Abstract:OBJECTIVE: Adequate nutrition is paramount for premature infants. Longitudinal information is scant on the effects of early nutrition and later growth. The purpose of this study was to determine the influence of early energy and protein provision in premature infants on adolescent body composition and blood pressure. METHODS: In 2007-2008 we obtained data from 36 male (12.3±1.7 years) and 25 female (11.5±1.8 years) adolescents born preterm at <34 weeks gestation (range 23-34 weeks) between October 1st 1989 and December 31st 1995 (birth weight <1850 g). The adolescents were divided into groups depending on infant intake mode (enteral vs parenteral), energy provision (<70 kcal/kg/d and ≥70 kcal/kg/d) and protein provision (>2.5 g/kg/d for ≥5 days and>2.5 g/kg/d for <5 days) during the first 14 days of life. RESULTS: After controlling for birth weight and biological maturity, adolescents who received ≥70 kcal/kg/d during infancy were significantly taller (163±11 cm vs. 156±11 cm) and heavier (58±16 kg vs. 49±16 kg) than adolescents who received <70 kcal/kg/d. There were no significant differences in systolic and diastolic BP and total percent body fat between the two groups. CONCLUSIONS: Our data suggests that higher infant energy provision appears to be related to adolescent size, it does not appear to contribute to adverse risk factors such as higher systolic BP or increased body fat.
. Influence of nutrition provision during the first two weeks of life in premature infants on adolescent body composition and blood pressure[J]. CJCP, 2013, 15(3): 161-170.
[1]Kajantie E, Osmond C, Barker DJ, Forsen T, Phillips DI, Eriksson JG. Size at birth as a predictor of mortality in adulthood: a follow-up of 350 000 personyears[J]. Int J Epidemiol, 2005, 34(3): 655-663.
[2]Rubin LP. Postnatal growth in preterm infants: too small, too big, or just right? [J]. J Pediatr 2009, 154(4): 473-475.
[3]Greer FR. Long-term adverse outcomes of low birth weight, increased somatic growth rates, and alterations of body composition in the premature infant: review of the evidence[J]. J Pediatr Gastroenterol Nutr, 2007, 45(Suppl 3): S147-S151.
[4]Hofman PL, Regan F, Jackson WE, Jefferies C, Knight DB, Robinson EM, et al. Premature birth and later insulin resistance[J]. N Engl J Med, 2004, 351(21): 2179-2186.
[5]Hofman PL, Regan F, Cutfield WS. Prematurity—another example of perinatal metabolic programming? [J]. Horm Res, 2006, 66(1):33-39.
[6]Leunissen RWJ, Kerkhof GF, Stijnen T, Hokken-Koelega A. Timing and tempo of first-year rapid growth in relation to cardiovascular and metabolic risk profile in early adulthood[J]. JAMA, 2009, 301(21): 2234-2242.
[7]Lucas A. Long-term programming effects of early nutrition--implications for the preterm infant[J]. J Perinatol, 2005, 25(Suppl 2):S2-S6.
[8]Primatesta P, Falaschetti E, Poulter NR. Birth weight and blood pressure in childhood: results from the Health Survey for England[J]. Hypertension, 2005, 45(1): 75-79
[9]Rotteveel J, van Weissenbruch MM, Twisk JW, Delemarre-Van de Waal HA. Infant and childhood growth patterns, insulin sensitivity, and blood pressure in prematurely born young adults[J]. Pediatrics, 2008, 122(2): 313-321.
[10]Wiedmeier JE, Joss-Moore LA, Lane RH, Neu J. Early postnatal nutrition and programming of the preterm neonate[J]. Nutr Rev, 2011, 69(2): 76-82.
[11]Yeung MY. Postnatal growth, neurodevelopment and altered adiposity after preterm birth--from a clinical nutrition perspective[J]. Acta Paediatric, 2006, 95(8): 909-917.
[12]Barker DJ. The developmental origins of adult disease[J]. Eur J Epidemiol, 2003,18(8): 733-736.
[13]Barker DJ. The developmental origins of chronic adult disease[J]. Acta Paediatric Suppl, 2004, 93(446): 26-33.
[14]Catalano PM, Farrell K, Thomas A, Huston-Presley L, Mencin P, de Mouzon SH, et al. Perinatal risk factors for childhood obesity and metabolic dysregulation[J]. Am J Clin Nutr, 2009, 90(5): 1303-1313.
[15]Cheung YB, Low L, Osmond C, Barker D, Karlberg J. Fetal growth and early postnatal growth are related to blood pressure in adults[J]. Hypertension, 2000, 36(5): 795-800.
