Lori Bechard (she/her)


Associate Professor College of Health & Wellness Nutrition & Dietetics Providence

Biography and Expertise

Lori J. Bechard, PhD, MEd, RDN, FASPEN is a registered dietitian nutritionist and educator in the College of Health & Wellness. She has wide-ranging expertise in clinical nutrition research and specialized pediatric clinical practice. She led the Pediatric International Nutrition Study (PINS), an international cohort study of mechanically ventilated critically ill children, and has authored many publications on nutrition assessment, management, and outcomes of acutely and chronically ill children. A fellow of the American Society of Parenteral and Enteral Nutrition, she is also an active member of the American Society of Nutrition and the Academy of Nutrition and Dietetics, currently serving as an Advisor to the Pediatric Nutrition Practice Group.

Education

PhD
Rutgers University

MEd
Framingham State College

BS
University of Vermont

Registered Dietitian (RD or RDN)
Academy of Nutrition and Dietetics

Licensed Dietitian/Nutritionist
Rhode Island Board of Dietetics Practice

Licensed Dietitian/Nutritionist
Rhode Island Board of Dietetics Practice

Fellow of the American Society of Parenteral and Enteral Nutrition
American Society of Parenteral and Enteral Nutrition (ASPEN)

Pediatric Nutrition Research Grant
Pediatric Nutrition Dietetic Practice Group

Outstanding Member of the Year
Pediatric Nutrition Dietetic Practice Group

American Society for Nutrition

American Society for Parenteral and Enteral Nutrition

Academy of Nutrition and Dietetics

Akhondi-Asl, A. & Ariagno, K. & Fluckiger, L. & Jotterand Chaparro, C. & Martinez, E. & Moreno, Y. & Ong, C. & Skillman, H. & Tume, L. & Mehta, N. & Bechard, L.
Changes in Global Nutrition Practices in Critically Ill Children and the Influence of Emerging Evidence: A Secondary Analysis of the Pediatric International Nutrition Studies, 2009-2018
Journal of the Academy of Nutrition and Dietetics

Mills, K. & Albert, B. & Bechard, L. & Chu, S. & Duggan, C. & Kaza, A. & Rakoff-Nahoum, S. & Sleeper, L. & Newburger, J. & Priebe, G. & Mehta, N.
Stress Ulcer Prophylaxis Versus Placebo-A Blinded Pilot Randomized Controlled Trial to Evaluate the Safety of Two Strategies in Critically Ill Infants With Congenital Heart Disease.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
25
2
118–127

Kerstein, J. & Bechard, L. & Egbert, E. & Pane, C. & Mehta, N. & Kantor, D. & Mills, K.
213: CHANGE IN QUADRICEPS MUSCLE LAYER THICKNESS TO FUNCTIONAL STATUS AND QOL IN CHILDREN WITH CHD
Critical Care Medicine
52
1
S81-S81

Larson-Nath, C. & Bechard, L.
Nutrition support for the critically ill infant and child.
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
38 Suppl 2
S5–S6

O’Hara, J. & Buchmiller, T. & Bechard, L. & Akhondi-Asl, A. & Visner, G. & Sheils, C. & Becker, R. & Studley, M. & Lemire, L. & Mullen, M. & Vitali, S. & Mehta, N. & Dickie, B. & Zalieckas, J. & Albert, B.
Long-Term Functional Outcomes at 1-Year After Hospital Discharge in Critically Ill Neonates With Congenital Diaphragmatic Hernia.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
24
8
e372–e381

Farr, B. & Bechard, L. & Rice-Townsend, S. & Mehta, N.
Bio-impedance spectroscopy for total body water assessment in pediatric surgical patients: A single center pilot cohort study.
Journal of pediatric surgery
57
12
962–966

Martinez, E. & Bechard, L. & Brown, A. & Coss-Bu, J. & Kudchadkar, S. & Mikhailov, T. & Srinivasan, V. & Staffa, S. & Verbruggen, S. Sascha C. A. T. & Zurakowski, D. & Mehta, N.
Intermittent versus continuous enteral nutrition in critically ill children: A pre-planned secondary analysis of an international prospective cohort study.
Clinical nutrition (Edinburgh, Scotland)
41
12
2621–2627

Ventura, J. & Silveira, T. & Bechard, L. & McKeever, L. & Mehta, N. & Moreno, Y.
Nutritional screening tool for critically ill children: a systematic review.
Nutrition reviews
80
6
1392–1418

