Abstract Objective To study the long-term effect of active parenteral nutrition support regimen in preterm infants with a gestational age of <34 weeks. Methods According to the different doses of fat emulsion and amino acids used in the early stage, the preterm infants with a gestational age of <34 weeks, who were admitted to the hospital within 24 hours after birth from May to December 2019, were divided into an active parenteral nutrition group and a conventional parenteral nutrition group (n=50). Physical indices and the measurements of the Gesell Development Scale were collected at the age of 6 months and 13 months. Results At the age of 6 months, the active parenteral nutrition group (n=46) had higher developmental quotients of gross motor, fine motor, and personal-social behavior than the conventional parenteral nutrition group (n=34) (P<0.05). At the age of 13 months, the active parenteral nutrition group (n=25) had higher developmental quotients of adaptive behavior, gross motor, and personal-social behavior than the conventional parenteral nutrition group (n=19) (P<0.05). There were no significant differences in the physical development indices such as body weight, body height, and head circumference between the two groups during follow-up (P>0.05). Conclusions For preterm infants with a gestational age of <34 weeks, an active parenteral nutrition support strategy with high doses of fat emulsion and amino acids within 24 hours after birth can improve their long-term neurodevelopment.
JIANG Ren-Hui,SHEN Yu-Jie,LIU Xiao-Chen et al. Long-term effect of active parenteral nutrition support regimen in preterm infants with a gestational age of <34 weeks[J]. CJCP, 2021, 23(12): 1221-1227.
JIANG Ren-Hui,SHEN Yu-Jie,LIU Xiao-Chen et al. Long-term effect of active parenteral nutrition support regimen in preterm infants with a gestational age of <34 weeks[J]. CJCP, 2021, 23(12): 1221-1227.
De Rose DU, Cota F, Gallini F, et al. Extra-uterine growth restriction in preterm infants: neurodevelopmental outcomes according to different definitions[J]. Eur J Paediatr Neurol, 2021, 33: 135-145. PMID: 34243041. DOI: 10.1016/j.ejpn.2021.06.004.
2 Zhao W, Yin YE, Qin FX, et al. Effects of early intake of amino acid on the neurodevelopmental outcomes in very low birth weight infants at correct age of 20 months and school age[J]. Ir J Med Sci, 2021. PMID: 33608833. DOI: 10.1007/s11845-021-02526-1. Epub ahead of print.
Oommen SP, Santhanam S, John H, et al. Neurodevelopmental outcomes of very low birth weight infants at 18-24 months, corrected gestational age in a tertiary health centre: a prospective cohort study[J]. J Trop Pediatr, 2019, 65(6): 552-560. PMID: 30793756. DOI: 10.1093/tropej/fmz006.
Belfort MB, Ehrenkranz RA. Neurodevelopmental outcomes and nutritional strategies in very low birth weight infants[J]. Semin Fetal Neonatal Med, 2017, 22(1): 42-48. PMID: 27692935. DOI: 10.1016/j.siny.2016.09.001.
Chan SHT, Johnson MJ, Leaf AA, et al. Nutrition and neurodevelopmental outcomes in preterm infants: asystematic review[J]. Acta Paediatr, 2016, 105(6): 587-599. PMID: 26813585. DOI: 10.1111/apa.13344.
Cormack BE, Harding JE, Miller SP, et al. The influence of early nutrition on brain growth and neurodevelopment in extremely preterm babies: a narrative review[J]. Nutrients, 2019, 11(9): 2029. PMID: 31480225. PMCID: PMC6770288. DOI: 10.3390/nu11092029.
Shan HM, Cai W, Cao Y, et al. Extrauterine growth retardation in premature infants in Shanghai: a multicenter retrospective review[J]. Eur J Pediatr, 2009, 168(9): 1055-1059. PMID: 19096875. DOI: 10.1007/s00431-008-0885-9.
