PECULIARITIES OF PHYSICAL GROWTH AND BODY COMPOSITION OF PRETERM INFANTS, RECEIVED DIFFERENT TYPES OF FEEDING, AT THE DISCHARGE FROM HOSPITAL

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Abstract

Background: This article is devoted to a research and practice problem — optimization of feeding preterm infants. Patients and methods: 80 preterm infants of different GA with perinatal pathology were included in the study group. Anthropometric figures of weight and length z-scores and also BMI of preterm infants, received different types of feedings, at the discharge are presented. All patients’ body composition (Fat free mass and Fat mass) was estimated by air plethysmography. Results: Less mass and length at the discharge in preterm infants, received breast feeding (including fortified milk), in comparison with the infants, received mixed and formula feeding, were found out. At the same time, preterm infants received breast feeding had more optimal body composition (less fat mass), than the infants received formula feeding. Conclusion: Personalised approach to human milk fortifiers prescription is explained. Important practical value of methodology for estimating body composition by air plethysmography is established.

About the authors

I. A. Belyaeva

Scientific Centre of Children's Health, Moscow

Author for correspondence.
Email: irinaneo@mail.ru

PhD, Head of the Department of Premature neonates of SCCH.  Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 134-15-19

Россия

L. S. Namazova-Baranova

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: namazova@nczd.ru
correspondent member of RAS, Deputy Director for Science of SCCH, Director of RI of Preventive Pediatrics and Remedial Treatment of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 967-14-14 Россия

E. O. Tarzyan

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: eleonora027@mail.ru
MD, research scientist of the Department of Premature neonates of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 134-15-19 Россия

V. A. Skvortsova

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: vera.skvortsova@mail.ru
PhD, leading research scientist of the Department of Health and Ill Child Nutrition of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 132-25-02 Россия

I. A. Boldakova

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: namazova@nczd.ru

Boldakova Irina Andreevna, postgraduate of the Department of Premature neonates of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 134-15-19

Россия

References

  1. Printsipy etapnogo vykhazhivaniya nedonoshennykh detei. Pod red. L.S. Namazovoi-Baranovoi [Prinsiples of Step Management for Prematures. Edited by L.S. Namazova-Baranova]. Moscow, Pediatr"", 2013. 240 p.
  2. Dauncey M.J., Bicknell R.J. Nutrition and neurodevelopment: mechanisms of developmental dysfunction and disease in later life. Nutr. Res. Rev. 1999; 12: 231–253.
  3. Ranade S.C., Rose A., Rao M., Gallego J., Gressens P., Mani S. Different types of nutritional deficiencies affect different domains of spatial memory function checked in a radial arm maze. Neurosci. 2008; 152: 859–866.
  4. Ehrenkranz R.A., Dusickn A.M., Vohr B.R., Wright L.L., Wrage L.A., Poole W.K. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics. 2006; 117: 1253–1261.
  5. Singhal A., Fewtrell M., Cole T.J., Lucas A. Low nutrient intake and early growth for later insulin resistance in adolescents born preterm. Lancet. 2003; 361: 1089–1097.
  6. Singhal A., Cole T.J., Fewtrell M., Deanfield J., Lucas A. Is slower early growth beneficial for long-term cardiovascular health? Circulation. 2004; 109: 1108–1113.
  7. Latal-Hajnal B., von Siebenthal K., Kovari H. Postnatal growth in VLBW infants: significant association with neurodevelopmental outcome. J. Pediatr. 2003; 143: 163–170.
  8. Stephens B.E., Walden R.V., Gargus R.A., Tucker R., McKinley L., Mance M. First-week protein and energy intakes are associated with 18-month developmental outcomes in extremely low birth weight infants. Pediatrics. 2009; 123: 1337–1343.
  9. Lemons J.A., Bauer C.R., Oh W. Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 through December 1996. Pediatrics. 2001; 107: 1–11.
  10. Ehrenkranz R.A., Younes N., Lemons J.A. et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics. 1999; 104: 280–289.
  11. Embleton N.E., Pang N., Cooke R.J. Postnatal growth retardation: An inevitable consequence of current recommendations in preterm infants? Pediatrics. 2001; 107: 270–273.
  12. Ernst K.D., Radmacher P.G., Rafail S.T. et al. Postnatal malnutrition of extremely low birth-weight infants with catch-up growth postdischarge. J. Perinatol. 2003; 23: 477–482.
  13. Clark R.H., Thomas P., Peabody J. Extrauterine growth restriction remains a serious problem in prematurely born neonates. Pediatrics. 2003; 111: 986–990.
  14. Steward D.K., Pridham K.F. Growth patterns of extremely low-birthweight hospitalized preterm infants. J. Obstet. Gynecol. Neonatal. Nurs. 2002; 31: 57–65.
  15. Cooke R.J., Griffin I. Altered body composition in preterm infants at hospital discharge. J. Pediatr. Gastroenterol. Nutr. 2008; 47 (3): 375–378.
  16. Johnson M.J., Wootton S.A., Leaf A.A., Jackson A.A. Preterm birth and body composition at term equivalent age:a systematic review and meta-analysis. Pediatrics. 2012; 130 (3): 640–649.

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