Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000600652 |
Resumo: | Abstract Objective: To evaluate the resting energy expenditure, growth, and quantity of energy and macronutrients intake in a group of preterm newborns. Methods: The cohort study was performed with appropriate and small for gestational age preterm infants (birth weight lower than 1500 g or gestational age < 32 weeks). Resting energy expenditure was measured using indirect calorimetry on the 7th, 14th, 21st, and 28th days of life, and at discharge. Length, head circumference and body weight were assessed weekly. Nutritional therapy was calculated during the hospital stay and the information for each type of food was recorded in software that calculates the total amount of energy and macronutrients. Results: 61 preterm infants were followed; 43 appropriate and 18 small for gestational age infants. There was no statistical difference for resting energy expenditure between the groups, and it increased from the first to the fourth week of life (appropriate: 26.3% and small: 21.8%). Energy intake in the first two weeks of life was well below the energy requirement. Conclusion: Considering that the results demonstrate high energy expenditure during the first weeks of life, there is an evident need to provide the best quality of nutrition for each child in the first weeks of life so that preterm infants with or without intrauterine growth restriction can achieve their maximum potential for growth and development. |
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Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infantsResting energy expenditurePreterm infantsNutritional therapyNutritional statusAbstract Objective: To evaluate the resting energy expenditure, growth, and quantity of energy and macronutrients intake in a group of preterm newborns. Methods: The cohort study was performed with appropriate and small for gestational age preterm infants (birth weight lower than 1500 g or gestational age < 32 weeks). Resting energy expenditure was measured using indirect calorimetry on the 7th, 14th, 21st, and 28th days of life, and at discharge. Length, head circumference and body weight were assessed weekly. Nutritional therapy was calculated during the hospital stay and the information for each type of food was recorded in software that calculates the total amount of energy and macronutrients. Results: 61 preterm infants were followed; 43 appropriate and 18 small for gestational age infants. There was no statistical difference for resting energy expenditure between the groups, and it increased from the first to the fourth week of life (appropriate: 26.3% and small: 21.8%). Energy intake in the first two weeks of life was well below the energy requirement. Conclusion: Considering that the results demonstrate high energy expenditure during the first weeks of life, there is an evident need to provide the best quality of nutrition for each child in the first weeks of life so that preterm infants with or without intrauterine growth restriction can achieve their maximum potential for growth and development.Sociedade Brasileira de Pediatria2018-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000600652Jornal de Pediatria v.94 n.6 2018reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2017.09.005info:eu-repo/semantics/openAccessAbranches,Andrea Dunshee deSoares,Fernanda Valente MendesVillela,Letícia DuarteMéio,Maria Dalva Barbosa BakerZin,Olivia AraújoGomes Junior,Saint-ClairMoreira,Maria Elisabeth Lopeseng2018-11-21T00:00:00Zoai:scielo:S0021-75572018000600652Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2018-11-21T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
title |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
spellingShingle |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants Abranches,Andrea Dunshee de Resting energy expenditure Preterm infants Nutritional therapy Nutritional status |
title_short |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
title_full |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
title_fullStr |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
title_full_unstemmed |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
title_sort |
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants |
author |
Abranches,Andrea Dunshee de |
author_facet |
Abranches,Andrea Dunshee de Soares,Fernanda Valente Mendes Villela,Letícia Duarte Méio,Maria Dalva Barbosa Baker Zin,Olivia Araújo Gomes Junior,Saint-Clair Moreira,Maria Elisabeth Lopes |
author_role |
author |
author2 |
Soares,Fernanda Valente Mendes Villela,Letícia Duarte Méio,Maria Dalva Barbosa Baker Zin,Olivia Araújo Gomes Junior,Saint-Clair Moreira,Maria Elisabeth Lopes |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Abranches,Andrea Dunshee de Soares,Fernanda Valente Mendes Villela,Letícia Duarte Méio,Maria Dalva Barbosa Baker Zin,Olivia Araújo Gomes Junior,Saint-Clair Moreira,Maria Elisabeth Lopes |
dc.subject.por.fl_str_mv |
Resting energy expenditure Preterm infants Nutritional therapy Nutritional status |
topic |
Resting energy expenditure Preterm infants Nutritional therapy Nutritional status |
description |
Abstract Objective: To evaluate the resting energy expenditure, growth, and quantity of energy and macronutrients intake in a group of preterm newborns. Methods: The cohort study was performed with appropriate and small for gestational age preterm infants (birth weight lower than 1500 g or gestational age < 32 weeks). Resting energy expenditure was measured using indirect calorimetry on the 7th, 14th, 21st, and 28th days of life, and at discharge. Length, head circumference and body weight were assessed weekly. Nutritional therapy was calculated during the hospital stay and the information for each type of food was recorded in software that calculates the total amount of energy and macronutrients. Results: 61 preterm infants were followed; 43 appropriate and 18 small for gestational age infants. There was no statistical difference for resting energy expenditure between the groups, and it increased from the first to the fourth week of life (appropriate: 26.3% and small: 21.8%). Energy intake in the first two weeks of life was well below the energy requirement. Conclusion: Considering that the results demonstrate high energy expenditure during the first weeks of life, there is an evident need to provide the best quality of nutrition for each child in the first weeks of life so that preterm infants with or without intrauterine growth restriction can achieve their maximum potential for growth and development. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000600652 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000600652 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2017.09.005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.94 n.6 2018 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
_version_ |
1752122321742594048 |