Comparing growth charts demonstrated significant deviations between the interpretation of postnatal growth patterns in very preterm infants

2015 ◽  
Vol 105 (3) ◽  
pp. 268-273 ◽  
Author(s):  
Vera Neubauer ◽  
Teresa Fuchs ◽  
Elke Griesmaier ◽  
Ulrike Pupp‐Peglow ◽  
Ursula Kiechl‐Kohlendorfer
Keyword(s):  
Preterm Infants ◽  
Postnatal Growth ◽  
Growth Patterns ◽  
Growth Charts ◽  
Very Preterm Infants ◽  
Very Preterm

Aortic growth arrest after preterm birth: a lasting structural change of the vascular tree

2011 ◽  
Vol 2 (4) ◽  
pp. 218-225 ◽  
Author(s):  
U. Schubert ◽  
M. Müller ◽  
A.-K. Edstedt Bonamy ◽  
H. Abdul-Khaliq ◽  
M. Norman
Keyword(s):  
Preterm Birth ◽  
Carotid Artery ◽  
Preterm Infants ◽  
Growth Failure ◽  
Later Life ◽  
Postnatal Growth ◽  
Direct Result ◽  
Arterial Tree ◽  
Very Preterm Infants ◽  
Very Preterm

Young people who are born very preterm exhibit a narrower arterial tree as compared with people born at term. We hypothesized that such arterial narrowing occurs as a direct result of premature birth. The aim of this study was to compare aortic and carotid artery growth in infants born preterm and at term. Observational and longitudinal cohort study of 50 infants (21 born very preterm, all appropriate for gestational age, 29 controls born at term) was conducted. Diameters of the upper abdominal aorta and common carotid artery were measured with ultrasonography at three months before term, at term and three months after term-equivalent age. At the first assessment, the aortic end-diastolic diameter (aEDD) was slightly larger in very preterm infants as compared with fetal dimensions. Fetal aortic EDD increased by 2.6 mm during the third trimester, whereas very preterm infants exhibited 0.9 mm increase in aEDD during the same developmental period (P < 0.001 for group difference). During the following 3-month period, aortic growth continued unchanged (+0.9 mm) in very preterm infants, whereas postnatal growth in term controls slowed down to +1.3 mm (P < 0.001 v. fetal aortic growth). At the final examination, aEDD was 22% and carotid artery EDD was 14% narrower in infants born preterm compared with controls, also after adjusting for current weight (P < 0.01). Aortic and carotid artery growth is impaired after very preterm birth, resulting in arterial narrowing. Arterial growth failure may be a generalized vascular phenomenon after preterm birth, with implications for cardiovascular morbidity in later life.

Yes, we can - achieve adequate early postnatal growth in very preterm infants

2013 ◽  
Vol 102 (8) ◽  
pp. e345-e345
Author(s):  
C Maas ◽  
CF Poets ◽  
AR Franz
Keyword(s):  
Preterm Infants ◽  
Postnatal Growth ◽  
Very Preterm Infants ◽  
Very Preterm

scholarly journals Influence of Insulin-Like Growth Factor I and Nutrition During Phases of Postnatal Growth in Very Preterm Infants

2011 ◽  
Vol 69 (5 Part 1) ◽  
pp. 448-453 ◽  
Author(s):  
INGRID HANSEN-PUPP ◽  
CHATARINA LÖFQVIST ◽  
STAFFAN POLBERGER ◽  
AIMON NIKLASSON ◽  
VINETA FELLMAN ◽  
...  
Keyword(s):  
Growth Factor ◽  
Preterm Infants ◽  
Postnatal Growth ◽  
Insulin Like Growth Factor ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Factor I ◽  
Growth Factor I

scholarly journals Generating longitudinal growth charts from preterm infants fed to current recommendations

2020 ◽  
Vol 105 (6) ◽  
pp. 646-651
Author(s):  
Aneurin Young ◽  
Edward T Andrews ◽  
James John Ashton ◽  
Freya Pearson ◽  
R Mark Beattie ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Real World ◽  
Head Circumference ◽  
Web Application ◽  
Care Pathway ◽  
Repeated Measurements ◽  
Growth Charts ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Integrated Care Pathway

