The Effect of Maternal Milk on Tolerance and Growth in Premature Infants
| Autor: | Jessie M. Hulst, Jacomine E. Hogewind-Schoonenboom, Lyanne W.W. Rövekamp-Abels, Johannes B. van Goudoever, Margaux D. Maduro, Marijke C. Jansen-van der Weide, Daphne P.M. de Wijs-Meijler |
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| Přispěvatelé: | Amsterdam Reproduction & Development (AR&D), AGEM - Endocrinology, metabolism and nutrition, ACS - Diabetes & metabolism, Pediatric surgery, Graduate School, General Paediatrics, Neonatology, Amsterdam Gastroenterology Endocrinology Metabolism, Pediatrics |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty Physiology Breast milk Enteral administration 03 medical and health sciences Enteral Nutrition 0302 clinical medicine 030225 pediatrics Outcome Assessment Health Care Humans Medicine Prospective Studies 030212 general & internal medicine Infant Nutritional Physiological Phenomena Prospective cohort study Milk Human business.industry Infant Newborn Gastroenterology Gestational age Anthropometry Infant Formula Parenteral nutrition Infant formula Food Fortified Pediatrics Perinatology and Child Health medicine.symptom business Weight gain Infant Premature |
| Zdroj: | Hogewind-Schoonenboom, J E, Rövekamp-Abels, L W W, De Wijs-Meijler, D P M, Maduro, M D, Jansen-Van Der Weide, M C, Van Goudoever, J B & Hulst, J M 2017, ' The Effect of Maternal Milk on Tolerance and Growth in Premature Infants : A Hypothesis-generating Study ', Journal of Pediatric Gastroenterology and Nutrition, vol. 64, no. 6, pp. 971-974 . https://doi.org/10.1097/MPG.0000000000001427 Journal of Pediatric Gastroenterology and Nutrition, 64(6), 971-974. Lippincott Williams and Wilkins Journal of pediatric gastroenterology and nutrition, 64(6), 971-974. Lippincott Williams and Wilkins Journal of Pediatric Gastroenterology and Nutrition, 64(6), 971-974. Lippincott Williams & Wilkins |
| ISSN: | 0277-2116 |
| Popis: | Objective: Early growth rates and feeding advancement rates of preterm infants are thought to influence later health. Feeding advancement is often difficult because of feeding intolerance. Exclusive human milk feeding improves tolerance, but can result in a lower weight gain rate. The addition of human milk fortifier has advantages for growth, but there are concerns that it may nullify the beneficial effect of human milk on tolerance. Therefore, the objective of the present study was to evaluate the relation between the amount of fortified human milk or formula and feeding tolerance and growth in preterm infants. Methods: Patients (n = 174) participating in the TOL trial and born with a gestational age 30 weeks or younger were divided into tertiles according to the amount of human milk received during feeding advancement. Data on feeding tolerance during the advancement phase of enteral nutrition and anthropometrics were analysed. Results: The infants (n = 59) receiving the lowest percentage of their enteral intake as human milk (0%-57%) had the lowest amount of gastric residuals (P = 0.034) compared with the other 2 tertiles. Time to reach full enteral feeding and other tolerance parameters were not different among the groups. There was no dose response effect of the amount of human milk consumed on growth. Conclusions: In preterm infants, an association between type of feeding (human milk vs infant formula) and time to achieve full enteral feeding or short-Term growth was not found. Future prospective trials are needed to verify our results and focus on means to improve tolerance further. |
| Databáze: | OpenAIRE |
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