Nutritional assessment in neonatal and prepubertal children with a history of extrauterine growth restriction

2013 ◽  
Vol 89 (9) ◽  
pp. 763-768 ◽  
Author(s):  
María Ortiz-Espejo ◽  
Juan Luís Pérez-Navero ◽  
María Carmen Muñoz-Villanueva ◽  
Gil-Campos Mercedes
Keyword(s):  
Nutritional Assessment ◽  
Growth Restriction ◽  
Prepubertal Children ◽  
History Of ◽  
Extrauterine Growth Restriction

Changes in plasma adipokines in prepubertal children with a history of extrauterine growth restriction

Nutrition ◽  
2013 ◽  
Vol 29 (11-12) ◽  
pp. 1321-1325 ◽  
Author(s):  
María Ortiz-Espejo ◽  
Juan Luís Pérez-Navero ◽  
Josune Olza ◽  
María Carmen Muñoz-Villanueva ◽  
Concepción María Aguilera ◽  
...  
Keyword(s):  
Growth Restriction ◽  
Prepubertal Children ◽  
History Of ◽  
Extrauterine Growth Restriction

scholarly journals Plasma Adipokines Profile in Prepubertal Children with a History of Prematurity or Extrauterine Growth Restriction

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1201
Author(s):  
María Dolores Ordóñez-Díaz ◽  
Mercedes Gil-Campos ◽  
Katherine Flores-Rojas ◽  
María Carmen Muñoz-Villanueva ◽  
Concepción María Aguilera-García ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Growth Restriction ◽  
Healthy Children ◽  
Anthropometric Parameters ◽  
Metabolic Markers ◽  
Prepubertal Children ◽  
Very Preterm Infants ◽  
History Of ◽  
The Difference ◽  
Extrauterine Growth Restriction

Adipose tissue programming could be developed in very preterm infants with extrauterine growth restriction (EUGR), with an adverse impact on long-term metabolic status, as was studied in intrauterine growth restriction patterns. The aim of this cohort study was to evaluate the difference in levels of plasma adipokines in children with a history of EUGR. A total of 211 school age prepubertal children were examined: 38 with a history of prematurity and EUGR (EUGR), 50 with a history of prematurity with adequate growth (PREM), and 123 healthy children born at term. Anthropometric parameters, blood pressure, metabolic markers and adipokines (adiponectin, resistin, leptin) were measured. Children with a history of EUGR showed lower values of adiponectin (μg/mL) compared with the other two groups: (EUGR: 10.6 vs. PREM: 17.7, p < 0.001; vs. CONTROL: 25.7, p = 0.004) and higher levels of resistin (ng/mL) (EUGR: 19.2 vs. PREM: 16.3, p =0.007; vs. CONTROL: 7.1, p < 0.001. The PREM group showed the highest values of leptin (ng/mL), compared with the others: PREM: 4.9 vs. EUGR: 2.1, p = 0.048; vs. CONTROL: 3.2, p = 0.029). In conclusion, EUGR in premature children could lead to a distinctive adipokines profile, likely associated with an early programming of the adipose tissue, and likely to increase the risk of adverse health outcomes later in life.

Alterations in the antioxidant defense system in prepubertal children with a history of extrauterine growth restriction

2013 ◽  
Vol 53 (2) ◽  
pp. 607-615 ◽  
Author(s):  
M. Ortiz-Espejo ◽  
M. Gil-Campos ◽  
M. D. Mesa ◽  
C. E. García-Rodríguez ◽  
M. C. Muñoz-Villanueva ◽  
...  
Keyword(s):  
Antioxidant Defense ◽  
Antioxidant Defense System ◽  
Growth Restriction ◽  
Defense System ◽  
Prepubertal Children ◽  
History Of ◽  
Extrauterine Growth Restriction

scholarly journals Prematurity With Extrauterine Growth Restriction Increases the Risk of Higher Levels of Glucose, Low-Grade of Inflammation and Hypertension in Prepubertal Children

2020 ◽  
Vol 8 ◽  
Author(s):  
Maria D. Ordóñez-Díaz ◽  
Juan L. Pérez-Navero ◽  
Katherine Flores-Rojas ◽  
Josune Olza-Meneses ◽  
Maria C. Muñoz-Villanueva ◽  
...  
Keyword(s):  
Growth Restriction ◽  
Low Grade ◽  
Prepubertal Children ◽  
Extrauterine Growth Restriction

scholarly journals Impaired Antioxidant Defence Status Is Associated With Metabolic-Inflammatory Risk Factors in Preterm Children With Extrauterine Growth Restriction: The BIORICA Cohort Study

2021 ◽  
Vol 8 ◽  
Author(s):  
María Dolores Ordóñez-Díaz ◽  
Mercedes Gil-Campos ◽  
Katherine Flores-Rojas ◽  
María Carmen Muñoz-Villanueva ◽  
María Dolores Mesa ◽  
...  
Keyword(s):  
Antioxidant Status ◽  
Growth Restriction ◽  
The Other ◽  
Antioxidant Defence ◽  
Preterm Children ◽  
Increased Risk ◽  
Antioxidant Defence System ◽  
History Of ◽  
Extrauterine Growth Restriction ◽  
Β Carotene

