Table of Contents
ONE: EXECUTIVE SUMMARY
Introduction
Infant Nutrition
Enteral Nutrition
Parenteral Nutrition
Scope and Methodology
Size and Growth of the Market
Issues and Trends Affecting the Market
Leading Competitors
TWO: INTRODUCTION TO THE CLINICAL NUTRITION INDUSTRY
Introduction and History of Nutrition in the Clinical Setting
Defining Clinical Nutrition
Infant Nutrition
Enteral Nutrition
Parenteral Nutrition
Regulatory Environment
Environments for Clinical Nutrition
Hospital Settings
United States
International Hospital/Acute Care Facility Data
Hospital Length of Stay
Assisted Living, Hospice, Home Healthcare
Nursing Homes
Hospice and Home Care
Essential Nutrients
Carbohydrates
Proteins
Fats
Vitamins
Minerals
Demographics and Statistics
Worldwide Demographics
Cancer and Nutrition
Cardiovascular Disease and Nutrition
Diabetes and Nutrition
HIV/AIDS and Nutrition
Obesity and Nutrition
Countries by Obesity Level
Overweight vs. Obese
Summary of Diseases
THREE: INFANT NUTRITION
Overview
Current Birth Rate and Demographic Trends
Infant Nutrition Market Indicators
Future Trends in Global Births
Underweight Children
Breastfeeding Trends
Infant Formula Product Categories
Milk-based Formulas
Soy-based Formulas
Elemental Formulas
Follow-Up Formulas
Organic Infant Formula
Probiotic/Prebiotic Infant Formula
Premature Infant Formulas
Newborn Formulas
Other Specialized Formulas
Industry Developments
Recent Business Activities
New Product Launches
Market Size and Growth
Global Market Introduction
Sales by Product Type
Global Markets
Infant Nutrition Market: United States
Infant Nutrition Market: Europe
Infant Nutrition Market: Asia Pacific
Infant Nutrition Market: Rest of World
Competitive Analysis
FOUR: ENTERAL NUTRITION
Overview
Current Trends in Aging Populations
Enteral Nutrition Market Indicators
Future Trends in Aging
Product Categories
Industry Developments
Recent Business Activities
New Product Launches
Related Business Announcements
Abbott Exits Enteral Feeding Device Market
Market Size and Growth
Global Market Introduction
Sales by Product Type
Global Markets
Enteral Nutrition Market: United States
Enteral Nutrition Market: Europe
Enteral Nutrition Market: Asia Pacific
Enteral Nutrition Markets: Rest of World
Competitive Analysis
FIVE: PARENTERAL NUTRITION
Overview
Gastrointestinal Disease
Crohn’s Disease and Ulcerative Colitis
Diverticulitis
Epidemiology of Relevant Gastrointestinal Diseases
Cancer
Global Cancer Statistics
AIDS
Infection Rates
Current Trends in Aging Populations
Enteral Nutrition Market Indicators
Future Trends in Aging
Product Categories
Amino Acids
Dextrose
Fats
Nutritional Additives
Industry Developments
Recent Business Activities
New Product Launches
Market Size and Growth
Global Market Introduction
Sales by Product Type
Global Markets
Parenteral Nutrition Market: United States
Parenteral Nutrition Market: Europe
Parenteral Nutrition Market: Asia Pacific
Parenteral Nutrition Market: Rest of World
Competitive Analysis
SIX: TOTAL MARKET SIZE AND FORECAST
Total Market Size and Forecast
Global Market Overview
Sales by Broad Market Segment
Markets by Geographic Region
Competitor Summary
SEVEN: ISSUES AND TRENDS AFFECTING THE NUTRITION MARKET
Introduction
Wound Care Applications
Parenteral Nutrition Shortages
Consolidation in China
Infant Formulas or Breast Milk: A Controversial Topic
Breast Feeding Rates in the U.S.
Infant Milk Proteins and Diabetes
WHO
Manufacturer Marketing of Infant Formula
Reimbursement of Nutrition Products
Changing Landscape of Elderly Care
Food Programs
WIC
WIC Participant Income and Ethnicity
WIC Contracts
Other Programs for Infant Formula Reimbursement
Cost Containment
Nutrition and Education
The Registered Dietician
Dietician Statistics in the United States
DHA and ARA Additives
Infant Formula Scams
Infant Formula Coupon Fraud
Recalls for Infant Formulas
Industry Acquisitions, Mergers and Alliances
Enteral Feeding Pumps
Caesarea Medical Electronics
Covidien
Danone Nutricia
Fresenius Kabi
Moog, Inc.
