Nutritional Intake, Energy Expenditure, and Growth of Infants Following Congenital Diaphragmatic Hernia Repair

Haliburton, Beth; Chiang, Monping; Marcon, Margaret; Moraes, Theo J.; Chiu, Priscilla; Mouzaki, Marialena

doi:10.1097/mpg.0000000000001000

Cited by 38 publications

(47 citation statements)

References 26 publications

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“…In the higher EN2w group there was better weight gain than in the lower EN2w group; this is consistent with previous reports . Bairdain et al .…”

Section: Discussionsupporting

confidence: 90%

“…reported that the measured resting energy expenditure in CDH patients was higher than the predicted resting energy expenditure. Furthermore, a caloric intake of 125 kcal/kg/day at discharge from hospital was required to achieve an adequate weight gain . Considering that patients with increased respiratory effort have increased caloric demands, the amount of EN should be increased until an adequate bodyweight gain can be ensured.…”

Section: Discussionmentioning

confidence: 99%

“…In 2016, low‐birthweight and the need for home oxygen treatment were found to be independent risk factors for growth retardation in CDH survivors . The amount of enteral nutrition (EN) received has also been shown to be an independent risk factor for growth retardation …”

mentioning

confidence: 99%

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Impact of nutrition in the treatment of congenital diaphragmatic hernia

Terui

Usui

Tazuke

et al. 2019

Pediatrics International

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Background The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients. Methods A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or <50 kcal/kg/day at 1 week of age, and EN ≥ or <60 kcal/kg/day at 2 weeks of age. Changes in bodyweight at 30, 60, and 90 days of age were compared. Results The higher EN group (n = 39) had greater mean weight gain than the lower EN group (n = 66; 90 days: 2,501 g, 95% CI: 2,294–2,710 g vs 1,706 g, 95% CI: 1,553–1,861 g; P <0.001). When patients received lower EN, the higher PN group (n = 24) had greater mean weight gain than the lower PN group (n = 42; 90 days: 1,768 g, 95% CI: 1,574–1,961 g vs 1,411 g, 95% CI: 1,264–1,558 g; P = 0.004). Conclusion The amount of EN in the acute phase of CDH management is essential for weight gain during infancy. When patients are intolerant to adequate EN, supportive PN is also essential.

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“…In the higher EN2w group there was better weight gain than in the lower EN2w group; this is consistent with previous reports . Bairdain et al .…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of nutrition in the treatment of congenital diaphragmatic hernia

Terui

Usui

Tazuke

et al. 2019

Pediatrics International

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“…We speculate that children with recurrent hospitalisations more often received dietary interventions. Close involvement of multidisciplinary nutrition support teams was indeed found to prevent failure to thrive in patients with congenital diaphragmatic hernia 36. It is worth recommending to have such teams, including dietitians and speech-language pathologists, available to support hospitalised children in general, and continue supporting high-risk patients after discharge to home.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal evaluation of growth in oesophageal atresia patients up to 12 years

Vergouwe

Spoel

Beelen

et al. 2017

Arch Dis Child Fetal Neonatal Ed

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“…found that CDH neonates had an elevated resting energy expenditure as measured by indirect calorimetry, and these neonates expended 30% more calories than expected to meet the required weight gain. The hypermetabolic state of CDH neonates was attributed to increased energy requirements for growth due to increased respiratory effort secondary to lung hypoplasia . Mehta et al .…”

Section: Discussionmentioning

confidence: 99%

Early parenteral nutrition in neonates with congenital diaphragmatic hernia

Yoshida

Goya

Iida

et al. 2020

Pediatrics International

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Background The ideal nutritive strategy for a neonate with congenital diaphragmatic hernia (CDH) has not been elucidated. The purpose of this study was to investigate the efficacy of early parenteral nutrition (PN) in CDH neonates. Methods Thirty‐five CDH neonates admitted to a single hospital from January 2005 to December 2014 were retrospectively reviewed. For the first 4 years of the study period, neonates received non‐early PN (n‐EPN) (2005–2008, amino acids [AA] <1.0 g/kg/day, no lipids administered). After the transitional period (TP) (2009–2011, AA 1.0–2.5 g/kg/day, lipid 1.0 g/kg/day), early PN (EPN) (2011–2014, AA ≥3.0 g/kg/day, lipid 1.0 g/kg/day) was performed. We investigated the clinical effect of PN for growth‐associated clinical variables and the outcomes. Results The first day of AA administration was late in the n‐EPN period (6.0 ± 4.6, 0.0 ± 0.8, 0.1 ± 0.3 ; n‐EPN, TP, EPN: in order). The final day of PN (11.0 ± 3.7, 9.2 ± 4.0, 12.4 ± 3.9) and the first day of enteral feeding (4.5 ± 1.9, 4.3 ± 1.4, 4.5 ± 3.2), the first day of full milk feeding (100 mL/kg/day) (10.8 ± 5.4, 9.2 ± 2.3, 11.5 ± 3.5) were statistically equal in every period. The date and body weight at discharge showed no significant differences among the three groups, but the weight‐gain rate from birth to discharge was higher in the EPN group than in the n‐EPN group (P = 0.023). The rate of inhaled nitric oxide (NO) gas administration and the duration of ventilation showed no significant differences among the three groups. Severe PN‐associated liver disease was not noted during the observation period. Conclusions Early PN for CDH neonates promotes weight gain in the neonatal intensive‐care unit. The long‐term efficacy and safety of EPN for CDH neonates should be elucidated by additional studies.

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Nutritional Intake, Energy Expenditure, and Growth of Infants Following Congenital Diaphragmatic Hernia Repair

Abstract: Optimal weight gain can be achieved with higher than predicted calorie provision. Most infants with CDH are hypermetabolic. Despite this, failure to thrive prevalence can improve during the first year of life.

Cited by 38 publications

References 26 publications

Impact of nutrition in the treatment of congenital diaphragmatic hernia

Impact of nutrition in the treatment of congenital diaphragmatic hernia

Longitudinal evaluation of growth in oesophageal atresia patients up to 12 years

Early parenteral nutrition in neonates with congenital diaphragmatic hernia

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