scholarly journals Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3961
Author(s):  
Lotta Immeli ◽  
Ulla Sankilampi ◽  
Pauliina M. Mäkelä ◽  
Markus Leskinen ◽  
Reijo Sund ◽  
...  

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.

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. A42-A42
Author(s):  
Student

We have carried out a randomised trial [of skin to skin contact with their mothers] among babies of less than 1500 gm . . . Mothers using skin to skin contact lactated for four weeks longer on average than the control group . . . [This maneuver] can enjoyably be offered to very low birthweight infants especially in developing countries where mother's lactation is vital.


1996 ◽  
Vol 39 ◽  
pp. 94-94
Author(s):  
Cynthia H Meyers-Seifer ◽  
Pamela G Almeida ◽  
Sharon Capuano ◽  
Betty R Vohr

1974 ◽  
Vol 8 (4) ◽  
pp. 452-452 ◽  
Author(s):  
D M Willis ◽  
N R Roy ◽  
G W Chance ◽  
I Ackerman ◽  
E Park ◽  
...  

1995 ◽  
Vol 42 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Andrea Heiser ◽  
Ingrid Grimmer ◽  
Boris Metze ◽  
Michael Obladen

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 188A-188A
Author(s):  
Morag E Campbell ◽  
Kate L Costeloe

1987 ◽  
Vol 22 (2) ◽  
pp. 225-225
Author(s):  
R A Verwey ◽  
S P Ver Loove-Vanhorick ◽  
R Brand ◽  
J H Ruys

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