A Study Quantifying Protein Intake and Compare Growth Parameters in ELBW Infants in the First Two Weeks after Birth using Two Different Methods
Authors/Creators
- 1. Senior Resident, Department of Pediatrics, SKMCH, Muzaffarpur, Bihar, India
- 2. Associate Professor and HOD, Department of Pediatrics, SKMCH, Muzaffarpur, Bihar, India
Description
Abstract
Aim: The aim of the present study was to quantify protein intake and compare growth parameters at hospital
discharge (as measured by discharge weight and head circumference percentiles) in ELBW infants in the first
two weeks after birth using two different methods.
Material & Methods: The present study was conducted at Department of Pediatrics and all ELBW admissions
to the NICU were included except those regaining BW in ≤ 3 days, those who were transferred to another
facility, or those who died before reaching discharge.
Results: We studied 150 infants with 100 and 50 infants in P1 and P2 periods, respectively. Mean gestational
age was lower during Phase 1 (24.86 ±1.34 vs. 25.45 ±1.85 weeks). P value =0.01). However, the birth weights
were not different between the two periods. The incidence of SGA at birth was higher during Phase 2.
Compared to P1, babies in P2 received 1 g/kg/day more protein till BW was regained. This average daily protein
deficit would have resulted in a cumulative protein deficit of 5.1 g/kg if the infant’s current weight was used for
protein calculations for the duration of 1 week (P2 phase). There were no significant differences in protein and
fluid intakes. However, there was a higher caloric intake in P2 compared to P1.
Conclusion: The decision to utilize birth weight as the basis for nutrition calculations in extremely low birth
weight (ELBW) infants, rather than their current daily weight until they reach their birth weight, led to notable
outcomes. Specifically, this approach resulted in a substantial increase in protein delivery, a significant
reduction in the occurrence of failure to thrive, and a decrease in head circumference percentiles at the time of
discharge in ELBW infants.
Abstract (English)
Abstract
Aim: The aim of the present study was to quantify protein intake and compare growth parameters at hospital
discharge (as measured by discharge weight and head circumference percentiles) in ELBW infants in the first
two weeks after birth using two different methods.
Material & Methods: The present study was conducted at Department of Pediatrics and all ELBW admissions
to the NICU were included except those regaining BW in ≤ 3 days, those who were transferred to another
facility, or those who died before reaching discharge.
Results: We studied 150 infants with 100 and 50 infants in P1 and P2 periods, respectively. Mean gestational
age was lower during Phase 1 (24.86 ±1.34 vs. 25.45 ±1.85 weeks). P value =0.01). However, the birth weights
were not different between the two periods. The incidence of SGA at birth was higher during Phase 2.
Compared to P1, babies in P2 received 1 g/kg/day more protein till BW was regained. This average daily protein
deficit would have resulted in a cumulative protein deficit of 5.1 g/kg if the infant’s current weight was used for
protein calculations for the duration of 1 week (P2 phase). There were no significant differences in protein and
fluid intakes. However, there was a higher caloric intake in P2 compared to P1.
Conclusion: The decision to utilize birth weight as the basis for nutrition calculations in extremely low birth
weight (ELBW) infants, rather than their current daily weight until they reach their birth weight, led to notable
outcomes. Specifically, this approach resulted in a substantial increase in protein delivery, a significant
reduction in the occurrence of failure to thrive, and a decrease in head circumference percentiles at the time of
discharge in ELBW infants.
Files
IJCPR,Vol15,Issue10,Article12.pdf
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Additional details
Dates
- Accepted
-
2023-06-24