Document Detail


Energy expenditure in growing preterm infants receiving massage therapy.
MedLine Citation:
PMID:  17906188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Massage therapy has been consistently shown to increase weight gain in preterm infants. The mechanism of this presumed improved metabolic efficiency is unknown. We conducted the following trial to test the hypothesis that massage therapy reduces energy expenditure in growing healthy preterm infants. Study DESIGN: A prospective, randomized, cross-over design study was conducted in 10 healthy, appropriate weights for gestational age, gavage fed preterm infants. Each infant was studied twice: after a period of either 5 days of massage therapy, or after a period of 5 days without massage therapy. Infants were randomized to 5 days of massage followed by 5 days of no massage (n = 5) or the opposite sequence (n = 5). During the massage therapy period, massage was provided daily for three 15 minute periods at the beginning of each 3 hour period every morning. Metabolic measurements were performed by indirect calorimetry, using the Deltatrac II Metabolic cart. RESULTS: Energy expenditure was significantly lower in infants after the 5 day massage therapy period (59.6 +/- 3.6 Kcal/Kg/ 24 hours) than after the period without (63.1 +/- 5.4 Kcal/Kg/ 24 hours) (p = 0.05). CONCLUSIONS: Energy expenditure is significantly lowered by 5 days of massage therapy in metabolically and thermally stable preterm infants. This decrease in energy expenditure may be in part responsible for the enhanced growth caused by massage therapy.
Authors:
Sharon Lahat; Francis B Mimouni; Gina Ashbel; Shaul Dollberg
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of the American College of Nutrition     Volume:  26     ISSN:  0731-5724     ISO Abbreviation:  J Am Coll Nutr     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-10-01     Completed Date:  2007-12-03     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  8215879     Medline TA:  J Am Coll Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  356-9     Citation Subset:  IM    
Affiliation:
Department of Neonatology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv 64239, Israel.
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MeSH Terms
Descriptor/Qualifier:
Calorimetry, Indirect / methods
Cross-Over Studies
Energy Intake
Energy Metabolism / physiology*
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature / growth & development*
Male
Massage / methods*
Prospective Studies
Weight Gain*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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