U.S. and Global Markets for Ethical Nutrition in Healthcare
NEW YORK, July 7, 2011 /PRNewswire/ --
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U.S. and Global Markets for Ethical Nutrition in Healthcare
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REPORT HIGHLIGHTS
THIS REPORT CONTAINS
* The global market for ethical nutrition was worth $26 billion in 2010. By 2015, it is anticipated that revenues are likely to reach nearly $44 billion, expanding at a 5-year compound annual growth rate (CAGR) of 10.9%.
* Infant nutrition market is the largest segment of ethical nutrition market, with sales of $12 billion in 2010, increasing to $23 billion by 2015, for a CAGR of 13.2%.
* Enteral nutrition products make up the second-largest product segment, growing from $9.7 billion in 2010 to $15.6 billion in 2015, for a CAGR of 9.9%.
REPORT SCOPE
INTRODUCTION
STUDY GOALS AND OBJECTIVES
The objectives of this study are to present an updated, in-depth look at ethical nutrition in healthcare. Markets are divided according to product type. It is directed to decision-makers involved with the various types of nutritional products covered, and designed to present insights into those areas associated with current and future developments.
REASONS FOR DOING THE STUDY
This BCC Research study revisits the field of ethical nutrition in healthcare. It was of great interest in the early 1990s but has not generated much interest over the last few years. However, due to the increased numbers of adults requiring ethical nutritional therapy, there has been renewed interest in the market. The study identifies products and manufacturers that are operating in the market and analyzes the changing environment of ethical nutrition. Issues and trends that are shaping the market are addressed, along with future trends and opportunities in ethical nutrition.
SCOPE AND FORMAT
This report is designed as a comprehensive business tool to provide an across-the-board look at ethical nutrition in healthcare. The geographic scope of the report is worldwide. It identifies the three types of ethical nutrition, provides an overview of nutrition as a whole, defines products within each market, and details market size and market participants. The report describes the industry in depth, its relationship to the healthcare industry, its participants, and trends for the future.
Within the global market for ethical nutrition in healthcare, markets were segmented into:
* infant nutrition
* enteral nutrition
* parenteral nutrition
All markets are further broken into specific product types that contribute to revenues within those markets. Each subsegment is discussed in detail, describing the product type, identifying specific products on the market, identifying current market size for 2010 and forecasting for 2015, assessing current competitors, and identifying current competitor market share.
METHODOLOGY AND INFORMATION SOURCES
Both primary and secondary research methodologies were used in preparing this study. The information and analyses presented in this report are based on extensive first-hand interviews with primary executives, product managers, and clinical specialists in the area of ethical nutrition. Random surveying provided information about product use and how products are obtained. Background information was obtained from various government and business sources, medical journals, and trade magazines as well as interviews with doctors and dieticians.
Key information from published literature was used as a basis for conducting interviews with more than 18 industry participants to validate and obtain expert opinions on current and future trends in ethical nutrition in healthcare. Interviews also were used to confirm and/or adjust market size and competitor market share estimates, as well as to formulate market projections.
All data pertain to the global market at the manufacturer's level. Data are expressed in current U.S. dollars. The base year was 2010; historical data are provided for 2009 and 2010, and forecast data are provided for 2015. Historical, base year and forecast data are provided for each market segment and subsegment. Market share information is provided for each market subsegment for the 2010 base year.
ANALYST CREDENTIALS
Mary Anne Crandall is a medical research analyst and has specialized in the pharmaceuticals industry for the last 19 years. She has completed several in-depth studies on various medical topics requiring both expertise and knowledge of the industry. She has a BS and MS in psychology and is currently working on her PhD in educational psychology.
