Population-based study shows improved postnatal growth in preterm very-low-birthweight infants between 1995 and 2010

Shlomai, Noa Ofek; Reichman, Brian; Lerner‐Geva, Liat; Boyko, Valentina; Bar‐Oz, Benjamin

doi:10.1111/apa.12569

Cited by 50 publications

(48 citation statements)

References 26 publications

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“…In a study by Ofek Shlomai et al9), among VLBW infants born at 24- to 32-week gestational age who were discharged home at ≤40 weeks postmenstrual age, the percentage of those with severe growth failure decreased significantly from 11.5% in 1995–2000 to 5.2% in 2006–2010, and those with mild growth failure declined from 40.1% to 9.8% during these periods ( P <0.001). In a study by Cole et al10), among ELBW infants assessed at 18–22 months of corrected gestational age, 50.5% and 31.7% had weights and heights <10th percentile at follow-up, respectively.…”

Section: Discussionmentioning

confidence: 98%

“…Among VLBW infants of 24–32 weeks' gestational age who were discharged at ≤40 weeks postconception age (PCA), the percentage of those with severe growth failure has decreased significantly, from 11.5% in 1995–2000 to 5.2% in 2006–2010, and mild growth failure declined from 40.1% to 9.8% during these periods; however, these improvements remain insufficient9).…”

Section: Introductionmentioning

confidence: 99%

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Postdischarge growth assessment in very low birth weight infants

et al. 2017

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PurposeThe goal of nutritional support for very-low-birth-weight (VLBW) infants from birth to term is to match the in utero growth rates; however, this is rarely achieved.MethodsWe evaluated postdischarge growth patterns and growth failure in 81 Korean VLBW infants through a retrospective study. Weight and height were measured and calculated based on age percentile distribution every 3 months until age 24 months. Growth failure was defined as weight and height below the 10th percentile at 24 months. For the subgroup analysis, small-for-gestational age (SGA) and extremely low birth weight (ELBW) infants were evaluated. The growth patterns based on the Korean, World Health Organization (WHO), or Centers for Disease Control and Prevention (CDC) standard were serially compared over time.ResultsAt postconception age (PCA) 40 weeks, 47 (58%) and 45 infants (55%) showed growth failure in terms of weight and height, respectively. At PCA 24 months, 20 infants (24%) showed growth failure for weight and 14 (18%) for height. Growth failure rates were higher for the SGA infants than for the appropriate-weight-for-gestational age infants at PCA 24 months (P=0.045 for weight and P=0.038 for height). Growth failure rates were higher for the ELBW infants than for the non-ELBW infants at PCA 24 months (P<0.001 for weight and P=0.003 for height). Significant differences were found among the WHO, CDC, and Korean standards (P<0.001).ConclusionAdvancements in neonatal care have improved the catch-up growth of VLBW infants, but this is insufficient. Careful observation and aggressive interventions, especially in SGA and ELBW infants, are needed.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Postdischarge growth assessment in very low birth weight infants

et al. 2017

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“…37 Improvement in postnatal growth in very low birth weight preterm infants in Israel may play a role in decreasing mortality and morbidity including ROP. 38,39 Severe postnatal growth failure decreased from 11.7% in 1995-2000 to 7.2% in 2001-2005 and 5.2% in 2006-2010. A study of 317 very low birth weight preterm babies revealed that low weight gain by 6 weeks of life was an important and independent risk factor for severe ROP.…”

Section: Discussionmentioning

confidence: 99%

Trends in the incidence and causes of severe visual impairment and blindness in children from Israel

Mezer

Chetrit

Kalter‐Leibovici

et al. 2015

Journal of American Association for Pediatric Ophthalmology and

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“…Growth z ‐scores were calculated at birth, at the beginning of the study, and at the end of the study using the LMS method, based on Fenton growth charts . EUGR was defined as a decrease of >1 z ‐score (severe EUGR >2) in weight between birth and other measures taken during the hospital stay …”

Section: Methodsmentioning

confidence: 99%

Effects of Targeted Versus Adjustable Protein Fortification of Breast Milk on Early Growth in Very Low‐Birth‐Weight Preterm Infants: A Randomized Clinical Trial

et al. 2019

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Background Breast milk is preferred for the feeding of very low‐birth‐weight (VLBW) infants, but it does not meet nutrition requirements unless it is fortified. Adequate protein intake to maintain the growth of preterm infants cannot be provided by standard fortification methods because of variation in the protein content of human milk. Individualization is necessary to achieve target protein intakes. The goal of this study was to compare the effects of 2 different methods of individualized protein fortification of breast milk on the early growth of VLBW preterm infants. Methods In a prospective observational study, VLBW preterm infants ≤32 weeks of gestational age were randomized into 2 groups according to the method of breast milk fortification. Anthropometric measurements were performed in both groups weekly for 4 weeks to compare their growth. Results During the trial period, the daily protein intake (targeted vs adjustable fortification groups) was (median [range]) 4.5 (4.4–4.6) vs 4.01 (3.5–4.4) g/kg/d (P = 0.001); the daily weight gains (g/d and g/kg/d; mean ± SD) were 25.7 ± 3.9 vs 22.2 ± 6.4 g/d (P = 0.048) and 23.1 ± 4.3 vs 18.7 ± 4.3 g/kg/d (P = 0.014); and the weekly increase in head circumference was 9.8 ± 1.5 vs 8.4 ± 2.1 mm/wk (P = 0.040). All parameters were significantly higher in the targeted than the adjustable fortification group. Conclusions Individualized protein fortification using the targeted method for VLBW preterm infants had more positive effects on short‐term growth compared with the adjustable fortification method.

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Population-based study shows improved postnatal growth in preterm very-low-birthweight infants between 1995 and 2010

Abstract: We demonstrated a marked decline in PNGF among preterm VLBW infants from 1995-2000 to 2006-2010. This decline was even present in extremely premature infants.

Cited by 50 publications

References 26 publications

Postdischarge growth assessment in very low birth weight infants

Postdischarge growth assessment in very low birth weight infants

Trends in the incidence and causes of severe visual impairment and blindness in children from Israel

Effects of Targeted Versus Adjustable Protein Fortification of Breast Milk on Early Growth in Very Low‐Birth‐Weight Preterm Infants: A Randomized Clinical Trial

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