Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study
The purpose of this study is to test the hypothesis that higher consumption of human milk (HM) in preterm infants with birth weight (BW)
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| Veröffentlicht in: | European journal of pediatrics 2023-11, Vol.182 (11), p.4969-4976 |
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| creator | Lavizzari, Anna Esposito, Benedetta Pesenti, Nicola Shaykhova, Alina Vizzari, Giulia Ophorst, Marijke Gangi, Silvana Morniroli, Daniela Colnaghi, Mariarosa Mosca, Fabio Giannì, Maria L. |
| description | The purpose of this study is to test the hypothesis that higher consumption of human milk (HM) in preterm infants with birth weight (BW) |
| doi_str_mv | 10.1007/s00431-023-05163-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2856321233</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2856321233</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3261-6a40cecb87e838c11c7abbbd58bfb3c0ca796d1fc235da7184ad684ff309ebc13</originalsourceid><addsrcrecordid>eNp9kUuPFCEUhStG4zz0D7gwN3HjBoWiq4p2Z8ZnMokbXVd4XLoYKSiBcqZ_lv9Qenp8xIUrCPc7555wmuYJoy8YpcPLTOmGM0JbTmjHek7YveaUbXhLGB36-3_dT5qznK9oFW2ZeNic8KFnVdudNj_exIzE4ILBYCjg5kXqAtHCtM4ywOz8V7CIxoUdxADFGelBJZRlOjxZH6_J9-jXGcHHuMAik5yxYMogdYo5Q5kQrEu5QAt7lHVQ3b2zCC4A3pSEM_o9HIyUS2Ui1-h2U40SrAwlvwIJOk4xFchlNftHzQMrfcbHd-d58-Xd288XH8jlp_cfL15fEs3bnpFebqhGrcSAggvNmB6kUsp0QlnFNdVy2PaGWd3yzsiBiY00vdhYy-kWlWb8vHl-9F1S_LZiLuPsskbvZcC45rEVXc9b1nJe0Wf_oFdxTaGmq5QQ1ZaJrlLtkbr9loR2XJKbZdqPjI6HQsdjoWMtdLwtdDykeHpnvaoZzW_JrwYrwI9ArqOww_Rn939sfwIESq70</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2888684185</pqid></control><display><type>article</type><title>Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Lavizzari, Anna ; Esposito, Benedetta ; Pesenti, Nicola ; Shaykhova, Alina ; Vizzari, Giulia ; Ophorst, Marijke ; Gangi, Silvana ; Morniroli, Daniela ; Colnaghi, Mariarosa ; Mosca, Fabio ; Giannì, Maria L.</creator><creatorcontrib>Lavizzari, Anna ; Esposito, Benedetta ; Pesenti, Nicola ; Shaykhova, Alina ; Vizzari, Giulia ; Ophorst, Marijke ; Gangi, Silvana ; Morniroli, Daniela ; Colnaghi, Mariarosa ; Mosca, Fabio ; Giannì, Maria L.</creatorcontrib><description>The purpose of this study is to test the hypothesis that higher consumption of human milk (HM) in preterm infants with birth weight (BW) <1000 g is associated with improved lung function in a dose-dependent manner over the first 2 years of corrected age (CA). This retrospective study at an academic medical center included infants with BW <1000g. They had lung function assessment by the tidal breathing flow-volume loop (TBFVL) follow-up visits at 0–3-, 3–6-, 6–12-, 12–18-, and 18–24-month CA. One hundred eighty infants were included in the study with a mean (SD) gestational age 26.5 (1.90) weeks and BW 772.4 (147.0) g, 50% were female, and 60% developed BPD. 62.8% of infants received HM during the NICU stay. According to a general linear model (including GA, being small for GA (SGA), sex, human milk percentage, sepsis, and BPD), on average, each week of GA resulted in a higher tPTEF/tE of 1.24 (
p
= 0.039) and being SGA in a lower tPTEF/tE of 5.75 (
p
= 0.013) at 0–3-month CA. A higher percentage of human milk out of the total enteral intake was associated with better tPTEF/tE
z
-scores at 0–3 months (
p
= 0.004) and 18–24 months of CA (
p
= 0.041). BPD diagnosis was associated with a relevantly worse tPTEF/tE
z
-score at 6–12 months of CA (
p
= 0.003).