CHAPTER ONE: INTRODUCTION . 1
STUDY GOALS AND OBJECTIVES 1
REASONS FOR DOING THE STUDY .. 1
SCOPE AND FORMAT . 1
METHODOLOGY AND INFORMATION SOURCES .... 2
ANALYST CREDENTIALS 2
RELATED BCC REPORTS 2
BCC ONLINE SERVICES .. 3
DISCLAIMER . 3
CHAPTER TWO: SUMMARY . 4
SUMMARY TABLE MARKET FORECAST FOR GLOBAL ETHICAL
NUTRITION PRODUCTS BY CATEGORY, THROUGH 2015 ($
MILLIONS) .. 4
SUMMARY FIGURE TOTAL REVENUES OF GLOBAL ETHICAL
NUTRITION PRODUCTS BY CATEGORY AT MANUFACTURERS'
SALES LEVELS ($ MILLIONS) ... 5
CHAPTER THREE: INDUSTRY OVERVIEW 6
DEFINITION OF ETHICAL NUTRITION 6
HUMAN DIGESTION ... 6
STRUCTURES AND FUNCTIONS OF THE
GASTROINTESTINAL SYSTEM .... 6
Structures and Functions of … (Continued) .. 7
DIGESTION AND ABSORPTION ... 8
Digestion and Absorption (Continued) . 9
Digestion and Absorption (Continued) .... 10
Digestion and Absorption (Continued) .... 11
EFFECTS OF AGING . 12
NUTRITION . 13
TABLE 1 ESSENTIAL NUTRIENTS REQUIRED FOR HEALTH 13
FIGURE 1 DAILY MEAN ENERGY INTAKE FOR PERSONS AGES 2
MONTHS TO 19 YEARS (%) 14
Nutrition (Continued) . 15
MALNUTRITION ... 16
TYPES OF SUPPLEMENTAL NUTRITION 16
Oral Feeding 16
Tube Feeding .... 16
Total Parenteral Nutrition ... 17
IMPORTANCE OF THE INDUSTRY .. 18
HISTORY OF THE INDUSTRY . 19
INFANT NUTRITION 19
PEDIATRIC ENTERAL NUTRITION 20
TABLE 2 CONTINUOUS VERSUS INTERMITTENT FEEDINGS ... 21
ADULT ENTERAL NUTRITION ... 21
PARENTERAL NUTRITION .... 22
U.S. REGULATORY ENVIRONMENT .... 23
THE INFANT FORMULA ACT OF 1980 . 24
The 1986 Amendments to the Infant Formula Act 24
The 1986 Amendments to the … (Continued) .. 25
REALIGNMENT OF THE CENTER FOR FOOD SAFETY AND
APPLIED NUTRITION .... 26
SAFETY .... 26
COST CONTAINMENT .... 27
REIMBURSEMENT .... 28
TABLE 3 SELECTED HEALTH CARE PROCEDURAL CODES, 2010 ... 28
TABLE 3 (CONTINUED) ... 29
TABLE 3 (CONTINUED) ... 30
TABLE 3 (CONTINUED) ... 31
ADVERTISING .. 31
ADVERTISING (CONTINUED) 32
WOUND HEALING AND NUTRITION ... 33
PACKAGING . 33
END-USER ISSUES .... 34
MELAMINE CONTAMINATION ... 35
PRODUCT RECALLS .. 36
TABLE 4 INFANT FORMULA PRODUCT RECALLS 36
TABLE 4 (CONTINUED) ... 37
DEMOGRAPHICS .. 37
TABLE 5 TOTAL WORLDWIDE BIRTH RATES, BY SELECTED
REGIONS, 2009-2020 (MILLIONS) ... 37
FIGURE 2 TOTAL WORLDWIDE BIRTH RATES BY REGION, 2009-
2020 (MILLIONS) .... 38
TABLE 6 WORLD POPULATION BY SELECTED AGE GROUPS AND
REGIONS, 2009-2020 (MILLIONS) ... 39
FIGURE 3 GLOBAL POPULATION 65+ AND OVER BY REGION 2010
(MILLIONS) ... 40
FIGURE 4 WORLD POPULATION BY REGIONS, 2010 (MILLIONS) .... 41
FORMULAS WITH DHA AND ARA ADDED .... 41
DHA, ARA, AND INFANT GROWTH . 42
DHA, ARA, and Infant Growth (Continued) 43
