Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams

Background: The concept of parental nutritional care for premature infants has been applied and advanced over the past decade. This study compared the clinical outcomes before and after nutrition practice (NP) implementation and evaluated the effects of implementation on growth velocity and weight g...

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Main Authors: Ming-Sheng Lee, Yi-Chia Huang, Cheng-Han Lee, Hsiao-Neng Chen, Chien-Chou Hsiao, Shih-Chien Huang
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957220300929
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author Ming-Sheng Lee
Yi-Chia Huang
Cheng-Han Lee
Hsiao-Neng Chen
Chien-Chou Hsiao
Shih-Chien Huang
author_facet Ming-Sheng Lee
Yi-Chia Huang
Cheng-Han Lee
Hsiao-Neng Chen
Chien-Chou Hsiao
Shih-Chien Huang
author_sort Ming-Sheng Lee
collection DOAJ
description Background: The concept of parental nutritional care for premature infants has been applied and advanced over the past decade. This study compared the clinical outcomes before and after nutrition practice (NP) implementation and evaluated the effects of implementation on growth velocity and weight gain in premature infants. Methods: Descriptive data of premature infants (gestational age < 30 weeks; body weight ≤ 1250 g) born 4 years before and after NP implementation were retrospectively reviewed in a neonatal intensive care unit at a hospital in Taiwan. Nutrient intake, growth velocity, weight gain, and nutrition-related biochemical markers were compared at weeks 1, 2, and 4 after delivery. Results: A total of 77 premature infants were enrolled before NP implementation (non-NP group), whereas 89 were enrolled after implementation (NP group). The non-NP group consumed less fat and energy in week 1, and less protein, fat, and energy in weeks 2 and 4 compared with the NP group. Growth velocity was slower in the non-NP group. Fat intake was significantly positively correlated with body weight at week 4 in the non-NP group. However, protein and fat intake were significantly associated with body weight at week 1, fat and energy intakes were significantly associated with body weight at week 2, and fat intake was significantly associated with body weight at week 4 in the NP group. Conclusion: These findings indicate that the NP implemented in this study is relatively safe and can improve growth velocity and body weight gain in premature infants.
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spelling doaj-art-e01970e01d0e487c8a7b398f962f04192025-08-20T02:03:43ZengElsevierPediatrics and Neonatology1875-95722020-10-0161553454110.1016/j.pedneo.2020.05.013Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 gramsMing-Sheng Lee0Yi-Chia Huang1Cheng-Han Lee2Hsiao-Neng Chen3Chien-Chou Hsiao4Shih-Chien Huang5Department of Pediatric Pulmonology and Critical Care, Changhua Christian Children Hospital, Changhua, 50050, Taiwan; Graduate Program in Nutrition, Chung Shan Medical University, Taichung, 40201, TaiwanDepartment of Nutrition, Chung Shan Medical University, Taichung, 40201, TaiwanDivision of Neonatal Medicine, Department of Pediatrics, Changhua Christian Children's Hospital, Changhua, 50050, TaiwanDivision of Neonatal Medicine, Department of Pediatrics, Changhua Christian Children's Hospital, Changhua, 50050, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, 40201, TaiwanDivision of Neonatal Medicine, Department of Pediatrics, Changhua Christian Children's Hospital, Changhua, 50050, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, 40201, Taiwan; School of Medicine, Kaohsiung Medical University, 80708, TaiwanDepartment of Nutrition, Chung Shan Medical University, Taichung, 40201, Taiwan; Department of Nutrition, Chung Shan Medical University Hospital, Taichung, 40201, Taiwan; Corresponding author. Department of Nutrition, Chung Shan Medical University, Taichung, 40201, Taiwan.Background: The concept of parental nutritional care for premature infants has been applied and advanced over the past decade. This study compared the clinical outcomes before and after nutrition practice (NP) implementation and evaluated the effects of implementation on growth velocity and weight gain in premature infants. Methods: Descriptive data of premature infants (gestational age < 30 weeks; body weight ≤ 1250 g) born 4 years before and after NP implementation were retrospectively reviewed in a neonatal intensive care unit at a hospital in Taiwan. Nutrient intake, growth velocity, weight gain, and nutrition-related biochemical markers were compared at weeks 1, 2, and 4 after delivery. Results: A total of 77 premature infants were enrolled before NP implementation (non-NP group), whereas 89 were enrolled after implementation (NP group). The non-NP group consumed less fat and energy in week 1, and less protein, fat, and energy in weeks 2 and 4 compared with the NP group. Growth velocity was slower in the non-NP group. Fat intake was significantly positively correlated with body weight at week 4 in the non-NP group. However, protein and fat intake were significantly associated with body weight at week 1, fat and energy intakes were significantly associated with body weight at week 2, and fat intake was significantly associated with body weight at week 4 in the NP group. Conclusion: These findings indicate that the NP implemented in this study is relatively safe and can improve growth velocity and body weight gain in premature infants.http://www.sciencedirect.com/science/article/pii/S1875957220300929growth velocitynutrition practicepremature infantsweight gain
spellingShingle Ming-Sheng Lee
Yi-Chia Huang
Cheng-Han Lee
Hsiao-Neng Chen
Chien-Chou Hsiao
Shih-Chien Huang
Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
Pediatrics and Neonatology
growth velocity
nutrition practice
premature infants
weight gain
title Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
title_full Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
title_fullStr Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
title_full_unstemmed Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
title_short Implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
title_sort implementation of nutrition practice improves growth velocity and weight gain in premature infants ≤ 1250 grams
topic growth velocity
nutrition practice
premature infants
weight gain
url http://www.sciencedirect.com/science/article/pii/S1875957220300929
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