Impact of early nutrition on brain development and neurocognitive outcomes in very preterm infants

Nima Naseh1, Tânia F Vaz2, Hugo Ferreira2

  • 1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. nima.naseh@uu.se.

Pediatric Research
|March 4, 2025
PubMed

Insights

Early macronutrient intake in preterm infants did not affect brain growth or neurodevelopment. Meeting current nutritional recommendations appears sufficient for supporting brain development in these vulnerable infants.

Area of Science:

  • Neonatalogy
  • Neuroscience
  • Nutritional Science

Background:

  • Malnutrition in preterm infants can impair brain growth and neurocognitive outcomes.
  • Understanding the impact of early nutrition on brain development is crucial for preterm infants.

Purpose of the Study:

  • To investigate the association between macronutrient intake in very preterm infants and brain MRI at term.
  • To examine the relationship between early nutrition and neurodevelopment at two years of age.

Main Methods:

  • Retrospective cohort study of extremely and very preterm infants (2011-2014).
  • Assessed fluid, protein, carbohydrate, fat, and calorie intake during the first 28 days.
  • Correlated nutritional intake with brain MRI at term and cognitive scores (BSID-III) at 2 years using multivariable regression.

Main Results:

  • Lower caloric intake in extremely preterm infants did not correlate with differences in brain volumes.
  • Initial correlations between macronutrient intake and white matter/diffusion metrics were not significant after adjustment.
  • No significant associations were found between nutrient intake and cognitive development after adjusting for covariates.

Conclusions:

  • Individual variations in macronutrient intake did not influence brain growth or neurodevelopment in preterm infants meeting current recommendations.
  • Early postnatal nutrition, when adequate, was not associated with brain volumes or neurocognitive outcomes.
  • Standardized, adequate macronutrient intake may suffice for supporting brain development in preterm infants.
Abstract

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