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Association between Growth Trajectories and Body Composition Outcomes in Very Preterm Infants: A Cohort Study
Neonatology
|August 18, 2025
Summary
Establishing realistic postnatal growth targets is crucial for preterm infants. Infants not meeting individualized weight trajectories showed lower fat-free mass (FFM), highlighting the importance of growth monitoring.
Area of Science:
- Neonatology
- Pediatric Nutrition
- Growth and Development
Background:
- Realistic postnatal growth targets are needed for preterm infants.
- Individualized growth trajectories are a recent development in infant care.
- Body composition outcomes require characterization in relation to these trajectories.
Purpose of the Study:
- To characterize body composition outcomes in preterm infants.
- To assess outcomes based on individualized growth trajectories.
- To compare infants growing along, above, and below defined weight targets.
Main Methods:
- Cohort study of infants born <33 weeks gestation (2012-2022).
- Inclusion criteria: body composition measurements at term-equivalent age.
- Retrospective growth trajectory generation based on birth and term-equivalent weight, with stratification into three groups relative to target weight.
Main Results:
- 1052 infants included; median gestational age 28 weeks.
- Linear correlation found between weight difference and fat-free mass (FFM) z-scores (r = 0.34, p < 0.0001).
- Infants below target weight had lower mean FFM z-scores and greater declines in weight, length, and head circumference z-scores.
Conclusions:
- Weight trajectories below defined targets are associated with reduced FFM in preterm infants.
- Further research is necessary to confirm if targeting individualized growth trajectories improves FFM outcomes.
- This study underscores the link between early growth patterns and body composition in vulnerable infants.
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