GENETICALLY ENGINEERED HUMAN BREAST MILK .. 44
ENTERAL VS PARENTERAL NUTRITION 45
INTERNET CAUTIONS ... 46
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY . 46
FIBER-BOOSTED FORMULA .. 47
FUTURE TRENDS . 47
FUTURE TRENDS (CONTINUED) .... 48
CHAPTER FOUR: INFANT NUTRITION .... 49
DEFINITION OF INFANT FORMULA .... 49
INFANT FORMULA REGULATION .. 49
GENERAL INGREDIENT SAFETY REQUIREMENTS . 50
U.S. REQUIREMENTS SPECIFIC TO INFANT FORMULA ... 50
U.S. Requirements Specific to … (Continued) ... 51
BREAST MILK VS. INFANT FORMULA 52
TABLE 7 PHASES OF BREAST MILK PRODUCTION .. 53
BREAST MILK VS. INFANT FORMULA (CONTINUED) ... 54
BREAST MILK VS. INFANT FORMULA (CONTINUED) ... 55
TABLE 8 NUTRITIONAL COMPARISON OF BREAST MILK AND
COMMERCIAL INFANT FORMULAS 56
TABLE 8 (CONTINUED) ... 57
TABLE 9 VITAMIN COMPOSITION COMPARISON OF BREAST MILK
AND COMMERCIAL INFANT FORMULAS . 58
NEW GROWTH CHARTS 59
FACTORS IMPACTING INFANT FORMULA GROWTH .... 59
WIC PROGRAM 60
WIC Program (Continued) ... 61
WIC Program (Continued) ... 62
WIC Contract Bidding 63
WIC Contract Bidding (Continued) .... 64
INFANT FORMULA AND LIFE-LONG OBESITY AND DIABETES . 65
MILK-BASED INFANT FORMULA ... 66
Product Description .... 66
Product Description (Continued) ... 67
Product Description (Continued) ... 68
Product Description (Continued) ... 69
Product Description (Continued) ... 70
SOY-BASED INFANT FORMULA . 71
Product Description .... 71
Product Description (Continued) ... 72
Product Description (Continued) ... 73
SPECIALIZED AND DISEASE-SPECIFIC INFANT
FORMULAS . 74
TABLE 10 CONDITIONS AFFECTING NUTRITION 75
TABLE 10 (CONTINUED) . 76
Specialized and Disease-Specific … (Continued) ... 77
Product Description .... 78
INFANT NUTRITION MARKET ANALYSIS .... 79
TABLE 11 MARKET FORECAST FOR GLOBAL INFANT NUTRITION
PRODUCTS BY CATEGORY, THROUGH 2015 ($ MILLIONS) 80
FIGURE 5 MARKET FORECAST FOR GLOBAL INFANT NUTRITION
PRODUCTS BY CATEGORY, 2009-2015 ($ MILLIONS) . 81
TABLE 12 MARKET SHARE FOR GLOBAL INFANT NUTRITION
PRODUCTS BY CATEGORY, 2009-2015 (%) 81
FIGURE 6 REVENUE DISTRIBUTION FOR GLOBAL INFANT
NUTRITION PRODUCTS BY CATEGORY, 2009-2015 (%) ... 82
GLOBAL INFANT NUTRITION MARKET ANALYSIS BY
REGION .. 82
TABLE 13 GLOBAL INFANT NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS 2010 (%) .... 83
FIGURE 7 GLOBAL INFANT NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS 2010 (%) .... 84
MILK-BASED INFANT FORMULA ... 84
TABLE 14 GLOBAL MILK-BASED INFANT FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (% ... 85
FIGURE 8 GLOBAL MILK-BASED INFANT FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) . 86