Bechard, L. & Earthman, C. & Farr, B. & Ariagno, K. & Hoffmann, R. & Pham, I. & Mehta, N.
Feasibility of bioimpedance spectroscopy and long-term functional assessment in critically ill children.
Clinical nutrition ESPEN
47
405–409

O’Hara, J. & Bechard, L. & Akhondi-Asl, A. & Buchmiller, T. & Vitali, S. & Zalieckas, J. & Dickie, B. & Mehta, N. & Albert, B.
491: LONG-TERM FUNCTIONAL OUTCOMES IN CRITICALLY ILL NEONATES WITH CONGENITAL DIAPHRAGMATIC HERNIA
Critical Care Medicine
50
1
237-237

Ariagno, K. & Bechard, L. & Quinn, N. & Rudie, C. & Finnan, E. & Arena, A. & Sun, T. & Hale, J. & Duggan, C. & Mehta, N.
Timing of parenteral nutrition is associated with adequacy of nutrient delivery and anthropometry in critically ill children: A single‐center study
Journal of Parenteral and Enteral Nutrition
46
1
190-196

Bechard, L. & Staffa, S. & Zurakowski, D. & Mehta, N.
Time to achieve delivery of nutrition targets is associated with clinical outcomes in critically ill children.
The American journal of clinical nutrition
114
5
1859–1867

Bakri, A. & Bechard, L. & Bernstein, J. & Aboul-Enein, B.
Postsecondary nutrition program education in the hashemite Kingdom of Jordan: A brief report.
Education for health (Abingdon, England)
33
3
114–117

Bechard, L. & Earthman, C. & Farr, B. & Ariagno, K. & Hoffmann, R. & Pham, I. & Mehta, N.
Bioimpedance Spectroscopy in Critically Ill Children – Feasibility and Association with Protein Intake and Functional Status
Current Developments in Nutrition
4
nzaa055_003

Mills, K. & Albert, B. & Bechard, L. & Duggan, C. & Kaza, A. & Rakoff-Nahoum, S. & Vlamakis, H. & Sleeper, L. & Newburger, J. & Priebe, G. & Mehta, N.
Stress ulcer prophylaxis versus placebo-a blinded randomized control trial to evaluate the safety of two strategies in critically ill infants with congenital heart disease (SUPPRESS-CHD).
Trials
21
1
590

Bechard, L. & Mehta, N.
From body habitus to body composition-Predicting outcomes in the PICU.
The Journal of pediatrics
213
248

Coats, L. & Bernstein, J. & Dodge, E. & Bechard, L. & Aboul-Enein, B.
Food-based dietary guidelines of Arabic-speaking countries: a culturally congruent profile
Public Health Nutrition
22
06
1129-1137

Qubty, L. & Aboul-Enein, B. & Bechard, L. & Bernstein, J. & Kruk, J.
Reducing hypovitaminosis D among Somali immigrants in Minnesota: a narrative review
International Journal of Human Rights in Healthcare
12
1
50-59

Carter, R. & Jacobson, S. & Booley, S. & Najaar, B. & Dodge, N. & Bechard, L. & Meintjes, E. & Molteno, C. & Duggan, C. & Jacobson, J. & Senekal, M.
Development and validation of a quantitative choline food frequency questionnaire for use with drinking and non-drinking pregnant women in Cape Town, South Africa.
Nutrition journal
17
1
108

Moreno, Y. & Hauschild, D. & Martins, M. & Bechard, L. & Mehta, N.
Feasibility of Enteral Protein Supplementation in Critically Ill Children.
JPEN. Journal of parenteral and enteral nutrition
42
1
61–70

Carter, R. & Senekal, M. & Dodge, N. & Bechard, L. & Meintjes, E. & Molteno, C. & Duggan, C. & Jacobson, J. & Jacobson, S.
Maternal Alcohol Use and Nutrition During Pregnancy: Diet and Anthropometry.
Alcoholism, clinical and experimental research
41
12
2114–2127

Martinez, E. & Smallwood, C. & Quinn, N. & Ariagno, K. & Bechard, L. & Duggan, C. & Mehta, N.
Body Composition in Children with Chronic Illness: Accuracy of Bedside Assessment Techniques.
The Journal of pediatrics
190
56–62

