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Assisted Physical Exercise and Stress in Preterm Neonates
Subhash Chandra Shaw1, M Jeeva Sankar2, Anu Thukral1
1Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian Pediatrics
|September 16, 2018
Summary
Assisted physical exercise in premature infants did not increase stress markers like salivary cortisol. Pain scores (PIPP) slightly increased during exercise but returned to baseline, suggesting safety for these vulnerable infants.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Physiology
Background:
- Premature infants experience physiological stress.
- Assisted physical exercise is a common intervention in neonatal care.
- Evaluating stress responses to interventions is crucial for infant well-being.
Purpose of the Study:
- To assess stress indicators in preterm infants undergoing assisted physical exercise.
- To compare salivary cortisol levels and pain scores before and after exercise sessions.
Main Methods:
- 25 infants born before 35 weeks' gestation participated.
- Assisted physical exercise was administered daily for 10-15 minutes.
- Salivary cortisol and Premature Infant Pain Profile (PIPP) scores were measured.
Main Results:
- Salivary cortisol showed no significant difference post-exercise compared to baseline.
- A slight decrease in salivary cortisol was observed 30 minutes after exercise (P=0.04).
- PIPP scores increased during and at the completion of exercise but were not sustained.
Conclusions:
- Assisted physical exercise appears safe and does not induce significant physiological stress in preterm infants.
- The intervention may not cause lasting stress responses, warranting further investigation.
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