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Body composition preterm infants

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https://www.readbyqxmd.com/read/30188501/early-body-composition-changes-are-associated-with-neurodevelopmental-and-metabolic-outcomes-at-4-years-of-age-in-very-preterm-infants
#1
Katie M Pfister, Lei Zhang, Neely C Miller, Ellen C Ingolfsland, Ellen W Demerath, Sara E Ramel
BACKGROUND: Very preterm (VPT) infants are at-risk for altered growth, slower speed of processing (SOP), and hypertension. This study assesses the relationship between postnatal body composition (BC), neurodevelopment (indexed by SOP), and blood pressure (BP) in VPT infants. METHODS: Thirty-four VPT infants underwent weekly measurements and BC testing until discharge and post-discharge at 4 mos CGA and 4 yrs. At post-discharge visits, SOP was assessed using visual evoked potentials and the NIH Toolbox; BP was also measured...
August 21, 2018: Pediatric Research
https://www.readbyqxmd.com/read/30144709/outcomes-of-preterm-infants-treated-with-hypothermia-for-hypoxic-ischemic-encephalopathy
#2
Tamara I Herrera, Laura Edwards, William F Malcolm, P Brian Smith, Kimberley A Fisher, Carolyn Pizoli, Kathryn E Gustafson, Ricki F Goldstein, C Michael Cotten, Ronald N Goldberg, Margarita Bidegain
BACKGROUND: Therapeutic hypothermia reduces the risk of death, or moderate to severe neurodevelopmental impairment (NDI) in term infants with hypoxic-ischemic encephalopathy (HIE). Reports of its safety and efficacy in preterm infants are scarce. OBJECTIVE: Report short and long-term outcomes of preterm infants with HIE who received therapeutic hypothermia. METHODS: A retrospective cohort analysis of all preterm infants <36 weeks' gestation with HIE who received whole body hypothermia in a single center from January 2007 to April 2015...
August 22, 2018: Early Human Development
https://www.readbyqxmd.com/read/30138579/maternal-breastfeeding-in-children-born-small-for-gestational-age-and-future-nutritional-and-metabolic-outcomes-a-systematic-review
#3
REVIEW
Ana Cecília T Santiago, Louise P M da Cunha, Nayara S A Vieira, Lícia M O Moreira, Patrícia R de Oliveira, Priscila P R Lyra, Crésio de Aragão Dantas Alves
OBJECTIVE: To systematically review evidence related to nutritional and cardiometabolic outcomes in children born at term and small for gestational age and the association with maternal breastfeeding. SOURCE OF DATA: Two independent reviewers searched the MEDLINE, LILACS, SciELO, and Embase databases without time or language restrictions. The PRISMA tool was used, and studies that evaluated infants born at term and small for gestational age, breastfed, and with an evaluation of cardiometabolic outcomes were included...
August 20, 2018: Jornal de Pediatria
https://www.readbyqxmd.com/read/30138549/carbohydrate-supplementation-of-human-milk-to-promote-growth-in-preterm-infants
#4
REVIEW
Emma A Amissah, Julie Brown, Jane E Harding
BACKGROUND: Preterm infants are born with low glycogen stores and require higher glucose intake to match fetal accretion rates. In spite of the myriad benefits of breast milk for preterm infants, it may not adequately meet the needs of these rapidly growing infants. Supplementing human milk with carbohydrates may help. However, there is a paucity of data on assessment of benefits or harms of carbohydrate supplementation of human milk to promote growth in preterm infants. This is a 2018 update of a Cochrane Review first published in 1999...
August 23, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30019065/the-influence-of-ethnicity-on-exclusively-breast-fed-infants-anthropometry-in-a-multiethnic-asian-population
#5
James G Huang, Shi Hua Chan, Le Ye Lee
INTRODUCTION: We studied the effects of ethnicity on early infant growth patterns in exclusively breast-fed (EBF) infants from a Singaporean multiethnic population. This was a prospective cohort study conducted in National University Hospital, Singapore. MATERIALS AND METHODS: Healthy, EBF infants born at-term completing 37 weeks and above, and whose birthweight was appropriate for gestational age (>10th centile, <90th centile) were recruited. Infants were required to be EBF at least until the minimum age of weaning...
