada)
3. Yogurt consumption, dietary patterns and decreased metabolic diseases in children and adolescents: Prof. Luis Moreno (University of Zaragoza)
4. Yogurt and fermented milks in daily nutrition: from science to the guidelines and recommendations : Prof. Seppo Salminen (University of Turku / Finland)

The YINI press office is going to provide journalists with up-to-date press releases on the different topics of the symposium. Journalists who attend the III World Congress of Public Health Nutrition are invited to join the symposium.

About the Yogurt in Nutrition Initiative (YINI)

The Yogurt in Nutrition Initiative for a Balanced Diet is a multi-year global, collaborative project led by the Danone Institute International (DII) in collaboration with the American Society for Nutrition (ASN) and the International Osteoporosis Foundation (IOF) which aims to evaluate the current evidence base on the nutritional impact of yogurt. The mission of the project is to uncover scientific data related to yogurt, stimulate new research and identify gaps in our understanding of the health effects of this food category in order to share this information with professionals and the public. https://www.yogurtinnutrition.com; @YogurtNutrition

Press contact: Impressum health & science communication
Frank von Spee – Email: vonspee@impressum.de
Tel: +49 (0)40 – 31 78 64 10
Fax: +49 (0)40 – 31 78 64 64

23 Oct 2014
1 min read
Other studies

No increased risk of ovarian cancer linked to consumption of dairy products

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In this American study, researchers at the Harvard School of Public Heath have assessed exposure to dairy products at various stages of a female’s life, and in particular during adolescence, the premenopausal years, and postmenopause.

They assessed the association of dairy food and nutrient intake with the risk of ovarian cancer during 28 years of follow-up including 764 cases in the Nurses’ Health Study (NHSI) and NHSII. The results revealed no association in adulthood between EOC and the consumption of whole milk, dairy calcium or dairy fat, at any intake level.

They also observed an inverse association with skim milk intake (-24%) and with lactose intake (-13%), but the cases involved were not significant. Similar risk estimates were observed for dairy food/nutrient intake during high school, in the premenopause and postmenopause. However, lactose intake in adulthood was inversely associated with risk of endometrioid EOC (-68%), which deserves further study.

Source: Merritt et al. Cancer Causes Control. 2014 Jul;25(7):795-808. doi: 10.1007/s10552-014-0381-7. Epub 2014 Apr 11.

21 Oct 2014
1 min read
Athletes Fermentation benefits

Dairy products and exercise does not mean gastrointestinal discomfort!

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Some athletes avoid dairy in the meal consumed before exercise due to fears about gastrointestinal discomfort.

But according to new Australian research, substantial amounts of dairy foods can be included in meals consumed prior to strenuous cycling without impairing either gut comfort or performance. In a randomised crossover trial, 32 well-trained female cyclists completed two trials in which they consumed a meal (2 g/kg carbohydrate and 54 kJ/kg) that either included or excluded dairy (3 servings – ~1350 mg calcium) 2 hours prior to a 90 min cycling session.

Researchers monitored the effects of both meals on gastrointestinal discomfort and subsequent cycling performance. There was no statistical or clinical evidence of an effect of meal type on maximum mean power and on gut comfort before or after exercise.

Source: Haakonssen EC et al. Int J Sport Nutr Exerc Metab 2014; in press. 

20 Oct 2014
2 min read
Bone health

Love Your Bones and become a member of IOF

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As the world’s leading NGO dedicated to musculoskeletal health, IOF is seeking to build a global community of concerned individuals.

Every year, on October 20th, the International Osteoporosis Foundation (IOF), the world’s largest NGO dedicated to the prevention, diagnosis and treatment of osteoporosis and related musculoskeletal diseases, organises the World Osteoporosis Day (WOD) to raise awareness on the prevalence of osteoporosis, a largely underestimated non-communicable disease, and on the importance of bone health. This year, WOD focuses on osteoporosis in men and issues a survey which finds that most respondents are unaware of how common osteoporotic fractures are in men.

It is also the occasion for OIF to launch a campaign to reach 1 million individual members and thus spread the word about osteoporosis and how to prevent it.

For signing up as a free IOF member: www.iofbonehealth.org

The benefits of free membership include:

  • Access to educational slide kits & tools
  • Free online access to the IOF online journals Archives in Osteoporosis and Progress in Osteoporosis
  • Latest updates on IOF initiatives through the monthly BoneBlast newsletter
  • Subscription to exclusive Love Your Bones e-newsletter for patients/public

A low-cost (50 USD) Professional Membership includes additional benefits, with all proceeds going towards IOF global projects and programmes.

