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Preterm infants with chronic lung disease: are protein and energy intakes after discharge sufficient for optimal

Gemma McLeod1, Karen Simmer, Helen Benninger

  • 1School of Public Health, Curtin University of Technology, Perth, Australia. gemma.mcleod@health.wa.gov.au

Journal of Paediatrics and Child Health
|November 25, 2010
PubMed

Insights

Post-discharge feeding for preterm infants with chronic lung disease (CLD) provided adequate protein and energy. However, many infants did not achieve optimal growth by 12 months corrected age.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Respiratory Medicine

Background:

  • Preterm infants with chronic lung disease (CLD) require careful nutritional management post-discharge.
  • Optimal growth is crucial for long-term health outcomes in this vulnerable population.

Purpose of the Study:

  • To document post-discharge feeding practices in preterm infants with CLD.
  • To assess if protein and energy intake meets recommendations for optimal growth.

Main Methods:

  • Quantified protein and energy intake at four corrected age assessments post-discharge.
  • Compared intakes with Australian and New Zealand Nutrient Reference Values (NRV).
  • Calculated corrected age z-scores for weight, length, and head circumference.

Main Results:

  • Most infants received protein exceeding NRV; at least 63% met energy NRV.
  • Ten of 28 infants transitioned from breast milk to formula within one month.
  • At 12 months, 10 of 20 infants with growth data weighed below the 10th percentile.

Conclusions:

  • Preterm infants with CLD may not achieve reference growth in the first year post-discharge.
  • Nutritional intake (protein, energy) was generally comparable to recommendations for healthy term infants.
  • Feeding practices may require further optimization to support growth in CLD infants.
Abstract

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