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Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants

Weaning from parenteral to enteral nutrition is a critical period to maintain an adequate growth in very low birth weight preterm infants (VLBWI). We evaluated the actual daily nutritional intakes during the transition phase (TP) in VLBWI with adequate and inadequate weight growth velocity (GV ≥ 15...

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Autores principales: Liotto, Nadia, Amato, Orsola, Piemontese, Pasqua, Menis, Camilla, Orsi, Anna, Corti, Maria Grazia, Colnaghi, Mariarosa, Cecchetti, Valeria, Pugni, Lorenza, Mosca, Fabio, Roggero, Paola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282247/
https://www.ncbi.nlm.nih.gov/pubmed/32370158
http://dx.doi.org/10.3390/nu12051298
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author Liotto, Nadia
Amato, Orsola
Piemontese, Pasqua
Menis, Camilla
Orsi, Anna
Corti, Maria Grazia
Colnaghi, Mariarosa
Cecchetti, Valeria
Pugni, Lorenza
Mosca, Fabio
Roggero, Paola
author_facet Liotto, Nadia
Amato, Orsola
Piemontese, Pasqua
Menis, Camilla
Orsi, Anna
Corti, Maria Grazia
Colnaghi, Mariarosa
Cecchetti, Valeria
Pugni, Lorenza
Mosca, Fabio
Roggero, Paola
author_sort Liotto, Nadia
collection PubMed
description Weaning from parenteral to enteral nutrition is a critical period to maintain an adequate growth in very low birth weight preterm infants (VLBWI). We evaluated the actual daily nutritional intakes during the transition phase (TP) in VLBWI with adequate and inadequate weight growth velocity (GV ≥ 15 vs. GV < 15 g/kg/day). Fat-free mass (FFM) at term-corrected age (TCA) was compared between groups. Based on actual nutritional intakes of infants with adequate growth, we defined a standardized parenteral nutrition bag (SPB) for the TP. One hundred and six VLBWI were categorized as group 1 (G1): [GV < 15 (n = 56)] and group 2 (G2): [GV ≥ 15 (n = 50)]. The TP was divided into two periods: main parenteral nutritional intakes period (parenteral nutritional intakes >50%) (M-PNI) and main enteral nutritional intakes period (enteral nutritional intakes >50%) (M-ENI). Anthropometric measurements were assessed at discharge and TCA, FFM deposition at TCA. During M-PNI, G2 showed higher enteral protein intake compared to G1 (p = 0.05). During M-ENI, G2 showed higher parenteral protein (p = 0.01) and energy intakes (p < 0.001). A gradual reduction in SPB volume, together with progressive increase in enteral volume, allowed nutritional intakes similar to those of G2. At TCA, G2 had higher FFM compared to G1 (p = 0.04). The reasoned use of SPB could guarantee an adequate protein administration, allowing an adequate growth and higher FFM deposition.
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spelling pubmed-72822472020-06-19 Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants Liotto, Nadia Amato, Orsola Piemontese, Pasqua Menis, Camilla Orsi, Anna Corti, Maria Grazia Colnaghi, Mariarosa Cecchetti, Valeria Pugni, Lorenza Mosca, Fabio Roggero, Paola Nutrients Article Weaning from parenteral to enteral nutrition is a critical period to maintain an adequate growth in very low birth weight preterm infants (VLBWI). We evaluated the actual daily nutritional intakes during the transition phase (TP) in VLBWI with adequate and inadequate weight growth velocity (GV ≥ 15 vs. GV < 15 g/kg/day). Fat-free mass (FFM) at term-corrected age (TCA) was compared between groups. Based on actual nutritional intakes of infants with adequate growth, we defined a standardized parenteral nutrition bag (SPB) for the TP. One hundred and six VLBWI were categorized as group 1 (G1): [GV < 15 (n = 56)] and group 2 (G2): [GV ≥ 15 (n = 50)]. The TP was divided into two periods: main parenteral nutritional intakes period (parenteral nutritional intakes >50%) (M-PNI) and main enteral nutritional intakes period (enteral nutritional intakes >50%) (M-ENI). Anthropometric measurements were assessed at discharge and TCA, FFM deposition at TCA. During M-PNI, G2 showed higher enteral protein intake compared to G1 (p = 0.05). During M-ENI, G2 showed higher parenteral protein (p = 0.01) and energy intakes (p < 0.001). A gradual reduction in SPB volume, together with progressive increase in enteral volume, allowed nutritional intakes similar to those of G2. At TCA, G2 had higher FFM compared to G1 (p = 0.04). The reasoned use of SPB could guarantee an adequate protein administration, allowing an adequate growth and higher FFM deposition. MDPI 2020-05-02 /pmc/articles/PMC7282247/ /pubmed/32370158 http://dx.doi.org/10.3390/nu12051298 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liotto, Nadia
Amato, Orsola
Piemontese, Pasqua
Menis, Camilla
Orsi, Anna
Corti, Maria Grazia
Colnaghi, Mariarosa
Cecchetti, Valeria
Pugni, Lorenza
Mosca, Fabio
Roggero, Paola
Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title_full Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title_fullStr Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title_full_unstemmed Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title_short Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants
title_sort protein intakes during weaning from parenteral nutrition drive growth gain and body composition in very low birth weight preterm infants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282247/
https://www.ncbi.nlm.nih.gov/pubmed/32370158
http://dx.doi.org/10.3390/nu12051298
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