Vitamin A levels and feeding practice in neonates with and without chronic lung disease

V Chan1, A Greenough, P Cheeseman

  • 1Department of Child Health, King's College Hospital, London, U.K.

Insights

Preterm infants with chronic lung disease (CLD) show low vitamin A levels. Feeding practices significantly impact vitamin A levels, suggesting a link between nutrition and CLD in neonates.

Area of Science:

  • Neonatology
  • Nutritional Science
  • Pediatric Pulmonology

Background:

  • Infants with chronic lung disease (CLD) exhibit lower vitamin A levels.
  • Vitamin A deficiency is a concern in preterm infants.

Purpose of the Study:

  • To investigate factors influencing the association between CLD and low vitamin A levels in preterm infants.
  • To assess the role of feeding practices in this relationship.

Main Methods:

  • Determined vitamin A levels in preterm infants (<32 weeks gestational age) with and without CLD.
  • Correlated vitamin A levels with feeding practices, mechanical ventilation, and parenteral nutrition duration.

Main Results:

  • Infants with CLD had significantly lower vitamin A levels from day 21 onwards.
  • Median vitamin A levels in infants with CLD were below 60% of the minimum acceptable level after day 11.
  • Infants with CLD required longer mechanical ventilation and parenteral nutrition, with a strong positive correlation between these durations (r = 0.83).
  • Infants with CLD received less vitamin A supplementation compared to controls.

Conclusions:

  • Feeding practices appear to be a key factor explaining the association between CLD and vitamin A deficiency in preterm infants.
  • Optimizing vitamin A supplementation and nutritional support is crucial for infants with CLD.

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