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Vitamin D Intake in Very Low Birth Weight Infants in Neonatal Intensive Care Unit
Upender K Munshi1, Pauline D Graziano, Kara Meunier
1Department of Pediatrics, Albany Medical Center, NY.
Insights
Monitoring daily vitamin D intake in neonatal intensive care units improved nutrient achievement for preterm infants. This intervention enhanced vitamin D levels in extremely low birth weight and very low birth weight infants.
Area of Science:
- Neonatology
- Pediatric Nutrition
- Endocrinology
Background:
- Preterm infants require adequate Vitamin D for growth and bone health.
- The American Academy of Pediatrics recommends 400 IU of Vitamin D daily for infants.
- Current achievement rates of this recommendation in neonatal intensive care units are not well-established.
Purpose of the Study:
- To determine the impact of a daily Vitamin D intake monitoring system on achieving recommended levels in preterm infants.
- To assess if this monitoring improves Vitamin D intake in different birth weight strata.
Main Methods:
- Retrospective study of 378 preterm infants (birth weight ≤1500 g) admitted to a neonatal intensive care unit.
- Infants were divided into two groups: pre-implementation (151 infants) and post-implementation (227 infants) of daily Vitamin D monitoring.
- Infants were further stratified into extremely low birth weight (<1000 g) and very low birth weight (1000-1500 g) categories.
Main Results:
- Introduction of daily Vitamin D intake monitoring led to a significant improvement in Vitamin D intake.
- This improvement was observed in both extremely low birth weight and very low birth weight infant groups.
- The monitoring system effectively increased the achievement of the recommended 400 IU daily intake.
Conclusions:
- Implementing a daily Vitamin D intake monitoring system is effective in improving nutrient delivery for preterm infants.
- This strategy is crucial for ensuring adequate Vitamin D levels in vulnerable neonatal populations.
- Neonatal intensive care units should consider such monitoring to optimize preterm infant nutrition and health outcomes.
Abstract:
It is unknown how often preterm infants in neonatal intensive care units achieve the American Academy of Pediatrics-recommended daily intake of 400 international units of Vitamin D. We studied 378 preterm infants with birth weight 1500 g or less admitted to our neonatal intensive care unit, 151 infants before and 227 infants after daily vitamin D-intake monitoring was introduced. Infants were stratified into 2 groups: extremely low birth weight (<1000 g) and Very low birth weight (1000-1500 g). Monitoring of daily intake coincided with significant improvement in vitamin D intake in both extremely low birth weight and very low birth weight groups.
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