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.
Abstract