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
Hauptverfasser: Reichman, Brian, Chessex, Philippe, Putet, Guy, Verellen, Gaston, Smith, John M, Heim, Tibor, Swyer, Paul R
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container_end_page 1500
container_issue 25
container_start_page 1495
container_title The New England journal of medicine
container_volume 305
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)
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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. 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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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