Higher fluid and lower caloric intakes: associated risk of severe bronchopulmonary dysplasia in ELBW infants.
J Perinatol
; 44(7): 941-946, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38459372
ABSTRACT
OBJECTIVE:
To examine nutritional intake profiles and growth trajectories of extremely low birth weight (ELBW) infants who develop severe bronchopulmonary dysplasia (BPD). STUDYDESIGN:
Case-control study using multiple logistic regression analysis with generalized estimating equations (GEE) to adjust for matching.RESULTS:
Cumulative and mean fluid intakes were higher (p = 0.003) and caloric intakes lower (p < 0.0001) through week two in infants who developed severe BPD (n = 120) versus those without severe BPD (n = 104). Mean caloric intake through week 12 was lower in infants who developed severe BPD (102 ± 10.1 vs. 107 ± 8.5 kcal/kg/day, p < 0.0001). In the logistic regression models, lower mean caloric intake through week 12 was associated with increased risk of developing severe BPD. Linear growth reduced the odds of BPD by ~30% for each Z-score point.CONCLUSIONS:
Higher fluid and lower total caloric intakes and reductions in linear growth were independently associated with an increased risk of developing severe BPD in ELBW infants.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Displasia Broncopulmonar
/
Ingestão de Energia
/
Recém-Nascido de Peso Extremamente Baixo ao Nascer
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article