Finn, K. & Callen, C. & Bhatia, J. & Reidy, K. & Bechard, L. & Carvalho, R.
Importance of Dietary Sources of Iron in Infants and Toddlers: Lessons from the FITS Study
Nutrients
9
7
733

Bechard, L. & Mehta, N.
Nutritional Assessment Must be Prioritized for Critically Ill Children in the PICU.
Critical care medicine
45
4
e464

Velazco, C. & Zurakowski, D. & Fullerton, B. & Bechard, L. & Jaksic, T. & Mehta, N.
Nutrient delivery in mechanically ventilated surgical patients in the pediatric critical care unit.
Journal of pediatric surgery
52
1
145–148

Albert, B. & Zurakowski, D. & Bechard, L. & Priebe, G. & Duggan, C. & Heyland, D. & Mehta, N.
Enteral Nutrition and Acid-Suppressive Therapy in the PICU: Impact on the Risk of Ventilator-Associated Pneumonia.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
17
10
924–929

Mehta, N. & Bechard, L.
The authors reply.
Critical care medicine
44
10
e1007–1008

Bechard, L. & Duggan, C. & Touger-Decker, R. & Parrott, J. & Rothpletz-Puglia, P. & Byham-Gray, L. & Heyland, D. & Mehta, N.
Nutritional Status Based on Body Mass Index Is Associated With Morbidity and Mortality in Mechanically Ventilated Critically Ill Children in the PICU.
Critical care medicine
44
8
1530–1537

Albert, B. & Zurakowski, D. & Bechard, L. & Priebe, G. & Duggan, C. & Heyland, D. & Mehta, N.
261
Critical Care Medicine
43
67

Mehta, N. & Bechard, L. & Zurakowski, D. & Duggan, C. & Heyland, D.
Adequate enteral protein intake is inversely associated with 60-d mortality in critically ill children: a multicenter, prospective, cohort study.
The American journal of clinical nutrition
102
1
199–206

Martinez, E. & Bechard, L. & Smallwood, C. & Duggan, C. & Graham, R. & Mehta, N.
Impact of Individualized Diet Intervention on Body Composition and Respiratory Variables in Children With Respiratory Insufficiency: A Pilot Intervention Study.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
16
6
e157–164

Smallwood, C. & Walsh, B. & Bechard, L. & Mehta, N.
Carbon dioxide elimination and oxygen consumption in mechanically ventilated children.
Respiratory care
60
5
718–723

Bechard, L. & Gordon, C. & Feldman, H. & Venick, R. & Gura, K. & Guinan, E. & Duggan, C.
Bone loss and vitamin D deficiency in children undergoing hematopoietic cell transplantation.
Pediatric blood & cancer
62
4
687–692

Martinez, E. & Smallwood, C. & Bechard, L. & Graham, R. & Mehta, N.
Metabolic assessment and individualized nutrition in children dependent on mechanical ventilation at home.
The Journal of pediatrics
166
2
350–357

Martinez, E. & Bechard, L. & Mehta, N.
Nutrition algorithms and bedside nutrient delivery practices in pediatric intensive care units: an international multicenter cohort study.
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
29
3
360–367

Gosselin, K. & Feldman, H. & Sonis, A. & Bechard, L. & Kellogg, M. & Gura, K. & Venick, R. & Gordon, C. & Guinan, E. & Duggan, C.
Serum citrulline as a biomarker of gastrointestinal function during hematopoietic cell transplantation in children.
Journal of pediatric gastroenterology and nutrition
58
6
709–714

Duro, D. & Mitchell, P. & Mehta, N. & Bechard, L. & Yu, Y. & Jaksic, T. & Duggan, C.
Variability of resting energy expenditure in infants and young children with intestinal failure-associated liver disease.
Journal of pediatric gastroenterology and nutrition
58
5
637–641

Bechard, L. & Duggan, C. & Touger‐Decker, R. & Parrott, J. & Rothpletz‐Puglia, P. & Byham‐Gray, L. & Heyland, D. & Mehta, N.
The association between nutritional status and mortality in critically ill children admitted to the pediatric intensive care unit (1024.11)
The FASEB Journal
28
S1

Bechard, L. & Duggan, C. & Touger‐Decker, R. & Parrott, J. & Rothpletz‐Puglia, P. & Byham‐Gray, L. & Heyland, D. & Mehta, N.
The impact of nutritional status on morbidities in mechanically ventilated critically ill children in PICUs (1024.8)
The FASEB Journal
28
S1

