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The effects of early combined training on the physical development of preterm infants with different gestational ages
Fang He1,2, Na Wu1,2, Xiuwei Ma1,2
1Faculty of Pediatrics, The Chinese PLA General Hospital, Beijing, China.
Insights
Early combined training promotes physical development and catch-up growth in preterm infants, particularly those born earlier. Benefits are observed up to 12 months corrected age, with earlier gestational age infants showing faster progress.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Physical therapy
Background:
- Preterm infants often experience developmental delays.
- Early intervention is crucial for optimizing growth and development in vulnerable infants.
- Combined training programs aim to enhance physical outcomes.
Purpose of the Study:
- To evaluate the impact of early combined training on the physical development of preterm infants.
- To compare catch-up growth rates across different gestational age groups.
Main Methods:
- 144 preterm infants were randomized into intervention (early combined training) and control groups.
- Physical development and catch-up growth were assessed at 40 weeks, 3, 6, and 12 months corrected age.
- Gestational ages ranged from <29 weeks to 34-37 weeks.
Main Results:
- The intervention group showed significantly higher physical growth indexes at 40 weeks and 3 months corrected age.
- At 12 months corrected age, preterm infants in the <29 weeks intervention group had improved body weight and length compared to controls.
- Catch-up growth satisfaction rates were higher in the intervention group across all gestational ages at 3 months corrected age.
Conclusions:
- Early combined training effectively promotes catch-up growth in preterm infants, especially those born before 34 weeks gestation.
- The positive effects of training persist up to 12 months corrected age.
- Higher gestational age correlates with earlier catch-up growth satisfaction.
Objective:
To investigate the effects of early combined training on the physical development of preterm infants of different gestational ages.
Methods:
A total of 144 preterm infants from our hospital's neonatal intensive care unit (NICU) between 2019 and 2020 were selected as the research participants and randomly divided into an intervention group (77 cases) and a control group (67 cases). The physical development and catch-up growth satisfaction rate of preterm infants in the intervention and control groups were compared at 40 weeks, 3 months, 6 months and 12 months of corrected age.
Results:
At 40 weeks of gestational age and corrected 3 months of gestational age, the physical growth indexes of the intervention group were higher than those of the control group, with a statistical difference (P < 0.05). At the corrected age of 12 months, the body weight and length of preterm infants in the <29 weeks intervention group were still higher than those in the control group (P < 0.05). The body weight of preterm infants in the 29-32 weeks and 32-34 weeks intervention groups was higher than in the control group (P < 0.05). There was no statistical difference between the intervention and control groups in the 34-37 weeks category (P > 0.05). The catch-up growth satisfaction rates of all the physical growth indexes in the intervention group were higher than those of the control group at the corrected 3 months for all the gestational ages (P < 0.05). While those indexes in the three >29 weeks intervention groups were higher than those in the <29 weeks intervention group at the corrected age of 12 months (P < 0.05).
Conclusion:
Early combined training can promote the early catch-up growth of preterm infants, especially in the early gestational age groups (<34 weeks), and the catch-up growth promotion can last for 12 months. The older the gestational age, the sooner catch-up growth satisfaction will occur.
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