Nestle Nutrition
EIGHT: CORPORATE PROFILES
Introduction
Abbott
Baxter
B Braun
Danone
Fresenius Kabi
Hospira
Mead Johnson Nutrition
Nestlé
Perrigo
APPENDIX: COMPANY DIRECTORY
LIST OF EXHIBITS
ONE: EXECUTIVE SUMMARY
Table 1-1
The Global Market for Clinical Nutrition 2007-2021
Figure 1-1
The Global Market for Clinical Nutrition 2007-2021
TWO: INTRODUCTION TO THE CLINICAL NUTRITION INDUSTRY
Table 2-1
Nutrient Requirements for Infant Formulas as Required by the FDA Infant Formula Act
Table 2-2
U.S. Registered Hospitals by Type, 2010 and 2012
Figure 2-1
Number of Hospitals in the US, 1975-2005, Estimated 2015
Table 2-3
Statistics for U.S. Hospitals, 2012
Table 2-4
Registered Hospitals and Acute Care Centers by Country
Figure 2-2
Registered Hospitals and Acute Care Centers by Country
Table 2-5
U.S. Hospital Length of Stay, Average by Age Group, 2011
Figure 2-3
U.S. Hospital Length of Stay, Average by Age Group, 2011
Table 2-6
Average International Length of Stay, by Country 2012
Figure 2-4
Average International Length of Stay, by Country, 2012
Table 2-7
Estimated Nursing Service Establishments and Care Centers by Country
Figure 2-5
Estimated Nursing Service Establishments and Care Centers by Country
Figure 2-6
Number of Nursing Homes (United States), 2000-2012
Table 2-8
U.S. Nursing Homes, Beds, Residents and Occupancy Rate, 2011
Figure 2-7
Growth in Hospice Programs in the United States, 1998-2011
Figure 2-8
Patients Served with Hospice Programs in the United States, 1998-2011
Table 2-9
Percentage of Hospice Admissions by Primary Diagnosis, 2005 -2011
Figure 2-9
Percentage of Hospice Admissions by Cancer and Non-Cancer Diagnosis,2005 -2011
Table 2-10
Essential Nutrients for Human Health
Table 2-11
Global Population Change, 2005–2050
Figure 2-10
Global Population Change, 2005–2050
Figure 2-11
Estimated and Projected World Cancer Incidence by Selected Types of Cancer,2010 and 2020
Table 2-12
Total Cancer Incidence by Gender and Country, 2010 Estimates
Figure 2-12
Cancer Incidence by Gender and Country, 2010 Estimates
Table 2-13
Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cancer
Table 2-14
Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cardiovascular Diseases
Table 2-15
Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Type 2 Diabetes
Table 2-16
Total Number of People Living with HIV/AIDS, Newly Infected Population and Deaths, 2012 by Region
Figure 2-13
The Role of Nutrition Education as HIV Infection Develops
Table 2-17
Percent of Population That Is Obese*, 2011
Figure 2-14
Percent of the Population That Is Obese*, 2011
Figure 2-15
2011 Obesity and Overweight Percentages, Global Population
Table 2-18
Summary of Strength of Evidence on Factors That Might Promote or Protect Against Weight Gain and Obesity
Table 2-19
Classification of Overweight in Adults According to BMI
Table 2-20
World Prevalence of Select Diseases and Conditions by Type, 2010-2012 Estimates
Figure 2-16
World Prevalence of Select Diseases and Conditions by Type, 2010-2012 Estimates
THREE: INFANT NUTRITION
Table 3-1
Composition of Breast Milk (early and mature range) and Select Infant Formulas
Table 3-2
Live Births and Birth Rates by Select Country, 2014 Estimates
Figure 3-1
Live Births by Select Country, 2014 Estimates
Figure 3-2
Births Rates by Select Country, 2014 Estimates
Figure 3-3
Children Under 5 Years by Select Country, 2014 Estimates
Figure 3-4
Global Patterns in Births by Year and Region 2007, 2014, 2021
Figure 3-5
Asia Pacific Region: Births by Year and Select Country 2007, 2014, 2021
Figure 3-6
Europe Region: Births by Year and Select Country 2007, 2014, 2021
Figure 3-7
Latin America Region: Births by Year and Select Country 2007, 2014, 2021
Figure 3-8
Northern America: Births by Year and Country 2007, 2014, 2021
Figure 3-9
ROW Region: Births by Year and Select Country 2007, 2014, 2021
Figure 3-10
Number of Children Under 5 Years Considered Underweight, by Select Country
Figure 3-11
Percentage of All Children Under 5 Years Considered Underweight, by Select Country
Figure 3-12
Percentage of Infants Exclusively Breastfed by Select Country Six Months and Younger
Figure 3-13
Organic Infant Formula Market Share
Table 3-3
Marketed Infant Formulas (Manufacturer, Product Types, and Product Lines)
Table 3-4
