scholarly journals Energy and Protein Intake During the Transition from Parenteral to Enteral Nutrition in Infants of Very Low Birth Weight

2018 ◽  
Vol 202 ◽  
pp. 38-43.e1 ◽  
Author(s):  
Gustave H. Falciglia ◽  
Karna Murthy ◽  
Jane L. Holl ◽  
Hannah L. Palac ◽  
Yuliya Oumarbaeva ◽  
...  
PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 916-921 ◽  
Author(s):  
Staffan K. T. Polberger ◽  
Göran A. Fex ◽  
Irene E. Axelsson ◽  
Niels C. R. Räihä

Concentrations of 11 plasma proteins were measured in 28 healthy, growing, very low birth weight, appropriate-for-gestational-age infants fed varying levels of human milk protein intake (range 1.7 to 3.9 g/kg per day). Significant positive correlations were found between ween mean protein intake and concentrations of 7 of the plasma proteins studied (transthyretin, retinol-binding protein, and transferrin: P < .001; vitamin D-binding protein and apolipoprotein B: P < .01; albumin and apolipoprotein A I: P < .05). A weak negative correlation with mean protein intake was seen for the plasma level of orosomucoid, whereas no significant correlations were found for the plasma concentrations of fibronectin and α1-antichymotrypsin. Protein intake, not energy intake, constituted the main contribution to the changes in the concentrations of transthyretin, retinol-binding protein, and transferrin. The levels of plasma transthyretin and transferrin were also strongly correlated with weight and length growth of the infants during the study as well as with other indicators of protein nutritional status such as preprandial concentrations of plasma amino acids and serum and urine urea. These data indicate that of the 11 plasma proteins studied, transthyretin, transferrin, and retinol-binding protein are the most suitable to evaluate protein nutritional status in very low birth weight infants.


2005 ◽  
Vol 40 (5) ◽  
pp. 660-661 ◽  
Author(s):  
G Terrin ◽  
A Passariello ◽  
G De Santo ◽  
R Berni Canani ◽  
P De Luca ◽  
...  

2016 ◽  
Vol 30 (10) ◽  
pp. 1227-1231 ◽  
Author(s):  
Orna Flidel-Rimon ◽  
Moriya Raz ◽  
Uri Balla ◽  
Lilach Hofi ◽  
Ada Juster-Reicher ◽  
...  

2016 ◽  
Vol 85 (6) ◽  
pp. 291-299
Author(s):  
Tomás Sánchez-Tamayo ◽  
María Gracia Espinosa Fernández ◽  
Laura Affumicato ◽  
María González López ◽  
Verónica Fernández Romero ◽  
...  

2013 ◽  
Vol 80 (11) ◽  
pp. 355-360 ◽  
Author(s):  
Hayriye Gozde Kanmaz ◽  
Banu Mutlu ◽  
Omer Erdeve ◽  
Fuat Emre Canpolat ◽  
Serife Suna Oguz ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 196
Author(s):  
Juliany Caroline Silva de Sousa ◽  
Ana Verônica Dantas de Carvalho ◽  
Lorena de Carvalho Monte de Prada ◽  
Arthur Pedro Marinho ◽  
Kerolaynne Fonseca de Lima ◽  
...  

Background: Delayed onset of minimal enteral nutrition compromises the immune response of preterm infants, increasing the risk of colonization and clinical complications (e.g., late-onset sepsis). This study aimed to analyze associations between late-onset sepsis in very low birth weight infants (<1500 g) and days of parenteral nutrition, days to reach full enteral nutrition, and maternal and nutritional factors. Methods: A cross-sectional study was carried out with very low birth weight infants admitted to a neonatal intensive care unit (NICU) of a reference maternity hospital of high-risk deliveries. Data regarding days of parenteral nutrition, days to reach full enteral nutrition, fasting days, extrauterine growth restriction, and NICU length of stay were extracted from online medical records. Late-onset sepsis was diagnosed (clinical or laboratory) after 48 h of life. Chi-squared, Mann–Whitney tests, and binary logistic regression were applied. Results: A total of 97 preterm infants were included. Of those, 75 presented late-onset sepsis with clinical (n = 40) or laboratory (n = 35) diagnosis. Maternal urinary tract infection, prolonged parenteral nutrition (>14 days), and extrauterine growth restriction presented 4.24-fold, 4.86-fold, and 4.90-fold higher chance of late-onset sepsis, respectively. Conclusion: Very low birth weight infants with late-onset sepsis had prolonged parenteral nutrition and took longer to reach full enteral nutrition. They also presented a higher prevalence of extrauterine growth restriction than infants without late-onset sepsis.


1990 ◽  
Vol 27 (5) ◽  
pp. 543-543
Author(s):  
J Neu ◽  
W Meetze ◽  
C Valentine ◽  
N Sacks ◽  
J Mcguigan ◽  
...  

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 909-915
Author(s):  
Staffan K. T. Polberger ◽  
Irene E. Axelsson ◽  
Niels C. R. Räihä

Preprandial plasma and urine amino acid concentrations were measured in 28 growing, very low birth weight, appropriate-for-gestational-age infants randomly assigned to either protein-unenriced (n = 14) or human milk protein-enriched (n = 14) human milk. The two groups of infants had similar birth weights (900 to 1500 g) and gestational ages (26 to 32 weeks). The study was initiated at a mean age of 19 days when the infants tolerated full feeding volumes and lasted for a mean time of 28 days. Mean protein intake values were 2.1 ± 0.3 and 3.6 ± 0.3 g/kg per day (mean ± SD) and weight gain values were 26.6 ± 7.4 and 35.1 ± 3.6 g/day in the protein-unenriched and the protein-enriched groups of infants, respectively. Human milk protein enrichment resulted in significantly increased concentrations of all plasma amino acids except serine, taurine, and histidine. Most urine amino acid concentrations correlated with protein intake and with the plasma concentrations, suggesting that the effects of protein quality and quantity can be evaluated by measuring urinary amino acid concentrations alone, thereby making such studies less invasive. Infants fed protein-unenriched human milk had growth rates below the estimated intrauterine rate as well as low plasma and urine amino acid concentrations, indicating suboptimal protein intake levels. When the plasma concentrations of the essential amino acids in tenrichedhe protein-enriched infants from the present study were compared with concentrations found in the literature in fetal and umbilical cord plasma, both were found to be much higher. The plasma essential amino acid concentrations in the well-growing, protein-supplemented infants from the present study corresponded best to plasma concentrations found in breast-fed, growing, term infants at 1 to 3 months of age. It is suggested that preprandial plasma amino acid concentrations found in healthy, growing, breast-fed, term infants can be used as reference standard values when evaluating preprandial plasma amino acid concentrations in appropriate-for-gestational age, very low birth weight infants.


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