[16]Eriksson J, Forsen T, Tuomilehto J, Osmond C, Barker D. Fetal and childhood growth and hypertension in adult life[J]. Hypertension, 2000, 36(5): 790-794.
[17]Forsen T, Eriksson J, Tuomilehto J, Reunanen A, Osmond C, Barker D. The fetal and childhood growth of persons who develop type 2 diabetes[J]. Ann Intern Med, 2000, 133(3): 176-182.
[18]Gluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease[J]. N Engl J Med, 2008, 359(1): 61-73.
[19]Law CM, Shiell AW, Newsome CA, Syddall HE, Shinebourne EA, Fayers PM, et al. Fetal, infant, and childhood growth and adult blood pressure: a longitudinal study from birth to 22 years of age[J]. Circulation, 2002,105(9): 1088-1092.
[20]Singhal A, Fewtrell M, Cole TJ, Lucas A. Low nutrient intake and early growth for later insulin resistance in adolescents born preterm[J]. Lancet, 2003, 361(9363): 1089-1097.
[21]Thureen PJ. The neonatologist's dilemma: catch-up growth or beneficial undernutrition in very low birth weight infants-what are optimal growth rates? [J]. J Pediatr Gastroenterol Nutr, 2007, 45(Suppl 3):S152-S154.
[22]Corkins MR, Balint J, Bobo E, Plogsted S, Yaworski JA editors. The ASPEN pediatric nutrition support core curriculum[M]. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition, 2010.
[23]Evans RA, Thureen P. Early feeding strategies in preterm and critically ill neonates[J]. J Neonatal Nurs, 2001, 20(7): 7-18.
[24]Groh-Wargo S, Sapsford A. Enteral nutrition support of the preterm infant in the neonatal intensive care unit[J]. Nutr.Clin. Pract, 2009, 24(3): 363-376.
[25]McGuire W, Henderson G, Fowlie PW. Feeding the preterm infant[J]. BMJ, 2004, 329(7476): 1227-1230.
[26]Pediatric Nutrition Practice Group, Groh-Wargo S, Thompson M, Hovasi Cox J editors. ADA Pocket Guide to Neonatal Nutrition[M]. Chicago, IL: American Dietetic Association; 2009.
[27]Rigo J, Senterre J. Nutritional needs of premature infants[J]. J Pediatr, 2006, 149(5): S80.
[28]Tsang RC, Uauy R, Koletzko B, Zlotkin SH editors. Nutrition of the preterm infant: Scientific basis and practical guidelines[M]. 2nd ed. Cincinnati, Ohio: Digital Educational Publishing, Inc., 2005.
[29]Ziegler EE. Protein requirements of very low birth weight infants[J]. JPGN, 2007, 45: S170
[30]Ziegler EE. Meeting the nutritional needs of the low-birth-weight infant[J]. Ann NutrMetab, 2011, 58 (Suppl 1): 8-18.
[31]Nutrition Committee, Canadian Pediatric Society. Nutrient needs and feeding of premature infants[J]. CMAJ, 1995, 152(11): 1765-1785.
[32]Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements[J]. Med Sci Sports Exerc, 2002, 34(4): 689-694.
[33]Thompson AM, Baxter-Jones A, Mirwald RL, Bailey DA. Comparison of physical activity in male and female children: does maturation matter? [J]. Med Sci Sports Exerc, 2003, 35(10): 1684-1690.
[34]Baxter-Jones AD, Burrows M, Bachrach LK, Lloyd T, Petit M, Macdonald H, et al. International longitudinal pediatric reference standards for bone mineral content[J]. Bone, 2010, 46(1):208-216.
[35]Erlandson MC, Sherar LB, Baxter-Jones A, Jackowski SA, Ludwig-Auser H, Arnold C, et al. Preterm birth and adolescent bone mineral content[J]. Am J Perinatol, 2011, 28(2): 157-163.
[36]Barker DJP, Eriksson JG, Forsen T, Osmond C. Fetal origins of adult disease: strength of effects and biological basis[J]. Int J Epidemiol, 2002, 31(6): 1235-1239
.[37]Catalano PM, Presley L, Minium J, Hauguel-de Mouzon S. Fetuses of obese mothers develop insulin resistance in utero[J]. Diabetes Care, 2009, 32(6): 1076-1080.
[38]Demerath EW, Reed D, Choh AC, Soloway L, Lee M, Czerwinski SA, et al. Rapid postnatal weight gain and visceral adiposity in adulthood: the Fels Longitudinal Study[J]. Obesity, 2009, 17(11): 2060-2066.
