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[Correlation between serum IGF-1 level and feeding difficulties in preterm infants]
Shuang Wang1, Na Li, Ya-Ping Mu
1Liaoning University of Traditional Chinese Medicine, Shenyang 110032. muyaping60@yahoo.com.cn.
Insights
Serum insulin-like growth factor-1 (IGF-1) levels are linked to feeding issues in preterm infants. Lower IGF-1 levels increase the risk of feeding difficulties, highlighting its importance in infant development.
Area of Science:
- Neonatal research
- Pediatric endocrinology
- Infant nutrition
Context:
- Preterm infants often experience feeding difficulties, impacting growth and development.
- Serum insulin-like growth factor-1 (IGF-1) plays a crucial role in fetal and neonatal growth.
- Understanding factors contributing to feeding difficulties is vital for optimizing infant care.
Purpose:
- To investigate the association between serum IGF-1 levels and the occurrence of feeding difficulties in preterm infants.
- To identify IGF-1 as a potential biomarker for predicting feeding challenges in this vulnerable population.
Summary:
- A retrospective study analyzed 200 preterm infants, measuring serum IGF-1 levels within 24 hours of birth.
- Infants experiencing feeding difficulties exhibited significantly lower serum IGF-1 levels compared to controls (28±4 ng/mL vs. 63±8 ng/mL, P<0.05).
- Multivariate analysis identified decreased IGF-1 levels as a risk factor for feeding difficulties, alongside asphyxia and delayed feeding initiation.
Impact:
- Findings suggest that low serum IGF-1 levels are correlated with increased risk of feeding difficulties in preterm infants.
- This research may inform targeted interventions to support nutritional management and improve outcomes for preterm neonates.
- Highlights the potential of IGF-1 monitoring in neonatal intensive care units.
Objective:
To study the correlation between serum insulin-like growth factor-1 (IGF-1) level and feeding difficulties in preterm infants.
Methods:
A retrospective analysis was performed on 200 preterm infants born between January 2013 and January 2014. Venous blood samples were obtained within 24 hours after birth to determine the serum level of IGF-1. The correlation between IGF-1 level and feeding difficulties in preterm infants was analyzed by single-factor analysis and multivariate logistic regression analysis.
Results:
The serum IGF-1 level in the feeding difficulty group was significantly lower than that in the control group (28±4 ng/mL vs 63±8 ng/mL; P<0.05). Results of multivariate logistic regression analysis showed that high gestational age and birth weight were protective factors for feeding difficulties in preterm infants, whereas asphyxia, delayed initiation of feeding, use of aminophylline, perinatal infection and decreased IGF-1 level were risk factors.
Conclusions:
The level of serum IGF-1 is correlated with feeding difficulties in premature infants. A reduced IGF-1 level increases the risk of feeding difficulties.
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