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.

Pediatric Pulmonology
|August 20, 2021
PubMed

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.

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