The Global Market for Infant Nutrition 2007-2014 Forecasted 2015-2021
Figure 3-14
The Global Market for Infant Nutrition 2007-2014 Forecasted 2015-2021
Table 3-5
The Global Market for Infant Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 3-15
The Global Market for Infant Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 3-16
The Global Market for Infant Nutrition, Distribution of Sales by Product Type 2014
Figure 3-17
The Global Market for Infant Nutrition by Region 2007-2014 Forecasted 2015-2021
Figure 3-18
The Global Market for Infant Nutrition Market Share by Select Country, 2014
Figure 3-19
The U.S. Infant Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 3-20
The European Infant Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 3-21
The European Infant Nutrition Market Size by Country 2007-2014
Figure 3-22
The Asia Pacific Infant Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 3-23
The Asia Pacific Infant Nutrition Market Size by Country 2007-2014
Figure 3-24
The ROW Infant Nutrition Market Size 2007-2014 Forecasted 2015-2021
Table 3-6
The Global Market for Infant Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
Figure 3-25
The Global Market for Infant Nutrition Estimated Market Share by Leading Suppliers 2014
Table 3-7
The Global Market for Infant Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
Figure 3-26
Estimated Infant Formula U.S. Market Shares for Leading Suppliers 2014
Figure 3-27
Estimated Infant Formula Market Shares Outside the U.S. for Leading Suppliers 2014
FOUR: ENTERAL NUTRITION
Table 4-1
Aging Population, Percent of Total Population, and Annual Growth by Select Country, 2014 Estimates
Figure 4-1
Over 65 Population by Select Country, 2014 Estimates
Figure 4-2
Over 65 Population as a Percent of Total Population by Select Country, 2014 Estimates
Figure 4-3
Over 65 Annual Population Growth by Select Country, 2014 Estimates
Figure 4-4
Global Patterns in Aging Populations by Year and Region 2007, 2014, 2021
Figure 4-5
Asia Pacific Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 4-6
Europe Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 4-7
Latin America Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 4-8
Northern America: Aging Populations by Year and Country 2007, 2014, 2021
Figure 4-9
ROW Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Table 4-2
Marketed Pediatric and Adult Enteral Formulas (Manufacturer, Product Types, and Product Lines)
Table 4-3
The Global Market for Enteral Nutrition 2007-2014 Forecasted 2015-2021
Figure 4-10
The Global Market for Enteral Nutrition 2007-2014 Forecasted 2015-2021
Table 4-4
The Global Market for Enteral Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 4-11
The Global Market for Enteral Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 4-12
The Global Market for Enteral Nutrition, Distribution of Sales by Product Type 2014
Figure 4-13
The Global Market for Enteral Nutrition by Region 2007-2014 Forecasted 2015-2021
Figure 4-14
The Global Market for Enteral Nutrition Market Share by Select Country, 2014
Figure 4-15
The U.S. Enteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 4-16
The European Enteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 4-17
The European Enteral Nutrition Market Size by Country 2007-2014
Figure 4-18
The Asia Pacific Enteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 4-19
The Asia Pacific Enteral Nutrition Market Size by Country 2007-2014
Figure 4-20
The ROW Enteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Table 4-5
The Global Market for Enteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
Figure 4-21
The Global Market for Enteral Nutrition Estimated Market Share by Leading Suppliers 2014
Table 4-6
The Global Market for Enteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
Figure 4-22
Estimated Enteral Nutrition U.S. Market Shares for Leading Suppliers 2014
Figure 4-23
Estimated Enteral Nutrition Market Shares Outside the U.S. for Leading Suppliers 2014
FIVE: PARENTERAL NUTRITION
Table 5-1
Aging Population, Percent of Total Population, and Annual Growth by Select Country, 2014 Estimates
Figure 5-1
Over 65 Population by Select Country, 2014 Estimates
Figure 5-2
Over 65 Population as a Percent of Total Population by Select Country, 2014 Estimates
