Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants

Very low birthweight (VLBW, <1500 g) infants may be predisposed to undernutrition during the nutritional transition phase from parenteral to enteral nutrition. We studied the associations among the length of the transition phase, postnatal macronutrient intake, and growth from birth to term equiv...

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Autores principales:	Lotta Immeli, Ulla Sankilampi, Pauliina M. Mäkelä, Markus Leskinen, Reijo Sund, Sture Andersson, Päivi Luukkainen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	preterm infants nutrition very low birthweight infant transition phase growth parenteral nutrition Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/44022d9434ab49548c49aa26b3e95856
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spelling	oai:doaj.org-article:44022d9434ab49548c49aa26b3e958562021-11-25T18:35:38ZLength of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants10.3390/nu131139612072-6643https://doaj.org/article/44022d9434ab49548c49aa26b3e958562021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3961https://doaj.org/toc/2072-6643Very low birthweight (VLBW, <1500 g) infants may be predisposed to undernutrition during the nutritional transition phase from parenteral to enteral nutrition. We studied the associations among the length of the transition phase, postnatal macronutrient intake, and growth from birth to term equivalent age in VLBW infants. This retrospective cohort study included 248 VLBW infants born before 32 weeks of gestation and admitted to the Children’s Hospital, Helsinki, Finland during 2005–2013. Daily nutrient intakes were obtained from computerized medication administration records. The length of the transition phase correlated negatively with cumulative energy, protein, fat, and carbohydrate intake at 28 days of age. It also associated negatively with weight and head circumference growth from birth to term equivalent age. For infants with a long transition phase (over 12 d), the estimates (95% CI) for weight and head circumference z-score change from birth to term equivalent age were −0.3 (−0.56, −0.04) and −0.44 (−0.81, −0.07), respectively, in comparison to those with a short transition phase (ad 7 d). For VLBW infants, rapid transition to full enteral feeding might be beneficial. However, if enteral nutrition cannot be advanced, well-planned parenteral nutrition during the transition phase is necessary to promote adequate growth.Lotta ImmeliUlla SankilampiPauliina M. MäkeläMarkus LeskinenReijo SundSture AnderssonPäivi LuukkainenMDPI AGarticlepreterm infantsnutritionvery low birthweight infanttransition phasegrowthparenteral nutritionNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3961, p 3961 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	preterm infants nutrition very low birthweight infant transition phase growth parenteral nutrition Nutrition. Foods and food supply TX341-641
spellingShingle	preterm infants nutrition very low birthweight infant transition phase growth parenteral nutrition Nutrition. Foods and food supply TX341-641 Lotta Immeli Ulla Sankilampi Pauliina M. Mäkelä Markus Leskinen Reijo Sund Sture Andersson Päivi Luukkainen Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
description	Very low birthweight (VLBW, <1500 g) infants may be predisposed to undernutrition during the nutritional transition phase from parenteral to enteral nutrition. We studied the associations among the length of the transition phase, postnatal macronutrient intake, and growth from birth to term equivalent age in VLBW infants. This retrospective cohort study included 248 VLBW infants born before 32 weeks of gestation and admitted to the Children’s Hospital, Helsinki, Finland during 2005–2013. Daily nutrient intakes were obtained from computerized medication administration records. The length of the transition phase correlated negatively with cumulative energy, protein, fat, and carbohydrate intake at 28 days of age. It also associated negatively with weight and head circumference growth from birth to term equivalent age. For infants with a long transition phase (over 12 d), the estimates (95% CI) for weight and head circumference z-score change from birth to term equivalent age were −0.3 (−0.56, −0.04) and −0.44 (−0.81, −0.07), respectively, in comparison to those with a short transition phase (ad 7 d). For VLBW infants, rapid transition to full enteral feeding might be beneficial. However, if enteral nutrition cannot be advanced, well-planned parenteral nutrition during the transition phase is necessary to promote adequate growth.
format	article
author	Lotta Immeli Ulla Sankilampi Pauliina M. Mäkelä Markus Leskinen Reijo Sund Sture Andersson Päivi Luukkainen
author_facet	Lotta Immeli Ulla Sankilampi Pauliina M. Mäkelä Markus Leskinen Reijo Sund Sture Andersson Päivi Luukkainen
author_sort	Lotta Immeli
title	Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
title_short	Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
title_full	Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
title_fullStr	Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
title_full_unstemmed	Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants
title_sort	length of nutritional transition associates negatively with postnatal growth in very low birthweight infants
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/44022d9434ab49548c49aa26b3e95856
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Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants

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