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The World Market for Clinical Nutrition Products: Forecasts to 2021 (Infant, Parenteral and Enteral Foods), 6th Edition


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

Sales for infant formulas have increased substantially in global markets. Additionally, an aging population and increased awareness of the relationship between health and nutrition is driving sales for formulas in most regions worldwide. Newly updated with base year data for 2014, Clinical Nutrition Products: A Worldwide Perspective is a Kalorama Information report that focuses on three primary segments of essential medical nutrition:

  • Infant Nutrition (Milk-based, Soy-based, Elemental, Follow-Up, Organic, Probiotic / Prebiotic, Premature, Newborn and Other Specialized Formulas)
  • Enteral Nutrition (Standard and Fiber-containing Elemental and Semi-elemental, Specialized for Chronically Ill Patients)
  • Parenteral Nutrition (indicated for a variety of disorders including Gastrointestinal Disease, Burns, Extensive Wounds, Cancer, AIDS)
Information is presented as a worldwide overview, with special emphasis on the U.S., Europe, Asia Pacific and other key markets. The market segments provide an overview, description of products on the market, recent business activities, market estimates and forecasts, and competitive analysis of leading providers. Revenues for each segment were generated using dollar and unit sales for each product. The report includes incidence of conditions that often require enteral or parenteral feeding, birth rates, over 65 population, and overall global population.

Coverage of Issues and Trends in Clinical Nutrition

Many of the issues impacting the clinical nutrition market focus on safety concerns. These have been at the forefront over the past decade with respect to infant formulas and end-of-life complications. The issues and trends that are currently impacting the clinical nutrition market include:
  • Wound Care Applications
  • Parenteral nutrition shortages
  • Consolidation in China
  • Breast milk debate
  • Reimbursement of nutrition products
  • Changing landscape of elderly care
  • Food programs
  • Nutrition and education
  • DHA and ARA additives
  • Counterfeit products
  • Recalled infant formulas
  • Acquisition, mergers and alliances
  • Enteral feeding pump suppliers and products
A Growing Market with Thriving Competition

A handful of companies, ranging from global nutritional manufacturers to leading pharmaceutical companies, dominate competition in the clinical nutrition market. The majority of competitive participation takes place in developed regions such as the United States, Western Europe, and Japan. Many companies, however, are expanding into less developed regions, intensifying competition in less-tapped markets. China, for example, is among the expanding competitive regions where companies continue to break into the growing demand for clinical nutrition in new world markets. Companies highlighted in this study include:
  • Abbott
  • Baxter
  • B Braun
  • Danone
  • Fresenius Kabi
  • Hospira
  • Mead Johnson
  • Nestle
  • Perrigo Company
For the purpose of this study, Kalorama Information conducted interviews with more than 40 key industry officials, consultants, health care providers, and government personnel. These sources were the primary basis in gathering information specifically relating to the revenue and market share data presented in this report. Specific interviews with nutrition company representatives included marketing directors, division managers, and product representatives.

The base year for data is 2014. Historical data is provided for the years 2007 through 2013, with forecast data provided for 2015 through 2021. Compound annual growth rates (CAGRs) are provided for the 2007-2014, 2014-2021 and 2007-2021 periods for each industry segment covered. Competitive analysis is provided for the year 2014. The forecasted market analysis for 2015-2021 was based on demographic trends, new developments, and global expansion. All market data pertains to the world market at the manufacturers’ level.


  • 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 2007-2021
    • ISSUES AND TRENDS AFFECTING THE 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, 2010 and 2012
        • Table Statistics for U.S. Hospitals, 2012
        • Table Registered Hospitals and Acute Care Centers by Country
      • Hospital Length of Stay
        • Table U.S. Hospital Length of Stay, Average by Age Group, 2011
        • Table Average International Length of Stay, by Country 2012
      • Assisted Living, Hospice, Home Healthcare
        • Table Estimated Nursing Service Establishments and Care Centers by Country
        • Table U.S. Nursing Homes, Beds, Residents and Occupancy Rate, 2011
      • Hospice and Home Care
        • Table Percentage of Hospice Admissions by Primary Diagnosis, 2005 - 2011
    • ESSENTIAL NUTRIENTS
      • Carbohydrates
      • Proteins
      • Fats
      • Vitamins
      • Minerals
        • Table Essential Nutrients for Human Health
    • DEMOGRAPHICS AND STATISTICS
      • Worldwide Demographics
        • Table Global Population Change, 2005 - 2050
      • Cancer and Nutrition
        • Table Total Cancer Incidence by Gender and Country, 2010 Estimates
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cancer
      • Cardiovascular Disease and Nutrition
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cardiovascular Diseases
      • Diabetes and Nutrition
        • Table Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Type 2 Diabetes
      • HIV/AIDS and Nutrition
        • Table Total Number of People Living with HIV/AIDS, Newly Infected Population and Deaths, 2012 by Region
        • Table Percent of Population That Is Obese*, 2011
        • 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 World Prevalence of Select Diseases and Conditions by Type, 2010-2012 Estimates
  • Infant Nutrition
    • OVERVIEW
      • Table Composition of Breast Milk (early and mature range) and Select Infant Formulas
    • CURRENT BIRTH RATE AND DEMOGRAPHIC TRENDS
      • Table Live Births and Birth Rates by Select Country, 2014 Estimates
    • 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
        • Table Marketed Infant Formulas (Manufacturer, Product Types, and Product Lines)
    • INDUSTRY DEVELOPMENTS
      • Recent Business Activities
      • New Product Launches
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Global Market for Infant Nutrition 2007-2014 Forecasted-2015-2021
      • Sales by Product Type
        • Table The Global Market for Infant Nutrition by Product Type 2007-2014-Forecasted 2015-2021
      • Global Markets
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Infant Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
      • Table The Global Market for Infant Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
  • Enteral Nutrition
    • OVERVIEW
    • CURRENT TRENDS IN AGING POPULATIONS
      • Table Aging Population, Percent of Total Population, and Annual Growth by Select Country, 2014 Estimates
    • ENTERAL NUTRITION MARKET INDICATORS
      • Future Trends in Aging
    • PRODUCT CATEGORIES
      • Table Marketed Pediatric and Adult Enteral Formulas (Manufacturer, Product Types, and Product Lines)
    • INDUSTRY DEVELOPMENTS
      • Recent Business Activities
      • New Product Launches
      • Related Business Announcements
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Global Market for Enteral Nutrition 2007-2014 Forecasted-2015-2021
      • Sales by Product Type
        • Table The Global Market for Enteral Nutrition by Product Type-2007-2014 Forecasted 2015-2021
      • Global Markets
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Enteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
      • Table The Global Market for Enteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
  • Parenteral Nutrition
    • OVERVIEW
      • Gastrointestinal Disease
      • Cancer
      • AIDS
    • CURRENT TRENDS IN AGING POPULATIONS
      • Table Aging Population, Percent of Total Population, and Annual Growth by Select Country, 2014 Estimates
    • ENTERAL NUTRITION MARKET INDICATORS
      • Future Trends in Aging
    • 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)
    • INDUSTRY DEVELOPMENTS
      • Recent Business Activities
      • New Product Launches
    • MARKET SIZE AND GROWTH
      • Global Market Introduction
        • Table The Market for Parenteral Nutrition 2007-2014-Forecasted 2015-2021
      • Sales by Product Type
        • Table The Global Market for Parenteral Nutrition by Product Type 2007-2014-Forecasted 2015-2021
      • Global Markets
    • COMPETITIVE ANALYSIS
      • Table The Global Market for Parenteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2014
      • Table The Global Market for Parenteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2014
  • Total Market Size and Forecast
    • TOTAL MARKET SIZE AND FORECAST
      • Global Market Overview
        • Table The Global Market for Clinical Nutrition 2007-2021
      • Sales by Broad Market Segment
        • Table The Global Market for Clinical Nutrition by Market Segment 2007-2014-Forecasted 2015-2021
      • Markets by Geographic Region
    • COMPETITOR SUMMARY
      • Table Leading Suppliers' Clinical Nutrition Revenues and Significant Segments of Participation, 2014
  • Issues and Trends Affecting the Nutrition Market
    • INTRODUCTION
    • WOUND CARE APPLICATIONS
      • Table Nutrition Products with Specific Wound Management Benefits
    • PARENTERAL NUTRITION SHORTAGES
      • Table 2014 Total Parenteral Nutrition Shortages
    • CONSOLIDATION IN CHINA
    • INFANT FORMULAS OR BREAST MILK: A CONTROVERSIAL TOPIC
      • Breast Feeding Rates in the U.S.
        • Table U.S. National Breastfeeding Trend
      • WHO
      • Manufacturer Marketing of Infant Formula
    • REIMBURSEMENT OF NUTRITION PRODUCTS
      • Table Medicare Reimbursement for Home Parenteral and Enteral Nutrition; DME MAC
      • Table Enteral Product Classification, 2012-2014
      • Table Example of DMEPOS Fee Schedule for Common Enteral Items, 2014 Fee Schedule
      • Table Example of DMEPOS Fee Schedule for Common Parenteral Items, 2014 Fee Schedule
    • CHANGING LANDSCAPE OF ELDERLY CARE
    • FOOD PROGRAMS
      • WIC
        • Table WIC Participants by Participant Category in 2006, and 2009-2012
        • Table WIC Eligibles, Participants, and Coverage Rates by State
      • WIC Contracts
      • Other Programs for Infant Formula Reimbursement
    • COST CONTAINMENT
    • NUTRITION AND EDUCATION
      • The Registered Dietician
      • Dietician Statistics in the United States
        • Table Dieticians and Nutritionists Facts 2012
    • DHA AND ARA ADDITIVES
    • INFANT FORMULA SCAMS
      • Infant Formula Coupon Fraud
    • RECALLS FOR INFANT FORMULAS
      • Table Recalls of Infant Feeding Products, 2001-2012
    • INDUSTRY ACQUISITIONS, MERGERS AND ALLIANCES
    • ENTERAL FEEDING PUMPS
      • Table Selected Enteral Feeding Pumps
  • Corporate Profiles
    • INTRODUCTION
    • ABBOTT
    • BAXTER
    • B BRAUN
    • DANONE
    • FRESENIUS KABI
    • HOSPIRA
    • MEAD JOHNSON NUTRITION
    • NESTLÉ
    • PERRIGO
  • Company Directory

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