Dietary transition difficulties in preterm infants: critical literature review

Pagliaro, Carla Lucchi; Bühler, Karina Elena Bernardis; Ibidi, Silvia Maria; Limongi, Suelly Cecília Olivan

doi:10.1016/j.jped.2015.05.004

Cited by 32 publications

(25 citation statements)

References 40 publications

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“…A systematic review proposed by Pagliaro (18) sought to analyze publications that investigated feeding difficulties in premature children during the first years of life. It was possible to affirm that premature children, especially those with very low birth weight, are more likely to present feeding problems in the early stages of life and during childhood, when compared to children born at term.…”

Section: Discussionmentioning

confidence: 99%

Complementary feeding in infants born prematurely

Menezes

Steinberg

Nóbrega

2018

CoDAS

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Purpose To investigate if there is difficulty in introducing complementary feeding in premature infants. Methods This is an exploratory, cross-sectional study performed in premature infants between six and twenty-four months of gestationally corrected age, using complementary feeding. Thirty-eight infants born prematurely were included. The feeding difficulties presented by the infants were investigated through an objective question followed by the application of a food behavior checklist for the last month. The children's clinical variables were investigated through a medical record review. An interview was conducted with those responsible for the child to identify the sociodemographic aspects and the type of breastfeeding before the corrected six months of age. Results Asked about the general perception, 50% of parents answered that their children did not present feeding difficulties in the last month. However, when a checklist was applied, 73.7% of the parents reported that their children had at least one defensive behavior at mealtime. Refusal to open their mouths (42.1%), food selectivity (28.9%), and feeding refusal (26.3%) were the most frequent defensive behaviors. The food refusal item (44.4%) had a greater association with formula feeding (p = 0.033). Conclusion The present study showed an association between the type of breastfeeding and the difficulties in complementary feeding, especially in premature infants with formula feeding, presenting food refusal during meals. We found the presence of different types of defensive behaviors at mealtime in the majority of premature infants investigated.

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Section: Discussionmentioning

confidence: 99%

Complementary feeding in infants born prematurely

Menezes

Steinberg

Nóbrega

2018

CoDAS

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“…Every year, an estimated 15 million babies are born preterm, which represents a rate of 5–18% of babies born across 184 countries, including Brazil (13%) ( 1–3 ) . Unfortunately, these newborns have more morbidities, particularly those associated with feeding, growth and development ( 4 ) .…”

Section: Introductionmentioning

confidence: 99%

Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross‐sectional study

Ribas

Rodrigues

Mocellin

et al. 2020

J Human Nutrition Diet

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Background The first 2 years of life represent a critical phase for growth and development, with the quality of the diet at this stage having repercussions throughout adulthood. The present study aimed to develop an Index for Measuring the Quality of Complementary Feeding (IMQCF) for infants, as well as to evaluate diet quality and its effects on the nutritional status of preterm infants. Methods This cross‐sectional study was conducted at a Brazilian University Hospital. The data were extracted by care protocol of outpatient preterm infants at 2 years of corrected age (CA). Dietary data were collected from 24‐h recalls. The diet quality was assessed by the IMQCF composed of nine items based on a Brazilian Food Guide for children aged <2 years. Response options were scored 0–100, with scores closer to 100 representing a better quality diet. Association with growth indicators (Z‐scores for weight‐ and length‐for‐age (WAZ and LAZ) were evaluated via tests of mean difference and multiple linear regression. Results The median complementary feeding (CF) score was 72.2 (61.1–77.8) A shorter breastfeeding duration or infant formula use and the early introduction of wheat‐based foods, ultra‐processed foods and cow’s milk in the preterm’s diet were the main factors interfering in the adequacy of diet. There was an association between the quality of the diet score and WAZ (0.44; 95% confidence interval = 0.03–0.85; P = 0.03). Conclusions The introduction of poor quality food in the first 2 years of life interfered with the CF quality of preterm infants and can affect nutritional status at 2 years of CA, possibly in the long term.

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“…Feeding difficulty is a significant contributor to prolonged length of stay (LOS) in the neonatal intensive care unit (NICU) [9]. The negative impact of feeding difficulties may persist into childhood, leading to growth failure and poor neurodevelopmental outcomes [10–13], particularly delayed language development [14, 15].…”

Section: Introductionmentioning

confidence: 99%

Patterned frequency-modulated oral stimulation in preterm infants: A multicenter randomized controlled trial

et al. 2019

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Objective To evaluate the effect of patterned, frequency-modulated oro-somatosensory stimulation on time to full oral feeds in preterm infants born 26–30 weeks gestation. Study design This is a multicenter randomized controlled trial. The experimental group (n = 109) received patterned, frequency-modulated oral stimulation via the NTrainer system through a pulsatile pacifier and the control group (n = 101) received a non-pulsatile pacifier. Intent-to-treat analysis (n = 210) was performed to compare the experimental and control groups and the outcomes were analyzed using generalized estimating equations. Time-to-event analyses for time to reach full oral feeds and length of hospital stay were conducted using Cox proportional hazards models. Results The experimental group had reduction in time to full oral feeds compared to the control group (-4.1 days, HR 1.37 (1.03, 1.82) p = 0.03). In the 29–30 weeks subgroup, infants in the experimental group had a significant reduction in time to discharge (-10 days, HR 1.87 (1.23, 2.84) p < 0.01). This difference was not observed in the 26–28 weeks subgroup. There was no difference in growth, mortality or morbidities between the two groups. Conclusions Patterned, frequency-modulated oro-somatosensory stimulation improves feeding development in premature infants and reduces their length of hospitalization. Trial registration ClinicalTrials.gov NCT01158391

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Dietary transition difficulties in preterm infants: critical literature review

Cited by 32 publications

References 40 publications

Complementary feeding in infants born prematurely

Complementary feeding in infants born prematurely

Quality of complementary feeding and its effect on nutritional status in preterm infants: a cross‐sectional study

Patterned frequency-modulated oral stimulation in preterm infants: A multicenter randomized controlled trial

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