在中度和晚期的早产期中,营养摄入量和生长到两岁
Anne H Lafeber1, Roxanne C de Jong1, Mark Bosch1
1Department of Pediatrics and Neonatology, North West Clinics, Alkmaar, The Netherlands.
Pediatric research
|May 20, 2024
概括
中度和晚期早产婴儿 (MLPTI) 经常错过营养目标,但他们的增长到2岁的年龄 (CA) 没有与摄入量相关. 尽管最初的体重增加,MLPTI建立自己的增长轨迹.
科学领域:
- 新生儿营养新生儿营养
- 儿科的成长和发展.
- 在早产婴儿的护理.
背景情况:
- 中度和晚期的早产婴儿 (妊娠年龄32 0/736 6/7周) 容易出现生长问题.
- 这些婴儿的营养摄入量和生长模式需要进一步调查.
研究的目的:
- 评估在MLPTI中遵守营养建议,以年龄更正 (CA) 达到6个月.
- 为了评估MLPTI的增长,直到2年CA.
- 为了确定营养摄入量和在MLPTI中长达2年的成长之间的关系,CA.
主要方法:
- 在多个时间点从100个MLPTI收集营养摄入数据的前景收集.
- 定期进行人体测量评估,从出生到2岁CA.
- 使用TNO生长曲线分析营养摄入量和生长参数.
主要成果:
- 不到40%的MLPTI在第7天达到营养建议.
- 在第一周后,蛋白质摄入的坚持超过了80%,而能量摄入建议的满足率不到60%.
- 体重z-score最初有所改善,但CA2年下降,营养摄入量和生长之间没有发现显著联系.
结论:
- 在MLPTI的营养摄入量和增长之间没有观察到直接的关联,直到2年CA.
- 不管满足特定的营养目标,MLPTI可能会遵循独立的生长曲线.
- 研究结果表明,可能需要重新评估MLPTI目前的营养指南.
相关概念视频
Nature and Nurture
20.5K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.5K
Regulation of Food Intake
220
Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
220
Proteins: Dietary Sources and Requirements
429
Consuming animal-based products offers high-quality proteins that contain optimal levels and combinations of essential amino acids, crucial for tissue repair and growth. Foods like eggs, milk, fish, and most meats are a source of complete proteins. Legumes and cereals are abundant in proteins; however, they typically lack a full range of essential amino acids. As a result, they are considered incomplete protein sources. Some plant sources like soybeans, quinoa, and amaranth do contain complete...
429
Energy Budgets
9.2K
Organisms must balance energy intake with the energy required for growth, maintenance and reproduction. These trade-offs result in a variety of survivorship and reproductive strategies, including semelparity and iteroparity. Semelparous species, like annual plants, have only one reproductive episode in their lifetimes and consequently have short lifespans. Iteroparous species, by contrast, have many reproductive events during their lifetimes but have relatively few offspring. These two...
9.2K
Overview of Protein Metabolism
1.0K
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
1.0K
Anatomy of the Intestines
71.8K
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
71.8K


