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Preterm infants fed nutrient-enriched formula until 6 months show improved growth and development
Ga Won Jeon1, Yu Jin Jung1, Sun Young Koh1
1Department of Pediatrics, Busan Paik Hospital, Inje University College of Medicine, BusanDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Pediatrics, Cheil General Hospital, Kwandong University College of MedicineDepartment of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, SeoulDepartment of Pediatrics, Bucheon Hospital, Soonchunhyang University, College of Medicine, Bucheon, Korea.
Insights
Nutrient-enriched preterm formula improved growth rates in very low-birthweight preterm infants up to 18 months corrected age. Mental and psychomotor development remained comparable across feeding groups.
Area of Science:
- Neonatal nutrition
- Pediatric growth and development
Background:
- Preterm infants, especially those with very low birth weight, face challenges in growth and development.
- Nutritional strategies are crucial for optimizing outcomes in this vulnerable population.
Purpose of the Study:
- To evaluate the impact of feeding nutrient-enriched preterm formula until 6 months corrected age (CA) on growth and development.
- To compare different feeding regimens in very low-birthweight preterm infants.
Main Methods:
- Infants were assigned to three groups: term formula to 6 months CA, preterm formula to 3 months CA then term formula, or preterm formula to 6 months CA.
- Anthropometric measurements (weight, length, head circumference) were taken at multiple time points up to 18 months CA.
- Mental and psychomotor development were assessed using the Bayley Scales of Infant Development II at 18 months CA.
Main Results:
- Group 3 (preterm formula until 6 months CA) showed significantly higher growth rates for body weight, length, and head circumference compared to groups 1 and 2.
- Despite initial lower measurements at term, infants in group 3 exhibited catch-up growth.
- No significant differences in mental or psychomotor developmental indices were observed between the groups.
Conclusions:
- Feeding nutrient-enriched preterm formula until 6 months CA significantly enhances growth rates in very low-birthweight preterm infants.
- This feeding strategy supports comparable neurodevelopmental outcomes to standard feeding regimens.
- Optimized nutrition in early life is vital for improving growth trajectories in preterm infants.
Background:
The purpose of the present study was to determine the effect of feeding nutrient-enriched preterm formula to preterm infants until 6 months' corrected age (CA) on growth and development in the first 18 months of life.
Methods:
Very low-birthweight preterm infants were fed preterm formula until term (40 weeks CA). Infants were then assigned to one of three groups and were fed term formula until 6 months' CA (group 1, n= 29); preterm formula to 3 months' CA and then term formula to 6 months' CA (group 2, n= 30); or preterm formula until 6 months' CA (group 3, n= 31). Anthropometry was performed at term, 3, 6, 9, 12, 15, and at s18 months' CA. Mental and psychomotor development were assessed using the Bayley Scales of Infant Development II at 18 months' CA.
Results:
Although body weight, length, head circumference and z score for CA at term in group 3 were significantly lower than those of groups 1 and 2, growth rates of these parameters were significantly higher in group 3 up to 18 months CA', as compared to groups 1 and 2. The mental developmental index and psychomotor developmental index of the Bayley test were not significantly different between the three groups.
Conclusions:
Very low-birthweight preterm infants fed nutrient-enriched preterm formula until 6 months' CA demonstrated significantly improved growth rates for bodyweight, length and head circumference, and comparable mental and psychomotor development throughout the first 18 months of life.
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