臨床用栄養補給製品の世界市場：第2版

Abstract

The application of nutritional knowledge is an increasingly important part of the management and treatment of disease. Demographics and product development are expected to drive growth in the market for clinical nutrition.

This Kalorama Information report - Clinical Nutrition Products: The World Market, represents the second time that Kalorama Information has taken a comprehensive look at the medical nutrition markets in three segments:

• Infant Nutrition
• Enteral Nutrition
• Parenteral Nutrition

As part of its comprehensive coverage, this report provides:

• Current market size and forecasts are provided for each segment.
• Breakdown by Region: U.S., Europe, Japan and Rest of World with more detailed country breakdowns (UK, Germany, China, Indonesia) for some products.
• The collective wisdom of over 80 market experts consulted for the report.
• Incidence of conditions which often require enteral or parenteral feeding, birth rates, over 65 population, and overall global population.
• Over 85 tables and figures provide accessible information on this market.
• Overview and Description of products on the market
• Issues and Trends
• Competitive analysis of leading providers.

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 2006. Historical data was provided for the years 2004 and 2005, with forecast data provided for 2007 through 2011. Compound annual growth rates (CAGRs) are provided for the 2004-2006, 2006-2011 and 2004-2011 periods for each industry segment covered. Competitive analysis is provided for the year 2006 with a projected competitive analysis for 2011. The forecasted market analysis for 2007-2011 was based on demographic trends, new developments, and global expansion. Prouduct managers, business development and marketing executives, as well as investors and consultanting companies serving the clinical nutrition product industry are among those who will find this study useful.

Table of Contents

CHAPTER ONE: EXECUTIVE SUMMARY

• Introduction
• Infant Nutrition
• Enteral Nutrition
• Parenteral Nutrition
• Scope and Methodology
• Size and Growth of the Market
• Issues and Trends Affecting Market
• Leading Competitors

CHAPTER TWO: INTRODUCTION

• 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
  • Skilled Nursing Settings
  • Home Care Settings
• 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

CHAPTER THREE: INFANT NUTRITION

• Overview
• Product Categories
  • Milk-based Formulas
  • Soy-based Formulas
  • Elemental Formulas
  • Premature Formulas
  • Lactose-free Formulas
  • Follow-Up Formulas
  • Other Specialized Formulas
• New Developments
• Organic Infant Formula
• Probiotic Infant Formula
• Algae-derived Omega-3 Fatty Acid DHA Infant Formula
• Hydrolysated Protein Infant Formulas
• Market Size and Growth
• Global Market Introduction
• Sales by Product Type
• Global Markets
• Competitive Analysis

CHAPTER FOUR: ENTERAL NUTRITION

• Overview
• Product Categories
• New Developments
• Market Size and Growth
• Global Market Introduction
• Sales by Product Type
• Global Markets
• Competitive Analysis

CHAPTER FIVE: PARENTERAL NUTRITION

• Overview
• Product Categories
  • Amino Acids
  • Dextrose
  • Fats
  • Nutritional Additives
• New Developments
• Market Size and Growth
• Global Market Introduction
• Sales by Product Type
• Global Markets
• Competitive Analysis

CHAPTER SIX: TOTAL MARKET SIZE AND FORECAST

• Total Market Size and Forecast
• Global Market Introduction
• Sales by Broad Market Segment
• Competitor Analysis

CHAPTER SEVEN: ISSUES AND TRENDS AFFECTING THE NUTRITION MARKET

• Introduction
• Wound Care applications
• Reimbursement of Nutrition Products
  • Item
  • HCPCS
  • Item
  • HCPCS
• WIC and WHO Programs
  • WIC
  • WHO
• Nutrition and Education
• DHA and ARA Additives
• Counterfeit Infant Formulas
• Recalls for Infant Formulas
• Acquisitions, Mergers and Alliances
• Technology Applications

CHAPTER EIGHT: COPORATE PROFILES

• Abbott Laboratories
• Baxter International, Inc.
• B/Braun Melsungen AG
• Fresenius Kabi, AG
• Hospira, Inc.
• Mead Johnson Nutritionals
• Nestlé S.A.
• Novartis International AG
• PBM Products, LLC
• Royal Numico N.V.
• Wyeth

TABLE OF EXHIBITS

CHAPTER ONE: EXECUTIVE SUMMARY

• Table 1-1: The Market for Clinical Nutrition 2004-2011
• Figure 1-1: The Market for Clinical Nutrition 2004-2011

