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Published on: January 29, 2018
Medical, nutritional, and dental considerations in children with low birth weight
Susan O'Connell1, Anne O'Connell, Elaine O'Mullane
1Department of Pediatric Endocrinology, The National Children's Hospital, Dublin, Ireland. soconnell5@hotmail.com
Insights
Low birth weight (LBW) infants face long-term health risks, including poor oral health. Optimal infant nutrition is crucial to prevent lifelong metabolic issues and obesity in these vulnerable children.
Area of Science:
- Pediatrics
- Neonatology
- Public Health
Background:
- Low birth weight (LBW) affects 8-26% of infants globally, increasing risks for childhood and adult medical problems and poor oral health.
- The role of fetal growth in birth weight and its long-term health implications remain debated.
- The postnatal period is critical for nutrition, potentially influencing lifelong metabolic health and obesity risk.
Purpose of the Study:
- To review terminology and issues concerning fetal growth.
- To summarize morbidity associated with LBW, prematurity, and small-for-gestational-age births.
- To emphasize the importance of appropriate infant nutrition for high-risk infants.
Main Methods:
- Literature review and synthesis of existing evidence.
- Analysis of medical terminology and associated health risks.
- Discussion of nutritional management strategies for LBW infants.
Main Results:
- Suboptimal nutrition in LBW infants can lead to rapid postnatal weight gain and persistent health issues.
- Lack of consensus on optimal infant nutrition for LBW, premature, and small-for-gestational-age infants contributes to management challenges.
- Pediatric dentists can support healthy feeding practices and improve long-term outcomes.
Conclusions:
- Integrated medical and dental care is recommended for all LBW infants.
- Appropriate postnatal nutrition is vital for mitigating long-term health consequences in LBW infants.
- Early intervention in feeding practices can significantly impact the future health trajectory of LBW infants.
Abstract:
It is estimated that 8 to 26 percent of infants are born with low birth weight (LBW) worldwide. These children are at risk for medical problems in childhood and adulthood and often have poor oral health. The influence of fetal growth on birth weight and its relevance to childhood growth and future adult health is controversial. Evidence now indicates that the postnatal period is a critical time when nutrition may predispose the child to lifelong metabolic disturbance and obesity. Given the lack of consensus on optimum infant nutrition for LBW, premature, and small-for-gestational-age infants, many such infants may be suboptimally managed. This may result in rapid postnatal weight gain and ongoing health problems. The purpose of this review was to summarize medical terminology and issues related to fetal growth, morbidity associated with being born low birth weight, premature, or small for gestational age, and the importance of appropriate nutrition in such infants. Pediatric dentists can play an important role in supporting healthy feeding practices and improving long-term health in these children. Early integrated medical and dental care should be encouraged for all children with low birth weight.
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