Influence of Protein and Energy Intakes on Body Composition of Formula‐fed Preterm Infants After Term

Roggero, Paola; Gianni, M.C.; Amato, Orsola; Orsi, Anna; Piemontese, Pasqua; Puricelli, Valeria; Mosca, Fabio

doi:10.1097/mpg.0b013e3181615cba

Cited by 31 publications

(36 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study provides support for previous research indicating that preterm infants near or at term-corrected age have a higher percent body fat than infants born term (5)(6)(7)(8). Furthermore, our findings indicate that anthropometry, skinfolds, and ADP are efficient to detect significant differences in body composition between preterm and term infants at hospital discharge.…”

Section: Discussionsupporting

confidence: 90%

“…Lastly, the lack of correlation between preterm infant caloric intake and body fat is consistent with other research studies (5,15). However, unlike this study, other studies have shown a relationship between protein intake and lean mass (6,16). Overall, the current study results on gender, salivary cortisol levels, and dietary intake need to be interpreted with caution due to the small sample size.…”

Section: Discussionsupporting

confidence: 89%

“…The American Academy of Pediatrics also recommends that a preterm infant's body composition mimic intrauterine body composition until term age (5). However, current research demonstrate that preterm infants at term-corrected age have higher total body and/or abdominal fat compared with term infants, suggesting that adequate catch-up growth is not achieved postnatally (5)(6)(7)(8). Precise determination of body composition in premature infants may aid health professionals in selecting appropriate interventions to ensure proper postnatal growth and development.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants

et al. 2015

View full text Add to dashboard Cite

Background: Premature birth is associated with increased adipose deposition after birth. Standard anthropometry (body weight, length, and head circumference) may not adequately assess fat deposition. Validated methods to assess adiposity are needed to optimize growth quality in preterm infants. The purpose of this study was to identify covariates of infant body fat. Methods: Air displacement plethysmography (ADP), standard anthropometry, and body circumferences were measured at hospital discharge in preterm (n = 28; 31-35 wk postmenstrual age (PMA)) and term (n = 28; 38-41 wks PMA) infants. results: Body weight, length, and head circumference were lower for preterm infants (P < 0.05) at hospital discharge compared with that of term infants. Despite smaller body size and younger PMA, preterm infant percent body fat (%BF) by ADP was 12.33 ± 4.15% vs. 9.64 ± 4.01% in term infants (P = 0.01). Mid-arm circumference (MAC) is a covariate of %BF in both preterm and term infants (adjusted R 2 = 0.49; P < 0.001). In preterm infants alone, MAC accounted for 60.4% of the variability of percent body fat (%BF) by ADP (P < 0.01). conclusions: Preterm infants have increased body fat deposition as they approach term-corrected age, and MAC is a reliable, low-cost measure for monitoring infant body fat deposition in preterm and term infants.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

See 1 more Smart Citation

Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The latter finding is somewhat surprising because a higher delta fat mass in SGA late preterm infants could have been expected, higher than that in the AGA late preterm infants because SGA very preterm infants have demonstrated rapid postnatal catch-up with respect to fat (12). However, it can be speculated that because protein intake has been reported to be associated with a significantly different weight gain composition (13,14), the lack of higher fat mass accretion in SGA late preterm infants could be because they actually received similar protein and energy intake compared to AGA late preterm infants.Based on the present results, late preterm infants gain more fat mass than what they would have gained if they had remained in utero, a finding that is in agreement with previous studies. De Marini et al (9).…”