ObjectiveTo use repeated measurements of weight, length and head circumference to generate growth centile charts reflecting real-world growth of a population of very preterm infants with a well-described nutritional intake close to current recommendations.DesignInfants born before 30 weeks gestational age (GA) were recruited. Infants received nutrition according to an integrated care pathway, with nutrient intake recorded daily, weight recorded twice-weekly and length and head circumference weekly. The LMS method was used to construct growth centile charts between 24 and 36 weeks corrected GA for each parameter.SettingA single tertiary neonatal unit in England.Patients212 infants (124 male) (median GA at birth: 27.3 weeks, median birth weight: 900 g).ResultsMedian daily energy, protein, carbohydrate and fat intake were within 3% of published recommendations. The total number of measurements recorded was 5944 (3431 for weight, 1227 for length and 1286 for head circumference). Centile charts were formed for each parameter. Data for male and female infants demonstrated similar patterns of growth and were pooled for LMS analysis. A web application was created and published (bit.ly/sotongrowth) to allow infants to be plotted on these charts with changes in SD score of measurements reported and graphically illustrated.ConclusionsThese charts reflect growth in a real-world cohort of preterm infants whose nutrient intakes are close to current recommendations. This work demonstrates the feasibility of forming growth charts from serial measurements of growing preterm infants fed according to current recommendations which will aid clinicians in setting a benchmark for achievable early growth.

Body composition in very preterm infants before discharge is associated with macronutrient intake

2020 ◽  
Vol 123 (7) ◽  
pp. 800-806 ◽  
Author(s):  
Barbara E. Lingwood ◽  
Nada Al-Theyab ◽  
Yvonne A. Eiby ◽  
Paul B. Colditz ◽  
Tim J. Donovan
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Preterm Infants ◽  
Postnatal Growth ◽  
Clinical Predictors ◽  
Percentage Body Fat ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Pea Pod ◽  
Daily Intakes

AbstractVery preterm infants experience poor postnatal growth relative to intra-uterine growth rates but have increased percentage body fat (%fat). The aim of the present study was to identify nutritional and other clinical predictors of infant %fat, fat mass (FM) (g) and lean mass (LM) (g) in very preterm infants during their hospital stay. Daily intakes of protein, carbohydrate, lipids and energy were recorded from birth to 34 weeks postmenstrual age (PMA) in fifty infants born <32 weeks. Clinical illness variables and anthropometric data were also collected. Body composition was assessed at 34–37 weeks PMA using the PEA POD Infant Body Composition System. Multiple regression analysis was used to identify independent predictors of body composition (%fat, FM or LM). Birth weight, birth weight z-score and PMA were strong positive predictors of infant LM. After adjustment for these factors, the strongest nutrient predictors of LM were protein:carbohydrate ratios (102–318 g LM/0·1 increase in ratio, P = 0·006–0·015). Postnatal age (PNA) and PMA were the strongest predictors of infant FM or %fat. When PNA and PMA were accounted for a higher intake of energy (–1·41 to –1·61 g FM/kJ per kg per d, P = 0·001–0·012), protein (–75·5 to –81·0 g FM/g per kg per d, P = 0·019–0·038) and carbohydrate (–27·2 to –30·0 g FM/g per kg per d, P = 0·012–0·019) were associated with a lower FM at 34–37 weeks PMA. Higher intakes of energy, protein and carbohydrate may reduce fat accumulation in very preterm infants until at least 34–37 weeks PMA.

scholarly journals Reply: “It is Time for a Universal Nutrition Policy in Very Preterm Neonates during the Neonatal Period? Comment on: Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants Nutrients 2019, 11, 2772”

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 983
Author(s):  
Montserrat Izquierdo Renau ◽  
Victoria Aldecoa-Bilbao ◽  
Carla Balcells Esponera ◽  
Beatriz del Rey Hurtado de Mendoza ◽  
Martin Iriondo Sanz ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Clinical Setting ◽  
Neonatal Period ◽  
Postnatal Growth ◽  
Nutrition Policy ◽  
Preterm Neonates ◽  
Longitudinal Cohort ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Growth Assessment

We would like to thank Gounaris et al [...]

The Effect of Morbidity and Sex on Postnatal Growth of Very Preterm Infants: A Multicenter Cohort Study

Neonatology ◽  
2019 ◽  
Vol 115 (4) ◽  
pp. 348-354 ◽  
Author(s):  
Carlos Zozaya ◽  
Alejandro Avila-Alvarez ◽  
Luis Arruza ◽  
Fermín García-Muñoz Rodrigo ◽  
Cristina Fernandez-Perez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Preterm Infants ◽  
Postnatal Growth ◽  
Multicenter Cohort Study ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Multicenter Cohort

Antenatal and Postnatal Growth and 5-Year Cognitive Outcome in Very Preterm Infants

PEDIATRICS ◽  
2013 ◽  
Vol 133 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Marika Leppänen ◽  
Helena Lapinleimu ◽  
Annika Lind ◽  
Jaakko Matomäki ◽  
Liisa Lehtonen ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Postnatal Growth ◽  
Cognitive Outcome ◽  
Very Preterm Infants ◽  
Very Preterm
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