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Body Composition of Infants With Congenital Gastroschisis
Kera McNelis1,2, Anne Poindexter2, Gillian Goddard3,4
1Division of Neonatology, Cincinnati Children's Hospital Medical Center.
Insights
Infants with gastroschisis often experience growth issues. This study examined body composition in 10 such infants, finding that fat-free mass is crucial for understanding their growth and development.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Growth and Development
Background:
- Congenital gastroschisis frequently leads to intrauterine growth restriction and postnatal growth failure in infants.
- Body composition analysis offers a more comprehensive assessment of infant growth than traditional metrics like weight and length.
- Fat-free mass (FFM) deposition is linked to better neurodevelopmental outcomes in preterm infants without gastroschisis.
Purpose of the Study:
- To describe the body composition of infants diagnosed with congenital gastroschisis.
- To investigate the deposition of fat-free mass (FFM) in infants with gastroschisis.
Main Methods:
- A case series methodology was employed.
- The study included a cohort of 10 infants diagnosed with congenital gastroschisis.
- Body composition was analyzed to assess growth parameters.
Main Results:
- Limited literature currently exists on the body composition of infants with gastroschisis.
- This case series provides initial data on the body composition of this specific infant population.
- Findings highlight the importance of assessing FFM in infants with gastroschisis.
Conclusions:
- Infants with gastroschisis face significant growth challenges.
- Body composition, particularly FFM, is a critical indicator for assessing growth and potential developmental outcomes in infants with gastroschisis.
- Further research is warranted to understand the long-term implications of body composition in gastroschisis survivors.
Abstract:
Infants born with congenital gastroschisis are at risk for intrauterine growth restriction, small for gestational size at birth, and growth failure during the newborn period despite advanced care. Body composition provides a more complete picture of proportional growth than weight and length alone. Fat-free mass (FFM) represents organ growth, and in preterm infants without gastroschisis, improved FFM deposition is associated with improved neurodevelopmental outcomes. There is limited literature regarding the body composition of infants with gastroschisis. This case series describes the body composition of 10 infants with gastroschisis.
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