mentioning

confidence: 94%

Body composition in late preterm infants according to percentile at birth

et al. 2015

View full text Add to dashboard Cite

Background:The data on body composition of late preterm infants, evaluated according to percentile at birth, are scarce. The study aimed to investigate body composition of late preterm infants, according to percentile at birth, and to compare their body composition with that of term newborns. Methods: A total of 122 (99 appropriate and 23 small for gestational age (SGA)) late preterm infants underwent growth and body composition assessment using an air displacement plethysmography system on the fifth day of life and at term. The reference group was composed of 42 healthy, term, breast-fed infants. results: At birth, appropriate and SGA late preterm infants had lower fat mass and fat-free mass indexes than term newborns. The fat mass and fat-free mass content increased significantly throughout the study, irrespective of percentile at birth. At term, fat mass index, but not fat-free mass index, was higher in both appropriate and SGA late preterm infants than in term newborns. conclusion: Late preterm infants, irrespective of their percentile at birth, show postnatal growth characterized by predominant fat mass accretion. The potential long-term health clinical implications of these findings need to be further elucidated. l ate preterm birth, defined as a birth that occurs between 34 0/7 and 36 6/7 weeks of gestation, has markedly increased during the past two decades, accounting for 70% of all preterm births (1). Late preterm infants have been recognized as a high-risk group due to an increased mortality and morbidity compared with full-term newborn infants (2). In addition, although late preterm birth has been associated with a rapid postnatal catch-up growth within the first months of life (3,4), growth faltering up to 5 y of age has also been reported (5). With regard to body composition, late preterm infants at termcorrected age show a higher fat mass but a lower fat-free mass than full-term infants (3,4).Early life has been recognized as a critical time window for metabolic programming. Hence, concern has arisen regarding the potential implications of these findings on the long-term health outcomes of late preterm infants. Indeed, both early growth pattern and body composition development appear to contribute to the programming process for disease risk in later life (6).While postnatal growth and body composition changes in very preterm infants have been widely investigated, considering percentile at birth (7,8), there is a paucity of data on body composition of late preterm infants, evaluated according to percentile at birth. The aim of our study was to investigate body composition changes from birth to term-corrected age in a cohort of late preterm infants, categorized according to percentile at birth, and to compare their body composition with that of full-term newborns. RESULTSGrowth and body composition at term-corrected age data were available for 122 late preterm infants whose basic characteristics at birth are shown in Table 1. As expected, appropriate for gestational age (AGA) late preterm infants we...

show abstract

“…In a non-randomised study, Roggero et al 26 , used whole-body plethysmography to measure weight gain and LBM accural at 1 month post-term age in preterm infants fed either a high-protein diet (> 3 g/kg/day) (n = 26) or a low-protein diet (< 3 g/kg/day) (n = 22). Weight gain was significantly lower in the high-protein group than in the low-protein group {mean [standard deviation (SD) …”

mentioning

confidence: 99%

Nutritional Evaluation and Optimisation in Neonates (NEON) trial of amino acid regimen and intravenous lipid composition in preterm parenteral nutrition: a randomised double-blind controlled trial

et al. 2016

View full text Add to dashboard Cite

Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising.The WestminsterResearch online digital archive at the University of Westminster aims to make the research output of the University available to a wider audience. Copyright and Moral Rights remain with the authors and/or copyright owners.Whilst further distribution of specific materials from within this archive is forbidden, you may freely distribute the URL of WestminsterResearch: ((http://westminsterresearch.wmin.ac.uk/).In case of abuse or copyright appearing without permission e-mail repository@westminster.ac.uk This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). EFFICACY AND MECHANISM EVALUATION Efficacy and Mechanism EvaluationEditorial contact: nihredit@southampton.ac.ukThe full EME archive is freely available to view online at www.journalslibrary.nihr.ac.uk/eme. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Efficacy and Mechanism Evaluation journalReports are published in Efficacy and Mechanism Evaluation (EME) if (1) they have resulted from work for the EME programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. EME programmeThe Efficacy and Mechanism Evaluation (EME) programme was set up in 2008 as part of the National Institute for Health Research (NIHR) and the Medical Research Council (MRC) coordinated strategy for clinical trials. The EME programme is broadly aimed at supporting 'science driven' studies with an expectation of substantial health gain and aims to support excellent clinical science with an ultimate view to improving health or patient care.Its remit includes evaluations of new treatments, including therapeutics (small molecule and biologic), psychological interventions, public health, diagnostics and medical devices. Treatments or interventions intended to prevent disease are also included.The EME programme supports laboratory based or similar studies that are embedded within the main study if relevant to the remit of the EME programme. Studies that use validated surrogate markers as indicators of health outcome are also considered.For more information about the EME programme please visit the website: http://www.nets.nihr.ac.uk/programmes/eme This reportThe research reported in this issue of the journal was funded by the EME programme as project number 08/99/04. The contractual start date was in February 2010. The final report began editorial review in January 2015 and was accepted for publication in October 2015. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The EME edit...

show abstract

Influence of Protein and Energy Intakes on Body Composition of Formula‐fed Preterm Infants After Term

Cited by 31 publications

References 11 publications

Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants

Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants

Body composition in late preterm infants according to percentile at birth

Nutritional Evaluation and Optimisation in Neonates (NEON) trial of amino acid regimen and intravenous lipid composition in preterm parenteral nutrition: a randomised double-blind controlled trial

Contact Info

Product

Resources

About