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Gopi Menon, Angela L Davidson, Amanda Jane Drake, Nicholas D Embleton
No abstract text is available yet for this article.
October 12, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
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
Patricia Mena, Marcela Milad, Patricia Vernal, M José Escalante
Recommendations based on current publications are presented for postnatal preterm nutrition, depending on birth weight: less 1000g, between 1000 and 1500g, and above 1500g, as well for the development periods: adaptation, stabilisation, and growth. A review is also presented on the nutritional management of morbidities that affect or may affect nutrition, such as: osteopenia, bronchopulmonary dysplasia, patent ductus arteriosus, red cell transfusion, and short bowel syndrome.
July 2016: Revista Chilena de Pediatría
Ann-Marie Brennan, Brendan P Murphy, Mairead E Kiely
The goal of preterm nutrition in achieving growth and body composition approximating that of the fetus of the same postmenstrual age is difficult to achieve. Current nutrition recommendations depend largely on expert opinion, due to lack of evidence, and are primarily birth weight based, with no consideration given to gestational age and/or need for catch-up growth. Assessment of growth is based predominately on anthropometry, which gives insufficient attention to the quality of growth. The present paper provides a review of the current literature on the nutritional management and assessment of growth in preterm infants...
May 2016: Proceedings of the Nutrition Society
Gemma McLeod, Karen Simmer, Jill Sherriff, Elizabeth Nathan, Donna Geddes, Peter Hartmann
AIM: Preterm nutrition guidelines target nutrient accretion and growth at intrauterine rates, yet at term equivalent age, the phenotype of the preterm infant differs from that of term infants. Monitoring early changes in preterm body composition (BC) in response to macronutrient intakes may facilitate our understanding of how best to meet preterm nutrition and growth targets. METHOD: Macronutrient intakes based on milk analysis were calculated from birth for infants born <33 weeks gestation...
September 2015: Journal of Paediatrics and Child Health
A I Ayede
Preterm deaths are responsible for the highest number of neonatal mortality in Nigeria. Preterm nutrition contributes significantly to overall outcome particularly as it relates to neurodevelopment. Recently, new guidelines for enteral feedings in premature infants were issued by the American Academy of Paediatrics and European Society of Pediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. Nevertheless, in clinical practice it is often difficult to attain suggested intakes at all times...
June 2011: Annals of Ibadan Postgraduate Medicine
Vimal Vasu, Giuliana Durighel, E Louise Thomas, Louise Thomas, Christina Malamateniou, Jimmy D Bell, Mary A Rutherford, Neena Modi
OBJECTIVE: To describe (1) the relationship between nutrition and the preterm-at-term infant phenotype, (2) phenotypic differences between preterm-at-term infants and healthy term born infants and (3) relationships between somatic and brain MRI outcomes. DESIGN: Prospective observational study. SETTING: UK tertiary neonatal unit. PARTICIPANTS: Preterm infants (<32 weeks gestation) (n=22) and healthy term infants (n=39) MAIN OUTCOME MEASURES: Preterm nutrient intake; total and regional adipose tissue (AT) depot volumes; brain volume and proximal cerebral arterial vessel tortuosity (CAVT) in preterm infants and in term infants...
May 23, 2014: BMJ Open
Fernando Moya
Experimental and clinical evidence show that fetal and neonatal nutrition and metabolism can markedly modulate pulmonary growth, development, and function, as well as long-term lung health and disease risks. Intrauterine growth restriction has been linked to an increased risk for respiratory distress syndrome and chronic lung disease, while excessive fetal growth reduced forced expiratory volume. Postnatal undernutrition adversely affected pulmonary function in animal models and was associated to a higher risk of chronic lung disease in very low birth weight infants...
2014: World Review of Nutrition and Dietetics
Sara E Ramel, Michael K Georgieff
The brain is the most highly metabolic organ in the preterm neonate and consumes the greatest amount of nutrient resources for its function and growth. As preterm infants survive at greater rates, neurodevelopment has become the primary morbidity outcome of interest. While many factors influence neurodevelopmental outcomes in preterm infants, nutrition is of particular importance because the healthcare team has a great deal of control over its provision. Studies over the past 30 years have emphasized the negative neurodevelopmental consequences of poor nutrition and growth in the preterm infant...
2014: World Review of Nutrition and Dietetics
Ebru Ergenekon, Şebnem Soysal, İbrahim Hirfanoğlu, Veysel Baş, Kıvılcım Gücüyener, Özden Turan, Serdar Beken, Ebru Kazancı, Canan Türkyılmaz, Esra Önal, Esin Koç, Yıldız Atalay
The aim of this retrospective study was to assess the need for additional enteral protein supplementation in preterm newborns with gestational age (GA) ≤32 weeks after full enteral feeds with either fortified breast milk (FBM) or preterm formula (PF) were reached, and to determine the effects of additional protein on physical and neurological development. After the standard early total parenteral nutrition (TPN) and reaching full enteral nutrition with 150-160 ml/kg/day, preterms were assessed for the requirement of additional protein based on serum blood urea nitrogen (BUN)/prealbumin levels...
