Application effect of extensively hydrolyzed milk protein formula and follow-up in preterm children with a gestational age of less than 34 weeks: study protocol for a randomized controlled trial

The average incidence of preterm birth in the world is up to 11.1 %, and deaths of preterm children account for more than 50 % of neonatal deaths. Gastrointestinal function of preterm children with a gestational age less than 34 weeks is immaturely developed. For preterm children who can only be fed...

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Veröffentlicht in:Current controlled trials in cardiovascular medicine 2015-11, Vol.16 (1), p.498-498, Article 498
Hauptverfasser: Yin, Li-Ping, Qian, Li-Juan, Zhu, Huan, Chen, Yan, Li, Han, Han, Ji-Nan, Qiao, Li-Xing
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container_title Current controlled trials in cardiovascular medicine
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creator Yin, Li-Ping
Qian, Li-Juan
Zhu, Huan
Chen, Yan
Li, Han
Han, Ji-Nan
Qiao, Li-Xing
description The average incidence of preterm birth in the world is up to 11.1 %, and deaths of preterm children account for more than 50 % of neonatal deaths. Gastrointestinal function of preterm children with a gestational age less than 34 weeks is immaturely developed. For preterm children who can only be fed with formula due to their mothers' sickness, choosing a suitable formula can not only meet the high nutritional needs of preterm children, but also solve their low gastrointestinal tolerability, and is thus very important. The study is a prospective, randomized, single-blind and controlled clinical trial. Preterm children with a gestational age less than 34 weeks meeting the inclusion criteria who cannot be breastfed will be included. To demonstrate the application effect of extensively hydrolyzed milk protein formula on the target population, preterm children will be randomized into two groups, 185 subjects in each group. The observation group will be fed with extensively hydrolyzed milk protein (100 % whey protein) formula, while the control group will be fed with preterm children's formula until the children are discharged from the neonatal intensive care unit (NICU). All the formula involved in this study will be from Dumex. After discharge, both groups will be uniformly fed with formula for 0 to 6-month-old infants. For statistical analysis, a chi-square test and Student's t test will be applied using SAS 9.4. This will be the first randomized controlled clinical study with long-term observation of the growth and development of preterm children during the NICU stay and at 3-month follow-up after discharge from the NICU. Results from this study will be used to determine whether the extensively hydrolyzed formula is more suitable for the low gastrointestinal tolerability of preterm children, and also whether feeding preterm children who are fed with such formula during the NICU stay with ordinary infant formula after discharge from the NICU would affect the normal growth and development of preterm children in the early stage of their lives. This study was registered with the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ) with number ChiCTR-IOR-14005696 , on December 22, 2014.
doi_str_mv 10.1186/s13063-015-1030-5
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Gastrointestinal function of preterm children with a gestational age less than 34 weeks is immaturely developed. For preterm children who can only be fed with formula due to their mothers' sickness, choosing a suitable formula can not only meet the high nutritional needs of preterm children, but also solve their low gastrointestinal tolerability, and is thus very important. The study is a prospective, randomized, single-blind and controlled clinical trial. Preterm children with a gestational age less than 34 weeks meeting the inclusion criteria who cannot be breastfed will be included. To demonstrate the application effect of extensively hydrolyzed milk protein formula on the target population, preterm children will be randomized into two groups, 185 subjects in each group. The observation group will be fed with extensively hydrolyzed milk protein (100 % whey protein) formula, while the control group will be fed with preterm children's formula until the children are discharged from the neonatal intensive care unit (NICU). All the formula involved in this study will be from Dumex. After discharge, both groups will be uniformly fed with formula for 0 to 6-month-old infants. For statistical analysis, a chi-square test and Student's t test will be applied using SAS 9.4. This will be the first randomized controlled clinical study with long-term observation of the growth and development of preterm children during the NICU stay and at 3-month follow-up after discharge from the NICU. Results from this study will be used to determine whether the extensively hydrolyzed formula is more suitable for the low gastrointestinal tolerability of preterm children, and also whether feeding preterm children who are fed with such formula during the NICU stay with ordinary infant formula after discharge from the NICU would affect the normal growth and development of preterm children in the early stage of their lives. This study was registered with the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ) with number ChiCTR-IOR-14005696 , on December 22, 2014.