Lack of Effects of Oral Probiotics on Growth and Neurodevelopmental Outcomes in Preterm Very Low Birth Weight Infants

Objective To evaluate growth and neurodevelopmental outcomes in preterm very low birth weight (PVLBW) infants treated with oral probiotics for the prevention of necrotizing enterocolitis (NEC). Study design A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single...

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Veröffentlicht in:The Journal of pediatrics 2010-03, Vol.156 (3), p.393-396
Hauptverfasser: Chou, I-Ching, MD, Kuo, Haung-Tsung, MD, PhD, Chang, Jeng-Sheng, MD, Wu, Shu-Fen, MD, Chiu, Hsiao-Yu, MD, Su, Bai-Horng, MD, PhD, Lin, Hung-Chih, MD
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container_end_page 396
container_issue 3
container_start_page 393
container_title The Journal of pediatrics
container_volume 156
creator Chou, I-Ching, MD
Kuo, Haung-Tsung, MD, PhD
Chang, Jeng-Sheng, MD
Wu, Shu-Fen, MD
Chiu, Hsiao-Yu, MD
Su, Bai-Horng, MD, PhD
Lin, Hung-Chih, MD
description Objective To evaluate growth and neurodevelopmental outcomes in preterm very low birth weight (PVLBW) infants treated with oral probiotics for the prevention of necrotizing enterocolitis (NEC). Study design A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single center with a masked randomized control trial to evaluate the efficacy of oral probiotics in preventing NEC. Growth measures included weight, length, and head circumference. Neurologic and sensory performance was evaluated with standard techniques. Psychometric parameters were measured used the Bayley Scales of Infant Development II (BSID-II). The studies were performed at 3 years corrected age. The primary outcome was death or neurodevelopmental impairment. Results Of the 367 subjects enrolled in trial, 301 (89.9%) were evaluated (153 in the probiotics group and 148 in the control group). There were no significant differences in growth or in any of the neurodevelopmental and sensory outcomes between the 2 groups. Conclusions Oral probiotics given to PVLBW infants at 1 week after birth to reduce the incidence of NEC did not affect growth and neurodevelopmental and sensory outcomes at 3 years corrected age.
doi_str_mv 10.1016/j.jpeds.2009.09.051
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Study design A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single center with a masked randomized control trial to evaluate the efficacy of oral probiotics in preventing NEC. Growth measures included weight, length, and head circumference. Neurologic and sensory performance was evaluated with standard techniques. Psychometric parameters were measured used the Bayley Scales of Infant Development II (BSID-II). The studies were performed at 3 years corrected age. The primary outcome was death or neurodevelopmental impairment. Results Of the 367 subjects enrolled in trial, 301 (89.9%) were evaluated (153 in the probiotics group and 148 in the control group). There were no significant differences in growth or in any of the neurodevelopmental and sensory outcomes between the 2 groups. Conclusions Oral probiotics given to PVLBW infants at 1 week after birth to reduce the incidence of NEC did not affect growth and neurodevelopmental and sensory outcomes at 3 years corrected age.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2009.09.051</identifier><identifier>PMID: 19914635</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>Administration, Oral ; Age ; Biological and medical sciences ; Child Development ; Child, Preschool ; Developmental Disabilities - etiology ; Developmental Disabilities - prevention &amp; control ; Diseases of mother, fetus and pregnancy ; Enterocolitis, Necrotizing - prevention &amp; control ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Infant, Premature - growth &amp; development ; Infant, Very Low Birth Weight - growth &amp; development ; Male ; Medical sciences ; Pediatrics ; Pregnancy. Fetus. Placenta ; Probiotics - administration &amp; dosage ; Randomized Controlled Trials as Topic</subject><ispartof>The Journal of pediatrics, 2010-03, Vol.156 (3), p.393-396</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Mosby, Inc. 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Study design A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single center with a masked randomized control trial to evaluate the efficacy of oral probiotics in preventing NEC. Growth measures included weight, length, and head circumference. Neurologic and sensory performance was evaluated with standard techniques. Psychometric parameters were measured used the Bayley Scales of Infant Development II (BSID-II). The studies were performed at 3 years corrected age. The primary outcome was death or neurodevelopmental impairment. Results Of the 367 subjects enrolled in trial, 301 (89.9%) were evaluated (153 in the probiotics group and 148 in the control group). There were no significant differences in growth or in any of the neurodevelopmental and sensory outcomes between the 2 groups. Conclusions Oral probiotics given to PVLBW infants at 1 week after birth to reduce the incidence of NEC did not affect growth and neurodevelopmental and sensory outcomes at 3 years corrected age.</description><subject>Administration, Oral</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>Developmental Disabilities - etiology</subject><subject>Developmental Disabilities - prevention &amp; control</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Enterocolitis, Necrotizing - prevention &amp; control</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - growth &amp; development</subject><subject>Infant, Very Low Birth Weight - growth &amp; development</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pediatrics</subject><subject>Pregnancy. Fetus. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - growth &amp; development</topic><topic>Infant, Very Low Birth Weight - growth &amp; development</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pediatrics</topic><topic>Pregnancy. Fetus. 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Study design A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single center with a masked randomized control trial to evaluate the efficacy of oral probiotics in preventing NEC. Growth measures included weight, length, and head circumference. Neurologic and sensory performance was evaluated with standard techniques. Psychometric parameters were measured used the Bayley Scales of Infant Development II (BSID-II). The studies were performed at 3 years corrected age. The primary outcome was death or neurodevelopmental impairment. Results Of the 367 subjects enrolled in trial, 301 (89.9%) were evaluated (153 in the probiotics group and 148 in the control group). There were no significant differences in growth or in any of the neurodevelopmental and sensory outcomes between the 2 groups. Conclusions Oral probiotics given to PVLBW infants at 1 week after birth to reduce the incidence of NEC did not affect growth and neurodevelopmental and sensory outcomes at 3 years corrected age.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>19914635</pmid><doi>10.1016/j.jpeds.2009.09.051</doi><tpages>4</tpages></addata></record>
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subjects Administration, Oral
Age
Biological and medical sciences
Child Development
Child, Preschool
Developmental Disabilities - etiology
Developmental Disabilities - prevention & control
Diseases of mother, fetus and pregnancy
Enterocolitis, Necrotizing - prevention & control
Female
General aspects
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Infant, Premature - growth & development
Infant, Very Low Birth Weight - growth & development
Male
Medical sciences
Pediatrics
Pregnancy. Fetus. Placenta
Probiotics - administration & dosage
Randomized Controlled Trials as Topic
title Lack of Effects of Oral Probiotics on Growth and Neurodevelopmental Outcomes in Preterm Very Low Birth Weight Infants
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