Body composition measurement for the preterm neonate: using a clinical utility framework to translate research tools into clinical care
Body composition analysis to distinguish between fat mass and fat-free mass is an established research approach to assess nutritional status. Within neonatal medicine, preterm infant body composition is linked with later health outcomes including neurodevelopment and cardiometabolic health. Mounting...
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Veröffentlicht in: | Journal of perinatology 2022-11, Vol.42 (11), p.1550-1555 |
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description | Body composition analysis to distinguish between fat mass and fat-free mass is an established research approach to assess nutritional status. Within neonatal medicine, preterm infant body composition is linked with later health outcomes including neurodevelopment and cardiometabolic health. Mounting evidence establishing fat-free mass as an indicator of nutritional status, coupled with the availability of testing approaches that are feasible to use in preterm infants, have enhanced interest in measuring body composition in the neonatal intensive care unit (NICU) setting. In this paper, we use the concept of clinical utility—the added value of a new methodology over current standard care—as a framework for assessing several existing body composition methodologies with potential for clinical application to preterm neonates. We also use this framework to identify remaining knowledge gaps and prioritize efforts to advance our understanding of clinically-oriented body composition testing in the NICU. |
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Within neonatal medicine, preterm infant body composition is linked with later health outcomes including neurodevelopment and cardiometabolic health. Mounting evidence establishing fat-free mass as an indicator of nutritional status, coupled with the availability of testing approaches that are feasible to use in preterm infants, have enhanced interest in measuring body composition in the neonatal intensive care unit (NICU) setting. In this paper, we use the concept of clinical utility—the added value of a new methodology over current standard care—as a framework for assessing several existing body composition methodologies with potential for clinical application to preterm neonates. We also use this framework to identify remaining knowledge gaps and prioritize efforts to advance our understanding of clinically-oriented body composition testing in the NICU.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-022-01529-9</identifier><identifier>PMID: 36203085</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/139/1420 ; 692/700/1720 ; Accuracy ; Age ; Analytical chemistry ; Body Composition ; Body fat ; Brain research ; Fat-free body mass ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; Intensive care ; Intensive Care Units, Neonatal ; Medicine ; Medicine & Public Health ; Neonatal care ; Neonates ; Newborn babies ; Nutritional Status ; Pediatric Surgery ; Pediatrics ; Perspective ; Premature babies ; Premature birth ; Reproducibility</subject><ispartof>Journal of perinatology, 2022-11, Vol.42 (11), p.1550-1555</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022. 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Within neonatal medicine, preterm infant body composition is linked with later health outcomes including neurodevelopment and cardiometabolic health. Mounting evidence establishing fat-free mass as an indicator of nutritional status, coupled with the availability of testing approaches that are feasible to use in preterm infants, have enhanced interest in measuring body composition in the neonatal intensive care unit (NICU) setting. In this paper, we use the concept of clinical utility—the added value of a new methodology over current standard care—as a framework for assessing several existing body composition methodologies with potential for clinical application to preterm neonates. 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subjects | 692/700/139/1420 692/700/1720 Accuracy Age Analytical chemistry Body Composition Body fat Brain research Fat-free body mass Hospitals Humans Infant Infant, Newborn Infant, Premature Infants Intensive care Intensive Care Units, Neonatal Medicine Medicine & Public Health Neonatal care Neonates Newborn babies Nutritional Status Pediatric Surgery Pediatrics Perspective Premature babies Premature birth Reproducibility |
title | Body composition measurement for the preterm neonate: using a clinical utility framework to translate research tools into clinical care |
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