Body Composition of Very Low‐Birth‐Weight Infants Fed Fortified Human Milk: A Pilot Study

2020 ◽  
Author(s):  
Kera McNelis ◽  
Chunyan Liu ◽  
Shelley Ehrlich ◽  
Christopher Fields ◽  
Trayce Fields ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Pilot Study ◽  
Low Birth Weight ◽  
Human Milk ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants

scholarly journals Energy Expenditure, Protein Oxidation and Body Composition in a Cohort of Very Low Birth Weight Infants

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3962
Author(s):  
Michela Perrone ◽  
Camilla Menis ◽  
Pasqua Piemontese ◽  
Chiara Tabasso ◽  
Domenica Mallardi ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Energy Expenditure ◽  
Low Birth Weight ◽  
Human Milk ◽  
Preterm Infants ◽  
Protein Oxidation ◽  
Very Low Birth Weight ◽  
Fat Free Mass ◽  
Low Birth Weight Infants

The nutritional management of preterm infants is a critical point of care, especially because of the increased risk of developing extrauterine growth restriction (EUGR), which is associated with worsened health outcomes. Energy requirements in preterm infants are simply estimated, so the measurement of resting energy expenditure (REE) should be a key point in the nutritional evaluation of preterm infants. Although predictive formulae are available, it is well known that they are imprecise. The aim of our study was the evaluation of REE and protein oxidation (Ox) in very low birth weight infants (VLBWI) and the association with the mode of feeding and with body composition at term corrected age. Methods: Indirect calorimetry and body composition were performed at term corrected age in stable very low birth weight infants. Urinary nitrogen was measured in spot urine samples to calculate Ox. Infants were categorized as prevalent human milk (HMF) or prevalent formula diet (PFF). Results: Fifty VLBWI (HMF: 23, PFF: 27) were evaluated at 36.48 ± 0.85 post-conceptional weeks. No significant differences were found in basic characteristics or nutritional intake in the groups at birth and at the assessment. No differences were found in the REE of HMF vs. PFF (59.69 ± 9.8 kcal/kg/day vs. 59.27 ± 13.15 kcal/kg/day, respectively). We found statistical differences in the protein-Ox of HMF vs. PFF (1.7 ± 0.92 g/kg/day vs. 2.8 ± 1.65 g/kg/day, respectively, p < 0.01), and HMF infants had a higher fat-free mass (kg) than PFF infants (2.05 ± 0.26 kg vs. 1.82 ± 0.35 kg, respectively, p < 0.01), measured with air displacement plethysmography. Conclusion: REE is similar in infants with a prevalent human milk diet and in infants fed with formula. The HMF infants showed a lower oxidation rate of proteins for energy purposes and a better quality of growth. A greater amount of protein in HMF is probably used for anabolism and fat-free mass deposition. Further studies are needed to confirm our hypothesis.

Pulse dexamethasone does not impair growth and body composition of very low birth weight infants.

1995 ◽  
Vol 14 (5) ◽  
pp. 455-462 ◽  
Author(s):  
C H Gilmour ◽  
J M Sentipal-Walerius ◽  
J G Jones ◽  
J M Doyle ◽  
B S Brozanski ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Pulse Dexamethasone

scholarly journals Human Milk Improves Motor Development of Very Low Birth Weight Infants during Early Infancy

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 120A-120A ◽  
Author(s):  
Jo-Ann B Bier ◽  
Tanya L Oliver ◽  
Anne Ferguson ◽  
Michelle R Tremont ◽  
Michael E Msall ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Human Milk ◽  
Motor Development ◽  
Very Low Birth Weight ◽  
Early Infancy ◽  
Low Birth Weight Infants

scholarly journals The effects of varying protein and energy intakes on the growth and body composition of very low birth weight infants

2011 ◽  
Vol 10 (1) ◽  
Author(s):  
Juan Antonio Costa-Orvay ◽  
Josep Figueras-Aloy ◽  
Gerardo Romera ◽  
Ricardo Closa-Monasterolo ◽  
Xavier Carbonell-Estrany
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants
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