The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/255529 |
Resumo: | Background and aims: Early child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to verify the impact of a continuous program of early home-based intervention on the body composition of preschool infants who were born preterm with very low birth weight (VLBW). Methods: This is a longitudinal analysis from a randomized controlled trial, including VLBW preterm children, born in a tertiary hospital in Southern Brazil and followed up at the high-risk institutional ambulatory clinic. Participants were divided into the intervention group (IG): skin-to-skin care with the mother (kangaroo care), breastfeeding policy, and tactile-kinesthetic stimulation by mothers until hospital discharge. Subsequently, they received a program of early intervention with orientation and a total of 10 home visits, independently from the standard evaluation and care that was performed following the 18 months after birth; conventional group (CG): standard care according to the routine of the newborn intensive care unit (NICU), which includes kangaroo care, and attending to their needs in the follow-up program. Body composition estimation was performed using bioelectrical impedance analyses (BIA), and physical activity and feeding practices questionnaires were evaluated at preschool age, as well as anthropometric measurements and biochemical analysis. Results: Data of 41 children at 4.6 ± 0.5 years old were evaluated (CG n = 21 and IG n = 20). Body weight, height, body mass index, waist and arm circumferences, and triceps and subscapular skinfold did not differ between groups. The IG presented higher segmented fat-free mass (FFM) when compared to the CG (right arm FFM: 0.74 vs. 0.65 kg, p = 0.040; trunk FFM: 6.86 vs. 6.09 kg, p = 0.04; right leg FFM: 1.91 vs. 1.73 kg, p = 0.063). Interaction analyses showed that segmented FFM and FFM Index were associated with higher iron content in the IG. In the CG, interaction analyses showed that increased visceral fat area was associated with higher insulin resistance index. Conclusion: An early intervention protocol from NICU to a home-based program performed by the mothers of VLBW preterm children of low-income families presents a small effect on FFM. |
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Fernandes, Rafael OliveiraBernardi, Juliana RombaldiFonseca, Júlia Delgado daSilva, Franciéle Gomes daProcianoy, Renato SoibelmannSilveira, Rita de Cássia dos Santos2023-03-10T03:26:36Z20222296-861Xhttp://hdl.handle.net/10183/255529001160890Background and aims: Early child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to verify the impact of a continuous program of early home-based intervention on the body composition of preschool infants who were born preterm with very low birth weight (VLBW). Methods: This is a longitudinal analysis from a randomized controlled trial, including VLBW preterm children, born in a tertiary hospital in Southern Brazil and followed up at the high-risk institutional ambulatory clinic. Participants were divided into the intervention group (IG): skin-to-skin care with the mother (kangaroo care), breastfeeding policy, and tactile-kinesthetic stimulation by mothers until hospital discharge. Subsequently, they received a program of early intervention with orientation and a total of 10 home visits, independently from the standard evaluation and care that was performed following the 18 months after birth; conventional group (CG): standard care according to the routine of the newborn intensive care unit (NICU), which includes kangaroo care, and attending to their needs in the follow-up program. Body composition estimation was performed using bioelectrical impedance analyses (BIA), and physical activity and feeding practices questionnaires were evaluated at preschool age, as well as anthropometric measurements and biochemical analysis. Results: Data of 41 children at 4.6 ± 0.5 years old were evaluated (CG n = 21 and IG n = 20). Body weight, height, body mass index, waist and arm circumferences, and triceps and subscapular skinfold did not differ between groups. The IG presented higher segmented fat-free mass (FFM) when compared to the CG (right arm FFM: 0.74 vs. 0.65 kg, p = 0.040; trunk FFM: 6.86 vs. 6.09 kg, p = 0.04; right leg FFM: 1.91 vs. 1.73 kg, p = 0.063). Interaction analyses showed that segmented FFM and FFM Index were associated with higher iron content in the IG. In the CG, interaction analyses showed that increased visceral fat area was associated with higher insulin resistance index. Conclusion: An early intervention protocol from NICU to a home-based program performed by the mothers of VLBW preterm children of low-income families presents a small effect on FFM.application/pdfengFrontiers in nutrition. Lausanne. Vol. 9 (2022), 981818, 14 p.Parto prematuroRecém-nascido de muito baixo pesoComposição corporalPré-escolarPremature birthVery low birth weightVLBWEarly interventionBody compositionBlood chemical analysisPreschool childThe impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weightEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001160890.pdf.txt001160890.pdf.txtExtracted Texttext/plain66061http://www.lume.ufrgs.br/bitstream/10183/255529/2/001160890.pdf.txteb2ede0820d4ddb7a7124d952248f66cMD52ORIGINAL001160890.pdfTexto completo (inglês)application/pdf1069317http://www.lume.ufrgs.br/bitstream/10183/255529/1/001160890.pdf453d0e9306cf1bfb1cd6341f702936f2MD5110183/2555292023-03-11 03:30:28.641315oai:www.lume.ufrgs.br:10183/255529Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-03-11T06:30:28Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
