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Thermal environment change in growing premature infants: effect on general somatic growth and subcutaneous fat

Pediatrics
|July 1, 1981
PubMed

Insights

Moving premature infants to cribs earlier, around 1,600-1,900 gm, enhanced subcutaneous fat deposition. This change improved cold resistance without affecting weight gain or thermal stability.

Area of Science:

  • Neonatal care
  • Infant physiology
  • Developmental pediatrics

Background:

  • Premature infants often require incubators for thermal regulation.
  • Transitioning to a less controlled environment is a critical developmental step.
  • Optimizing this transition can impact infant growth and adaptation.

Purpose of the Study:

  • To investigate the effects of transitioning premature infants from incubators to cribs at different weights.
  • To assess the impact on infant growth, thermal stability, and subcutaneous fat deposition.
  • To determine if a cooler environment influences cold resistance in growing premature infants.

Main Methods:

  • Fourteen healthy premature infants were divided into two groups based on weight for transition from incubator to crib (Group A: 1,600-1,700 gm; Group B: 1,800-1,900 gm).
  • Measurements of growth, abdominal temperature, and skinfold growth were taken before and after the transition.
  • Environmental temperature was reduced by 5°C post-transition.

Main Results:

  • All infants tolerated the transition well, with no significant drop in abdominal temperature.
  • Weight gain rates correlated solely with energy intake and did not differ between groups.
  • A significant increase in skinfold growth rate was observed after moving to the crib environment.

Conclusions:

  • Transitioning premature infants weighing over 1,600 gm to a cooler environment may promote increased subcutaneous fat deposition.
  • Enhanced subcutaneous fat may contribute to improved cold resistance in growing premature infants.
  • Early transition to a crib environment appears safe and potentially beneficial for premature infant development.

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