Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants
Journal Title: Jornal de Pediatria - Year 2018, Vol 94, Issue 6
Abstract
Objective To evaluate the resting energy expenditure, growth, and quantity of energy and macronutrients intake in a group of preterm newborns. Methods The cohort study was performed with appropriate and small for gestational age preterm infants (birth weight lower than 1500g or gestational age<32 weeks). Resting energy expenditure was measured using indirect calorimetry on the 7th, 14th, 21st, and 28th days of life, and at discharge. Length, head circumference and body weight were assessed weekly. Nutritional therapy was calculated during the hospital stay and the information for each type of food was recorded in software that calculates the total amount of energy and macronutrients. Results 61 preterm infants were followed; 43 appropriate and 18 small for gestational age infants. There was no statistical difference for resting energy expenditure between the groups, and it increased from the first to the fourth week of life (appropriate: 26.3% and small: 21.8%). Energy intake in the first two weeks of life was well below the energy requirement. Conclusion Considering that the results demonstrate high energy expenditure during the first weeks of life, there is an evident need to provide the best quality of nutrition for each child in the first weeks of life so that preterm infants with or without intrauterine growth restriction can achieve their maximum potential for growth and development.
Authors and Affiliations
Andrea Dunshee de Abranches
Keywords
Related Articles
- EP ID EP493098
- DOI 10.1016/j.jped.2017.09.005
- Views 69
- Downloads 0
Pediatric emergency in Brazil: the consolidation of an area in the pediatric field
Objective The aim of this study was to present a review on the evolution, development, and consolidation of the pediatric emergency abroad and in Brazil, as well as to discuss the residency program in this key area for p...
Newborn screening for sickle cell disease: necessary but not sufficient
Sickle cell disease is a global health problem that affects>300,000 newborns per year, predominantly in Sub-Saharan Africa,1 where mortality is estimated to be>50% by age 5 years for those with homozygous hemoglobin S (H...
Prevalence of consumption and nutritional content of breakfast meal among adolescents from the Brazilian National Dietary Survey
Objective To estimate the prevalence of breakfast consumption and describe the foods and nutrients consumed at this meal and throughout the day by Brazilian adolescents. Method A total of 7276 adolescents aged 10–19 yea...
Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries
Objective To review the principles of neonatal-pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource-limited countries in Latino America. Sources The PubMed database...
Routine pacifier use in infants: pros and cons
Webster's dictionary of American English1 defines the “pacifier” as an object that makes one “quiet or peaceful,” surely a welcome behavioral outcome that mothers routinely report from its use with their infants. The cur...