title |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
spellingShingle |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight Fernandes, Rafael Oliveira Parto prematuro Recém-nascido de muito baixo peso Composição corporal Pré-escolar Premature birth Very low birth weight VLBW Early intervention Body composition Blood chemical analysis Preschool child |
title_short |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
title_full |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
title_fullStr |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
title_full_unstemmed |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
title_sort |
The impact of an early intervention home-based program on body composition in preterm-born preschoolers with very low birth weight |
author |
Fernandes, Rafael Oliveira |
author_facet |
Fernandes, Rafael Oliveira Bernardi, Juliana Rombaldi Fonseca, Júlia Delgado da Silva, Franciéle Gomes da Procianoy, Renato Soibelmann Silveira, Rita de Cássia dos Santos |
author_role |
author |
author2 |
Bernardi, Juliana Rombaldi Fonseca, Júlia Delgado da Silva, Franciéle Gomes da Procianoy, Renato Soibelmann Silveira, Rita de Cássia dos Santos |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Rafael Oliveira Bernardi, Juliana Rombaldi Fonseca, Júlia Delgado da Silva, Franciéle Gomes da Procianoy, Renato Soibelmann Silveira, Rita de Cássia dos Santos |
dc.subject.por.fl_str_mv |
Parto prematuro Recém-nascido de muito baixo peso Composição corporal Pré-escolar |
topic |
Parto prematuro Recém-nascido de muito baixo peso Composição corporal Pré-escolar Premature birth Very low birth weight VLBW Early intervention Body composition Blood chemical analysis Preschool child |
dc.subject.eng.fl_str_mv |
Premature birth Very low birth weight VLBW Early intervention Body composition Blood chemical analysis Preschool child |
description |
Background and aims: Early child interventions focused on the family prevented neurodevelopmental and behavioral delays and can provide more knowledge regarding responsive feeding, thus creating learning opportunities to promote better quality nutrition and preventing failure to thrive. The aim is to verify the impact of a continuous program of early home-based intervention on the body composition of preschool infants who were born preterm with very low birth weight (VLBW). Methods: This is a longitudinal analysis from a randomized controlled trial, including VLBW preterm children, born in a tertiary hospital in Southern Brazil and followed up at the high-risk institutional ambulatory clinic. Participants were divided into the intervention group (IG): skin-to-skin care with the mother (kangaroo care), breastfeeding policy, and tactile-kinesthetic stimulation by mothers until hospital discharge. Subsequently, they received a program of early intervention with orientation and a total of 10 home visits, independently from the standard evaluation and care that was performed following the 18 months after birth; conventional group (CG): standard care according to the routine of the newborn intensive care unit (NICU), which includes kangaroo care, and attending to their needs in the follow-up program. Body composition estimation was performed using bioelectrical impedance analyses (BIA), and physical activity and feeding practices questionnaires were evaluated at preschool age, as well as anthropometric measurements and biochemical analysis. Results: Data of 41 children at 4.6 ± 0.5 years old were evaluated (CG n = 21 and IG n = 20). Body weight, height, body mass index, waist and arm circumferences, and triceps and subscapular skinfold did not differ between groups. The IG presented higher segmented fat-free mass (FFM) when compared to the CG (right arm FFM: 0.74 vs. 0.65 kg, p = 0.040; trunk FFM: 6.86 vs. 6.09 kg, p = 0.04; right leg FFM: 1.91 vs. 1.73 kg, p = 0.063). Interaction analyses showed that segmented FFM and FFM Index were associated with higher iron content in the IG. In the CG, interaction analyses showed that increased visceral fat area was associated with higher insulin resistance index. Conclusion: An early intervention protocol from NICU to a home-based program performed by the mothers of VLBW preterm children of low-income families presents a small effect on FFM. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-03-10T03:26:36Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/10183/255529 |
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2296-861X |
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001160890 |
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http://hdl.handle.net/10183/255529 |
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eng |
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Frontiers in nutrition. Lausanne. Vol. 9 (2022), 981818, 14 p. |
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openAccess |
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