June 2018: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/30014485/the-burden-of-adverse-obstetric-and-perinatal-outcomes-from-maternal-smoking-in-an-australian-cohort
#6
Raymond Li, Jade Lodge, Christopher Flatley, Sailesh Kumar
BACKGROUND: Maternal smoking is associated with a number of adverse outcomes with a dose-dependent increase in risk. The aim of this study was to evaluate the obstetric and perinatal outcomes in women who smoked during pregnancy. METHODS: This was a retrospective cohort study of women who smoked during pregnancy and birthed at a major perinatal centre in Australia between January 2000 and April 2017. The study cohort was compared to a cohort of women who did not smoke in pregnancy...
July 17, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/30007939/impact-of-breast-milk-intake-on-body-composition-at-term-in-very-preterm-babies-secondary-analysis-of-the-nutritional-evaluation-and-optimisation-in-neonates-randomised-controlled-trial
#7
Yangmei Li, Xinxue Liu, Neena Modi, Sabita Uthaya
OBJECTIVE: To investigate the impact of breast milk (BM) intake on body composition at term in very preterm infants. DESIGN: Preplanned secondary analysis of the Nutritional Evaluation and Optimisation in Neonates Study, a 2-by-2 factorial randomised controlled trial of preterm parenteral nutrition (PN). SETTING: Four National Health Service hospitals in London and South-East England. PATIENTS: Infants born at <31 weeks of gestation; infants with life-threatening congenital abnormalities and those unable to receive trial PN within 24 hours of birth were ineligible...
July 14, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29981569/the-diamond-trial-different-approaches-to-moderate-late-preterm-nutrition-determinants-of-feed-tolerance-body-composition-and-development-protocol-of-a-randomised-trial
#8
Frank H Bloomfield, Jane E Harding, Michael P Meyer, Jane M Alsweiler, Yannan Jiang, Clare R Wall, Tanith Alexander
BACKGROUND: Babies born at moderate-late preterm gestations account for > 80% of all preterm births. Although survival is excellent, these babies are at increased risk of adverse neurodevelopmental outcomes. They also are at increased risk of adverse long-term health outcomes, such as cardiovascular disease, obesity and diabetes. There is little evidence guiding optimal nutritional practices in these babies; practice, therefore, varies widely. This factorial design clinical trial will address the role of parenteral nutrition, milk supplementation and exposure of the preterm infant to taste and smell with each feed on time to tolerance of full feeds, adiposity, and neurodevelopment at 2 years...
July 7, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29949515/growth-and-body-composition-in-preterm-newborns-with-bronchopulmonary-dysplasia-a-cohort-study
#9
Amanda da Silva Martins, Maria Dalva Barbosa Baker Méio, Saint Clair S Gomes, Paola Azara Tabicas Lima, Brunna Grazziotti Milanesi, Maria Elisabeth Lopes Moreira
OBJECTIVE: To compare growth and body composition of preterm infants (gestational age <32 weeks) with and without bronchopulmonary dysplasia (BPD). METHODS: A prospective cohort involving three neonatal units in the public health system of the Brazilian city of Rio de Janeiro. Inclusion: newborns with gestational age <32 weeks. EXPOSURE: BPD. Anthropometric measurements were performed at birth and at 1 month of infant corrected age. Body composition was measured using an air displacement plethysmography (ADP) (PEA POD®) at 1 month of infant corrected age...
June 27, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29931679/protein-supplementation-of-human-milk-for-promoting-growth-in-preterm-infants
#10
REVIEW
Emma A Amissah, Julie Brown, Jane E Harding
BACKGROUND: Preterm infants require high protein intake to achieve adequate growth and development. Although breast milk feeding has many benefits for this population, the protein content is highly variable, and inadequate to support rapid infant growth. This is a 2018 update of a Cochrane Review first published in 1999. OBJECTIVES: To determine whether protein-supplemented human milk compared with unsupplemented human milk, fed to preterm infants, improves growth, body composition, cardio-metabolic, and neurodevelopmental outcomes, without significant adverse effects...