Conclusion
: Preterm infants with higher consumption of HM had significantly less airway obstruction across the first 2 years, suggesting that human milk may contribute in a dose-dependent manner to improve lung function in early childhood in former preterm infants born ELBW.
What is Known:
• Human milk feeding reduces the risk of prematurity-related morbidities, including necrotizing enterocolitis, sepsis, lower respiratory tract infections, and BPD. Both exclusive and partial human milk feeding appear to be associated with a lower risk of BPD in preterm infants.
What is New:
• This cohort study of 180 preterm infants with birth weight < 1000 g found that exposure to human milk during hospitalization improves airway obstruction markers tPTEF/tE z-score over the first 2 years of corrected age in a dose-dependent manner.</description><identifier>ISSN: 1432-1076</identifier><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-023-05163-1</identifier><identifier>PMID: 37610435</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Age ; Airway management ; Airway Obstruction ; Birth Weight ; Breast milk ; Child, Preschool ; Children ; Cohort analysis ; Cohort Studies ; Enterocolitis ; Female ; Gestational age ; Humans ; Infant ; Infant, Extremely Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Infants ; Low birth weight ; Male ; Medicine ; Medicine & Public Health ; Milk, Human ; Necrotizing enterocolitis ; Neonates ; Newborn babies ; Pediatrics ; Premature babies ; Respiration ; Respiratory function ; Respiratory tract infection ; Retrospective Studies ; Sepsis ; Standard scores</subject><ispartof>European journal of pediatrics, 2023-11, Vol.182 (11), p.4969-4976</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3261-6a40cecb87e838c11c7abbbd58bfb3c0ca796d1fc235da7184ad684ff309ebc13</citedby><cites>FETCH-LOGICAL-c3261-6a40cecb87e838c11c7abbbd58bfb3c0ca796d1fc235da7184ad684ff309ebc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-023-05163-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-023-05163-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37610435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lavizzari, Anna</creatorcontrib><creatorcontrib>Esposito, Benedetta</creatorcontrib><creatorcontrib>Pesenti, Nicola</creatorcontrib><creatorcontrib>Shaykhova, Alina</creatorcontrib><creatorcontrib>Vizzari, Giulia</creatorcontrib><creatorcontrib>Ophorst, Marijke</creatorcontrib><creatorcontrib>Gangi, Silvana</creatorcontrib><creatorcontrib>Morniroli, Daniela</creatorcontrib><creatorcontrib>Colnaghi, Mariarosa</creatorcontrib><creatorcontrib>Mosca, Fabio</creatorcontrib><creatorcontrib>Giannì, Maria L.</creatorcontrib><title>Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>The purpose of this study is to test the hypothesis that higher consumption of human milk (HM) in preterm infants with birth weight (BW) <1000 g is associated with improved lung function in a dose-dependent manner over the first 2 years of corrected age (CA). This retrospective study at an academic medical center included infants with BW <1000g. They had lung function assessment by the tidal breathing flow-volume loop (TBFVL) follow-up visits at 0–3-, 3–6-, 6–12-, 12–18-, and 18–24-month CA. One hundred eighty infants were included in the study with a mean (SD) gestational age 26.5 (1.90) weeks and BW 772.4 (147.0) g, 50% were female, and 60% developed BPD. 62.8% of infants received HM during the NICU stay. According to a general linear model (including GA, being small for GA (SGA), sex, human milk percentage, sepsis, and BPD), on average, each week of GA resulted in a higher tPTEF/tE of 1.24 (
p
= 0.039) and being SGA in a lower tPTEF/tE of 5.75 (
p
= 0.013) at 0–3-month CA. A higher percentage of human milk out of the total enteral intake was associated with better tPTEF/tE
z
-scores at 0–3 months (
p
= 0.004) and 18–24 months of CA (
p
= 0.041). BPD diagnosis was associated with a relevantly worse tPTEF/tE
z
-score at 6–12 months of CA (
p
= 0.003).