July 2013: Turkish Journal of Pediatrics
Andrew Ross Cooper, Debbie Barnett, Emma Gentles, Lorraine Cairns, Judith Helen Simpson
BACKGROUND: Nutritional analysis of donated human milk has been suggested as a means of optimising its use. METHODS: We analysed pooled, single donor milk samples using the MIRIS Human Milk Analyser to obtain values for fat, protein, lactose and calculated energy content. These values were compared with those of formula milks and then extrapolated to demonstrate whether donated human expressed breast milk (DEBM)±fortification would meet preterm nutritional requirements...
November 2013: Archives of Disease in Childhood. Fetal and Neonatal Edition
Josef Neu, Cristine L Bradley, Zong-Yi Ding, Hugh N Tucker, Carol Lynn Berseth
Designing an optimal feeding program for preterm infants is particularly challenging. These infants require individualized feeding plans and frequent medical interventions, and their health status and physical limitations necessitate specialized products. This review highlights the challenges of translating new understandings into practical application and, specifically, the challenges of translating scientific knowledge into available nutritional products that can be used to meet the special needs of preterm infants...
March 2013: Journal of Pediatrics
V Vasu, E L Thomas, G Durighel, M J Hyde, J D Bell, N Modi
BACKGROUND: We have previously shown that by term age, preterm infants have elevated intrahepatocellular lipid (IHCL) content and altered regional adiposity, both of which are risk factors for cardiometabolic illness in adult life. Preterm nutritional intake is a plausible determinant of these aberrant trajectories of development. OBJECTIVE: We aimed to establish if macronutritional components of the preterm diet were determinants of IHCL deposition measured at term equivalent age, using (1)H Magnetic Resonance spectroscopy (MRS)...
April 2013: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Gemma McLeod, Jill Sherriff, Elizabeth Nathan, Peter E Hartmann, Karen Simmer
AIM: Preterm nutritional audits have previously been conducted using assumed milk composition. We audited protein and energy intakes in the first 28 days of preterm life using both assumed milk composition and milk analysis to assess their effect on weight gain and to determine if the recommended reasonable range of intakes were met. METHODS: Parenteral and enteral intakes and weight gain were recorded daily for infants (n = 63) born <33 weeks gestation, using assumed milk composition...
April 2013: Journal of Paediatrics and Child Health
Robert J Tinnion, Nicholas D Embleton
Alkaline phosphatase (ALP) is regularly measured in clinical practice. Changes in serum levels are observed in a number of clinical conditions. In neonatology, it has been proposed as a useful marker for both a diagnosis and an indication of the severity of metabolic bone disease (MBD) in infants born preterm. Nutritional practices, aimed at reducing the occurrence or severity of MBD, have led to ALP being proposed as a stand-alone means of monitoring treatment. The current evidence does not support this use: ALP only achieves usefulness in a diagnostic and monitoring capacity when combined with other serum and imaging techniques...
August 2012: Archives of Disease in Childhood. Education and Practice Edition
(no author information available yet)
No abstract text is available yet for this article.
July 2010: Early Human Development
Vittorio Vigi, Silvia Fanaro
No abstract text is available yet for this article.
July 2010: Early Human Development
Marjolaine Héon, Céline Goulet, Emile Levy, Anne-Monique Nuyt
BACKGROUND: During the neonatal period, nutrition has a crucial impact on preterm infants' survival, growth and development. Current nutritional practices for preterm infants often fail to meet their nutritional needs and thus have potential adverse consequences for their growth and development. Hindmilk represents a promising avenue to manage this nutritional challenge. METHOD: The scientific literature was reviewed to determine the current state of knowledge about hindmilk and its effects on the growth and development of preterm infants...
May 2009: Enfermería Clínica
Serafina Perrone, Giulia Salvi, Carlo V Bellieni, Giuseppe Buonocore
Oxidative stress occurs when the production of free radicals exceeds the cells' ability to eliminate them. Many events leading to overproduction of free radicals may easily induce oxidative stress in the earliest phases of human life. Given the growing role of oxidative stress in newborn preterm morbidity, one of the goals of modern neonatology is to minimize free radical production and promote the development of adequate antioxidant systems through an adequate nutritional strategy. Appropriate administration of total parenteral solutions and lipid emulsions with light protection can minimize the risk of peroxidation...
December 2007: Journal of Pediatric Gastroenterology and Nutrition
N Charpak, J G Ruiz et al.
OBJECTIVES: Describing preterm breast milk evolution and composition according to gestational age (GA) and postnatal age (PNA) in a cohort of mothers cared for in an ambulatory Kangaroo Mother Care Program (KMCP) in a developing country. METHODS: A cohort involving 113 mothers who delivered 'healthy' preterms adequate for GA was assembled. Mothers received intensive breastfeeding support before discharge. Samples of both fore- and hind milk were obtained at entry into KMCP and weekly thereafter, until term...
December 2007: Acta Paediatrica
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