Growth and Body Composition of Human Milk–fed Premature Infants Provided With Extra Energy and Nutrients Early After Hospital Discharge: 1-year Follow-up

2009 ◽  
Vol 49 (4) ◽  
pp. 456-466 ◽  
Author(s):  
Ashley Aimone ◽  
Joanne Rovet ◽  
Wendy Ward ◽  
Ann Jefferies ◽  
Douglas M Campbell ◽  
...  
Keyword(s):  
Body Composition ◽  
Human Milk ◽  
Hospital Discharge ◽  
Premature Infants ◽  
Extra Energy

scholarly journals Growth and Body Composition of Human Milk‐Fed Premature Infants Provided with Extra Energy and Nutrients Early after Hospital Discharge: One Year Follow‐up

2008 ◽  
Vol 22 (S1) ◽  
Author(s):  
Deborah Louise O'Connor ◽  
Ashley Aimone ◽  
Wendy Ward ◽  
Jennifer Vaughan ◽  
Ann Jefferies ◽  
...  
Keyword(s):  
Body Composition ◽  
Human Milk ◽  
Hospital Discharge ◽  
Premature Infants ◽  
Extra Energy ◽  
One Year

scholarly journals Premature small for gestational age infants fed an exclusive human milk-based diet achieve catch-up growth without metabolic consequences at 2 years of age

2018 ◽  
Vol 104 (3) ◽  
pp. F242-F247 ◽  
Author(s):  
Chonnikant Visuthranukul ◽  
Steven A Abrams ◽  
Keli M Hawthorne ◽  
Joseph L Hagan ◽  
Amy B Hair
Keyword(s):  
Insulin Resistance ◽  
Body Composition ◽  
Birth Weight ◽  
Human Milk ◽  
Premature Infants ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Insulin Level ◽  
Metabolic Outcomes ◽  
Catch Up

ObjectiveTo compare postdischarge growth, adiposity and metabolic outcomes of appropriate for gestational age (AGA) versus small for gestational age (SGA) premature infants fed an exclusive human milk (HM)-based diet in the neonatal intensive care unit.DesignPremature infants (birth weight ≤1250 g) fed an exclusive HM-based diet were examined at 12–15 months corrected gestational age (CGA) (visit 1) for anthropometrics, serum glucose and non-fasting insulin, and at 18–22 months CGA (visit 2) for body composition by dual-energy X-ray absorptiometry.ResultsOf 51 children, 33 were AGA and 18 were SGA at birth. The SGA group had weight gain (g/day) equal to AGA group during the follow-up period. SGA had a significantly greater body mass index (BMI) z-score gain from visit 1 to visit 2 (0.25±1.10 vs −0.21±0.84, p=0.02) reflecting catch-up growth. There were no significant differences in total fat mass (FM) and trunk FM between groups. SGA had significantly lower insulin level (5.0±3.7 vs 17.3±15.1 µU/mL, p=0.02) and homeostatic model of assessment-insulin resistance (1.1±0.9 vs 4.3±4.1, p=0.02). Although regional trunk FM correlated with insulin levels in SGA (r=0.893, p=0.04), they had lower insulin level compared with AGA and no difference in adiposity.ConclusionsSGA premature infants who received an exclusive HM-based diet exhibited greater catch-up growth without increased adiposity or elevated insulin resistance compared with AGA at 2 years of age. An exclusive HM-based diet may improve long-term body composition and metabolic outcomes of premature infants with ≤1250 g birth weight, specifically SGA.

scholarly journals Factors and survival of exclusive breastfeeding in preterm infants upon discharge at six months of age

2020 ◽  
Vol 10 (8) ◽  
pp. 30
Author(s):  
Josefina Gallegos-Martínez ◽  
Jaime Reyes-Hernández ◽  
Fátima de San Carlos Torres-Carreón ◽  
Blanca Esther Cuéllar-Miranda ◽  
Adriana Leite ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Premature Infants ◽  
Exclusive Breastfeeding ◽  
Clinical Status ◽  
Baby Friendly Hospital Initiative ◽  
Post Discharge ◽  
Related Factors

Introduction and objective: Reducing the neonatal mortality rate in half is an objective proposed by WHO for the year 2025 through coverage strategies from the prenatal stage, delivery, birth, and hospitalization, one of these low-cost strategies is exclusive breastfeeding (EBF) in preterm infants, that contributes to the prevention of neonatal mortality, a population that contributes in the first place to neonatal mortality. The objective of this study was to identify the frequency and survival of exclusive breastfeeding and related factors in premature infants of two referral hospitals, one of them certified as Baby-Friendly Hospital Initiative (BFHI).Methods: Follow-up study of 111 premature infants after hospital discharge with equivalent corrected age among hospitals: BFHI 36.1 ± 1.6; non-BFHI (nBFHI) 36.4 ± 1.8 weeks (p ≥ .05). Data collection carried out from February 2016 to March 2017, through records in clinical files and surveys of mothers upon hospital discharge and by telephone during follow-up after 15 days post-discharge, 3, and 6 months of extrauterine life. Kaplan-Meier analysis to determine breastfeeding survival over time, and with Pearson’s r with significance p ≤ .05, the relation was established between EBF with sociodemographic, perinatal, and clinical status factors of the child.Results: Urban maternal origin (68.1%), maternal age (25.7 ± 7.9 years), schooling < 12 years (56.6%). EBF upon discharge on 45/111 dyads (40.5%), 15 days post-discharge 35/73 (47.9%), third month 23/61 (37.7%) and sixth month 7/44 (15.9%). EBF survival was 15 days post-discharge, at this cut-off point, among the correlated factors are: “having received guidance to use Exclusive Breastfeeding until the sixth month of extrauterine life of the premature child” positively correlated with EBF (r = 0.294, p ≤ .05), “the maternal perception that her milk dried” correlated negatively with EBF (r = -0.313, p ≤ .01), if “breastfeeding caused anxiety to the mother” it positively correlated with artificial feeding (AF) (r = 0.237, p ≤ .05).Conclusions: Exclusive breastfeeding in premature infants is below WHO standard, it is favorably related to maternal orientation, and barriers are maternal perceptions of non-milk supply and anxiety. It could be encouraged through actions carried out in hospitals certified with the Baby-Friendly Hospital Initiative and follow up with post-discharge breastfeeding at least to the sixth month of life of premature infants. Similar studies should establish better monitoring mechanisms to avoid losses during the follow-up.

scholarly journals Visual Development of Human Milk–Fed Preterm Infants Provided With Extra Energy and Nutrients After Hospital Discharge

2011 ◽  
Vol 36 (3) ◽  
pp. 349-353 ◽  
Author(s):  
Deborah L. O’Connor ◽  
Karen Weishuhn ◽  
Joanne Rovet ◽  
Giuseppe Mirabella ◽  
Ann Jefferies ◽  
...  
Keyword(s):  
Human Milk ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Visual Development ◽  
Extra Energy

Growth and Nutrient Intakes of Human Milk-Fed Preterm Infants Provided With Extra Energy and Nutrients After Hospital Discharge

PEDIATRICS ◽  
2008 ◽  
Vol 121 (4) ◽  
pp. 766-776 ◽  
Author(s):  
D. L. O'Connor ◽  
S. Khan ◽  
K. Weishuhn ◽  
J. Vaughan ◽  
A. Jefferies ◽  
...  
Keyword(s):  
Human Milk ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Nutrient Intakes ◽  
Extra Energy

PO-0814 Developmental Follow Up Of Former Premature Infants: A Pilot Study In Lebanon: Abstract PO-0814 Table 1

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A520.2-A520
Author(s):  
L Charafeddine ◽  
R El Hage ◽  
H Tamim ◽  
L Akouri-Dirani ◽  
D Sinno
Keyword(s):  
Pilot Study ◽  
Premature Infants

scholarly journals Long-term effects of a modified, low-protein infant formula on growth and body composition: Follow-up of a randomized, double-blind, equivalence trial

2021 ◽  
Author(s):  
Stefanie M.P. Kouwenhoven ◽  
Nadja Antl ◽  
Martijn J.J. Finken ◽  
Jos W.R. Twisk ◽  
Eline M. van der Beek ◽  
...  
Keyword(s):  
Body Composition ◽  
Infant Formula ◽  
Long Term Effects ◽  
Double Blind ◽  
Equivalence Trial ◽  
Low Protein
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