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

Pediatric Dentistry
|January 30, 2010
PubMed

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.

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...