Evaluation of nutrition status of very preterm infants in neonatal intensive care units using different growth indicators

Wang, Na; Jia, Zhang; Yu, Zhangbin; Tang, Bin; Zhang, Lin; Yin, Yujie; Wang, Zeng-Qin; Li, Shuangshuang; Jiang, Shaojun; Hou, Weiwei; Gao, Yan; Wang, Nana; Chen, Xiaoqing; Deng, Xiaozhao; Lu, Yi; Zhu, Lingling; Lin, Boqiang; Han, Song

doi:10.1002/ncp.10741

Cited by 4 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Small for gestational age or suitable for gestational age infants might have different postnatal growth outcomes [ 40 ]. To facilitate the establishment of nutritional guidelines in the TP, clinicians must choose a reasonable evaluation indicator in combination with individual characteristics to objectively assess the nutritional status of preterm infants [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between nutrient intakes in the transition phase and postnatal growth of preterm infants: a systematic review

et al. 2023

Self Cite

View full text Add to dashboard Cite

Nutrition practices for preterm infants include phases of parenteral nutrition, gradually interrupted parenteral nutrition (transition phase), and full enteral nutrition. However, nutrition management during the transition phase is frequently overlooked. This review examined the relationship between nutrient intake during the transition phase and preterm infant growth. PubMed, Embase, Web of Science, Cochrane, Chinese National Knowledge Infrastructure Database, Wanfang Database, and Chinese Science and Technique Journals Database were searched for studies examining the relationship between nutrient intake during the transition phase and postnatal growth of preterm infants from each database's earliest inception through February 28, 2022. The quality of the studies was assessed using the Newcastle–Ottawa scale. A total of three studies conducted in the USA, Italy and China met the inclusion criteria. The growth indicators were extrauterine growth restriction (weight < 10th percentile for post-menstrual age) or inadequate weight growth velocity (growth velocity < 15 g/kg/d) at discharge or the end of the transition phase. The transition phase was divided into two periods in two studies: the early period (parenteral energy intake > 50% of total energy intake) and the late period (enteral energy intake > 50% of the total energy intake). The cumulative protein intake in the transition phase was generally lower in preterm infants with extrauterine growth restriction or inadequate weight growth velocity, especially in the early transition phase. The deficiency of energy and protein intake during the transition phase cannot be explicitly determined due to differences in growth indicators and definitions of the transition phase. However, enteral protein intake should be closely monitored in the early transition phase to ensure a better growth rate for preterm infants. To elucidate potential associations, further well-designed research will be required.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship between nutrient intakes in the transition phase and postnatal growth of preterm infants: a systematic review

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“… 1 2 3 4 For the catch-up growth of very low birth weight (VLBW) infants, regular comprehensive checkups to monitor growth and provide early intervention to achieve normal growth are essential. 5 Developed countries such as Canada, the United States, Australia, and Japan have conducted high-risk follow-up clinics to improve neonatal outcomes and accumulate long-term growth and development. 6 7 …”

Section: Introductionmentioning

confidence: 99%

Growth Pattern With Morbidities From Birth to 5 Years of Age in Very Low Birth Weight Infants: Comparison of the Korean National Network and National Health Insurance Service

et al. 2022

View full text Add to dashboard Cite

Background Long-term growth data of very low birth weight (VLBW) infants are currently collected in the Korean Neonatal Network (KNN) and National Health Insurance Service (NHIS) database. However, variance in the number of infants, check-up time, and check-up parameters led to decreased credibility of cumulated data. We aimed to compare the data on serial growth outcomes by major morbidities from birth to 5 years in VLBW infants between the KNN and NHIS databases. Methods We combined the NHIS and KNN data of VLBW infants born between 2013 and 2015. The check-up times in the NHIS database were at 4–6, 9–12, 18–24, 30–36, 42–48, and 54–60 months of age, whereas in the KNN were at 18–24 months of corrected age and at 36 months of age. Result Among 8,864 VLBW infants enrolled based on the birth certificates from the Statistics Korea, 6,086 infants (69%) were enrolled in the KNN, and 5,086 infants (57%) participated in the NHIS health check-up. Among 6,068 infants, 3,428 infants (56%) were enrolled at a corrected age of 18–24 months and 2,572 infants (42%) were enrolled at a chronological age of 33–36 months according to the KNN follow-up registry. However, based on the national birth statistics data, the overall follow-up rate of the KNN at 36 months of age was as low as 29%. The NHIS screening rate was lower at first (23%); however, it increased over time to exceed the KNN follow-up rate. Growth failure (weight under 10th percentile) at corrected ages of 18–24 months and 36 months were more common in the NHIS than KNN (42% vs. 20%, 37% vs. 34.5%). Infants with bronchopulmonary dysplasia and periventricular leukomalacia showed similar rates of growth failure at 2 years but varying rates at 3 years between the KNN and NHIS. Conclusion By integrating the KNN and NHIS data indirectly at continuous time points according to morbidities, we found that there are discontinuities and discrepancies between the two databases among VLBW infants. Establishing an integrated system by patient level linking the KNN and NHIS databases can lead to better understanding and improved neonatal outcomes in VLBW infants in Korea.

show abstract

“…At present, an increasing number of studies focus on dynamic EUGR, which refers to the change in body weight Z -score related to birth status. In 2021, a multicenter study from Jiangsu Province, China, found that the change in weight Z -score was closely related to the time to regain birth weight, birth weight, and gestational age ( 7 ). To reduce the growth failure of preterm infants after birth, sufficient attention should be paid to the time variable to regain birth weight in NICUs.…”

mentioning

confidence: 99%

Evaluation of nutrition status of very preterm infants in neonatal intensive care units using different growth indicators

Cited by 4 publications

References 26 publications

Relationship between nutrient intakes in the transition phase and postnatal growth of preterm infants: a systematic review

Relationship between nutrient intakes in the transition phase and postnatal growth of preterm infants: a systematic review

Growth Pattern With Morbidities From Birth to 5 Years of Age in Very Low Birth Weight Infants: Comparison of the Korean National Network and National Health Insurance Service

Editorial: Topic opportunities, barriers and pitfall of current nutritional practice in preterm infants

Contact Info

Product

Resources

About