First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants
We sought to evaluate the association between early protein and energy intake and neurodevelopment and growth of extremely low birth weight (
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| Veröffentlicht in: | Pediatrics (Evanston) 2009-05, Vol.123 (5), p.1337-1343 |
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| creator | Stephens, Bonnie E Walden, Rachel V Gargus, Regina A Tucker, Richard McKinley, Leslie Mance, Martha Nye, Julie Vohr, Betty R |
| description | We sought to evaluate the association between early protein and energy intake and neurodevelopment and growth of extremely low birth weight ( |
| doi_str_mv | 10.1542/peds.2008-0211 |
| format | Article |
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Daily protein and energy intakes were collected by chart review for the first 4 weeks of life on 148 extremely low birth weight survivors. A total of 124 infants (84%) returned for evaluation at 18 months' corrected age. Bivariate analysis tested correlations between weekly protein or energy intakes and Bayley Mental Development Index, Psychomotor Development Index, or growth at 18 months. Separate regression models evaluated contributions of protein (grams per kilogram per day) and energy intake (kilojoules per kilogram per day) to the Mental Development Index, Psychomotor Development Index, and growth, while controlling for known confounders.
After adjusting for confounding variables, week 1 energy and protein intakes were each independently associated with the Mental Development Index. During week 1, every 42 kJ (10 kcal)/kg per day were associated with a 4.6-point increase in the Mental Development Index and each gram per kilogram per day in protein intake with an 8.2-point increase in the Mental Development Index; higher protein intake was also associated with lower likelihood of length <10th percentile.
Increased first-week protein and energy intakes are associated with higher Mental Development Index scores and lower likelihood of length growth restrictions at 18 months in extremely low birth weight infants. Emphasis should be placed on providing more optimal protein and energy during this first week.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2008-0211</identifier><identifier>PMID: 19403500</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Babies ; Biological and medical sciences ; Birth weight ; Birth weight, Low ; Care and treatment ; Child care ; Child Development ; Company business management ; Correlation analysis ; Dietary protein ; Dietary Proteins - administration & dosage ; Diseases of mother, fetus and pregnancy ; Energy Intake ; Enteral Nutrition ; Fat Emulsions, Intravenous - administration & dosage ; General aspects ; Gynecology. Andrology. Obstetrics ; Health aspects ; Humans ; Infant Care ; Infant Food ; Infant, Extremely Low Birth Weight - physiology ; Infant, Newborn ; Low birth weight ; Management ; Medical sciences ; Metabolic diseases ; Milk, Human ; Nutritional aspects ; Parenteral Nutrition ; Pediatrics ; Pregnancy. Fetus. Placenta ; Proteins ; Proteins in human nutrition ; Regression analysis</subject><ispartof>Pediatrics (Evanston), 2009-05, Vol.123 (5), p.1337-1343</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright American Academy of Pediatrics May 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-e501685ef0642f702524247e85224eedfe5f3162532f3a7718bbf7b72a16e6473</citedby><cites>FETCH-LOGICAL-c428t-e501685ef0642f702524247e85224eedfe5f3162532f3a7718bbf7b72a16e6473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21458791$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19403500$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stephens, Bonnie E</creatorcontrib><creatorcontrib>Walden, Rachel V</creatorcontrib><creatorcontrib>Gargus, Regina A</creatorcontrib><creatorcontrib>Tucker, Richard</creatorcontrib><creatorcontrib>McKinley, Leslie</creatorcontrib><creatorcontrib>Mance, Martha</creatorcontrib><creatorcontrib>Nye, Julie</creatorcontrib><creatorcontrib>Vohr, Betty R</creatorcontrib><title>First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>We sought to evaluate the association between early protein and energy intake and neurodevelopment and growth of extremely low birth weight (<1000 g) infants.
Daily protein and energy intakes were collected by chart review for the first 4 weeks of life on 148 extremely low birth weight survivors. A total of 124 infants (84%) returned for evaluation at 18 months' corrected age. Bivariate analysis tested correlations between weekly protein or energy intakes and Bayley Mental Development Index, Psychomotor Development Index, or growth at 18 months. Separate regression models evaluated contributions of protein (grams per kilogram per day) and energy intake (kilojoules per kilogram per day) to the Mental Development Index, Psychomotor Development Index, and growth, while controlling for known confounders.
After adjusting for confounding variables, week 1 energy and protein intakes were each independently associated with the Mental Development Index. During week 1, every 42 kJ (10 kcal)/kg per day were associated with a 4.6-point increase in the Mental Development Index and each gram per kilogram per day in protein intake with an 8.2-point increase in the Mental Development Index; higher protein intake was also associated with lower likelihood of length <10th percentile.
