Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates
Objective: This study aims to examine whether there is a relationship between neurodevelopmental outcomes with transition into early full enteral feeding and weight gain rates in preterm infants. Methods: Evaluated infants' gestational ages were less than 32 weeks, birth weights were between 80...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-07-01
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| Series: | Forbes Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-03522 |
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| author | Esin OKMAN Mehmet BÜYÜKTİRYAKİ Gülsüm KADIOĞLU ŞİMŞEK Burak CERAN H. Gözde KANMAZ KUTMAN Zeynep ÜSTÜNYURT Fuat Emre CANPOLAT |
| author_facet | Esin OKMAN Mehmet BÜYÜKTİRYAKİ Gülsüm KADIOĞLU ŞİMŞEK Burak CERAN H. Gözde KANMAZ KUTMAN Zeynep ÜSTÜNYURT Fuat Emre CANPOLAT |
| author_sort | Esin OKMAN |
| collection | DOAJ |
| description | Objective: This study aims to examine whether there is a relationship between neurodevelopmental outcomes with transition into early full enteral feeding and weight gain rates in preterm infants.
Methods: Evaluated infants' gestational ages were less than 32 weeks, birth weights were between 800 and 1.200 grams, and corrected ages were 24th months. Patients were divided into two groups, of those with transition into full enteral feeding in less than two weeks (group E) and those with transition into full enteral feeding in longer than two weeks (group L). Two additional groups were also compared, of those with weight gain rates above 10 g/day (group 1) and below 10 g/day (group 2), in the first month of life. Differentiations in neurodevelopment scores [mental development index (MDI), psychomotor development index (PDI)] were evaluated.
Results: The total number of assessed infants was 330. Among them, 137 were in group E and 134 were in group L. MDI comparison was 69 and 62, respectively. The PDI comparison was 79 and 73, respectively. Compared with group 1 (n=120), lower MDI and PDI were detected in group 2 (n=110). Accordingly, both factors of late transition into full enteral feeding and low daily weight gain rate were associated with neurodevelopmental impairment. With respect to weight gain, the RR was 2.26 (1.15-4.43), p=0.018. With respect to transition into full enteral feeding, the RR was 3.46 (1.84-6.49), p=0.001.
Conclusion: In the early period of life, feeding difficulties and weight gain rates of preterm infants must be monitored delicately. Nutritional difficulties constitute a negative influence on neurodevelopment. |
| first_indexed | 2024-03-12T20:40:59Z |
| format | Article |
| id | doaj.art-4a6c7074d38b41aab52ef6e7e4a4a545 |
| institution | Directory Open Access Journal |
| issn | 2757-5241 |
| language | English |
| last_indexed | 2024-03-12T20:40:59Z |
| publishDate | 2023-07-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Forbes Tıp Dergisi |
| spelling | doaj.art-4a6c7074d38b41aab52ef6e7e4a4a5452023-08-01T10:46:03ZengGalenos YayineviForbes Tıp Dergisi2757-52412023-07-014215516010.4274/forbes.galenos.2022.03522FJM-03522Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain RatesEsin OKMAN0Mehmet BÜYÜKTİRYAKİ1Gülsüm KADIOĞLU ŞİMŞEK2Burak CERAN3H. Gözde KANMAZ KUTMAN4Zeynep ÜSTÜNYURT5Fuat Emre CANPOLAT6University of Health Sciences Turkey, Ankara City Hospital, Clinic of Neonatology, Unit of Neonatal Intensive Care, Ankara, TurkeyMedipol University Faculty of Medicine, Department of Neonatology, Clinic of Neonatal Intensive Care, İstanbul, TurkeyUniversity of Health Sciences Turkey, Ankara City Hospital, Clinic of Neonatology, Unit of Neonatal Intensive Care, Ankara, TurkeyUniversity of Health Sciences Turkey, Ankara City Hospital, Clinic of Neonatology, Unit of Neonatal Intensive Care, Ankara, TurkeyUniversity of Health Sciences Turkey, Ankara City Hospital, Clinic of Neonatology, Unit of Neonatal Intensive Care, Ankara, TurkeyTOBB University Faculty of Medicine, Department of Developmental Pediatrics, Ankara, TurkeyUniversity of Health Sciences Turkey, Ankara City Hospital, Clinic of Neonatology, Unit of Neonatal Intensive Care, Ankara, TurkeyObjective: This study aims to examine whether there is a relationship between neurodevelopmental outcomes with transition into early full enteral feeding and weight gain rates in preterm infants. Methods: Evaluated infants' gestational ages were less than 32 weeks, birth weights were between 800 and 1.200 grams, and corrected ages were 24th months. Patients were divided into two groups, of those with transition into full enteral feeding in less than two weeks (group E) and those with transition into full enteral feeding in longer than two weeks (group L). Two additional groups were also compared, of those with weight gain rates above 10 g/day (group 1) and below 10 g/day (group 2), in the first month of life. Differentiations in neurodevelopment scores [mental development index (MDI), psychomotor development index (PDI)] were evaluated. Results: The total number of assessed infants was 330. Among them, 137 were in group E and 134 were in group L. MDI comparison was 69 and 62, respectively. The PDI comparison was 79 and 73, respectively. Compared with group 1 (n=120), lower MDI and PDI were detected in group 2 (n=110). Accordingly, both factors of late transition into full enteral feeding and low daily weight gain rate were associated with neurodevelopmental impairment. With respect to weight gain, the RR was 2.26 (1.15-4.43), p=0.018. With respect to transition into full enteral feeding, the RR was 3.46 (1.84-6.49), p=0.001. Conclusion: In the early period of life, feeding difficulties and weight gain rates of preterm infants must be monitored delicately. Nutritional difficulties constitute a negative influence on neurodevelopment.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-03522newbornpreterm infantsearly enteral feedingearly weight gainneurodevelopmental outcomes |
| spellingShingle | Esin OKMAN Mehmet BÜYÜKTİRYAKİ Gülsüm KADIOĞLU ŞİMŞEK Burak CERAN H. Gözde KANMAZ KUTMAN Zeynep ÜSTÜNYURT Fuat Emre CANPOLAT Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates Forbes Tıp Dergisi newborn preterm infants early enteral feeding early weight gain neurodevelopmental outcomes |
| title | Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates |
| title_full | Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates |
| title_fullStr | Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates |
| title_full_unstemmed | Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates |
| title_short | Long-term Neurodevelopmental Assessment in Preterm Infants with Early Full Enteral Feeding and Weight Gain Rates |
| title_sort | long term neurodevelopmental assessment in preterm infants with early full enteral feeding and weight gain rates |
| topic | newborn preterm infants early enteral feeding early weight gain neurodevelopmental outcomes |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-03522 |
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