Fluid restriction negatively affects energy intake and growth in very low birthweight infants with haemodynamically significant patent ductus arteriosus.
Fluid restriction
Infant growth
Nutrition
Patent ductus arteriosus
Premature infants
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
11
01
2019
revised:
08
04
2019
accepted:
09
04
2019
pubmed:
14
4
2019
medline:
2
10
2020
entrez:
14
4
2019
Statut:
ppublish
Résumé
We explored if fluid restriction in very low birthweight (VLBW) infants with a haemodynamically significant patent ductus arteriosus (PDA) affected energy and protein intakes and growth. Retrospectively, we identified 90 VLBW infants that were admitted to Umea University Hospital, Sweden, between 2009 and 2012: 42 with and 48 without haemodynamically significant PDA (hsPDA). Anthropometric, fluid, energy and protein intake data during the first 28 days of life were expressed as z-scores. In the 42 infants diagnosed with hsPDA, fluid intake was restricted after diagnosis, resulting in a decrease in energy and protein intake. No decrease was observed in the other 48 infants in the cohort. Multivariate analysis showed that the z-score of weight change depended on both ductus arteriosus status and energy intake; thus, infants with hsPDA did not grow as expected with the energy provided to them. Energy and protein intake was diminished in prematurely born infants with hsPDA when fluid was restricted after diagnosis. The initial reduction in intakes may have contributed to the lower postnatal growth observed in these infants.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1985-1992Subventions
Organisme : Hjärtebarnsfonden
Pays : International
Organisme : Lokala ALF
Pays : International
Organisme : Umeå University and Västerbotten County Council
Pays : International
Organisme : The Children's Heart Association
Pays : International
Informations de copyright
©2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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