17 Oct 2014
2 min read
by YINI Editorial team
Bone health

Dietary protein and vitamin D in menopause: a consensus statement from ESCEO

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In light of existing recommendations and the knowledge base on the impact of protein and vitamin D on muscle mass, muscle strength and bone health, the ESCEO Task Force has made the recommendations summarized in the panel for maintaining musculoskeletal health in postmenopausal women (aged 50–70 years).

ESCEO recommendations

From 50 years of age, postmenopausal women are at an increased risk of developing sarcopenia and osteoporosis as a result of deterioration of musculoskeletal health. Both disorders increase the risk of falls and fractures.

The risk of developing sarcopenia and osteoporosis may be attenuated through healthy lifestyle changes, which include adequate dietary protein, calcium and vitamin D intakes plus regular physical activity/exercise, and hormone replacement therapy when appropriate.

The European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) recommends optimal dietary protein intake of 1.0–1.2 g/kg body weight/day with at least 20–25 g of high-quality protein at each main meal, with adequate vitamin D intake at 800 IU/day to maintain serum 25-hydroxyvitamin D levels >50 nmol/L as well as calcium intake of 1000 mg/day, alongside regular physical activity/exercise 3–5 times/week combined with protein intake in close proximity to exercise, in postmenopausal women for prevention of age-related deterioration of musculoskeletal health.

Source: René Rizzoli, John C. Stevenson, Jürgen M. Bauer, Luc J.C. van Loon, Stéphane Walrand, John A. Kanis, Cyrus Cooper, Maria-Luisa Brandi, Adolfo Diez-Perez, Jean-Yves Reginster, for the ESCEO Task Force DOI: http://dx.doi.org/10.1016/j.maturitas.2014.07.005

16 Oct 2014
2 min read
Healthy Diets & Lifestyle

Could yogurt be an ideal snack to curb hunger in women?

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The relationship between increased snacking and obesity may well be attributed to the types of foods typically consumed in these smaller ‘in-between meal’ eating occasions that are generally high in saturated fats and/or simple sugars and may lead to an energy surplus/overeating.

These findings investigated whether the replacement of energy-dense, high-fat snacks with healthier alternatives has a beneficial effect on food intake regulations.

20 healthy women completed the randomized crossover design study which included three 8-hour test days comparing the following 160 kcal afternoon snacks: high-protein yogurt (14g protein/25g CHO/0g fat); high-fat crackers (0g protein/19g CHO/9g fat); and high-fat chocolate (2g protein/19g CHO/9g fat). The consumption of the yogurt snack led to greater reductions in afternoon hunger in comparison with chocolate.

The yogurt snack also delayed eating initiation by approximately 30 min compared to the chocolate snack and approximately 20 min vs. crackers. Finally, the yogurt snack led to approximately 100 fewer kcals consumed at dinner compared to crackers and chocolate.

These findings suggest that a less energy-dense, high-protein afternoon snack like yogurt could be an effective dietary strategy to improve appetite control and regulation of energy intake in healthy women.

Yogurt is a nutrient-dense, tasty, handy and easily digested product to help people reach their daily dairy intake without excess calories. Find out more in our guide to healthy snacking !

Source: Laura C Ortinau, Heather A Hoertel, Steve M Douglas and Heather J Leidy Nutrition Journal 2014, 13:97 doi: 10.1186/1475-2891-13-97

10 Oct 2014
2 min read
by YINI Editorial team
Bone health Children

Osteoporosis: bone health in childhood is a critical window according to AAP

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In a new clinical report, “Optimizing Bone Health in Children and Adolescents,” in the October 2014 Pediatrics, the American Academy of Pediatrics (AAP) discusses strategies pediatricians can use in health care visits to optimize children’s bone health.

Around 70% of variance in bone mass is associated with genetic factors, but the researchers note that food intake, as well as exercise, lifestyle, keeping a healthy body weight and hormonal status are modifiable factors.

The team states that the primary nutrition source for infants should be human milk – or infant formula, if human milk is not feasible. The main source of dietary calcium after the first year of life is milk and other dairy products, which account for 70-80% of nutritional calcium intake.

Adding it up

Based on their report, the researchers recommend that pediatricians advise children and adolescents to increase daily consumption of calcium and foods and beverages containing vitamin D, which includes nonfat milk and low-fat yogurts.

The AAP supports the higher recommended dietary allowance for vitamin D recommended by the Institute of Medicine but does not suggest universal screening for vitamin D deficiency in healthy children. Screening for vitamin D deficiency should be targeted at children and adolescents with recurrent low-impact fractures or those with medical conditions associated with reduced bone mineral density.

Finally, the researchers say pediatricians should recommend weight-bearing activities – including walking, dancing and running – which encourage bone health in children.

Source: Optimizing bone health in children and adolescents, Neville H. Golden, et al., Pediatrics, doi: 10.1542/peds.2014-2173, published 29 September 2014.