Bechard, L. & Rothpletz-Puglia, P. & Touger-Decker, R. & Duggan, C. & Mehta, N.
Influence of obesity on clinical outcomes in hospitalized children: a systematic review.
JAMA pediatrics
167
5
476–482

Mehta, N. & Costello, J. & Bechard, L. & Johnson, V. & Zurakowski, D. & McGowan, F. & Laussen, P. & Duggan, C.
Resting energy expenditure after Fontan surgery in children with single-ventricle heart defects.
JPEN. Journal of parenteral and enteral nutrition
36
6
685–692

Bechard, L. & Feldman, H. & Venick, R. & Gura, K. & Gordon, C. & Sonis, A. & Mehta, N. & Guinan, E. & Duggan, C.
Attenuation of resting energy expenditure following hematopoietic SCT in children.
Bone marrow transplantation
47
10
1301–1306

Bechard, L. & Parrott, J. & Mehta, N.
Systematic review of the influence of energy and protein intake on protein balance in critically ill children.
The Journal of pediatrics
161
2
333–339.e1

Mehta, N. & Bechard, L. & Cahill, N. & Wang, M. & Day, A. & Duggan, C. & Heyland, D.
Nutritional practices and their relationship to clinical outcomes in critically ill children–an international multicenter cohort study*.
Critical care medicine
40
7
2204–2211

Sharma, T. & Bechard, L. & Feldman, H. & Venick, R. & Gura, K. & Gordon, C. & Sonis, A. & Guinan, E. & Duggan, C.
Effect of titrated parenteral nutrition on body composition after allogeneic hematopoietic stem cell transplantation in children: a double-blind, randomized, multicenter trial.
The American journal of clinical nutrition
95
2
342–351

Mehta, N. & Bechard, L. & Dolan, M. & Ariagno, K. & Jiang, H. & Duggan, C.
Energy imbalance and the risk of overfeeding in critically ill children.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
12
4
398–405

Duncan, C. & Vrooman, L. & Apfelbaum, E. & Whitley, K. & Bechard, L. & Lehmann, L.
25-Hydroxy Vitamin D Deficiency Following Pediatric Hematopoietic Stem Cell Transplant
Biology of Blood and Marrow Transplantation
17
5
749-753

Duro, D. & Fitzgibbons, S. & Valim, C. & Yang, C. & Zurakowski, D. & Dolan, M. & Bechard, L. & Yu, Y. & Duggan, C. & Jaksic, T.
[13C]Methionine Breath Test to Assess Intestinal Failure-Associated Liver Disease
Pediatric Research
68
4
349-354

Bechard, L. & Feldman, H. & Gordon, C. & Gura, K. & Sonis, A. & Leung, K. & Venick, R. & Guinan, E. & Duggan, C.
A multi-center, randomized, controlled trial of parenteral nutrition titrated to resting energy expenditure in children undergoing hematopoietic stem cell transplantation (“PNTREE”): rationale and design.
Contemporary clinical trials
31
2
157–164

Robien, K. & Bechard, L. & Elliott, L. & Fox, N. & Levin, R. & Washburn, S.
American Dietetic Association: Revised Standards of Practice and Standards of Professional Performance for Registered Dietitians (Generalist, Specialty, and Advanced) in Oncology Nutrition Care
Journal of the American Dietetic Association
110
2
310-317.e23

Mehta, N. & Bechard, L. & Leavitt, K. & Duggan, C.
Cumulative energy imbalance in the pediatric intensive care unit: role of targeted indirect calorimetry.
JPEN. Journal of parenteral and enteral nutrition
33
3
336–344

Duro, D. & Duggan, C. & Valim, C. & Bechard, L. & Fitzgibbons, S. & Jaksic, T. & Yu, Y.
Novel intravenous 13C-methionine breath test as a measure of liver function in children with short bowel syndrome
Journal of Pediatric Surgery
44
1
236-240

Miller, T. & Orav, E. & Lipshultz, S. & Arheart, K. & Duggan, C. & Weinberg, G. & Bechard, L. & Furuta, L. & Nicchitta, J. & Gorbach, S. & Shevitz, A.
Risk Factors for Cardiovascular Disease in Children Infected with Human Immunodeficiency Virus-1
The Journal of Pediatrics
153
4
491-497