[39]Ekelund U, Ong K, Linne Y, Neovius M, Brage S, Dunger DB, et al. Upward weight percentile crossing in infancy and early childhood independently predicts fat mass in young adults: the Stockholm Weight Development Study (SWEDES) [J]. Am J Clin Nutr, 2006, 83(2): 324-330.
[40]Eriksson JG. Early growth and adult health outcomes--lessons learned from the Helsinki Birth Cohort Study[J]. Matern Child Nutr, 2005, 1(3): 149-154.
[41]Huang RC, Burke V, Newnham JP, Stanley FJ, Kendall GE, Landau LI, et al. Perinatal and childhood origins of cardiovascular disease[J]. Int J Obes, 2007, 31(2): 236-244
[42]Osmond C, Barker DJ. Fetal, infant, and childhood growth are predictors of coronary heart disease, diabetes, and hypertension in adult men and women[J]. Environ Health Perspect,2000, 108 (Suppl 3): 545-553.
[43]Eriksson JG. The role of genes in growth and later health[J]. Nestle Nutr Workshop Ser Pediatric Program, 2008, 61: 69-77.
[44]Sun SS, Grave GD, Siervogel RM, Pickoff AA, Arslanian SS, Daniels SR. Systolic blood pressure in childhood predicts hypertension and metabolic syndrome later in life[J]. Pediatrics, 2007,119(2): 237-246.
[45]Paradis G, Tremblay MS, Janssen I, Chiolero A, Bushnik T. Blood pressure in Canadian children and adolescents[J]. Health Rep, 2010, 21(2): 15-22.
[46]Daly B, Scragg R, Schaaf D, Metcalf P. Low birth weight and cardiovascular risk factors in Auckland adolescents: a retrospective cohort study[J]. N Z Med J, 2005, 118(1220): U1612.
[47]Regan FM, Cutfield WS, Jefferies C, Robinson E, Hofman PL. The impact of early nutrition in premature infants on later childhood insulin sensitivity and growth[J]. Pediatrics, 2006, 118(5): 1943-1949.
[48]Vasylyeva TL, Chennasamudram SP, Okogbo ME. Can we predict hypertension among preterm children? [J]. Clin Pediatr, 2011, 50(10): 936-942.
[49]Eriksson J, Forsen T, Tuomilehto J, Osmond C, Barker D. Size at birth, childhood growth and obesity in adult life[J]. Int J Obes Relat Metab Disord, 2001, 25(5): 735-740.
[50]Hales CN, Barker DJ. The thrifty phenotype hypothesis[J]. Br Med Bull, 2001, 60: 5-20.
[51]Harder T, Roepke K, Diller N, Stechling Y, Dudenhausen JW, Plagemann A. Birth weight, early weight gain, and subsequent risk of type 1 diabetes: systematic review and meta-analysis[J]. Am J Epidemiol, 2009, 169(12): 1428-1436.
[52]Hemachandra AH, Howards PP, Furth SL, Klebanoff MA. Birth weight, postnatal growth, and risk for high blood pressure at 7 years of age: results from the Collaborative Perinatal Project[J]. Pediatrics, 2007, 119(6): e1264-e1270.
[53]Jimenez-Chillaron J, Hernandez-Valencia M, Lightner A, Faucette RR, Reamer C, Przybyla R, et al. Reductions in caloric intake and early postnatal growth prevent glucose intolerance and obesity associated with low birthweight[J]. Diabetologia, 2006, 9(8): 1974-1984.
[54]Meas T. Fetal origins of insulin resistance and the metabolic syndrome: a key role for adipose tissue? [J]. Diabetes Metab, 2010,36(1): 11-20.
[55]Meas T, Deghmoun S, Alberti C, Carreira E, Armoogum P, Chevenne D, et al. Independent effects of weight gain and fetal programming on metabolic complications in adults born small for gestational age[J]. Diabetologia, 2010, 53(5): 907-913.
[56]Ong KK. Size at birth, postnatal growth and risk of obesity[J]. Horm Re, 2006,65 (Suppl 3): 65-69.
[57]Ong KK. Catch-up growth in small for gestational age babies: good or bad? [J]. Curr Opin Endocrinol Diabetes Obes, 2007,14(1):30-34.
[58]Varvarigou AA. Intrauterine growth restriction as a potential risk factor for disease onset in adulthood[J]. J Pediatr Endocrinol Metab, 2010, 23(3): 215-224.