Feeding preterm infants after hospital discharge: growth and development at 18 months of age

R J Cooke1, N D Embleton, I J Griffin

  • 1Special Care Baby Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom. R.J.Cooke@ncl.ac.uk

Pediatric Research
|May 1, 2001
PubMed

Insights

Preterm infant formula improves growth up to 18 months, but does not affect development. Sex impacts growth and developmental outcomes in high-risk infants.

Area of Science:

  • Neonatal nutrition
  • Pediatric growth and development
  • Infant feeding practices

Background:

  • Preterm infants fed preterm formula exhibit improved growth post-discharge compared to those on term formula.
  • Early growth differences in preterm infants warrant investigation into long-term effects on growth and development.

Purpose of the Study:

  • To assess if enhanced early growth in preterm infants fed preterm formula is linked to improved later growth and neurodevelopmental outcomes.
  • To evaluate the long-term impact of different infant formulas on growth and development up to 18 months corrected age.

Main Methods:

  • Randomized controlled trial involving preterm infants (birth weight ≤1750 g, gestation ≤34 wk) assigned to preterm formula, term formula, or a combination.
  • Anthropometric measurements (weight, length, occipitofrontal circumference) taken at 12 weeks, 6, 12, and 18 months corrected age.
  • Bayley Scales of Infant Development II administered at 18 months to assess mental (MDI) and psychomotor (PDI) development.

Main Results:

  • Growth differences observed at 12 weeks were sustained through 18 months.
  • At 18 months, boys on preterm formula were heavier, longer, and had larger head circumference than boys on term formula.
  • No significant differences in MDI or PDI were found between formula groups, but boys generally had lower MDI than girls, particularly those on term formula.

Conclusions:

  • Early nutrition with preterm formula has lasting positive effects on growth in preterm infants up to 18 months corrected age.
  • Infant feeding strategies do not appear to influence neurodevelopmental outcomes (MDI, PDI) by 18 months corrected age.
  • Sex is a significant factor influencing growth and developmental assessments in high-risk preterm infants, necessitating consideration in analyses.

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