</description><identifier>ISSN: 1745-6215</identifier><identifier>EISSN: 1745-6215</identifier><identifier>DOI: 10.1186/s13063-015-1030-5</identifier><identifier>PMID: 26537897</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Amino acids ; Bottle Feeding ; Breastfeeding &amp; lactation ; Child Development ; China ; Clinical Protocols ; Clinical trials ; Enteral nutrition ; Fetuses ; Gestational Age ; Health aspects ; Humans ; Infant ; Infant Formula - administration &amp; dosage ; Infant, Newborn ; Infant, Premature ; Infants (Premature) ; Influence ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal ; Metabolism ; Milk proteins ; Milk Proteins - administration &amp; dosage ; Milk Proteins - adverse effects ; Mortality ; Mothers ; Newborn babies ; Nosocomial infections ; Nutrition ; Nutritional Status ; Parenteral nutrition ; Pediatrics ; Peptides ; Premature birth ; Prospective Studies ; Protein Hydrolysates - administration &amp; dosage ; Protein Hydrolysates - adverse effects ; Proteins ; Research Design ; Single-Blind Method ; Study Protocol ; Time Factors ; Treatment Outcome</subject><ispartof>Current controlled trials in cardiovascular medicine, 2015-11, Vol.16 (1), p.498-498, Article 498</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Yin et al. 2015. 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Gastrointestinal function of preterm children with a gestational age less than 34 weeks is immaturely developed. For preterm children who can only be fed with formula due to their mothers' sickness, choosing a suitable formula can not only meet the high nutritional needs of preterm children, but also solve their low gastrointestinal tolerability, and is thus very important. The study is a prospective, randomized, single-blind and controlled clinical trial. Preterm children with a gestational age less than 34 weeks meeting the inclusion criteria who cannot be breastfed will be included. To demonstrate the application effect of extensively hydrolyzed milk protein formula on the target population, preterm children will be randomized into two groups, 185 subjects in each group. The observation group will be fed with extensively hydrolyzed milk protein (100 % whey protein) formula, while the control group will be fed with preterm children's formula until the children are discharged from the neonatal intensive care unit (NICU). All the formula involved in this study will be from Dumex. After discharge, both groups will be uniformly fed with formula for 0 to 6-month-old infants. For statistical analysis, a chi-square test and Student's t test will be applied using SAS 9.4. This will be the first randomized controlled clinical study with long-term observation of the growth and development of preterm children during the NICU stay and at 3-month follow-up after discharge from the NICU. Results from this study will be used to determine whether the extensively hydrolyzed formula is more suitable for the low gastrointestinal tolerability of preterm children, and also whether feeding preterm children who are fed with such formula during the NICU stay with ordinary infant formula after discharge from the NICU would affect the normal growth and development of preterm children in the early stage of their lives. 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The observation group will be fed with extensively hydrolyzed milk protein (100 % whey protein) formula, while the control group will be fed with preterm children's formula until the children are discharged from the neonatal intensive care unit (NICU). All the formula involved in this study will be from Dumex. After discharge, both groups will be uniformly fed with formula for 0 to 6-month-old infants. For statistical analysis, a chi-square test and Student's t test will be applied using SAS 9.4. This will be the first randomized controlled clinical study with long-term observation of the growth and development of preterm children during the NICU stay and at 3-month follow-up after discharge from the NICU. Results from this study will be used to determine whether the extensively hydrolyzed formula is more suitable for the low gastrointestinal tolerability of preterm children, and also whether feeding preterm children who are fed with such formula during the NICU stay with ordinary infant formula after discharge from the NICU would affect the normal growth and development of preterm children in the early stage of their lives. This study was registered with the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ) with number ChiCTR-IOR-14005696 , on December 22, 2014.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26537897</pmid><doi>10.1186/s13063-015-1030-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Amino acids
Bottle Feeding
Breastfeeding & lactation
Child Development
China
Clinical Protocols
Clinical trials
Enteral nutrition
Fetuses
Gestational Age
Health aspects
Humans
Infant
Infant Formula - administration & dosage
Infant, Newborn
Infant, Premature
Infants (Premature)
Influence
Intensive Care Units, Neonatal
Intensive Care, Neonatal
Metabolism
Milk proteins
Milk Proteins - administration & dosage
Milk Proteins - adverse effects
Mortality
Mothers
Newborn babies
Nosocomial infections
Nutrition
Nutritional Status
Parenteral nutrition
Pediatrics
Peptides
Premature birth
Prospective Studies
Protein Hydrolysates - administration & dosage
Protein Hydrolysates - adverse effects
Proteins
Research Design
Single-Blind Method
Study Protocol
Time Factors
Treatment Outcome
title Application effect of extensively hydrolyzed milk protein formula and follow-up in preterm children with a gestational age of less than 34 weeks: study protocol for a randomized controlled trial
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