CHAPTER TWO: INTRODUCTION

• Table 2-1: Nutrient Requirements for Infant Formulas as Required by the FDA Infant Formula Act
• Table 2-2: Essential Nutrients for Human Health
• Table 2-3: World Population by Selected Geographical Region (Africa, Asia, Europe, North America, Oceania, South America, World) 2006-2050
• Figure 2-1: World Population by Selected Geographical Region, 2006-2050
• Table 2-3: Estimated World Population by Age and Geographical Region, 2006
• Figure 2-2: Estimated World Population by Age and Geographical Region, 2006
• Table 2-5: Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cancer
• Table 2-6: Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Cardiovascular Diseases
• Table 2-7: Summary of Strength of Evidence on Lifestyle Factors and Risk of Developing Type 2 Diabetes
• Table 2-8: Summary of Strength of Evidence on Factors that Might Promote or Protect Against Weight Gain and Obesity
• Table 2-9: Classification of Overweight in Adults According to BMI
• Table 2-10: Prevalence/Incidence of Disease by Type, 2006
• Figure 2-3: Prevalence/Incidence of Disease by Type, 2006
• Figure 2-4: Prevalence/Incidence of Disease by Type, 2006
• Table 2-11: Disease Mortality by Type, 2006
• Figure 2-5: Disease Mortality by Type, 2006
• Figure 2-6: Disease Mortality by Type, 2006

CHAPTER THREE: INFANT NUTRITION

• Table 3-1: Composition of Breast Milk (early and mature range) and Select Infant Formulas (Enfamil, Similac Advanced, Parent' s Choice Milk-based, Similac Isomil)
• Table 3-2: Live Births and Birth Rates by Country*
• Figure 3-1: Live Births by Country*
• Figure 3-2: Births Rates by Country*
• Figure 3-3: Children Under 5 Years*
• Table 3-3: Marketed Infant Formulas (Manufacturer, Product Types, and Product Lines)
• Table 3-4: The Market for Infant Nutrition 2004-2011
• Figure 3-4: The Global Market for Infant Nutrition 2004-2011
• Table 3-5: The Global Market for Infant Nutrition by Product Type (Milk-based, Soy-based, Specialized) 2004-2011
• Figure 3-5: The Global Market for Infant Nutrition by Product Type (Milk-based, Soy-based, Specialized) 2004-2011
• Figure 3-6: The Global Market for Infant Nutrition by Product Type (Milk-based, Soy-based, Specialized) 2006
• Figure 3-7: The Global Market for Infant Nutrition by Product Type (Milk-based, Soy-based, Specialized) 2011
• Table 3-6: The Global Market for Infant Nutrition Estimated Products Sales by Select Geographic Region, (Northern/Western Europe, Germany, UK, Japan, U.S., China, Indonesia, Pakistan, ROW) 2006
• Figure 3-8: The Global Market for Infant Nutrition Market Share by Select Geographic Region (Northern/Western Europe, Germany, UK, Japan, U.S., China, Indonesia, Pakistan, ROW) 2006
• Table 3-7: The Global Market for Infant Nutrition Estimated Revenues and Market Share of Leading Suppliers 2006
• Figure 3-9: The Global Market for Infant Nutrition Estimated Market Share by Leading Suppliers 2006
• Table 3-8: The Global Market for Infant Nutrition Estimated Market Shares by Region for Leading Suppliers 2006 (U.S. Market Share and Outside-U.S. Market Share)
• Figure 3-10: The Global Market for Infant Nutrition Estimated U.S. Market Shares for Leading Suppliers 2006
• Figure 3-11: The Global Market for Infant Nutrition Estimated Market Shares Outside the U.S. for Leading Suppliers 2006

CHAPTER FOUR: ENTERAL NUTRITION

• Table 4-1 Aging Population, Percent of Total Population, and Annual Growth by Country
• Figure 4-2: Over 65 Population by Country
• Figure 4-2: Over 65 Population as a Percent of Total Population by Country
• Figure 4-3: Over 65 Annual Population Growth by Country, 2006-2007
• Table 4-2: Marketed Pediatric and Adult Enteral Formulas (Manufacturer, Product Types, and Product Lines)
• Table 4-3: The Market for Enteral Nutrition 2004-2011
• Figure 4-6: The Global Market for Enteral Nutrition 2004-2011
• Table 4-4: The Global Market for Enteral Nutrition by Product Type (Standard and Fiber-containing, Elemental and Semi-elemental, Specialized) 2004-2011
• Figure 4-7: The Global Market for Enteral Nutrition by Product Type (Standard and Fiber-containing, Elemental and Semi-elemental, Specialized) 2004-2011
• Figure 4-8: The Global Market for Enteral Nutrition by Product Type (Standard and Fiber-containing, Elemental and Semi-elemental, Specialized) 2006
• Figure 4-9: The Global Market for Enteral Nutrition by Product Type (Standard and Fiber-containing, Elemental and Semi-elemental, Specialized) 2011
• Table 4-5: The Global Market for Enteral Nutrition Estimated Products Sales by Geographic Region(U.S., Europe, France, Germany, UK, Japan, ROW, Brazil and China), 2006
• Figure 4-10: The Global Market for Enteral Nutrition Market Share by Geographic Region (U.S., Europe, France, Germany, UK, Japan, ROW, Brazil and China), 2006
• Table 4-6: The Global Market for Enteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2006
• Figure 4-11: The Global Market for Enteral Nutrition Estimated Market Share by Leading Suppliers 2006
• Table 4-7: The Global Market for Enteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2006
• Figure 4-12: The Global Market for Enteral Nutrition Estimated U.S. Market Shares for Leading Suppliers 2006
• Figure 4-13: The Global Market for Enteral Nutrition Estimated Market Shares
• Outside the U.S. for Leading Suppliers 2006

