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Clinical Nutrition Products: World Markets, 3rd Edition


Attention: There is an updated edition available for this report.

This Kalorama Information report - Clinical Nutrition - focuses on three primary segments of essential medical nutrition:

  • Infant Nutrition: (Milk-based, Soy-based, Special Needs such as Chronic Reflux or Gastrointestinal Discomfort)
  • Enteral Nutrition (Standard and Fiber-containing Elemental and Semi-elemental, Specialized for Chronically Ill Patients)
  • Parenteral Nutrition
For each category, the report provides revenue data and forecasts for the most important segmentations. The report includes incidence of conditions which often require enteral or parenteral feeding, birth rates, over 65 population, and overall global population. Information is presented as a worldwide overview, with special emphasis on the U.S., Europe, and other key markets. The market segments provide an overview, description of products on the market, new developments, market estimates and forecasts, and competitive analysis of leading providers. The report also includes current issues and trends affecting the industry.

Coverage of Issues and Trends in Clinical Nutrition

There are several issues and trends that are impacting the clinical nutrition market, including:

  • Wound Care Applications
  • Reimbursement of Nutrition Products
  • Food Programs
  • Nutrition and Education
  • DHA and ANA Additives
  • Counterfeit Infant Formulas
  • Recalled Infant Formulas
  • Acquisition, Mergers and Alliances
  • Technology Applications
A Growing Market with Thriving Competition

Competition in the clinical nutrition market is dominated by a handful of companies, ranging from global nutritional manufacturers to leading pharmaceutical companies. The majority of competitive participation is in developed regions such as the United States, Western Europe, and Japan. However, many companies are expanding into less developed regions, intensifying competition in less tapped markets. China, for example, is among the expanding competitive regions as companies continue to break into the growing demand for clinical nutrition in new world markets. Companies highlighted in this study include:

  • Abbott Laboratories
  • Baxter International
  • B. Braun
  • Danone
  • Fresenius Kabi
  • Mead Johnson
  • Nestle
  • PBM Products
  • Wyeth
The information for this report was gathered using both primary and secondary research including comprehensive research of secondary sources such as company literature, databases, investment reports, and medical and business journals. Telephone interviews and email correspondence were the primary method of gathering information.

For the purpose of this study, Kalorama Information conducted interviews with more than 80 key industry officials, consultants, health care providers, and government personnel. These sources were the primary basis in gathering information specifically relating to revenue and market share data presented in this report. Specific interviews with nutrition company representatives included marketing directors, division managers, and product representatives. All market data pertains to the world market at the manufacturers’ level.

The base year for data was 2008. Historical data was provided for the years 2006 and 2007, with forecast data provided for 2009 through 2013. Compound annual growth rates (CAGRs) are provided for the 2006-2008, 2008-2013 and 2006-2013 periods for each industry segment covered. Competitive analysis is provided for the year 2008. The forecasted market analysis for 2009-2013 was based on demographic trends, new developments, and global expansion.


