Posthospital discharge feeding for preterm infants: effects of standard compared with enriched milk formula on

Winston W K Koo1, Elaine M Hockman

  • 1Carman and Ann Adams Department of Pediatrics, Wayne State University and Hutzel Hospital, Detroit, MI 48201, USA. wkoo@wayne.edu

Insights

Nutrient-enriched formula (EF) did not improve growth or body composition in preterm infants post-discharge compared to standard term formula (TF). Further research is needed for optimal nutrition support in preterm infants.

Area of Science:

  • Neonatal Nutrition
  • Pediatric Gastroenterology
  • Growth and Development

Background:

  • Post-discharge nutrition for preterm infants is crucial for growth.
  • The efficacy of nutrient-enriched formulas (EF) versus term formulas (TF) is not well-established.

Purpose of the Study:

  • To compare the effects of EF and TF on growth, bone mass, and body composition in preterm infants after hospital discharge.

Main Methods:

  • A randomized, double-blind study compared EF and TF for one year post-discharge.
  • EF had higher energy, protein, calcium, and phosphorus content than TF.

Main Results:

  • Infants receiving TF showed significantly greater weight, length, and head circumference z-scores.
  • The TF group also exhibited superior bone, lean, and fat mass compared to the EF group.

Conclusions:

  • Nutrient-enriched formula offers no apparent benefit over term formula for preterm infant growth post-discharge.
  • Optimal post-discharge nutritional strategies for preterm infants require further investigation.
Abstract

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