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Published on: July 28, 2022
[Relationship between plasma levels of vasoactive intestinal peptide and feeding intolerance in preterm infants]
Jing Xu1, Run-Zhong Huang, Jian-Wei Huang
1Department of Neonatology, First Affiliated Hospital, Jinan University, Guangzhou 510630, China.
Insights
Plasma levels of vasoactive intestinal peptide (VIP) were lower in preterm infants with feeding intolerance (FI). Lower VIP levels on day 1 predicted longer duration of FI, suggesting VIP may predict FI development.
Area of Science:
- Neonatal physiology
- Gastroenterology
- Endocrinology
Context:
- Feeding intolerance (FI) is a common complication in preterm infants.
- Vasoactive intestinal peptide (VIP) plays a role in gastrointestinal function.
- Understanding factors contributing to FI is crucial for improving neonatal outcomes.
Purpose:
- To investigate plasma vasoactive intestinal peptide (VIP) levels in preterm infants with feeding intolerance (FI).
- To determine the relationship between plasma VIP levels and the development and duration of FI.
- To explore the potential of VIP as a predictive biomarker for FI in neonates.
Summary:
- Plasma VIP concentrations were measured in 53 preterm infants with FI and compared to 59 controls.
- Fasting plasma VIP levels were significantly lower in the FI group during the first week of life.
- Lower initial VIP levels correlated with a longer duration of FI, with levels normalizing by day 14.
Impact:
- Plasma VIP levels may be implicated in the pathophysiology of feeding intolerance in preterm infants.
- VIP levels could serve as an early predictive marker for the development and severity of FI.
- This research may inform strategies for managing and potentially preventing feeding intolerance in vulnerable neonates.
Objective:
To study the changes of plasma vasoactive intestinal peptide (VIP) levels and the relationship of plasma VIP levels with feeding intolerance (FI) in preterm infants.
Methods:
Plasma VIP concentrations were measured using radioimmunoassay in 53 preterm infants with FI 1, 4, 7 and 14 days after birth. Fifty-nine preterm infants without FI served as the control group.
Results:
The fasting plasma concentrations of VIP in the FI group 1, 4 and 7 days after birth (129 ± 46, 144 ± 32 and 166 ± 31 pg/mL respectively) were significantly lower than those in the control group (195 ± 63, 197 ± 31 and 205 ± 34 pg/mL respectively) (P<0.05). The increased plasma VIP concentrations were associated with the increased gestational age, age in days and enteral feeding volume in the FI group. By 14 days, the plasma concentrations of VIP in the FI group (198 ± 41 pg/mL) were similar to those in the control group (202 ± 48 pg/mL) (P>0.05). The younger the infant's gestational age, the more prolonged the FI. Plasma levels of VIP on day 1 of life in the FI group were negatively correlated with the duration of FI (r=-0.799, P<0.05).
Conclusions:
Plasma levels of VIP might be related to the development of FI in preterm infants and might serve as a predictor of FI.
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