Conclusion
: Preterm infants with higher consumption of HM had significantly less airway obstruction across the first 2 years, suggesting that human milk may contribute in a dose-dependent manner to improve lung function in early childhood in former preterm infants born ELBW.
What is Known:
• Human milk feeding reduces the risk of prematurity-related morbidities, including necrotizing enterocolitis, sepsis, lower respiratory tract infections, and BPD. Both exclusive and partial human milk feeding appear to be associated with a lower risk of BPD in preterm infants.
What is New:
• This cohort study of 180 preterm infants with birth weight < 1000 g found that exposure to human milk during hospitalization improves airway obstruction markers tPTEF/tE z-score over the first 2 years of corrected age in a dose-dependent manner.</description><subject>Adult</subject><subject>Age</subject><subject>Airway management</subject><subject>Airway Obstruction</subject><subject>Birth Weight</subject><subject>Breast milk</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Enterocolitis</subject><subject>Female</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Extremely Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Low birth weight</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Milk, Human</subject><subject>Necrotizing enterocolitis</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Pediatrics</subject><subject>Premature babies</subject><subject>Respiration</subject><subject>Respiratory function</subject><subject>Respiratory tract infection</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><subject>Standard scores</subject><issn>1432-1076</issn><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUuPFCEUhStG4zz0D7gwN3HjBoWiq4p2Z8ZnMokbXVd4XLoYKSiBcqZ_lv9Qenp8xIUrCPc7555wmuYJoy8YpcPLTOmGM0JbTmjHek7YveaUbXhLGB36-3_dT5qznK9oFW2ZeNic8KFnVdudNj_exIzE4ILBYCjg5kXqAtHCtM4ywOz8V7CIxoUdxADFGelBJZRlOjxZH6_J9-jXGcHHuMAik5yxYMogdYo5Q5kQrEu5QAt7lHVQ3b2zCC4A3pSEM_o9HIyUS2Ui1-h2U40SrAwlvwIJOk4xFchlNftHzQMrfcbHd-d58-Xd288XH8jlp_cfL15fEs3bnpFebqhGrcSAggvNmB6kUsp0QlnFNdVy2PaGWd3yzsiBiY00vdhYy-kWlWb8vHl-9F1S_LZiLuPsskbvZcC45rEVXc9b1nJe0Wf_oFdxTaGmq5QQ1ZaJrlLtkbr9loR2XJKbZdqPjI6HQsdjoWMtdLwtdDykeHpnvaoZzW_JrwYrwI9ArqOww_Rn939sfwIESq70</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Lavizzari, Anna</creator><creator>Esposito, Benedetta</creator><creator>Pesenti, Nicola</creator><creator>Shaykhova, Alina</creator><creator>Vizzari, Giulia</creator><creator>Ophorst, Marijke</creator><creator>Gangi, Silvana</creator><creator>Morniroli, Daniela</creator><creator>Colnaghi, Mariarosa</creator><creator>Mosca, Fabio</creator><creator>Giannì, Maria L.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20231101</creationdate><title>Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study</title><author>Lavizzari, Anna ; Esposito, Benedetta ; Pesenti, Nicola ; Shaykhova, Alina ; Vizzari, Giulia ; Ophorst, Marijke ; Gangi, Silvana ; Morniroli, Daniela ; Colnaghi, Mariarosa ; Mosca, Fabio ; Giannì, Maria L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3261-6a40cecb87e838c11c7abbbd58bfb3c0ca796d1fc235da7184ad684ff309ebc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Age</topic><topic>Airway management</topic><topic>Airway Obstruction</topic><topic>Birth Weight</topic><topic>Breast milk</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Enterocolitis</topic><topic>Female</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Extremely Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Low birth weight</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Milk, Human</topic><topic>Necrotizing enterocolitis</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Pediatrics</topic><topic>Premature babies</topic><topic>Respiration</topic><topic>Respiratory function</topic><topic>Respiratory tract infection</topic><topic>Retrospective Studies</topic><topic>Sepsis</topic><topic>Standard