Barreault S, Bellanger A, Berneau P, et al. Impact of early protein and energy intakes on neurodevelopment at 2 years of corrected age in very low birth weight infants: a single-center observational study[J]. PLoS One, 2019, 14(6): e0218887. PMID: 31233553. PMCID: PMC6590817. DOI: 10.1371/journal.pone.0218887.
Falciglia GH, Murthy K, Holl JL, et al. Energy and protein intake during the transition from parenteral to enteral nutrition in infants of very low birth weight[J]. J Pediatr, 2018, 202: 38-43.e1. PMID: 30195557. DOI: 10.1016/j.jpeds.2018.07.010.
Cormack BE, Jiang YN, Harding JE, et al. Relationships between neonatal nutrition and growth to 36 weeks' corrected age in ELBW babies-secondary cohort analysis from the provide trial[J]. Nutrients, 2020, 12(3): 760. PMID: 32183057. PMCID: PMC7146349. DOI: 10.3390/nu12030760.
Yang JH, Chang SSY, Poon WB. Relationship between amino acid and energy intake and long-term growth and neurodevelopmental outcomes in very low birth weight infants[J]. JPEN J Parenter Enteral Nutr, 2016, 40(6): 820-826. PMID: 25690346. DOI: 10.1177/0148607115572833.
Terrin G, Boscarino G, Gasparini C, et al. Energy-enhanced parenteral nutrition and neurodevelopment of preterm newborns: a cohort study[J]. Nutrition, 2021, 89: 111219. PMID: 33836427. DOI: 10.1016/j.nut.2021.111219.
Stephens BE, Walden RV, Gargus RA, et al. First-week protein and energy intakes are associated with 18-month developmental outcomes in extremely low birth weight infants[J]. Pediatrics, 2009, 123(5): 1337-1343. PMID: 19403500. DOI: 10.1542/peds.2008-0211.
Cormack BE, Bloomfield FH, Dezoete A, et al. Does more protein in the first week of life change outcomes for very low birthweight babies?[J]. J Paediatr Child Health, 2011, 47(12): 898-903. PMID: 21658149. DOI: 10.1111/j.1440-1754.2011.02106.x.
Vlaardingerbroek H, Schierbeek H, Rook D, et al. Albumin synthesis in very low birth weight infants is enhanced by early parenteral lipid and high-dose amino acid administration[J]. Clin Nutr, 2016, 35(2): 344-350. PMID: 26028361. DOI: 10.1016/j.clnu.2015.04.019.
Leenders EKSM , de Waard M, van Goudoever JB. Low- versus high-dose and early versus late parenteral amino-acid administration in very-low-birth-weight infants: a systematic review and meta-analysis[J]. Neonatology, 2018, 113(3): 187-205. PMID: 29268262. DOI: 10.1159/000481192.
Vlaardingerbroek H, Vermeulen MJ, Rook D, et al. Safety and efficacy of early parenteral lipid and high-dose amino acid administration to very low birth weight infants[J]. J Pediatr, 2013, 163(3): 638-644.e5. PMID: 23660378. DOI: 10.1016/j.jpeds.2013.03.059.
Deshpande GC, Cai W. Use of lipids in neonates requiring parenteral nutrition[J]. JPEN J Parenter Enteral Nutr, 2020, 44(Suppl 1): S45-S54. PMID: 32049399. DOI: 10.1002/jpen.1759.
WU Xin-Ping, GU Chuan-Li, HAN Shu-Ping, DENG Xiao-Yi, CHEN Xiao-Qing, WANG Huai-Yan, LI Shuang-Shuang, WANG Jun, ZHOU Qin, HOU Wei-Wei, GAO Yan, HAN Liang-Rong, LIU Hong-Jie, YU Zhang-Bin, WANG Zeng-Qin, LI Na, LI Hai-Xin, ZHOU Jin-Jun, CHEN Shan-Shan, JIANG Shan-Yu, LU Xing-Xing, PAN Zhao-Jun, CHEN Xiao-Hui. A multicenter retrospective study on survival rate and complications of very preterm infants[J]. CJCP, 2021, 23(8): 814-820.