Increased first-week protein and energy intakes are associated with higher Mental Development Index scores and lower likelihood of length growth restrictions at 18 months in extremely low birth weight infants. Emphasis should be placed on providing more optimal protein and energy during this first week.</description><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Birth weight, Low</subject><subject>Care and treatment</subject><subject>Child care</subject><subject>Child Development</subject><subject>Company business management</subject><subject>Correlation analysis</subject><subject>Dietary protein</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Energy Intake</subject><subject>Enteral Nutrition</subject><subject>Fat Emulsions, Intravenous - administration & dosage</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant Care</subject><subject>Infant Food</subject><subject>Infant, Extremely Low Birth Weight - physiology</subject><subject>Infant, Newborn</subject><subject>Low birth weight</subject><subject>Management</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Milk, Human</subject><subject>Nutritional aspects</subject><subject>Parenteral Nutrition</subject><subject>Pediatrics</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Proteins</subject><subject>Proteins in human nutrition</subject><subject>Regression analysis</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1vEzEQxVcIRNPClSOykOC2qT22184xhBQqBYUDKEfL2Z1N3O5HsL20OfVfx6tEgDh5Dr_3_GZelr1hdMqkgOsDVmEKlOqcAmPPsgmjM50LUPJ5NqGUs1xQKi-yyxDuKKVCKniZXbCZoFxSOsmebpwPMd8g3pNvvo_oOmK7iiw79Lsjue2ivcdA5h7JPIS-dDZiRTYu7gnT-de-S8Mn_IVNf2gxwQ1ZD7Hs26RJTsvH6LHF5khW_QP56HyiN-h2-5ica9vF8Cp7Udsm4Ovze5X9uFl-X3zJV-vPt4v5Ki8F6JijpKzQEmtaCKgVBQkChEItAQRiVaOsOStAcqi5VYrp7bZWWwWWFVgIxa-yDyffg-9_DhiiaV0osWlsh_0QTJEkGlSRwHf_gXf94LuUzQBortVMswTlJ2hnGzSuK9Md8DHt3TS4Q5OSL9ZmzmYzDVQWo-n0xJe-D8FjbQ7etdYfDaNm7NGMPZqxRzP2mARvzymGbYvVX_xcXALenwEbStvU3nalC384YEKmqKPR9Ynbp6s_OI_jT6lE78rwz8iAG2kY54r_BpGetLM</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Stephens, Bonnie E</creator><creator>Walden, Rachel V</creator><creator>Gargus, Regina A</creator><creator>Tucker, Richard</creator><creator>McKinley, Leslie</creator><creator>Mance, Martha</creator><creator>Nye, Julie</creator><creator>Vohr, Betty R</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>IQODW</scope><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>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants</title><author>Stephens, Bonnie E ; Walden, Rachel V ; Gargus, Regina A ; Tucker, Richard ; McKinley, Leslie ; Mance, Martha ; Nye, Julie ; Vohr, Betty R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-e501685ef0642f702524247e85224eedfe5f3162532f3a7718bbf7b72a16e6473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Birth weight</topic><topic>Birth weight, Low</topic><topic>Care and treatment</topic><topic>Child care</topic><topic>Child Development</topic><topic>Company business management</topic><topic>Correlation analysis</topic><topic>Dietary protein</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Energy Intake</topic><topic>Enteral Nutrition</topic><topic>Fat Emulsions, Intravenous - administration & dosage</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant Care</topic><topic>Infant Food</topic><topic>Infant, Extremely Low Birth Weight - physiology</topic><topic>Infant, Newborn</topic><topic>Low birth weight</topic><topic>Management</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Milk, Human</topic><topic>Nutritional aspects</topic><topic>Parenteral Nutrition</topic><topic>Pediatrics</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Proteins</topic><topic>Proteins in human nutrition</topic><topic>Regression analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stephens, Bonnie E</creatorcontrib><creatorcontrib>Walden, Rachel V</creatorcontrib><creatorcontrib>Gargus, Regina A</creatorcontrib><creatorcontrib>Tucker, Richard</creatorcontrib><creatorcontrib>McKinley, Leslie</creatorcontrib><creatorcontrib>Mance, Martha</creatorcontrib><creatorcontrib>Nye, Julie</creatorcontrib><creatorcontrib>Vohr, Betty R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stephens, Bonnie E</au><au>Walden, Rachel V</au><au>Gargus, Regina A</au><au>Tucker, Richard</au><au>McKinley, Leslie</au><au>Mance, Martha</au><au>Nye, Julie</au><au>Vohr, Betty R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>123</volume><issue>5</issue><spage>1337</spage><epage>1343</epage><pages>1337-1343</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>We sought to evaluate the association between early protein and energy intake and neurodevelopment and growth of extremely low birth weight (<1000 g) infants.
Daily protein and energy intakes were collected by chart review for the first 4 weeks of life on 148 extremely low birth weight survivors. A total of 124 infants (84%) returned for evaluation at 18 months' corrected age. Bivariate analysis tested correlations between weekly protein or energy intakes and Bayley Mental Development Index, Psychomotor Development Index, or growth at 18 months. Separate regression models evaluated contributions of protein (grams per kilogram per day) and energy intake (kilojoules per kilogram per day) to the Mental Development Index, Psychomotor Development Index, and growth, while controlling for known confounders.
After adjusting for confounding variables, week 1 energy and protein intakes were each independently associated with the Mental Development Index. During week 1, every 42 kJ (10 kcal)/kg per day were associated with a 4.6-point increase in the Mental Development Index and each gram per kilogram per day in protein intake with an 8.2-point increase in the Mental Development Index; higher protein intake was also associated with lower likelihood of length <10th percentile.
Increased first-week protein and energy intakes are associated with higher Mental Development Index scores and lower likelihood of length growth restrictions at 18 months in extremely low birth weight infants. Emphasis should be placed on providing more optimal protein and energy during this first week.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>19403500</pmid><doi>10.1542/peds.2008-0211</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2009-05, Vol.123 (5), p.1337-1343 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Babies Biological and medical sciences Birth weight Birth weight, Low Care and treatment Child care Child Development Company business management Correlation analysis Dietary protein Dietary Proteins - administration & dosage Diseases of mother, fetus and pregnancy Energy Intake Enteral Nutrition Fat Emulsions, Intravenous - administration & dosage General aspects Gynecology. Andrology. Obstetrics Health aspects Humans Infant Care Infant Food Infant, Extremely Low Birth Weight - physiology Infant, Newborn Low birth weight Management Medical sciences Metabolic diseases Milk, Human Nutritional aspects Parenteral Nutrition Pediatrics Pregnancy. Fetus. Placenta Proteins Proteins in human nutrition Regression analysis |
| title | First-Week Protein and Energy Intakes Are Associated With 18-Month Developmental Outcomes in Extremely Low Birth Weight Infants |
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