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Implementation of a Nutrition Program Reduced Post-Discharge Growth Restriction in Thai Very Low Birth Weight Preterm

Suchada Japakasetr1, Chutima Sirikulchayanonta2, Umaporn Suthutvoravut3

  • 1Department of Nutrition, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand. scdj01@yahoo.com.

Nutrients
|December 22, 2016
PubMed

Insights

The preterm infant, post-discharge nutrition (PIN) program effectively reduced growth restriction in very low birth weight (VLBW) preterm infants. This nutritional intervention improved infant weight and head circumference by six months corrected age.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Growth and Development

Background:

  • Very low birth weight (VLBW) preterm infants face significant risks of post-discharge growth restriction.
  • Cumulative protein and energy deficits during hospitalization and early post-discharge periods contribute to this vulnerability.

Purpose of the Study:

  • To evaluate the effectiveness of a preterm infant, post-discharge nutrition (PIN) program.
  • To assess the program's impact on reducing post-discharge growth restriction in Thai VLBW preterm infants.

Main Methods:

  • A prospective, non-randomized interventional cohort study.
  • Comparison of 22 VLBW infants in the PIN program with 22 receiving conventional nutrition.
  • Monthly growth monitoring until six months corrected age (6-moCA).

Main Results:

  • Intervention infants showed significantly greater body weights (p = 0.013) and head circumferences (p = 0.009).
  • A higher proportion of the PIN group achieved standard weight by 4-moCA (p = 0.027) and 6-moCA (p = 0.007).
  • The PIN group also demonstrated significantly improved head circumference by 6-moCA (p = 0.004).

Conclusions:

  • The PIN program significantly reduced post-discharge growth restriction in VLBW preterm infants.
  • The intervention positively impacted key growth parameters, including weight and head circumference.
  • Further research is recommended to explore the long-term effects of the PIN program on infant growth and development.

Keywords:
growth restrictionnutrition programpost-dischargevery low birth weight preterm infant

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