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Updated: Feb 6, 2026

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新生儿营养不良的诊断与身体组成的结果不同:回顾性队列分析评估了三种不同的生长标准
Louise Perna1, Kera McNelis2, Jacqueline Wessel3
1Graduate Program in Interactive Processes of Organs and Systems, Federal University of Bahia, Reitor Miguel Calmon Avenue, Salvador, BA 40110-902, BRA. louise.
Journal of the Academy of Nutrition and Dietetics
|February 4, 2026
概括
与奥尔森或INTERGROWTH图表相比,芬顿生长图更有可能将低脂肪无质量 (FFM) 的早产婴儿归类为营养不良. 这突显了成长图表中营养不良识别的显著差异.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 增长监测 增长监测 增长监测
背景情况:
- 提出了新生儿营养不良标准,但建议在适合早产婴儿的生长图表上有所不同.
- 准确的营养评估对于早产新生儿的最佳生长和发育至关重要.
研究的目的:
- 在早产婴儿中比较Fenton,Olsen和INTERGROWTH成长图的营养不良分类.
- 检查生长图分类与婴儿身体组成 (无脂肪质量和脂肪质量) 之间的关联.
- 使用不同的图表,评估识别无脂肪质量赤字和脂肪质量过剩的差异.
主要方法:
- 对258名来自新生儿重症监护病房的早产婴儿 (<37周) 进行了回顾性队列研究.
- 空气位移囊造影 (ADP) 用于身体成分评估.
- 营养不良的诊断基于体重Z-score下降和无脂肪质量 (FFM) 和脂肪质量 (FM) Z-score.
主要成果:
- 在芬顿,奥尔森和INTERGROWTH图表之间观察到营养不良分类的显著差异 (kappa值从0.46到0.69不等).
- 与其他图表相比,INTERGROWTH图表发现了较少的营养不良病例.
- 与INTERGROWTH (16.4%) 相比,Fenton图表将低FFM的婴儿更多地归类为营养不良 (46.1%).
- 与Fenton (69%) 相比,INTERGROWTH图表发现更多的高FM的婴儿不是营养不良 (94.8%).
结论:
- 芬顿生长图在识别低无脂肪质量 (FFM) 的早产婴儿的营养不良方面更为敏感.
- 增长图表之间的差异可能导致各种营养不良的诊断,并可能影响临床管理.
- 需要进一步的研究,以建立标准化的生长图表建议,以准确评估早产婴儿的营养状况.
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