Nutritional Needs of the Infant with Bronchopulmonary Dysplasia

Audrey N Miller1, Jennifer Curtiss2, Matthew J Kielt1

  • 1Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital and Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.

Neoreviews
|December 31, 2023
PubMed

Insights

Infants with bronchopulmonary dysplasia (BPD) often experience growth failure, impacting long-term health. Clinical protocols based on current evidence can optimize nutrition and improve outcomes for these vulnerable infants.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Respiratory Medicine

Background:

  • Growth failure is prevalent in infants with bronchopulmonary dysplasia (BPD).
  • Suboptimal growth in BPD is linked to adverse respiratory and neurodevelopmental outcomes.
  • Limited high-quality evidence exists for optimal nutritional practices in BPD.

Purpose of the Study:

  • To address the variation in nutritional care for infants with BPD.
  • To explore the potential of clinical protocols in improving growth outcomes.
  • To optimize nutritional management for vulnerable infants with BPD.

Main Methods:

  • Review of systematic reviews and clinical recommendations.
  • Application of best available evidence.
  • Development of clinical protocols for nutritional management.

Main Results:

  • Identified a lack of high-quality trials guiding BPD nutritional practice.
  • Highlighted variation in current nutritional care and growth monitoring.
  • Proposed a strategy to decrease care variation.

Conclusions:

  • Clinical protocols can standardize and improve nutritional management for infants with BPD.
  • Evidence-based guidelines are crucial for optimizing growth in this population.
  • Further research is needed, but current evidence can guide practice.

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