First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants

Stephens, Bonnie E.; Walden, Rachel V.; Gargus, Regina A.; Tucker, Richard; McKinley, Leslie T.; Mance, Martha J.; Nye, Julie; Vohr, Betty R.

doi:10.1542/peds.2008-0211

Cited by 479 publications

(371 citation statements)

References 44 publications

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“…25 Although we did not evaluate neurodevelopmental outcome, the findings of more protein received in the first weeks of life has been shown to improve cognitive development scores at 18 months of age. 26 We speculate that cohort 1 received less protein because they were more ill, which is consistent with higher SNAPPE-II scores, need for more respiratory support, more surfactant and greater use of diuretic medication. The SNAPPE-II scores, which reflect the degree of illness at birth, were highest in the infants who subsequently demonstrated postnatal growth failure and who ultimately had the highest incidence of severe BPD.…”

Section: Discussionsupporting

confidence: 56%

Nutritional strategies and growth in extremely low birth weight infants with bronchopulmonary dysplasia over the past 10 years

et al. 2011

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Objective: Changes in nutritional strategies over the past decade have been shown to improve postnatal growth in extremely low birth weight (ELBW) infants. We showed 10 years ago that the majority of these ELBW infants with bronchopulmonary dysplasia (BPD) suffer postnatal growth failure. We theorized that recent changes in nutritional support strategies would positively affect growth outcomes in ELBW infants with BPD.Study Design: A retrospective study of 88 ELBW infants with BPD. Nutritional data, postnatal growth and BPD severity were compared across three cohorts: (1) weight gain p14 g kg À1 per day, (2) 14.1 to 16 g kg À1 per day and (3) X16 g kg À1 per day from return to birth weight through discharge. We also compared these to a historical cohort.Result: In all, 73% of current subjects grew at or above fetal rates. There was less extrauterine growth restriction (EUGR) by weight and head circumference for those ELBW infants with BPD receiving higher amounts of protein. Aggressive early TPN and receipt of caloric-dense milk seemed to be the 'new' nutritional strategies improving growth for current ELBW infants with BPD compared with those 10 years ago.Conclusion: Despite a diagnosis of BPD, improved nutritional strategies have enhanced postnatal growth in infants at high risk for EUGR.

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Section: Discussionsupporting

confidence: 56%

Nutritional strategies and growth in extremely low birth weight infants with bronchopulmonary dysplasia over the past 10 years

et al. 2011

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“…The author pointed out that sometimes conception occurs under conditions of poor nutrition or health, increasing the likelihood that fetal growth and development, and health of the mother during pregnancy will be compromised. Nutrition in the first 1000 days of human life is known to be a critical factor influencing growth and development of a child and the level of contribution that an individual can make to economic development over their lifetime [33,34].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Cultural Norms and Food Security in the Karamoja Sub-Region of Uganda

Olum¹,

Okello-Uma²,

Tumuhimbise³

et al. 2017

JFNR

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Culture is a strong determinant of food security through its influence on what society considers acceptable for consumption. Karamoja sub-region is one of the most ethnically diverse parts of eastern Africa, and is associated with the highest levels of food insecurity in Uganda. However, there is a general lack of understanding on the extent to which ethnicity is a contributing factor to food insecurity. We examined the relationship between ethnicity and food security in relation to commonly practiced cultural norms among the Jie, Karamojong and Tepeth ethnic groups of Karamoja. Data from 273 randomly selected households across a range of cultural settings were obtained using structured questionnaires in the September-October (2015) period. Food security status was assessed using the Household Food Insecurity Access Scale (HFIAS), daily calorie intake and coping strategy index. The study also used focus group discussions to assess the implications for food security of common cultural practices. Results confirm the general observation that the sub-region is food insecure. There were also significant variations in food security across geographical location and ethnicity. Cultural restrictions, applied particularly to women and children, over the consumption of several nutritious foods from livestock were revealed. Consumption of raw milk and animal blood, potential sources of food-borne infections and thus of malnutrition, was found to be high in the sub-region and varied significantly across ethnicity. The findings provide a basis for interventions aimed at reducing food insecurity and averting cultural impediments to a more nutritious diet.

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“…[7][8][9] In addition, better nutrition may aid in recovery from common neonatal complications, such as chronic lung disease and late sepsis. 10 A recent study by Stephens et al 32 showed that ELBW infants had improved Mental Developmental Index scores at 18 months of age with higher protein intake in first week of life.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of early parenteral nutrition for premature infants

2009

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Objective: The objective of this study was to evaluate the safety and efficacy of early amino acid (early AA) administration in very low birth weight (VLBW) infants.Study Design: A pre-and post-intervention study was conducted after initiating an early AA administration protocol. Clinical outcomes were collected for all VLBW infants admitted on the first day of life for 9 months before protocol initiation (standard parenteral nutrition (PN)), and 10 months after initiation of early AA.Result: In all, 88 infants met study criteria for standard PN, and 85 infants for early AA administration. The patient characteristics were similar between the groups. There were no differences in mortality, the day birth weight was regained, the day enteral feeds started, the duration of PN, the day full feeds achieved and weight at 32 weeks post-menstrual age. No differences were found for late sepsis, direct hyperbilirubinemia and chronic lung disease. Necrotizing enterocolitis (NEC) occurred more frequently in the early AA administration group (12 vs 1%, P ¼ 0.012).

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First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants

Cited by 479 publications

References 44 publications

Nutritional strategies and growth in extremely low birth weight infants with bronchopulmonary dysplasia over the past 10 years

Nutritional strategies and growth in extremely low birth weight infants with bronchopulmonary dysplasia over the past 10 years

The Relationship between Cultural Norms and Food Security in the Karamoja Sub-Region of Uganda

Outcomes of early parenteral nutrition for premature infants

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