Figure 5-3
Over 65 Annual Population Growth by Select Country, 2014 Estimates
Figure 5-4
Global Patterns in Aging Populations by Year and Region 2007, 2014, 2021
Figure 5-5
Asia Pacific Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 5-6
Europe Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 5-7
Latin America Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Figure 5-8
Northern America: Aging Populations by Year and Country 2007, 2014, 2021
Figure 5-9
ROW Region: Aging Populations by Year and Select Country 2007, 2014, 2021
Table 5-2
Standard Electrolyte Requirements
Table 5-3
Standard Parenteral Multivitamin Package* Vitamin
Table 5-4
Standard Parenteral Trace Elements Package
Table 5-5
Single Parenteral Trace Element Formulations
Table 5-6
Major Marketed Parenteral Formulas (Manufacturer, Product Types, and Product Lines)
Table 5-7
The Market for Parenteral Nutrition 2007-2014 Forecasted 2015-2021
Figure 5-10
The Global Market for Parenteral Nutrition 2007-2014 Forecasted 2015-2021
Table 5-8
The Global Market for Parenteral Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 5-11
The Global Market for Parenteral Nutrition by Product Type 2007-2014 Forecasted 2015-2021
Figure 5-12
The Global Market for Parenteral Nutrition, Distribution of Sales by Product Type 2014
Figure 5-13
The Global Market for Parenteral Nutrition by Region 2007-2014 Forecasted 2015-2021
Figure 5-14
The Global Market for Parenteral Nutrition Market Share by Select Country, 2014
Figure 5-15
The U.S. Parenteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 5-16
The European Parenteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 5-17
The European Parenteral Nutrition Market Size by Country 2007-2014
Figure 5-18
The Asia Pacific Parenteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Figure 5-19
The Asia Pacific Parenteral Nutrition Market Size by Country 2007-2014
Figure 5-20
The ROW Parenteral Nutrition Market Size 2007-2014 Forecasted 2015-2021
Table 5-9
The Global Market for Parenteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
Figure 5-21
The Global Market for Parenteral Nutrition Estimated Market Share by Leading Suppliers 2014
Table 5-10
The Global Market for Parenteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
Figure 5-22
Estimated Parenteral Nutrition U.S. Market Shares for Leading Suppliers 2014
Figure 5-23
Estimated Parenteral Nutrition Market Shares Outside the U.S. for Leading Suppliers 2014
SIX: TOTAL MARKET SIZE AND FORECAST
Table 6-1
The Global Market for Clinical Nutrition 2007-2021
Figure 6-1
The Global Market for Clinical Nutrition 2007-2021
Table 6-2
The Global Market for Clinical Nutrition by Market Segment 2007-2014 Forecasted 2015-2021
Figure 6-2
The Global Market for Clinical Nutrition by Market Segment 2007-2021
Figure 6-3
The Global Market for Clinical Nutrition, Distribution of Sales by Market Segment 2014
Figure 6-4
The Global Market for Clinical Nutrition, Distribution of Sales by Market Segment 2021
Figure 6-5
The Global Market for Clinical Nutrition by Select Country 2007 and 2014
Table 6-3
Leading Suppliers’ Clinical Nutrition Revenues and Significant Segments of Participation, 2014
Figure 6-6
Leading Suppliers Clinical Nutrition Estimated Market Shares, 2014
SEVEN: ISSUES AND TRENDS AFFECTING THE NUTRITION MARKET
Table 7-1
Nutrition Products with Specific Wound Management Benefits
Table 7-2
2014 Total Parenteral Nutrition Shortages
Table 7-3
U.S. National Breastfeeding Trend
Figure 7-1
U.S. National Breastfeeding Trend
Table 7-4
Medicare Reimbursement for Home Parenteral and Enteral Nutrition; DME MAC
Table 7-5
Enteral Product Classification, 2012-2014
Table 7-6
Example of DMEPOS Fee Schedule for Common Enteral Items, 2014 Fee Schedule
Table 7-7
Example of DMEPOS Fee Schedule for Common Parenteral Items, 2014 Fee Schedule
Table 7-8
WIC Participants by Participant Category in 2006, and 2009-2012
Figure 7-2
Distribution of WIC Participants by Type, 2006
Figure 7-3
Distribution of WIC Participants by Type, 2012
Table 7- 9
WIC Eligibles, Participants, and Coverage Rates by State
Table 7-10
Dieticians and Nutritionists Facts 2012
Table 7-11
Recalls of Infant Feeding Products, 2001-2012
Table 7-12
Selected Enteral Feeding Pumps
