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- Title
Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants.
- Authors
Immeli, Lotta; Sankilampi, Ulla; Mäkelä, Pauliina M.; Leskinen, Markus; Sund, Reijo; Andersson, Sture; Luukkainen, Päivi
- Abstract
Very low birthweight (VLBW, <1500 g) infants may be predisposed to undernutrition during the nutritional transition phase from parenteral to enteral nutrition. We studied the associations among the length of the transition phase, postnatal macronutrient intake, and growth from birth to term equivalent age in VLBW infants. This retrospective cohort study included 248 VLBW infants born before 32 weeks of gestation and admitted to the Children's Hospital, Helsinki, Finland during 2005–2013. Daily nutrient intakes were obtained from computerized medication administration records. The length of the transition phase correlated negatively with cumulative energy, protein, fat, and carbohydrate intake at 28 days of age. It also associated negatively with weight and head circumference growth from birth to term equivalent age. For infants with a long transition phase (over 12 d), the estimates (95% CI) for weight and head circumference z-score change from birth to term equivalent age were −0.3 (−0.56, −0.04) and −0.44 (−0.81, −0.07), respectively, in comparison to those with a short transition phase (ad 7 d). For VLBW infants, rapid transition to full enteral feeding might be beneficial. However, if enteral nutrition cannot be advanced, well-planned parenteral nutrition during the transition phase is necessary to promote adequate growth.
- Subjects
FINLAND; PREVENTION of malnutrition; BODY weight; ACQUISITION of data methodology; FAT content of food; CONFIDENCE intervals; TIME; CHILDREN'S hospitals; VERY low birth weight; NUTRITIONAL requirements; INGESTION; RETROSPECTIVE studies; HOSPITAL care of newborn infants; CARBOHYDRATE content of food; INFANT nutrition; COMPARATIVE studies; CEPHALOMETRY; MEDICAL records; DESCRIPTIVE statistics; PARENTERAL feeding; ENTERAL feeding; POSTNATAL care; LONGITUDINAL method; DIETARY proteins; GROWTH disorders; CHILDREN
- Publication
Nutrients, 2021, Vol 13, Issue 11, p3961
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu13113961