Introduction: An impaired antioxidant status has been described during foetal growth restriction (FGR). Similarly, the antioxidant defence system can be compromised in preterm children with extrauterine growth restriction (EUGR). The aim of this prospective study was to evaluate the antioxidant status in prepubertal children with a history of prematurity without FGR, with and without EUGR, compared to a healthy group.Methods: In total, 211 children were recruited and classified into three groups: 38 with a history of prematurity and EUGR; 50 with a history of prematurity and adequate extrauterine growth (AEUG); and 123 control children born at term. Catalase (CAT), superoxide dismutase (SOD), glutathione peroxidase (GPx) and glutathione reductase (GR) activities were assessed in lysed erythrocytes with spectrophotometric methods. Plasma levels of the antioxidants α-tocopherol, retinol and β-carotene were determined through solvent extraction and ultra-high-pressure liquid chromatography coupled to mass spectrometry.Results: Children with the antecedent of EUGR and prematurity had lower CAT activity than the other two groups and lower GPx activity than the control children. Lower SOD, GPx and GR activities were observed in the AEUG group compared to the controls. However, higher concentrations of α-tocopherol and β-carotene were found in the EUGR group compared to the other groups; retinol levels were also higher in EUGR than in AEUG children. In EUGR and AEUG children, enzymatic antioxidant activities and plasma antioxidants were associated with metabolic syndrome components and pro-inflammatory biomarkers.Conclusions: This study reveals, for the first time, that the EUGR condition and prematurity appear to be linked to an impairment of the antioxidant defence status, which might condition an increased risk of adverse metabolic outcomes later in life.

scholarly journals Prepubertal children with a history of extra-uterine growth restriction exhibit low-grade inflammation

2014 ◽  
Vol 112 (3) ◽  
pp. 338-346 ◽  
Author(s):  
María Ortiz-Espejo ◽  
Juan Luis Pérez-Navero ◽  
Josune Olza-Meneses ◽  
María Carmen Muñoz-Villanueva ◽  
Concepción María Aguilera-García ◽  
...  
Keyword(s):  
Growth Factor ◽  
Reference Group ◽  
Plasma Concentrations ◽  
Growth Restriction ◽  
Inflammatory Biomarkers ◽  
Prepubertal Children ◽  
Tnf Α ◽  
Uterine Growth ◽  
History Of

Intra-uterine growth restriction (IUGR) may induce significant metabolic and inflammatory anomalies, increasing the risk of obesity and CVD later in life. Similarly, alterations in the adipose tissue may lead to metabolic changes in children with a history of extra-uterine growth restriction (EUGR). These mechanisms may induce alterations in immune response during early life. The aim of the present study was to compare pro-inflammatory markers in prepubertal EUGR children with those in a reference population. A total of thirty-eight prepubertal children with a history of EUGR and a reference group including 123 healthy age- and sex-matched children were selected. Perinatal data were examined. In the prepubertal stage, the concentrations of inflammatory biomarkers were measured in both groups. The serum concentrations of C-reactive protein (CRP) and plasma concentrations of hepatocyte growth factor (HGF), IL-6, IL-8, monocyte chemotactic protein type 1 (MCP-1), neural growth factor, TNF-α and plasminogen activator inhibitor type 1 were determined. The plasma concentrations of inflammatory biomarkers CRP, HGF, IL-8, MCP-1 and TNF-α were higher in the EUGR group than in the reference group (P< 0·001). After adjustment for gestational age, birth weight and length, blood pressure values and TNF-α concentrations remained higher in the EUGR group than in the reference group. Therefore, further investigations should be conducted in EUGR children to evaluate the potential negative impact of metabolic, nutritional and pro-inflammatory changes induced by the EUGR condition.

Nutritional Assessment of the Handicapped Child

1989 ◽  
Vol 11 (4) ◽  
pp. 109-115
Author(s):  
William H. Dietz ◽  
Linda Bandini
Keyword(s):  
Vitamin D ◽  
Food Intake ◽  
Case History ◽  
Nutritional Assessment ◽  
Pathologic Fracture ◽  
Handicapped Child ◽  
Great Effort ◽  
Spastic Quadriplegia ◽  
History Of ◽  
History Of Pain

CASE HISTORY G.R. is a 7-year-old boy with spastic quadriplegia evident since birth and a seizure disorder for which he currently is being treated with phenobarbitol and phenytoin (diphenylhydantoin). His medical history includes a pathologic fracture of his right femur. At the time of his fracture, a radiograph of his femur was described as "markedly osteoporotic." He is currently being treated with 1200 IU of vitamin D. His diet as presented is balanced with respect to nutrients. Although spillage is not substantial, eating requires great effort, and each meal lasts approximately 1 hour. He is fed breakfast and supper at home by his mother and lunch in school. There is no history of pain with food intake, no vomiting, and no diarrhea. He weighs 14 kg (far below the 5th percentile), and his length is 112 (at the 5th percentile). His weight for height is far less than the 5th percentile. His mother is 157.5 cm (5 ft 2 in) tall and his father is 167.5 cm (5 ft 6 in) tall. His midarm circumference is 154 mm (less than the 5th percentile), his triceps skinfold is 5 mm (5th percentile), and his midarm muscle circumference is 138 mm (less than the 5th percentile).

scholarly journals Extrauterine growth restriction among neonates with a birthweight less than 1500 grams

2018 ◽  
Vol 89 (6) ◽  
pp. 325-332 ◽  
Author(s):  
Alejandro Avila-Alvarez ◽  
Alfonso Solar Boga ◽  
Carmen Bermúdez-Hormigo ◽  
Jesús Fuentes Carballal
Keyword(s):  
Growth Restriction ◽  
Extrauterine Growth Restriction

scholarly journals Nurses' Knowledge and Responsibility toward Nutritional Assessment for Patients in Intensive Care Units

2014 ◽  
Vol 4 (2) ◽  
pp. 90-96
Author(s):  
Mahmoud Al Kalaldeh ◽  
Mahmoud Shahein
Keyword(s):  
Intensive Care ◽  
Nutritional Assessment ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Under Nutrition ◽  
History Of ◽  
History Of Nutrition ◽  
And Function ◽  
Nurses Knowledge

Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals) and private sectors (two hospitals) were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment.  Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels.  A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.

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