Body composition assessment in the infant

Demerath, Ellen W.; Fields, David A.

doi:10.1002/ajhb.22500

Cited by 171 publications

(196 citation statements)

References 111 publications

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“…Body composition and particularly changes in lean body mass are difficult to measure accurately in very small preterm babies. Several indirect in vivo techniques have been evaluated including bioelectrical impedance analysis, dual-energy x-ray absorptiometry, MRI and use of stable isotopes, such as deuterium oxide dilution (32). Issues of complexity, expense, and ease of use that are beyond the scope of this article mean that none of these is practical for routine measurement of preterm babies.…”

Section: Recommendationsmentioning

confidence: 99%

Comparing apples with apples: it is time for standardized reporting of neonatal nutrition and growth studies

et al. 2016

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Review challenging to interpret and meta-analysis difficult to perform. Given that many studies are of small size, meta-analysis and Individual Participant Data meta-analysis would enhance interpretation of these data. Meta-analysis would be much more robust if there were an agreed upon set of international guidelines for standardized methodology and reporting of neonatal nutrition and growth outcomes. In this review, we present further analysis of the differences,

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Section: Recommendationsmentioning

confidence: 99%

Comparing apples with apples: it is time for standardized reporting of neonatal nutrition and growth studies

et al. 2016

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“…It has been suggested that ponderal index may correlate better with lean mass rather than adiposity. 16 Correspondingly, Much et al…”

Section: Discussionmentioning

confidence: 99%

“…This study has two strong points that should be emphasized: the assessment of adiposity at birth by measuring the %FM using Maternal LCPUFA intake on offspring adiposity L Pereira-da-Silva et al ADP, as a reliable and precise method with recent increasing use; 16,17,26,27 and the assessment of the effect of maternal LCPUFA intake on the body composition at birth adjusted for three major maternal nutrition cofactors (prepregnancy BMI, energy and macronutrient intakes during pregnancy, and GWG).…”

Section: Discussionmentioning

confidence: 99%

“…15 Assessment of body composition, rather than birth size alone, should give better insight into quality of growth and contribute to clarify the lack of consistency between studies on the effect of maternal LCPUFA intake on fetal growth. 16 To our knowledge, no reliable validated method has been used to date to assess the effect of maternal LCPUFA intake on adiposity of offspring at birth. 1 Air displacement plethysmography (ADP) is a reliable method validated in neonates 17 to assess body composition in a two-compartment model; ADP thus allows for an accurate assessment of adiposity, defined by the percentage of body fat.…”

Section: Introductionmentioning

confidence: 99%

“…18 This method is convenient for use in neonates since it is noninvasive, relatively rapid to perform and not affected by movements. 16 This study explores the effect of LCPUFA intake during pregnancy on the adiposity at birth of healthy full-term appropriate-for-gestational age neonates, assessed by ADP and anthropometry, while taking major maternal nutrition-related cofactors potentially affecting fetal growth and body composition into account. We hypothesize that imbalanced intake of LCPUFA during pregnancy, resultant of excessive n-6 intake and/or insufficient n-3 intake, increases adiposity of the fetus.…”

Section: Introductionmentioning

confidence: 99%

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The effect of long-chain polyunsaturated fatty acids intake during pregnancy on adiposity of healthy full-term offspring at birth

