Nutritional policies for late preterm and early term infants – can we do better?

Muelbert, Mariana; Harding, Jane E; Bloomfield, Frank H.

doi:10.1016/j.siny.2018.10.005

Cited by 16 publications

(16 citation statements)

References 64 publications

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“…Suboptimal nutritional support is usual following major surgery of gastrointestinal tract, due to non-physiological feeding (commonly only intravenous and then only slow advancement of often dilute enteral feeding), as well as and increased protein synthesis for tissue repair, which is a high energy-requiring process [21]. In our study, we found that the median energy intake was frequently below or close to the minimum 90 Kcal/kg/d recommended for parenteral and enteral nutrition [38,39,45,46]; median energy intakes in infants born preterm varied between 80.7 and 115.8 Kcal/kg/d, and in infants born at term between 64.6 and 105.2 Kcal/kg/d. This resulted in periods of low energy balance, which varied between a median of 16.1 and 41.6 Kcal/kg/d in infants born preterm and 19.8 and 45.0 Kcal/kg/d in those born at term.…”

Section: Resting Energy Expenditure Energy Intake and Energy Balancementioning

confidence: 71%

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

Pereira‐da‐Silva

Barradas²,

Moreira³

et al. 2020

Nutrients

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This cohort study describes the evolution of resting energy expenditure (REE), respiratory quotient (RQ), and adiposity in infants recovering from corrective surgery of major congenital gastrointestinal tract anomalies. Energy and macronutrient intakes were assessed. The REE and RQ were assessed by indirect calorimetry, and fat mass index (FMI) was assessed by air displacement plethysmography. Longitudinal variations over time are described. Explanatory models for REE, RQ, and adiposity were obtained by multiple linear regression analysis. Twenty-nine infants were included, 15 born preterm and 14 at term, with median gestational age of 35.3 and 38.1 weeks and birth weight of 2304 g and 2935 g, respectively. In preterm infants, median REE varied between 55.7 and 67.4 Kcal/kg/d and median RQ increased from 0.70 to 0.86–0.92. In term infants, median REE varied between 57.3 and 67.9 Kcal/kg/d and median RQ increased from 0.63 to 0.84–0.88. Weight gain velocity was slower in term than preterm infants. FMI, assessed in a subset of 15 infants, varied between a median of 1.7 and 1.8 kg/m2 at term age. This low adiposity may be related to poor energy balance, low fat intakes, and low RQ¸ that were frequently recorded in several follow-up periods.

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Section: Resting Energy Expenditure Energy Intake and Energy Balancementioning

confidence: 71%

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

Pereira‐da‐Silva

Barradas²,

Moreira³

et al. 2020

Nutrients

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“…The LPT are usually not discharged from the hospital until they are at least 48 h old 17 . Prior to discharge, these infants should have been stable for at least 24 h. Clinical stability is established in terms of successful feeding for at least 24 h without excessive weight loss or vomiting; passing at least one stool per 24 h; having stable vital signs; and having no signs of sepsis 17 .…”

Section: Discussionmentioning

confidence: 99%

A survey among healthcare professionals from seven countries reported diverse nutritional practices of late preterm infants

Cheang¹,

Yeung

Cheah

et al. 2022

Acta Paediatrica

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Aim:To gain insight into nutritional practices and expected growth outcomes of infants born between 34 and 36 gestational weeks defined as late preterm infants (LPT).Methods: An anonymous online survey among paediatricians and neonatologists from Bangladesh, Indonesia, Mexico, Nigeria, Malaysia, Singapore and Taiwan was conducted from March until October 2020. The questionnaire consisted of 40 questions on the nutritional management and expected growth outcomes of LPT in and after-hospital care.Results: Healthcare professionals from low to high Human Development (HDI) countries (n = 322) and very high HDI countries (n = 169) participated in the survey. Human milk was the preferred feeding, resulting in an adequate growth of LPT (weight, length

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“…Optimal nutrition might help to prevent or reduce the incidence of developmental deficits. In a study regarding nutritional policies, breastfeeding was advised as the most optimal feeding for the late preterm infant (Muelbert et al, 2019). There is a lack of well-executed studies, however, that evaluate the optimal composition of nutrition, such as the amount of protein late preterm infants require.…”

Section: Discussionmentioning

confidence: 99%

Duration of Breastfeeding in Late Preterm Infants: Maternal and Infant Factors

et al. 2020

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Background More than 550,000 late preterm infants are born each year in Indonesia. These infants, born between 340/7–366/7 weeks, have more complications than term infants. Breastfeeding is considered the most optimal nutrition for newborn infants. Two groups of factors are important for successful breastfeeding: infant and maternal factors. The infant factors can be evaluated using the Infant Breastfeeding Assessment Tool and the maternal aspects with the Breastfeeding Self-Efficacy Scale–Short Form. Aim To determine whether the Infant Breastfeeding Assessment Tool or the Breastfeeding Self-Efficacy Scale–Short Form was more predictive of successful breastfeeding among late preterm infants. Methods This study was conducted in the Academic Teaching Hospital in Surabaya, Indonesia in March–July 2017. Mothers who delivered their infant between a gestational age of 340/7 and 366/7 weeks were included. Results Fifty-four single born participant mother–infant pairs were included. The mean total Breastfeeding Self-Efficacy Scale–Short Form score was 57.8 ( SD = 8.9). The mean Infant Breastfeeding Assessment Tool score was 8.3 ( SD = 1.8). There was a significant correlation between the total Breastfeeding Self-Efficacy Scale–Short Form score and the Infant Breastfeeding Assessment Tool score ( p = .020, r = 0.316). The Breastfeeding Self-Efficacy Scale–Short Form was significantly higher in the participant (mothers) of the infants breastfed ≥ 4 months, compared to < 4 months, 61.59 ( SD = 5.78) versus 51.78 ( SD = 11.64; p = .001). No correlation was found between the duration of breastfeeding and Infant Breastfeeding Assessment Tool score ( p = .087) Conclusion Maternal factors were more important for successful breastfeeding in these late preterm infants than infant factors in our sample.

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Nutritional policies for late preterm and early term infants – can we do better?

Cited by 16 publications

References 64 publications

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

Evolution of Resting Energy Expenditure, Respiratory Quotient, and Adiposity in Infants Recovering from Corrective Surgery of Major Congenital Gastrointestinal Tract Anomalies: A Cohort Study

A survey among healthcare professionals from seven countries reported diverse nutritional practices of late preterm infants

Duration of Breastfeeding in Late Preterm Infants: Maternal and Infant Factors

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