June 22, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29924388/fat-supplementation-of-human-milk-for-promoting-growth-in-preterm-infants
#11
REVIEW
Emma A Amissah, Julie Brown, Jane E Harding
BACKGROUND: As preterm infants do not experience the nutrient accretion and rapid growth phase of the third trimester of pregnancy, they are vulnerable to postnatal nutritional deficits, including of fat. Consequently, they require higher fat intakes compared to their full term counterparts to achieve adequate growth and development. Human milk fat provides the major energy needs of the preterm infant and also contributes to several metabolic and physiological functions. Although human milk has many benefits for this population, its fat content is highly variable and may be inadequate for their optimum growth and development...
June 19, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29898453/body-composition-changes-from-infancy-to-4-years-and-associations-with-early-childhood-cognition-in-preterm-and-full-term-children
#12
Johannah M Scheurer, Lei Zhang, Erin A Plummer, Solveig A Hultgren, Ellen W Demerath, Sara E Ramel
BACKGROUND: Infants born prematurely are at risk for neurodevelopmental complications. Early growth is associated with improved later cognition. The relationship of early proportionality and body composition with later cognition is not well established. OBJECTIVES: To assess differences in fat-free mass and adiposity (fat mass, percent body fat) changes in preterm and full-term infants through preschool age and examine associations with early childhood cognition...
2018: Neonatology
https://www.readbyqxmd.com/read/29847833/in-preterm-infants-length-growth-below-expected-growth-during-hospital-stay-predicts-poor-neurodevelopment-at-2-years
#13
Laure Simon, Camille Théveniaut, Cyril Flamant, Anne Frondas-Chauty, Dominique Darmaun, Jean-Christophe Rozé
BACKGROUND: In preterm infants, neonatal weight growth is associated with neurodevelopmental outcome but is a poor indicator of growth quality. OBJECTIVE: The aim of this work was to measure the relationship between neonatal length growth and the 2-year neurological outcome in preterm infants. METHODS: A total of 2,403 infants enrolled in the LIFT cohort with gestational age less than 34 weeks were studied. Neonatal observed length growth (OLG) was calculated as the change in length Z-score between birth and discharge...
2018: Neonatology
https://www.readbyqxmd.com/read/29790827/the-effect-of-maternal-hiv-status-and-treatment-duration-on-body-composition-of-hiv-exposed-and-hiv-unexposed-preterm-very-and-extremely-low-birthweight-infants
#14
Klara Strydom, Daniel Gerhardus Nel, Muhammad Ali Dhansay, Evette Van Niekerk
BACKGROUND: There is an evidence gap regarding the relationship between HIV exposure, body composition (and the quality thereof) and preterm infants. AIM: This study determined the body composition of HIV-exposed, preterm very low-birthweight (VLBW) and extremely low-birthweight (ELBW) infants and to assess the effect of maternal HAART duration on the body composition of this vulnerable population. METHODS: A descriptive cross-sectional study was conducted...
August 2018: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/29784603/does-type-of-feeding-affect-body-composition-in-very-low-birth-weight-infants-a-prospective-cohort-study
#15
Mól Nina, Zasada Magdalena, Kwinta Przemko
BACKGROUND: The aim of the study was to analyse body composition of preterm infants fed with either breast milk or formula compared to a control group of full-term newborns. METHODS: Fifty-three newborns were enrolled: a group of 34 very low birth weight (VLBW) preterm newborns subdivided into a formula-fed (n = 23; group A) and breast milk-fed (n = 11; group B) group, and a control group of 19 full-term infants (group C). Their body composition was assessed by a bioelectrical impedance analysis (BIA) either at the estimated time of birth in the VLBW group or during the 1st week of life in the full-term group...