CHAPTER FIVE: PARENTERAL NUTRITION

• Table 5-1: Aging Population, Percent of Total Population, and Annual Growth by Country*(Over 65 Population, Percentage Over 65, Annual Over 65 Population Growth)
• Figure 5-1: Over 65 Population by Country 110
• Figure 5-2: Over 65 Population as a Percent of Total Population by Country
• Figure 5-3: Over 65 Annual Population Growth by Country, 2006-2007
• 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 (Amino Acids, Dextrose, Fats, Additives), and Product Lines)
• Table 5-7: The Market for Parenteral Nutrition 2004-2011
• Figure 5-4: The Global Market for Parenteral Nutrition 2004-2011
• Table 5-9: The Global Market for Parenteral Nutrition by Product Type (Amino Acids, Dextrose, Fats, Additives) 2004-2011
• Figure 5-5: The Global Market for Parenteral Nutrition by Product Type (Amino Acids, Dextrose, Fats, Additives) 2004-2011
• Figure 5-6: The Global Market for Parenteral Nutrition by Product Type (Amino Acids, Dextrose, Fats, Additives) 2006
• Figure 5-7: The Global Market for Parenteral Nutrition by Product Type (Amino Acids, Dextrose, Fats, Additives) 2011
• Table 5-10: The Global Market for Parenteral Nutrition Estimated Products Sales by Select Geographic Region, 2006
• Figure 5-8: The Global Market for Parenteral Nutrition Market Share by Select Geographic Region (United States, Northern/Western Europe, Germany, UK, Japan, Rest of World, 2006
• Table 5-11: The Global Market for Parenteral Nutrition Estimated Revenues and Market Share of Leading Suppliers 2006
• Figure 5-9: The Global Market for Parenteral Nutrition Estimated Market Share by Leading Suppliers 2006
• Table 5-12: The Global Market for Parenteral Nutrition Estimated Market Shares by Region for Leading Suppliers 2006
• Figure 5-10: The Global Market for Parenteral Nutrition Estimated U.S. Market Shares for Leading Suppliers 2006
• Figure 5-11: The Global Market for Parenteral Nutrition Estimated Market Shares Outside the U.S. for Leading Suppliers 2006

CHAPTER SIX: TOTAL MARKET SIZE AND FORECAST

• Table 6-1: The Market for Clinical Nutrition 2004-2011
• Figure 6-1: The Market for Clinical Nutrition 2004-2011
• Table 6-2: Clinical Nutrition Market by Type 2004-2011
• Figure 6-2: Clinical Nutrition Market by Type (Infant Nutrition, Enteral Nutrition, Parenteral Nutrtion) 2004-2011
• Figure 6-3: Clinical Nutrition Market by Type 2006
• Figure 6-4: Clinical Nutrition Market by Type (Infant, Parenteral, Enteral, Parenteral) 2011
• Table 6-3: Leading Suppliers Clinical Nutrition Revenues and Significant Segments of Participation (Infant, Enteral, Parenteral), 2006
• Figure 6-5: Leading Suppliers Clinical Nutrition Estimated Market Shares, 2006

CHAPTER SEVEN: ISSUES AND TRENDS AFFECTING THE NUTRITION MARKET

• Table 7-1: Tables for Medicare Reimbursement for Home Parenteral and Enteral Nutrition (Jurisdiction, DME MAC)
• Table 7-2: Example of DMEPOS Fee Schedule for Common Enteral Items
• Table 7-3: Example of DMEPOS Fee Schedule for Common Parenteral Items
• Table 7-4: Enteral Product Classification
• Table 7-5: Some ICD-9 Codes for Home Parenteral Nutrition
• Table 7-7: 5-year Recalls of Infant Feeding Products