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Published on: February 15, 2018
Nutrition and growth in infants with established bronchopulmonary dysplasia
Sarah E Bauer1, Charles P B Vanderpool1, Clement Ren2
1Department of Pediatrics, Indiana University, Indianapolis, Indiana, USA.
Insights
Bronchopulmonary dysplasia (BPD) affects preterm infants, requiring ongoing nutritional support post-discharge. This review highlights knowledge gaps in managing BPD growth and nutrition after hospitalization.
Area of Science:
- Neonatology
- Pediatric Nutrition
- Respiratory Medicine
Background:
- Bronchopulmonary dysplasia (BPD) is the most common chronic lung disease in preterm infants.
- Current research primarily addresses BPD pathogenesis and prevention.
- Infants with BPD have persistent medical needs, particularly regarding growth and nutrition, extending beyond neonatal intensive care unit (NICU) stays.
Purpose of the Study:
- To review current knowledge on nutrition and growth in infants with established BPD after hospital discharge.
- To identify existing knowledge and research gaps in this area.
- To guide future research directions for optimal BPD management.
Main Methods:
- Literature review of studies focusing on nutrition and growth in post-discharge BPD infants.
- Synthesis of findings related to nutritional interventions and growth outcomes.
- Identification of research deficits and areas requiring further investigation.
Main Results:
- Established BPD infants exhibit significant nutritional challenges and growth abnormalities post-discharge.
- Limited research exists on standardized nutritional guidelines and long-term growth trajectories for these infants.
- Key areas for future research include optimal caloric intake, macronutrient composition, and micronutrient supplementation.
Conclusions:
- There is a critical need for evidence-based guidelines for nutrition and growth management in infants with BPD after discharge.
- Further research is essential to address the persistent growth and nutritional morbidities associated with BPD.
- Future studies should focus on optimizing feeding strategies to improve outcomes for preterm infants with BPD.
Abstract:
Bronchopulmonary dysplasia (BPD) remains the most common late morbidity of preterm birth. Ongoing clinical care and research have largely focused on the pathogenesis and prevention of BPD in preterm infants. However, preterm infants who develop BPD have significant medical needs that persist throughout their neonatal intensive care unit course and continue post-discharge, including those associated with growth and nutrition. The objective of this manuscript was to provide a review on nutrition and growth in infants with established BPD after discharge from the hospital and to identify the knowledge and research gaps to provide direction for future studies.
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