SOY-BASED INFANT FORMULA . 86
TABLE 15 GLOBAL SOY-BASED INFANT FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) 87
FIGURE 9 GLOBAL SOY-BASED INFANT FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) 88
SPECIALIZED AND DISEASE-SPECIFIC INFANT
FORMULAS . 88
TABLE 16 GLOBAL SPECIALIZED AND DISEASE-SPECIFIC INFANT
FORMULA: MANUFACTURERS' MARKET SHARE, 2010 (%) 89
FIGURE 10 GLOBAL SPECIALIZED AND DISEASE-SPECIFIC
INFANT FORMULA: MANUFACTURERS' MARKET SHARE, 2010
(%) .... 90
CHAPTER FIVE: ENTERAL NUTRITION .. 91
INTRODUCTION ... 91
INTRODUCTION (CONTINUED) . 92
INTRODUCTION (CONTINUED) . 93
TABLE 17 ENTERAL FEEDING ROUTES .. 94
TABLE 18 ENTERAL FEEDING: ADMINISTRATION METHODS .. 95
TABLE 18 (CONTINUED) . 96
INTRODUCTION (CONTINUED) . 97
INTRODUCTION (CONTINUED) . 98
FACTORS IMPACTING GROWTH 99
INTACT ENTERAL FORMULA ... 100
PRODUCT DESCRIPTION 101
MODULAR ENTERAL FORMULA ... 102
PRODUCT DESCRIPTION 103
DISEASE-SPECIFIC ENTERAL FORMULA .. 104
DISEASE-SPECIFIC ENTERAL FORMULA (CONTINUED) 105
PRODUCT DESCRIPTION 106
Product Description (Continued) . 107
ELEMENTAL AND REHYDRATION ENTERAL FORMULA 108
PRODUCT DESCRIPTION 109
TABLE 19 SELECTED PEDIATRIC NUTRITIONAL COMPOSITIONS ... 110
TABLE 19 (CONTINUED) .... 111
ENTERAL NUTRITION MARKET ANALYSIS ... 111
TABLE 20 MARKET FORECAST FOR GLOBAL ENTERAL NUTRITION
PRODUCTS BY CATEGORY, THROUGH 2015 ($ MILLIONS) ... 112
FIGURE 11 MARKET FORECAST FOR GLOBAL ENTERAL
NUTRITION PRODUCTS BY CATEGORY, 2009-2015 ($ MILLIONS) . 113
TABLE 21 MARKET SHARE OF GLOBAL ENTERAL NUTRITION
PRODUCTS BY CATEGORY, 2009-2015 (%) ... 113
FIGURE 12 DISTRIBUTION OF REVENUES FROM GLOBAL
ENTERAL NUTRITION PRODUCTS BY CATEGORY, 2009-2015 (%) . 114
GLOBAL ENTERAL MARKET ANALYSIS BY REGION .. 114
TABLE 22 GLOBAL ENTERAL NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS, 2010 (%) . 115
FIGURE 13 GLOBAL ENTERAL NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS 2010 (%) .. 115
INTACT ENTERAL NUTRITION 116
TABLE 23 GLOBAL INTACT ENTERAL NUTRITION
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 117
FIGURE 14 GLOBAL INTACT ENTERAL NUTRITION:
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 117
MODULAR ADULT ENTERAL NUTRITION. 118
TABLE 24 GLOBAL MODULAR ENTERAL: FORMULA
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 118
FIGURE 15 GLOBAL MODULAR ENTERAL FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 119
DISEASE-SPECIFIC ADULT FORMULAS .... 119
TABLE 25 GLOBAL DISEASE-SPECIFIC ADULT FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) .... 120