Sharma, T. & Kinnamon, D. & Duggan, C. & Weinberg, G. & Furuta, L. & Bechard, L. & Nicchitta, J. & Gorbach, S. & Miller, T.
Changes in macronutrient intake among HIV-infected children between 1995 and 2004
The American Journal of Clinical Nutrition
88
2
384-391

Duro, D. & Bechard, L. & Feldman, H. & Klykov, A. & O’Leary, A. & Guinan, E. & Duggan, C.
Weekly measurements accurately represent trends in resting energy expenditure in children undergoing hematopoietic stem cell transplantation.
JPEN. Journal of parenteral and enteral nutrition
32
4
427–432

Mehta, N. & Bechard, L. & Leavitt, K. & Duggan, C.
Severe weight loss and hypermetabolic paroxysmal dysautonomia following hypoxic ischemic brain injury: the role of indirect calorimetry in the intensive care unit.
JPEN. Journal of parenteral and enteral nutrition
32
3
281–284

Bechard, L. & Guinan, E. & Feldman, H. & Tang, V. & Duggan, C.
Prognostic factors in the resumption of oral dietary intake after allogeneic hematopoietic stem cell transplantation (HSCT) in children.
JPEN. Journal of parenteral and enteral nutrition
31
4
295–301

Gura, K. & Parsons, S. & Bechard, L. & Henderson, T. & Dorsey, M. & Phipatanakul, W. & Duggan, C. & Puder, M. & Lenders, C.
Use of a fish oil-based lipid emulsion to treat essential fatty acid deficiency in a soy allergic patient receiving parenteral nutrition.
Clinical nutrition (Edinburgh, Scotland)
24
5
839–847

Jacobson, D. & Spiegelman, D. & Duggan, C. & Weinberg, G. & Bechard, L. & Furuta, L. & Nicchitta, J. & Gorbach, S. & Miller, T.
Predictors of Bone Mineral Density in Human Immunodeficiency Virus‐1 Infected Children
Journal of Pediatric Gastroenterology and Nutrition
41
3
339-346

Thornley, I. & Lehmann, L. & Sung, L. & Holmes, C. & Spear, J. & Brennan, L. & Vangel, M. & Bechard, L. & Richardson, P. & Duggan, C. & Guinan, E.
A multiagent strategy to decrease regimen-related toxicity in children undergoing allogeneic hematopoietic stem cell transplantation.
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation
10
9
635–644

Duggan, C. & Bechard, L. & Donovan, K. & Vangel, M. & O’Leary, A. & Holmes, C. & Lehmann, L. & Guinan, E.
Changes in resting energy expenditure among children undergoing allogeneic stem cell transplantation
The American Journal of Clinical Nutrition
78
1
104-109

Indirect Calorimetry in Pediatric Patients: Interpretation of Results in Indirect Calorimetry
Oral Presentation
Channel ONE – on demand nutrition education
Baxter Healthcare
recorded online

Indirect Calorimetry in Pediatric Patients: Normal Measurement Parameters & Test Validity
Oral Presentation
Channel ONE, On demand nutrition education
Baxter Healthcare
recorded online

Association between Food Insecurity and Mental Health among University Students
Roundtable
JWU EXPO 2025
Johnson & Wales University
Providence
RI

Evidence in Nutrition Practice – Global Practices in Pediatric Intensive Care Units
Oral Presentation
Channel ONE – On demand Nutrition Education
Baxter Healthcare
recorded online

Clinical Nutrition Research – how do I start?
Lecture
This was an invited presentation for the staff of clinical dietitians and nutrition managers at Boston Children’s Hospital, where I presented strategies for how to approach nutrition research as part of their clinical role, and its value in evidence-based practice.
Boston Children’s Hospital, Center for Nutrition

Protein and exercise – a combination intervention for PICU outcomes
Oral Presentation
ASPEN Nutrition Science and Practice Conference
ASPEN
Paris Hotel
Las Vegas
NV

Discussion of Research Abstract, Nutrition Care Team Experience of Novel Human Milk Fortifier in US Neonatal Intensive Care Units
Podcast
ASPEN Research abstract discussion
ASPEN

Inability to meet nutrient needs: critical care
Panel Presentation
Malnutrition in Clinical Settings: Research Gaps and Opportunities Workshop
NIH