scores</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lavizzari, Anna</creatorcontrib><creatorcontrib>Esposito, Benedetta</creatorcontrib><creatorcontrib>Pesenti, Nicola</creatorcontrib><creatorcontrib>Shaykhova, Alina</creatorcontrib><creatorcontrib>Vizzari, Giulia</creatorcontrib><creatorcontrib>Ophorst, Marijke</creatorcontrib><creatorcontrib>Gangi, Silvana</creatorcontrib><creatorcontrib>Morniroli, Daniela</creatorcontrib><creatorcontrib>Colnaghi, Mariarosa</creatorcontrib><creatorcontrib>Mosca, Fabio</creatorcontrib><creatorcontrib>Giannì, Maria L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central 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pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lavizzari, Anna</au><au>Esposito, Benedetta</au><au>Pesenti, Nicola</au><au>Shaykhova, Alina</au><au>Vizzari, Giulia</au><au>Ophorst, Marijke</au><au>Gangi, Silvana</au><au>Morniroli, Daniela</au><au>Colnaghi, Mariarosa</au><au>Mosca, Fabio</au><au>Giannì, Maria L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>182</volume><issue>11</issue><spage>4969</spage><epage>4976</epage><pages>4969-4976</pages><issn>1432-1076</issn><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>The purpose of this study is to test the hypothesis that higher consumption of human milk (HM) in preterm infants with birth weight (BW) <1000 g is associated with improved lung function in a dose-dependent manner over the first 2 years of corrected age (CA). This retrospective study at an academic medical center included infants with BW <1000g. They had lung function assessment by the tidal breathing flow-volume loop (TBFVL) follow-up visits at 0–3-, 3–6-, 6–12-, 12–18-, and 18–24-month CA. One hundred eighty infants were included in the study with a mean (SD) gestational age 26.5 (1.90) weeks and BW 772.4 (147.0) g, 50% were female, and 60% developed BPD. 62.8% of infants received HM during the NICU stay. According to a general linear model (including GA, being small for GA (SGA), sex, human milk percentage, sepsis, and BPD), on average, each week of GA resulted in a higher tPTEF/tE of 1.24 (
p
= 0.039) and being SGA in a lower tPTEF/tE of 5.75 (
p
= 0.013) at 0–3-month CA. A higher percentage of human milk out of the total enteral intake was associated with better tPTEF/tE
z
-scores at 0–3 months (
p
= 0.004) and 18–24 months of CA (
p
= 0.041). BPD diagnosis was associated with a relevantly worse tPTEF/tE
z
-score at 6–12 months of CA (
p
= 0.003).
Conclusion
: Preterm infants with higher consumption of HM had significantly less airway obstruction across the first 2 years, suggesting that human milk may contribute in a dose-dependent manner to improve lung function in early childhood in former preterm infants born ELBW.
What is Known:
• Human milk feeding reduces the risk of prematurity-related morbidities, including necrotizing enterocolitis, sepsis, lower respiratory tract infections, and BPD. Both exclusive and partial human milk feeding appear to be associated with a lower risk of BPD in preterm infants.
What is New:
• This cohort study of 180 preterm infants with birth weight < 1000 g found that exposure to human milk during hospitalization improves airway obstruction markers tPTEF/tE z-score over the first 2 years of corrected age in a dose-dependent manner.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37610435</pmid><doi>10.1007/s00431-023-05163-1</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1076 |
| ispartof | European journal of pediatrics, 2023-11, Vol.182 (11), p.4969-4976 |
| issn | 1432-1076 0340-6199 1432-1076 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Age Airway management Airway Obstruction Birth Weight Breast milk Child, Preschool Children Cohort analysis Cohort Studies Enterocolitis Female Gestational age Humans Infant Infant, Extremely Low Birth Weight Infant, Newborn Infant, Premature Infants Low birth weight Male Medicine Medicine & Public Health Milk, Human Necrotizing enterocolitis Neonates Newborn babies Pediatrics Premature babies Respiration Respiratory function Respiratory tract infection Retrospective Studies Sepsis Standard scores |
| title | Dose-dependent impact of human milk feeding on tidal breathing flow-volume loop parameters across the first 2 years of life in extremely low-birth-weight infants: a cohort study |
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