Effect of Oil Massage on Growth in Preterm Neonates Less than 1800 g: A Randomized Control Trial

Kumar, Jagdish; Upadhyay, Amit; Dwivedi, Ajeet Kumar; Gothwal, Sunil; Jaiswal, Vijay; Aggarwal, Sunny

doi:10.1007/s12098-012-0869-7

Cited by 52 publications

(46 citation statements)

References 4 publications

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“…The outcome most commonly assessed on randomized controlled trials of massage in preterm infants (Table 1) was weight gain, either as primary or secondary outcome [2,5,8,9,10,12,15,16,17,18,19,21,26,28,29,30,31,33,34,35]. Other outcomes assessed in RCTs of massage in preterm infants include levels of transcutaneous bilirubin [3], sleep [4,26], calorie intake [5,17,19,30,33,34,35], vagal activity [5,19,24,26,29,30], gastric motility or number of stools [3,24,30], heart rate variability (HRV) [6,7,19,24,30], immunologic parameters [12], bone metabolism [11,32], changes in electroencephalogram (EEG) [13], behavior and/or neurodevelopment [14,15,23,26,28,29,31,34,35], pain [25], length of hospital stay [12,16,…”

Section: Resultsmentioning

confidence: 99%

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Review of Randomized Controlled Trials of Massage in Preterm Infants

Niemi

2017

Children

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Abstract:Preterm birth affects about 10% of infants born in the United States. Massage therapy is being used in some neonatal intensive care units for its potential beneficial effects on preterm infants. This article reviews published randomized controlled trials on the effects of massage in preterm infants. Most studies evaluating the effect of massage in weight gain in premature infants suggest a positive effect on weight gain. Increase in vagal tone has been reported in infants who receive massage and has been suggested as a possible mechanism for improved weight gain. More studies are needed on the underlying mechanisms of the effects of massage therapy on weight gain in preterm infants. While some trials suggest improvements in developmental scores, decreased stress behavior, positive effects on immune system, improved pain tolerance and earlier discharge from the hospital, the number of such studies is small and further evidence is needed. Further studies, including randomized controlled trials, are needed on the effects of massage in preterm infants.

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Section: Resultsmentioning

confidence: 99%

“…Studies assessing the effects of massage on caregivers only were excluded. A total of 34 randomized controlled trials on the effects of massage in preterm infants are reviewed [2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35]. …”

Section: Introductionmentioning

confidence: 99%

Review of Randomized Controlled Trials of Massage in Preterm Infants

Niemi

2017

Children

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“…Evidence supporting positive effects of massage in preterm infants include increased weight gain [18–20], improved growth and gastrointestinal function [21, 22], improved body fat deposition [23], improved neurobehavioural outcomes [17, 24–26], pain attenuation [27, 28], reduction of infant stress and stress-related factors [29, 30], reduction of late-onset sepsis [31], improved immune system [32], reduced jaundice [33] and improved heart rate variability [34] as well as a reduction in maternal depression and anxiety [35]. Studies investigating the use of specific oils in massage versus no oil suggest improved weight gain [36–38]. Overall the evidence remains weak, mainly due to small sample sizes, heterogeneity and poor methodology in some studies.…”

Section: Introductionmentioning

confidence: 99%

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

et al. 2016

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BackgroundPreterm infants follow an altered neurodevelopmental trajectory compared to their term born peers as a result of the influence of early birth, and the altered environment. Infant massage in the preterm infant has shown positive effects on weight gain and reduced length of hospital stay. There is however, limited current evidence of improved neurodevelopment or improved attachment, maternal mood or anxiety. The aim of this study is to investigate the effects of infant massage performed by the mother in very preterm (VPT) infants. Effects on the infant will be assessed at the electrophysiological, neuroradiological and clinical levels. Effects on maternal mood, anxiety and mother-infant attachment will also be measured.Methods/DesignA randomised controlled trial to investigate the effect of massage therapy in VPT infants. Sixty VPT infants, born at 28 to 32 weeks and 6 days gestational age, who are stable, off supplemental oxygen therapy and have normal cranial ultrasounds will be recruited and randomised to an intervention (infant massage) group or a control (standard care) group. Ten healthy term born infants will be recruited as a reference comparison group. The intervention group will receive standardised massage therapy administered by the mother from recruitment, until term equivalent age (TEA). The control group will receive care as usual (CAU). Infants and their mothers will be assessed at baseline, TEA, 12 months and 24 months corrected age (CA), with a battery of clinical, neuroimaging and electrophysiological measures, as well as structured questionnaires, psychoanalytic observations and neurodevelopmental assessments.DiscussionOptimising preterm infant neurodevelopment is a key aim of neonatal research, which could substantially improve long-term outcomes and reduce the socio-economic impact of VPT birth. This study has the potential to give insights into the mother-baby relationship and any positive effects of infant massage on neurodevelopment. An early intervention such as massage that is relatively easy to administer and could alter the trajectory of preterm infant brain development, holds potential to improve neurodevelopmental outcomes in this vulnerable population.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12612000335897. Date registered: 22/3/2012.

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“…A series of small hospital-based studies have demonstrated that topical applications of vegetable oils can improve thermoregulation, 68,69 skin condition, 70,71 and serum-essential fatty acid profiles, 69,72 correct essential fatty acid deficiency, 73 and increase weight and length gain. [74][75][76][77] Importantly, two hospital-based trials of preterm babies massaged with high-linoleic acid sunflower seed oil 70,77,78 have demonstrated reductions in nosocomial infections and mortality within 28 days. A recent trial of oil massage of preterm infants with coconut oil has produced similar results.…”

Section: Topical Emollient Therapymentioning

confidence: 99%