Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.

<h4>Introduction</h4>Whether parenteral nutrition benefits growth of very low birth weight (VLBW) preterm infants in the setting of rapid enteral feeding advancement is unclear. Our aim was to examine this issue using data from Japan, where enteral feeding typically advances at a rapid r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Naho Morisaki, Mandy B Belfort, Marie C McCormick, Rintaro Mori, Hisashi Noma, Satoshi Kusuda, Masanori Fujimura, Neonatal Research Network of Japan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/68781c83357d40748fff1e9bfb54f05d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:68781c83357d40748fff1e9bfb54f05d
record_format	dspace
spelling	oai:doaj.org-article:68781c83357d40748fff1e9bfb54f05d2021-11-18T08:32:06ZBrief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.1932-620310.1371/journal.pone.0088392https://doaj.org/article/68781c83357d40748fff1e9bfb54f05d2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24586323/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Whether parenteral nutrition benefits growth of very low birth weight (VLBW) preterm infants in the setting of rapid enteral feeding advancement is unclear. Our aim was to examine this issue using data from Japan, where enteral feeding typically advances at a rapid rate.<h4>Methods</h4>We studied 4005 hospitalized VLBW, very preterm (23-32 weeks' gestation) infants who reached full enteral feeding (100 ml/kg/day) by day 14, from 75 institutions in the Neonatal Research Network Japan (2003-2007). Main outcomes were weight gain, head growth, and extra-uterine growth restriction (EUGR, measurement <10(th) percentile for postmenstrual age) at discharge.<h4>Results</h4>40% of infants received parenteral nutrition. Adjusting for maternal, infant, and institutional characteristics, infants who received parenteral nutrition had greater weight gain [0.09 standard deviation (SD), 95% CI: 0.02, 0.16] and head growth (0.16 SD, 95% CI: 0.05, 0.28); lower odds of EUGR by head circumference (OR 0.66, 95% CI: 0.49, 0.88). No statistically significant difference was seen in the proportion of infants with EUGR at discharge. SGA infants and infants who took more than a week until full feeding had larger estimates.<h4>Discussion</h4>Even in infants who are able to establish enteral nutrition within 2 weeks, deprivation of parenteral nutrition in the first weeks of life could lead to under nutrition, but infants who reached full feeding within one week benefit least. It is important to predict which infants are likely or not likely to advance on enteral feedings within a week and balance enteral and parenteral nutrition for these infants.Naho MorisakiMandy B BelfortMarie C McCormickRintaro MoriHisashi NomaSatoshi KusudaMasanori FujimuraNeonatal Research Network of JapanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e88392 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Naho Morisaki Mandy B Belfort Marie C McCormick Rintaro Mori Hisashi Noma Satoshi Kusuda Masanori Fujimura Neonatal Research Network of Japan Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
description	<h4>Introduction</h4>Whether parenteral nutrition benefits growth of very low birth weight (VLBW) preterm infants in the setting of rapid enteral feeding advancement is unclear. Our aim was to examine this issue using data from Japan, where enteral feeding typically advances at a rapid rate.<h4>Methods</h4>We studied 4005 hospitalized VLBW, very preterm (23-32 weeks' gestation) infants who reached full enteral feeding (100 ml/kg/day) by day 14, from 75 institutions in the Neonatal Research Network Japan (2003-2007). Main outcomes were weight gain, head growth, and extra-uterine growth restriction (EUGR, measurement <10(th) percentile for postmenstrual age) at discharge.<h4>Results</h4>40% of infants received parenteral nutrition. Adjusting for maternal, infant, and institutional characteristics, infants who received parenteral nutrition had greater weight gain [0.09 standard deviation (SD), 95% CI: 0.02, 0.16] and head growth (0.16 SD, 95% CI: 0.05, 0.28); lower odds of EUGR by head circumference (OR 0.66, 95% CI: 0.49, 0.88). No statistically significant difference was seen in the proportion of infants with EUGR at discharge. SGA infants and infants who took more than a week until full feeding had larger estimates.<h4>Discussion</h4>Even in infants who are able to establish enteral nutrition within 2 weeks, deprivation of parenteral nutrition in the first weeks of life could lead to under nutrition, but infants who reached full feeding within one week benefit least. It is important to predict which infants are likely or not likely to advance on enteral feedings within a week and balance enteral and parenteral nutrition for these infants.
format	article
author	Naho Morisaki Mandy B Belfort Marie C McCormick Rintaro Mori Hisashi Noma Satoshi Kusuda Masanori Fujimura Neonatal Research Network of Japan
author_facet	Naho Morisaki Mandy B Belfort Marie C McCormick Rintaro Mori Hisashi Noma Satoshi Kusuda Masanori Fujimura Neonatal Research Network of Japan
author_sort	Naho Morisaki
title	Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
title_short	Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
title_full	Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
title_fullStr	Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
title_full_unstemmed	Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.
title_sort	brief parenteral nutrition accelerates weight gain, head growth even in healthy vlbws.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/68781c83357d40748fff1e9bfb54f05d
work_keys_str_mv	AT nahomorisaki briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT mandybbelfort briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT mariecmccormick briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT rintaromori briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT hisashinoma briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT satoshikusuda briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT masanorifujimura briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws AT neonatalresearchnetworkofjapan briefparenteralnutritionacceleratesweightgainheadgrowtheveninhealthyvlbws
_version_	1718421687260676096

Brief parenteral nutrition accelerates weight gain, head growth even in healthy VLBWs.

Ejemplares similares