May 4, 2018: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/29727484/leptin-and-igf-1-in-relation-to-body-composition-and-bone-mineralization-of-preterm-born-children-from-infancy-to-8-years
#16
Charlotte A Ruys, Monique van de Lagemaat, Harrie N Lafeber, Joost Rotteveel, Martijn J J Finken
OBJECTIVE: Preterm birth has been associated with altered body composition, especially increased fat mass (FM) and decreased bone mineralization, and leptin and IGF-1 have been suggested to be involved in the regulation of both. We aimed to study the interplay between leptin, IGF-1, FM and bone mineralization measured in infancy and childhood of children born preterm. DESIGN: Observational study. PATIENTS/SUBJECTS: Seventy-nine (40 boys) preterm-born children (gestational age ≤32 weeks and/or birth weight ≤1500 g) aged 8 years...
July 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29679046/impact-of-antenatal-corticosteroids-in-preterm-neonates-based-on-maternal-body-mass-index
#17
Maheer Faden, Sarah D McDonald, Prakeshkumar S Shah, Amit Mukerji
OBJECTIVE: Impact of antenatal corticosteroid (ACS) in context of maternal body mass index (BMI) as it relates to neonatal outcomes remains unclear. We sought to evaluate effects of ACS on clinical outcomes of preterm infants based on maternal BMI. METHODS: We performed a retrospective cohort study among neonates 23-33 weeks' GA at a tertiary neonatal intensive care unit from 2011 to 2015. Outcomes of neonates exposed to any ACS and pre-pregnancy maternal BMI ≥ 25 (N = 491) were compared with maternal BMI < 25 (N = 484)...
July 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29532450/associations-of-measured-protein-and-energy-intakes-with-growth-and-adiposity-in-human-milk-fed-preterm-infants-at-term-postmenstrual-age-a-cohort-study
#18
Israel Macedo, Luis Pereira-da-Silva, Manuela Cardoso
OBJECTIVE:  To determine the associations of measured protein, energy, and protein-to-energy (PER) intakes with body composition in human milk (HM)-fed preterm infants. STUDY DESIGN:  Neonates born at < 33 gestational weeks were eligible. Standard fortification method with modular supplements was used and the HM composition was measured. The weight gain velocity was calculated, and body composition was assessed by air displacement plethysmography at 40 weeks' postmenstrual age (PMA)...
July 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29529139/protein-use-and-weight-gain-quality-in-very-low-birth-weight-preterm-infants-fed-human-milk-or-formula
#19
Laura Morlacchi, Paola Roggero, Maria Lorella Giannì, Beatrice Bracco, Debora Porri, Enrico Battiato, Camilla Menis, Nadia Liotto, Domenica Mallardi, Fabio Mosca
Background: Nutritional management of preterm infants aims to approximate the tissue growth and body composition of a fetus of the same postmenstrual age. The adequacy of the quality of protein supply can influence the rate and the relative quality of weight gain. Objective: We investigated the protein balance according to feeding regimen and the association between human milk feeding and fat-free mass content at the term-corrected age in very-low-birth-weight preterm infants...
February 1, 2018: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29505146/unique-patterns-of-body-composition-and-anthropometric-measurements-during-maturation-in-neonatal-intensive-care-unit-neonates-opportunities-for-modifying-nutritional-therapy-and-influencing-clinical-outcomes
#20
Anushree Algotar, Ala K Shaikhkhalil, Kim Siler-Wurst, Swetha Sitaram, Ish Gulati, Sudarshan R Jadcherla
BACKGROUND: Body composition is an important predictor of long-term outcomes in neonates and may be altered by several factors. Innovative methods like air displacement plethysmography (ADP) can safely and reliably measure body composition, potentially assisting in individualization of nutrition therapy. OBJECTIVES: 1) To characterize patterns of body composition change in convalescing neonates in the neonatal intensive care unit (NICU) and examine factors leading to variation...
January 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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