Pereira‐da‐Silva

Cabo²,

Moreira³

et al. 2014

J Perinatol

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OBJECTIVE:The adjusted effect of long-chain polyunsaturated fatty acid (LCPUFA) intake during pregnancy on adiposity at birth of healthy full-term appropriate-for-gestational age neonates was evaluated. STUDY DESIGN: In a cross-sectional convenience sample of 100 mother and infant dyads, LCPUFA intake during pregnancy was assessed by food frequency questionnaire with nutrient intake calculated using Food Processor Plus. Linear regression models for neonatal body composition measurements, assessed by air displacement plethysmography and anthropometry, were adjusted for maternal LCPUFA intakes, energy and macronutrient intakes, prepregnancy body mass index and gestational weight gain. RESULT: Positive associations between maternal docosahexaenoic acid intake and ponderal index in male offspring (β = 0.165; 95% confidence interval (CI): 0.031-0.299; P = 0.017), and between n-6:n-3 LCPUFA ratio intake and fat mass (β = 0.021; 95% CI: 0.002-0.041; P = 0.034) and percentage of fat mass (β = 0.636; 95% CI: 0.125-1.147; P = 0.016) in female offspring were found. CONCLUSION: Using a reliable validated method to assess body composition, adjusted positive associations between maternal docosahexaenoic acid intake and birth size in male offspring and between n-6:n-3 LCPUFA ratio intake and adiposity in female offspring were found, suggesting that maternal LCPUFA intake strongly influences fetal body composition.

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Maternal High-Dose Vitamin D Supplementation and Offspring Bone Mineralization Until Age 6 Years

Zhou

Tong

2021

JAMA Pediatr

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In Reply I greatly appreciate the comments from Gelfand and Goadsby. For many years they have striven to lessen the pain of children with chronic headaches. Their letter in response to my Editorial 1 on the excellent article from Locher et al 2 provides me with the opportunity to differentiate my biopsychosocial perspective on migraine. 1. Children with migraine benefit from a multimodal approach. For example, the Editorial from Gelfand et al 3 on the Childhood and Adolescent Migraine Prevention (CHAMP) study, 4 a negative clinical trial on prophylactic treatment in pediatric migraine, states "Every month, CHAMP study participants received education regarding the importance that regular sleep, exercise, meals, and hydration play in managing migraine frequency. This advice, and the frequency and repetition with which it was offered, may have been quite beneficial. Participants were also given evidencebased acute migraine treatment-specifically nonsteroidal anti-inflammatory drugs and triptans-at optimal dosing along with instructions on how to avoid medication overuse. This may have had a role in helping them control their migraine frequency." 3,4 What they describe here as being beneficial is a good example of a modular approach, including psychological (education) and biological (attack medication) treatment. The efficacy of psychological interventions in migraine, including pain neuroscience education and cognitive behavioral therapies, is well proven. According to the latest Cochrane review on pediatric headache, 5 the number needed to treat to reduce headache frequency is 2.9. 5 To consider psychosocial dimensions in migraine does not blame the patient for being responsible for a condition with a clear genetic predisposition. However, it helps to increase self-efficacy, empowers children with migraine, and improves outcomes. 2. For many pediatric patients, migraine is a lifelong companion. They have to learn to cope with it and to live a happy, active life despite migraine. A short period of pharmacologic prophylactic treatment is not an appropriate answer to a challenge of having migraine for decades. Furthermore, prophylactic drugs may be responsible for severe adverse events. In the CHAMP study, 30% of children taking amitriptyline had fatigue and 31% of children receiving topiramate experienced paresthesia. 4 These adverse effects reduce quality of life as much as the migraine itself, perhaps even more. In some cases, those prophylactic drugs even cause death, whether intentionally in suicide or by accident by the patient or other family members. 3. There is a huge, billion-dollar market on pharmacologic prophylactic treatment for migraine. One has to be aware of the potential effect pharmaceutical companies might have on our point of view, the ideas we develop on the definition, and classification of diseases and on our research questions. 6 Psychosocial factors are often associated with higher migraine frequency. Botulinum toxin injections or CGRP antibodies are not the appropriate tool to address co...

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Body composition assessment in the infant

Cited by 171 publications

References 111 publications

Comparing apples with apples: it is time for standardized reporting of neonatal nutrition and growth studies

Comparing apples with apples: it is time for standardized reporting of neonatal nutrition and growth studies

The effect of long-chain polyunsaturated fatty acids intake during pregnancy on adiposity of healthy full-term offspring at birth

Maternal High-Dose Vitamin D Supplementation and Offspring Bone Mineralization Until Age 6 Years

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