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COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH

OBJECTIVE: To determine whether fat content and energy value change in colostrum according to gestational age and fetal growth. METHODS: Cross-sectional study with mothers of preterm and term infants born in a tertiary center in 2015-2016. Inclusion criteria: single pregnancy, absence of diabetes, c...

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Autores principales: Santiago, Luiza Tavares Carneiro, de Meira, José Donizeti, de Freitas, Natália Alves, Kurokawa, Cilmery Suemi, Rugolo, Lígia Maria Suppo de Souza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade de Pediatria de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202904/
https://www.ncbi.nlm.nih.gov/pubmed/29995137
http://dx.doi.org/10.1590/1984-0462/;2018;36;3;00006
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author Santiago, Luiza Tavares Carneiro
de Meira, José Donizeti
de Freitas, Natália Alves
Kurokawa, Cilmery Suemi
Rugolo, Lígia Maria Suppo de Souza
author_facet Santiago, Luiza Tavares Carneiro
de Meira, José Donizeti
de Freitas, Natália Alves
Kurokawa, Cilmery Suemi
Rugolo, Lígia Maria Suppo de Souza
author_sort Santiago, Luiza Tavares Carneiro
collection PubMed
description OBJECTIVE: To determine whether fat content and energy value change in colostrum according to gestational age and fetal growth. METHODS: Cross-sectional study with mothers of preterm and term infants born in a tertiary center in 2015-2016. Inclusion criteria: single pregnancy, absence of diabetes, chorioamnionitis and mastitis, no use of illicit drugs or alcohol, without fetal congenital malformation or infection. Four groups were formed according to gestational age and fetal growth: preterm infants small for gestational age (PT-SGA; n=33) and appropriate for gestational age (PT-AGA; n=60), term infants small for gestational age (T-SGA; n=59) and appropriate for gestational age (T-AGA; control, n=73). Colostrum was collected between 24-72 hours postpartum. Gestational and birth variables were analyzed. Outcome variables were: fat content in colostrum (evaluated by crematocrit method) and estimated energy value. Chi-square or Fisher exact tests, ANOVA, and multivariable linear regression were used for comparison among groups. RESULTS: Mean gestational age was 34 weeks in preterm infants and 39 weeks in term neonates. Crematocrit did not differ between groups, with mean values varying between 3.3 and 4.0%; estimated energy value was 52 to 56 kcal/dL. Crematocrit ≥4% was more frequent in the T-SGA group. Only in the PT-SGA group there was a correlation between crematocrit and body mass index of the mother. CONCLUSIONS: The fat content and energy value of colostrum did not change according to gestational age or fetal growth.
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spelling pubmed-62029042018-11-14 COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH Santiago, Luiza Tavares Carneiro de Meira, José Donizeti de Freitas, Natália Alves Kurokawa, Cilmery Suemi Rugolo, Lígia Maria Suppo de Souza Rev Paul Pediatr Original Article OBJECTIVE: To determine whether fat content and energy value change in colostrum according to gestational age and fetal growth. METHODS: Cross-sectional study with mothers of preterm and term infants born in a tertiary center in 2015-2016. Inclusion criteria: single pregnancy, absence of diabetes, chorioamnionitis and mastitis, no use of illicit drugs or alcohol, without fetal congenital malformation or infection. Four groups were formed according to gestational age and fetal growth: preterm infants small for gestational age (PT-SGA; n=33) and appropriate for gestational age (PT-AGA; n=60), term infants small for gestational age (T-SGA; n=59) and appropriate for gestational age (T-AGA; control, n=73). Colostrum was collected between 24-72 hours postpartum. Gestational and birth variables were analyzed. Outcome variables were: fat content in colostrum (evaluated by crematocrit method) and estimated energy value. Chi-square or Fisher exact tests, ANOVA, and multivariable linear regression were used for comparison among groups. RESULTS: Mean gestational age was 34 weeks in preterm infants and 39 weeks in term neonates. Crematocrit did not differ between groups, with mean values varying between 3.3 and 4.0%; estimated energy value was 52 to 56 kcal/dL. Crematocrit ≥4% was more frequent in the T-SGA group. Only in the PT-SGA group there was a correlation between crematocrit and body mass index of the mother. CONCLUSIONS: The fat content and energy value of colostrum did not change according to gestational age or fetal growth. Sociedade de Pediatria de São Paulo 2018 /pmc/articles/PMC6202904/ /pubmed/29995137 http://dx.doi.org/10.1590/1984-0462/;2018;36;3;00006 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Santiago, Luiza Tavares Carneiro
de Meira, José Donizeti
de Freitas, Natália Alves
Kurokawa, Cilmery Suemi
Rugolo, Lígia Maria Suppo de Souza
COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title_full COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title_fullStr COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title_full_unstemmed COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title_short COLOSTRUM FAT AND ENERGY CONTENT: EFFECT OF GESTATIONAL AGE AND FETAL GROWTH
title_sort colostrum fat and energy content: effect of gestational age and fetal growth
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202904/
https://www.ncbi.nlm.nih.gov/pubmed/29995137
http://dx.doi.org/10.1590/1984-0462/;2018;36;3;00006
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