Effect of Nutritional Intake on the Body Composition of HIV-Exposed and HIV-Unexposed Preterm and Low Birth Weight

Klara McClunan1, Daniel Gerhardus Nel2,3, Muhammad Ali Dhansay4

  • 11 Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Insights

Human breast milk (HBM) is often insufficient for very low birth weight (VLBW) infants. Fortified HBM showed significant body composition differences in HIV-exposed versus unexposed infants, while NPO infants had altered fat and fat-free mass.

Area of Science:

  • Neonatal nutrition
  • Pediatric body composition analysis
  • Human breast milk research

Background:

  • Human breast milk (HBM) may not meet the protein needs of very low birth weight (VLBW) infants, potentially impacting their body composition.
  • Understanding the impact of HBM on infant body composition is crucial for optimizing growth and development.

Purpose of the Study:

  • To assess the effect of HBM on the body composition of preterm VLBW infants, considering HIV exposure.
  • To evaluate the influence of breast milk fortification and nil per os (NPO) duration on infant body composition.

Main Methods:

  • A descriptive cross-sectional study included preterm infants with a birth weight of ≤1,200g.
  • Nutritional intake and body composition were monitored over a 28-day follow-up period.
  • Infants received either HBM or fortified HBM, with data analyzed based on HIV exposure and NPO status.

Main Results:

  • No significant body composition differences were found between infants receiving HBM versus fortified HBM.
  • Significant differences in fat mass percentage (FM%) and fat-free mass percentage (FFM%) were observed between HIV-exposed and unexposed infants receiving fortified HBM.
  • Infants kept NPO showed significant differences in FM% and FFM% compared to those not kept NPO.

Conclusions:

  • While HBM fortification did not alter overall body composition, HIV exposure status influenced outcomes in infants receiving fortified HBM.
  • Nil per os (NPO) status was associated with smaller size and altered body composition (lower FM%, higher FFM%).
  • Further research is needed to optimize nutritional strategies for VLBW infants based on HIV status and feeding protocols.
Abstract

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