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Effect of nutrition on growth and body composition in infants born preterm
Paola Roggero1, Maria L Giannì, Pasqua Piemontese
1Neonatal Intensive Care Unit (NICU), Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy. paola.roggero@unimi.it
Insights
Optimizing nutrition for preterm infants is crucial for growth and neurodevelopment. Early nutritional strategies improve growth and body composition, positively impacting long-term health outcomes.
Area of Science:
- Neonatology
- Pediatric Nutrition
- Infant Growth and Development
Background:
- Increased survival of preterm infants necessitates optimized nutritional management.
- Adequate growth in preterm infants is linked to favorable neurodevelopmental outcomes.
- Preterm infants often experience nutrient deficiencies and growth restriction by discharge, alongside aberrant adiposity.
Purpose of the Study:
- To evaluate the impact of early nutritional strategies on preterm infant growth.
- To assess the effect of these strategies on body composition at term-corrected age.
- To emphasize the importance of monitoring growth and body composition for long-term health.
Main Methods:
- Implementation of targeted nutritional interventions shortly after birth.
- Monitoring of infant growth parameters.
- Assessment of body composition at term-corrected age.
Main Results:
- Early nutritional strategies demonstrated excellent results in promoting growth.
- These interventions did not negatively affect body composition at term-corrected age.
- Growth patterns and body composition changes are critical indicators.
Conclusions:
- Early nutritional interventions are effective for preterm infants' growth and body composition.
- Continuous monitoring of growth and body composition is essential for long-term health.
- Optimized nutrition plays a vital role in the overall well-being of preterm infants.
Abstract:
The optimization of the nutritional management of preterm infants has gained importance due to the increased survival of these vulnerable infants. In fact, the achievement of an adequate growth has been associated with a favourable neurodevelopment outcome. Nevertheless, preterm infants still develop severe nutrient deficiencies during the first few weeks of life so that they are frequently growth restricted upon discharge. In addition, preterm infants have been found to show an increased and aberrant adiposity at term-corrected age. The development of strategies immediately after birth has been found to produce excellent results in terms of growth without having any detrimental effect on body composition at term-corrected age. Continuing to monitor growth and body composition changes in relation to different nutrition interventions is essential as growth pattern and body composition appear to have a long term effect on health outcomes.
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