Diet, fat accretion, and growth in premature infants
Metabolic studies were performed on 13 formula-fed, premature infants of very low birth weight (mean=1155 g) to compare growth and accretion of the 3 major nutrients (carbohydrate, protein, and fat) with that of the fetus of similar weight and gestational age. Anthropometric measurements, nutrient b...
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Veröffentlicht in: | The New England journal of medicine 1981-12, Vol.305 (25), p.1495-1500 |
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creator | Reichman, Brian Chessex, Philippe Putet, Guy Verellen, Gaston Smith, John M Heim, Tibor Swyer, Paul R |
description | Metabolic studies were performed on 13 formula-fed, premature infants of very low birth weight (mean=1155 g) to compare growth and accretion of the 3 major nutrients (carbohydrate, protein, and fat) with that of the fetus of similar weight and gestational age. Anthropometric measurements, nutrient balance studies, and indirect calorimetry were used to analyze growth patterns and intake, use, and storage of energy and macronutrients. Data indicate that the infant exhibiting weight gains comparable to that of the third trimester fetus, retained energy at a level twice that of the fetus. Stored fat was the major component of the retained energy; infants deposited protein at a similar rate, but accumulated fat at a rate 3 times that of the fetus. Thus, the body composition of the formula-fed premature infant, and specifically the composition of weight gain, differ markedly from that of the placentally-nourished fetus. The consequences of body composition for subsequent growth and development of the premature infant are unknown. (nm) |
doi_str_mv | 10.1056/NEJM198112173052503 |
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Anthropometric measurements, nutrient balance studies, and indirect calorimetry were used to analyze growth patterns and intake, use, and storage of energy and macronutrients. Data indicate that the infant exhibiting weight gains comparable to that of the third trimester fetus, retained energy at a level twice that of the fetus. Stored fat was the major component of the retained energy; infants deposited protein at a similar rate, but accumulated fat at a rate 3 times that of the fetus. Thus, the body composition of the formula-fed premature infant, and specifically the composition of weight gain, differ markedly from that of the placentally-nourished fetus. The consequences of body composition for subsequent growth and development of the premature infant are unknown. (nm)</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM198112173052503</identifier><identifier>PMID: 7300875</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Age ; anthropometric measurements ; Anthropometry ; Babies ; Birth weight ; Body composition ; Body Weight ; Breast milk ; Calorimetry ; Carbohydrates ; Cell division ; Diapers ; Diet ; Energy ; Energy Metabolism ; Female ; fetal growth ; Fetuses ; Growth ; Humans ; Infant Nutritional Physiological Phenomena ; Infant, Newborn ; Infant, Premature ; Infants ; lipid content ; Lipid Metabolism ; Low birth weight ; Male ; Metabolism ; Nitrogen ; nutrient utilization ; Nutrition research ; premature birth ; Proteins ; Regression analysis ; Skin ; Skinfold Thickness ; Urine ; weight gain</subject><ispartof>The New England journal of medicine, 1981-12, Vol.305 (25), p.1495-1500</ispartof><rights>Copyright Massachusetts Medical Society Dec 17, 1981</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-b7ebe47fa67d170d982f7c64b499af262175cdb122ed8492e5f64b004c2da8c43</citedby><cites>FETCH-LOGICAL-c427t-b7ebe47fa67d170d982f7c64b499af262175cdb122ed8492e5f64b004c2da8c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1871048452?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7300875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reichman, Brian</creatorcontrib><creatorcontrib>Chessex, Philippe</creatorcontrib><creatorcontrib>Putet, Guy</creatorcontrib><creatorcontrib>Verellen, Gaston</creatorcontrib><creatorcontrib>Smith, John M</creatorcontrib><creatorcontrib>Heim, Tibor</creatorcontrib><creatorcontrib>Swyer, Paul R</creatorcontrib><title>Diet, fat accretion, and growth in premature infants</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>Metabolic studies were performed on 13 formula-fed, premature infants of very low birth weight (mean=1155 g) to compare growth and accretion of the 3 major nutrients (carbohydrate, protein, and fat) with that of the fetus of similar weight and gestational age. Anthropometric measurements, nutrient balance studies, and indirect calorimetry were used to analyze growth patterns and intake, use, and storage of energy and macronutrients. Data indicate that the infant exhibiting weight gains comparable to that of the third trimester fetus, retained energy at a level twice that of the fetus. Stored fat was the major component of the retained energy; infants deposited protein at a similar rate, but accumulated fat at a rate 3 times that of the fetus. Thus, the body composition of the formula-fed premature infant, and specifically the composition of weight gain, differ markedly from that of the placentally-nourished fetus. The consequences of body composition for subsequent growth and development of the premature infant are unknown. 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Phenomena</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>lipid content</topic><topic>Lipid Metabolism</topic><topic>Low birth weight</topic><topic>Male</topic><topic>Metabolism</topic><topic>Nitrogen</topic><topic>nutrient utilization</topic><topic>Nutrition research</topic><topic>premature birth</topic><topic>Proteins</topic><topic>Regression analysis</topic><topic>Skin</topic><topic>Skinfold Thickness</topic><topic>Urine</topic><topic>weight gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reichman, Brian</creatorcontrib><creatorcontrib>Chessex, Philippe</creatorcontrib><creatorcontrib>Putet, Guy</creatorcontrib><creatorcontrib>Verellen, Gaston</creatorcontrib><creatorcontrib>Smith, John M</creatorcontrib><creatorcontrib>Heim, Tibor</creatorcontrib><creatorcontrib>Swyer, Paul 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Anthropometric measurements, nutrient balance studies, and indirect calorimetry were used to analyze growth patterns and intake, use, and storage of energy and macronutrients. Data indicate that the infant exhibiting weight gains comparable to that of the third trimester fetus, retained energy at a level twice that of the fetus. Stored fat was the major component of the retained energy; infants deposited protein at a similar rate, but accumulated fat at a rate 3 times that of the fetus. Thus, the body composition of the formula-fed premature infant, and specifically the composition of weight gain, differ markedly from that of the placentally-nourished fetus. The consequences of body composition for subsequent growth and development of the premature infant are unknown. (nm)</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>7300875</pmid><doi>10.1056/NEJM198112173052503</doi><tpages>6</tpages></addata></record> |
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subjects | Age anthropometric measurements Anthropometry Babies Birth weight Body composition Body Weight Breast milk Calorimetry Carbohydrates Cell division Diapers Diet Energy Energy Metabolism Female fetal growth Fetuses Growth Humans Infant Nutritional Physiological Phenomena Infant, Newborn Infant, Premature Infants lipid content Lipid Metabolism Low birth weight Male Metabolism Nitrogen nutrient utilization Nutrition research premature birth Proteins Regression analysis Skin Skinfold Thickness Urine weight gain |
title | Diet, fat accretion, and growth in premature infants |
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