  • Executive Summary
    • INTRODUCTION
      • Infant Nutrition
      • Enteral Nutrition
      • Parenteral Nutrition
    • SCOPE AND METHODOLOGY
    • SIZE AND GROWTH OF THE MARKET
      • Table The Global Market for Clinical Nutrition 2006-2008
      • Table The Global Market for Clinical Nutrition 2009-2013
    • ISSUES AND TRENDS AFFECTING MARKET
    • LEADING COMPETITORS
  • 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
      • Table Nutrient Requirements for Infant Formulas as Required by the FDA Infant Formula Act
    • ENVIRONMENTS FOR CLINICAL NUTRITION
      • Hospital Settings
        • Table U.S. Registered Hospitals by Type, 2007
        • Table Statistics for U.S. Hospitals, 2007
        • Table U.S. Hospital Length of Stays, 2006-2008 Average by Broad Age Group
      • Skilled Nursing Settings
      • Home Care Settings
    • ESSENTIAL NUTRIENTS
      • Carbohydrates
      • Proteins
      • Fats
      • Vitamins
      • Minerals
        • Table Essential Nutrients for Human Health
    • DEMOGRAPHICS AND STATISTICS
      • Worldwide Demographics
        • Table World Population by Selected Geographical Region, 2007 - 2050
        • Table Estimated World Population by Age and Geographical Region, 2007
        • Table Percent Population Over 65 by Year and Region
      • Cancer and Nutrition
        • Table Estimated and Projected World Cancer Incidence by Selected Types of Cancer, 2007 and 2020
        • Table Total Cancer Incidence by Sex and Country, 2007 Estimates (Canada,. China, France, Germany, India, Italy, Brazil, Russia, Japan, Spain, United Kingdom, United States)
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cancer
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cardiovascular Diseases
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Type 2 Diabetes
        • Table Total Number of People Living with HIV/AIDS, Newly Infected Population and Deaths, 2004 and 2006 by Region
        • Table Hospital Utilization Measures for HIV Patients in the United States, 1990-2006
        • Table Percentage of the Adult Population Considered to be Obese, Average Rates by Country (US, Australia, Canada, France, Germany, Italy, Japan, South Korea, Mexico, Spain, UK)
        • Table Summary of Strength of Evidence on Factors that Might Promote or Protect Against Weight Gain and Obesity
        • Table Classification of Overweight in Adults According to BMI
      • Summary of Diseases
        • Table Prevalence/Incidence of Diseases by Type, 2006
        • Table Disease Mortality by Type, 2006
  • Infant Nutrition
    • OVERVIEW
      • Table Composition of Breast Milk (early and mature range) and Select Infant Formulas
      • Table Live Births and Birth Rates by Country*
    • PRODUCT CATEGORIES
      • Milk-based Formulas
      • Soy-based Formulas
      • Elemental Formulas
      • Premature Formulas
      • Lactose-free Formulas
      • Follow-Up Formulas
      • Other Specialized Formulas
        • Table Marketed Infant Formulas (Manufacturer, Product Types, and Product Lines)
    • NEW DEVELOPMENTS
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Market for Infant Nutrition 2006-2008
        • Table The Market for Infant Nutrition 2009-2013
      • Sales by Product Type
        • Table The Global Market for Infant Nutrition by Product Type (Milkbased, Soy-based, Specialized, Total) 2006-2008
        • Table The Global Market for Infant Nutrition by Product Type (Milkbased, Soy-based, Specialized, Total) 2009-2013
      • Global Markets
        • Table The Global Market for Infant Nutrition Estimated Products Sales by Select Geographic Region, 2008 (US, Europe, Germany, United Kingdom, France, China, Japan, Indonesia, Pakistan, Rest of World)
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Infant Nutrition Estimated Revenues and Market Share of Leading Suppliers 2008
      • Table The Global Market for Infant Nutrition Estimated Market Shares by Region for Leading Suppliers 2008
  • Enteral Nutrition
    • OVERVIEW
      • Table Aging Population, Percent of Total Population, and Annual Growth by Country*, 2008
    • PRODUCT CATEGORIES
      • Table Marketed Pediatric and Adult Enteral Formulas (Manufacturer, Product Types, and Product Lines)
    • NEW DEVELOPMENTS
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Market for Enteral Nutrition 2006-2008
        • Table The Market for Enteral Nutrition 2009-2013
      • Sales by Product Type
        • Table The Global Market for Enteral Nutrition by Product Type 2006-2008
        • Table The Global Market for Enteral Nutrition by Product Type (Standard and Fiber-Containing, Elemental and Semi-elemental, Specialized) 2009-2013
      • Global Markets
        • Table The Global Market for Enteral Nutrition Estimated Products Sales by Select Geographic Region (US, Europe, Germany , United Kingdom, France, Japan, China, Brazil, Rest of World), 2008
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Enteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2008
      • Table The Global Market for Enteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2008
  • Parenteral Nutrition
    • OVERVIEW
      • Table Aging Population, Percent of Total Population, and Annual Growth by Country*, 2008
    • PRODUCT CATEGORIES
      • Amino Acids
      • Dextrose
      • Fats
      • Nutritional Additives
        • Table Standard Electrolyte Requirements
        • Table Standard Parenteral Multivitamin Package* Vitamin
        • Table Standard Parenteral Trace Elements Package
        • Table Single Parenteral Trace Element Formulations
        • Table Major Marketed Parenteral Formulas (Manufacturer, Product Types, and Product Lines)
    • NEW DEVELOPMENTS
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Market for Parenteral Nutrition 2006-2008
        • Table The Market for Parenteral Nutrition 2009-2013
      • Sales by Product Type
        • Table The Global Market for Parenteral Nutrition by Product Type* 2006-2008
        • Table The Global Market for Parenteral Nutrition by Product Type* (Amino Acids, Dextrose, Fats, Additives, Total) 2009-2013
      • Global Markets
        • Table The Global Market for Parenteral Nutrition Estimated Products Sales by Select Geographic Region, 2008 (United States Europe, Germany, United Kingdom, Rest of World, Japan, China)
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Parenteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2008
      • Table The Global Market for Parenteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2008
  • Total Market Size and Forecast
    • TOTAL MARKET SIZE AND FORECAST
      • Global Market Overview
        • Table The Global Market for Clinical Nutrition 2006-2008
        • Table The Global Market for Clinical Nutrition 2009-2013
      • Sales by Broad Market Segment
        • Table The Global Market for Clinical Nutrition by Product Type 2006-2008
        • Table The Global Market for Clinical Nutrition by Product Type 2009-2013
      • Markets by Geographic Region
        • Table The Global Market for Clinical Nutrition by Country 2006 and 2008
    • COMPETITOR ANALYSIS
      • Table Leading Suppliers Clinical Nutrition Revenues and Significant Segments of Participation, 2008
  • Issues and Trends Affecting the Nutrition Market
    • INTRODUCTION
    • WOUND CARE APPLICATIONS
    • REIMBURSEMENT OF NUTRITION PRODUCTS
      • Table Examples of ICD-9 Codes for Home Parenteral Nutrition
      • Table Examples of ICD-9 Codes for Home Enteral Nutrition
      • Table Medicare Reimbursement for Home Parenteral and Enteral Nutrition; DME MAC
      • Table Enteral Product Classification
      • Table Example of DMEPOS Fee Schedule for Common Enteral Items
      • Table Example of DMEPOS Fee Schedule for Common Parenteral Items
    • FOOD PROGRAMS
      • WIC
        • Table WIC Participants by Participant Category in 2004 and 2006
        • Table WIC Agencies and Distribution of Participants by State, 2006
      • WHO
    • NUTRITION AND EDUCATION
      • Dietician Statistics in the United States
        • Table Dieticians and Nutritionists by Facility Type, 2007
        • Table Highest Concentration of Dieticians and Nutritionists by State, 2007
    • DHA AND ARA ADDITIVES
    • COUNTERFEIT INFANT FORMULAS
    • RECALLS FOR INFANT FORMULAS
      • Table 5-year Recalls of Infant Feeding Products, 2001-2006
    • ACQUISITIONS, MERGERS AND ALLIANCES
    • TECHNOLOGY APPLICATIONS
  • Corporate Profiles
    • INTRODUCTION
    • ABBOTT
    • BAXTER
    • B BRAUN
    • DANONE-ROYAL NUMICO
    • FRESENIUS KABI
    • MEAD JOHNSON
    • NESTLÉ
    • WYETH
  • Company Directory

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