TITLE

Extrauterine Growth Restriction in Preterm Infants: Importance of Optimizing Nutrition in Neonatal Intensive Care Units

AUTHOR(S)
Yu, Victor Y. H.
PUB. DATE
October 2005
SOURCE
Croatian Medical Journal;2005, Vol. 46 Issue 5, p737
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Extrauterine growth restriction in preterm infants secondary to suboptimal nutrition is a major problem in neonatal intensive care units. Evidence is emerging that early growth deficits have long-term adverse effects, including short stature and poor neurodevelopmental outcomes. The parenteral route of feeding is essential to maintain nutritional integrity before successful transition to the enteral route of feeding is achieved. Nevertheless, early initiation of enteral feeding in sub-nutritional trophic quantity is vital for promoting gut motility and bile secretion, inducing lactase activity, and reducing sepsis and cholestatic jaundice. Results emerging from over sixty randomized clinical trials are available for providing a template on which feeding protocols can be based. Preterm breast milk expressed from the infant's own mother is the milk of choice. Supplementation with a human milk fortifier is necessary to optimize nutritional intake. Preterm formulas are an appropriate substitute for preterm human milk when the latter is unavailable. There are over ten systematic reviews of randomized controlled trials published by the Cochrane Library that addressed feeding strategies, but most do not address long-term outcome measures of clinical importance. There is an urgent need for large-scale, long-term randomized controlled trials to help evaluate metabolic, growth, and neurodevelopmental responses of preterm infants to earlier and more aggressive nutritional management.
ACCESSION #
18487242

 

Related Articles

  • Measurement of bone mineral density by dual energy X-ray absorptiometry in preterm infants fed human milk or formula. Alpay, F.; Ünay, B.; Narin, Y.; Akin, R.; Inanc, N.; Özcan, O.; Gökcay, E. // European Journal of Pediatrics;1998, Vol. 157 Issue 6, p505 

    Abstract Bone mineralization of healthy preterm infants fed human milk were compared with that of similar fed preterm formula. Bone mineralization was studied by dual energy X-ray absorptiometry in 43 preterm infants divided into two groups; 21 preterm infants were fed with maternal breast milk...

  • "Oro blanco donado" para prematuros. Cruz Lendinez, C.; Cruz, R. // Nutricion Hospitalaria;dic2012 suplemento 3, Vol. 27, p25 

    No abstract available.

  • Maternal breast milk benefits establishment of preterm infant gut microbiota. Cox, Amber; Oldt, Amanda; Richards, Cassandra A. // Infectious Diseases in Children;Jun2014, Vol. 27 Issue 6, p15 

    The article discusses the data presented at the 2014 Pediatric Academic Societies Annual Meeting revealing that preterm infants in the neonatal intensive care unit (ICU) benefit more from maternal breast milk than pasteurized human milk or infant formula.

  • Effect of Aggressive Early High-Dose Intravenous Amino Acid Infusion and Early Trophic Enteral Nutrition on Very Low Birth Weight Infants. Man-Yau Ho; Yu-Hsuan Yen; Hsiang-Yin Chen; Shu-Chen Chien; Mao-Chih Hsieh; Yao-Shun Yang // Food & Nutrition Sciences;Nov2012, Vol. 3 Issue 11, p1604 

    Objective: Very-low-birth-weight (VLBW) preterm infants are at risk of growth delay if they do not receive adequate nutritional support. This study evaluated the effect of aggressive early high-dose amino acid infusion plus early enteral trophic feeding on growth in VLBW infants within the first...

  • Evacuación del meconio intestinal para mejorar tolerancia alimentaria en prematuro de muy bajo peso (protocolo Emita). MENA N., PATRICIA; DEL P., JORGE LEÓN; SANDINO P., DANIELA; RALMOLFO B., PAMELA; SABATELLI, DEBORA; LLANOS M., ADOLFO; MILET L., BEATRIZ // Revista Chilena de Pediatría;2014, Vol. 85 Issue 3, p304 

    Introduction: It has been reported that feeding tolerance in preterm infants is associated with an early passage of meconium. Prospective, randomized or historical control studies that stimulate meconium evacuation have reported varied results. This study was intented to evaluate the use of...

  • CSPEN guidelines for nutrition support in neonates. Wei Cai // Asia Pacific Journal of Clinical Nutrition;Dec2013, Vol. 22 Issue 4, p655 

    In the last few decades, there has been a significant increase in survival rate of preterm infants, especially very low birth weight infants. The nutrition problems have become particularly relevant in neonates, and nutrition support is usually required for preterm infants and most sick term...

  • Clinical update: understanding jaundice in the breastfed infant. Clark, Mary // Community Practitioner;Jun2013, Vol. 86 Issue 6, p42 

    Breastfed infants are more likely to be jaundiced than infants who are formula fed. Community practitioners need to understand the physiology of jaundice and the issues associated with breastfeeding so that they can support parents. Visible jaundice is a result of hyperbilirubinaemia and, in...

  • Feeding a Preemie. Coutts, Cherylann // Parenting;Jun/Jul2001, Vol. 15 Issue 5, p32 

    Provides information on the health effects of giving breast milk to premature babies. Nutrients in breast milk; Process of tube feeding and nursing; Transition from human milk to baby formulas.

  • Breast milk.  // Better Nutrition;Dec2000, Vol. 62 Issue 12, p18 

    Reports the importance of breast milk in the brain development of premature babies in the United States. Designation of long-chain polyunsaturated fatty acids as an important factor of brain development; Comparison of brainstem responses between breast milk and formula designed milk; Attainment...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics