Document Detail

Extremely low birth weight infants: how NICU teams can reduce postnatal malnutrition and prevent growth retardation.
MedLine Citation:
PMID:  23167480     Owner:  NLM     Status:  Publisher    
AIM: To evaluate the impact of an improved nutritional policy for extremely low birth weight infants on nutritional deficits and postnatal growth. METHOD: We compared two groups of 37 extremely low birth weight infants, born before and after the introduction of an improved nutritional policy in April 2006. Group A (born 2005 to early 2006) and group B (born 2009) stayed in a French NICU for at least seven weeks. Optimal energy and protein intakes were 120 kcal/ and 3.5 g/, respectively, and used to calculate cumulative deficits. Delta z-scores for weight, length and head circumference were calculated between birth and 36 weeks of postmenstrual age. The improved nutritional policy focused on earlier and higher parenteral intake of lipids and proteins, earlier and higher human milk fortification and earlier transition to preterm formula. RESULTS: The two groups did not differ in gestational age and birth weight. However, protein and energy deficits were significantly reduced in group B. Between birth and 36 weeks of postmenstrual age, delta z-scores were significantly reduced for length (p=0.012) but not for weight (p=0.09) or head circumference (p=0.83). CONCLUSION: Higher parenteral intake and close attention to enteral feeding reduced nutritional deficits and linear growth restriction in infants admitted to a French NICU. ©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.
Claire-Marie Loÿs; Delphine Maucort-Boulch; Brigitte Guy; Guy Putet; Jean-Charles Picaud; Stéphane Haÿs
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-20
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.
Néonatologie et Réanimation Néonatale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, France.
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