FIGURE 16 GLOBAL DISEASE-SPECIFIC FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 121
ELEMENTAL AND REHYDRATION FORMULAS . 121
TABLE 26 GLOBAL ELEMENTAL AND REHYDRATION FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) .... 122
FIGURE 17 GLOBAL ELEMENTAL AND REHYDRATION FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) .... 123
CHAPTER SIX: PARENTERAL NUTRITION . 124
INTRODUCTION . 124
INTRODUCTION (CONTINUED) .... 125
PHOTODEGRADATION/OXIDATION REACTIONS .... 126
SORPTION LOSSES . 126
HYDROLYSIS REACTIONS .... 126
COPRECIPITATION FROM DEGRADATION PRODUCTS ... 127
METABOLIC AND BIOCHEMICAL FACTORS CONTRIBUTING TO
VITAMIN DEFICIENCY .... 127
THIAMINE STATUS IN TPN . 127
VITAMIN C 127
OTHER VITAMIN DEFICIENCIES . 128
TPN AND CANCER PATIENTS ... 128
TPN AND CANCER PATIENTS (CONTINUED) 129
FACTORS IMPACTING GROWTH ... 130
AMINO ACID PARENTERAL FORMULA . 131
PRODUCT DESCRIPTION 132
FATS PARENTERAL FORMULA 133
PRODUCT DESCRIPTION 133
DEXTROSE PARENTERAL FORMULA .... 133
PRODUCT DESCRIPTION 134
MICRONUTRIENT AND MULTIVITAMIN PARENTERAL
FORMULAS 134
PRODUCT DESCRIPTION 135
TABLE 27 RECOMMENDATIONS FOR PARENTERAL VITAMIN
INTAKE ... 136
TABLE 28 RECOMMENDATIONS FOR PARENTERAL MINERAL
INTAKE ... 136
TABLE 29 FACTORS THAT INCREASE OR DECREASE
ELECTROLYTE NEEDS 137
GLOBAL PARENTERAL NUTRITION MARKET ANALYSIS .... 138
TABLE 30 MARKET FORECAST FOR GLOBAL PARENTERAL
NUTRITION PRODUCTS, THROUGH 2015 ($ MILLIONS) ... 138
FIGURE 18 MARKET FORECAST FOR GLOBAL PARENTERAL
NUTRITION PRODUCTS BY CATEGORY, 2009-2015 ($ MILLIONS) . 139
TABLE 31 MARKET SHARE OF GLOBAL PARENTERAL NUTRITION
PRODUCTS BY CATEGORY, 2009-2015 (%) ... 139
FIGURE 19 DISTRIBUTION OF REVENUES FROM GLOBAL
PARENTERAL NUTRITION PRODUCTS BY CATEGORY, 2009-2015
(%) .. 140
GLOBAL PARENTERAL MARKET ANALYSIS BY REGION .... 140
TABLE 32 GLOBAL ENTERAL NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS, 2010 (%) . 141
FIGURE 20 GLOBAL ENTERAL NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS 2010 (%) .. 141
AMINO ACID PARENTERAL FORMULAS ... 142
TABLE 33 GLOBAL AMINO ACID PARENTERAL SOLUTION:
MANUFACTURERS' MARKET SHARE, 2010 ($ MILLIONS) 143
FIGURE 21 GLOBAL AMINO ACID PARENTERAL SOLUTION:
MANUFACTURERS' MARKET SHARE, 2010 (%) .... 143
FATS PARENTERAL FORMULAS .. 143
TABLE 34 GLOBAL FATS PARENTERAL FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 ($ MILLIONS) .... 144
FIGURE 22 GLOBAL FATS PARENTERAL FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) ... 145
DEXTROSE PARENTERAL FORMULAS . 145
TABLE 35 GLOBAL DEXTROSE PARENTERAL FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 ($ MILLIONS) 146
FIGURE 23 GLOBAL DEXTROSE PARENTERAL FORMULA:
MANUFACTURERS' MARKET SHARE, 2010 (%) .... 147
MICRONUTRIENT AND MULTIVITAMIN PARENTERAL
FORMULAS .... 147
TABLE 36 GLOBAL MICRONUTRIENT AND MULTIVITAMIN
PARENTERAL FORMULA: MANUFACTURERS' MARKET SHARE,
2010 (%) ... 148
FIGURE 24 GLOBAL MICRONUTRIENT AND MULTIVITAMIN
PARENTERAL FORMULA: MANUFACTURERS' MARKET SHARE,
2010 (%) ... 148
CHAPTER SEVEN: TOTAL GLOBAL ETHICAL NUTRITION MARKET
SUMMARY .. 149
TABLE 37 MARKET FORECAST FOR GLOBAL ETHICAL NUTRITION
PRODUCTS BY CATEGORY, THROUGH 2015 ($ MILLIONS) ... 149
FIGURE 25 MARKET FORECAST FOR GLOBAL ETHICAL
NUTRITION PRODUCTS BY CATEGORY, 2009-2015 ($ MILLIONS) .. 150
TOTAL GLOBAL MARKET FOR ETHICAL NUTRITION BY REGION .... 150
TABLE 38 GLOBAL ETHICAL NUTRITION MARKET REVENUES BY
SELECTED GEOGRAPHIC REGIONS, 2010 ($ MILLIONS/%) .. 151
FIGURE 26 GLOBAL ENTERAL NUTRITION MARKET SHARE BY
SELECTED GEOGRAPHIC REGIONS, 2010 (%) . 151
TOTAL GLOBAL MARKET PERCENTAGE BY PRODUCT TYPE .. 152
TABLE 39 TOTAL REVENUES, MARKET SHARES, AND NUMBERS
OF MANUFACTURERS OF GLOBAL ETHICAL NUTRITION
PRODUCTS BY MARKET SEGMENT, 2010 ($ MILLIONS) ... 152
FIGURE 27 PERCENT SHARES OF GLOBAL ETHICAL NUTRITION
PRODUCTS BY MARKET SEGMENT, 2010 (%) .. 153
CHAPTER EIGHT: GLOBAL ETHICAL NUTRITION COMPETITOR
MARKET SHARE, 2010 .. 154
GLOBAL ETHICAL NUTRITION COMPETITOR… 154
TABLE 40 GLOBAL ETHICAL NUTRITION COMPETITOR ANALYSIS
BY MARKET SHARE (%) 155
FIGURE 28 GLOBAL ETHICAL NUTRITION COMPETITOR
ANALYSIS BY MARKET SHARE (%) .... 155
INDUSTRY PARTICIPANTS BY PRODUCT TYPE . 156
TABLE 41 ETHICAL NUTRITION INDUSTRY PARTICIPANTS BY
PRODUCT CATEGORY, 2010 .. 156
CHAPTER NINE: COMPANY PROFILES . 157
ABBOTT NUTRITION DIVISION 157
HISTORY .... 157
REVENUE HISTORY .... 157
CORPORATE MANAGEMENT ... 157
BAXTER INTERNATIONAL, INC. ... 158
COMPANY HISTORY .... 158
REVENUE HISTORY .... 158
CORPORATE MANAGEMENT ... 158
B. BRAUN MELSUNGEN AG . 159
COMPANY HISTORY .... 159
REVENUE HISTORY .... 159
CORPORATE MANAGEMENT ... 159
DANONE 160
COMPANY HISTORY .... 160
REVENUE HISTORY .... 160
CORPORATE MANAGEMENT ... 160
FRESENIUS KABI, LTD. .... 161
HISTORY .... 161
REVENUE HISTORY .... 161
CORPORATE MANAGEMENT ... 161
MEAD JOHNSON NUTRITIONAL GROUP ... 162
COMPANY HISTORY .... 162
REVENUE HISTORY .... 162
CORPORATE MANAGEMENT ... 162
NESTLÉ USA, INC. ... 163
NESTLÉ MEDICAL NUTRITION 163
HISTORY .... 163
REVENUE HISTORY .... 164
CORPORATE MANAGEMENT ... 164
PBM PRODUCTS, LLC .. 164
PERRIGO .... 164
HISTORY .... 164
REVENUE HISTORY .... 165
CORPORATE MANAGEMENT ... 165
APPENDIX .. 166
APPENDIX .. 166
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