2006
DOI: 10.1542/peds.2006-0733
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The Impact of Early Nutrition in Premature Infants on Later Childhood Insulin Sensitivity and Growth

Abstract: Prematurely born children are insulin resistant and have suboptimal neonatal nutrition. Greater childhood weight gain magnifies this reduction in insulin sensitivity and seems to be associated with early nutrition. We speculate that a high carbohydrate neonatal diet may lead to greater weight gain and a greater reduction in insulin sensitivity in this group.

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Cited by 86 publications
(71 citation statements)
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“…Low protein intake in the first 3 mo of life occurred in the premature group, which was proposed as the trigger to epigenetic modification of genes involved in glucose regulation (47). Other factors such as prenatal or neonatal glucocorticoid exposure and illness in the neonatal period were not associated with insulin sensitivity (46).…”
Section: Childhood Clinical Characteristicsmentioning
confidence: 99%
“…Low protein intake in the first 3 mo of life occurred in the premature group, which was proposed as the trigger to epigenetic modification of genes involved in glucose regulation (47). Other factors such as prenatal or neonatal glucocorticoid exposure and illness in the neonatal period were not associated with insulin sensitivity (46).…”
Section: Childhood Clinical Characteristicsmentioning
confidence: 99%
“…Nutritional advice that is offered to parents in the future will need to reflect the importance of avoiding excess growth (Ekelund et al 2006). Whilst optimal growth rate may differ between individuals, avoiding excess growth is also an important consideration Woods et al 2001 in the nutritional support offered to previously-sick and/or premature infants in their recovery phase when it may have the potential to improve later cardiovascular health (Regan et al 2006).…”
Section: Nutritional Programming Of the Kidney And Its Relationship Wmentioning
confidence: 99%
“…Barker et al [13] documented the association of LBW and low weight gain in the first year of life with death from ischemic heart disease. Recent studies focusing on excessive weight gain in early life have also shown that LBW combined with rapid weight gain in early infancy is associated with greater risk for the development of obesity [14], hypertension [15], insulin resistance [16] [17], and cardiovascular disease [18]. Therefore, growth among LBW infants is thought to influence the occurrence of noncommunicable diseases in later life.…”
Section: Introductionmentioning
confidence: 99%