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https://hdl.handle.net/2440/60642
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Type: | Journal article |
Title: | Higher protein and energy intake is associated with increased weight gain in pre-term infants |
Author: | Collins, C. Chua, M. Rajadurai, V. McPhee, A. Miller, L. Gibson, R. Makrides, M. |
Citation: | Journal of Paediatrics and Child Health, 2010; 46(3):96-102 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2010 |
ISSN: | 1034-4810 1440-1754 |
Statement of Responsibility: | Carmel T Collins, Mei Chien Chua, Victor S Rajadurai, Andrew J McPhee, Lisa N Miller, Robert A Gibson and Maria Makrides |
Abstract: | Aim: To characterise and compare the nutritional management and growth in infants <33 weeks' gestation in two tertiary centres. Methods: An audit of daily intake and growth from birth to discharge home was undertaken in two neonatal units: The KK Women's and Children's Hospital Singapore and the Adelaide Women's and Children's Hospital, South Australia. Mixed models were used to model intake and daily weight (g/day) accounting for repeated day per subject. Results: The clinical characteristics of the two cohorts were similar. The Adelaide cohort had a higher initial energy intake in the first 5 days compared with the Singapore cohort, and a significantly greater weekly increase of 21.0 kcal/week (95% CI 7.7–34.3; P = 0.002). The Adelaide cohort also had a higher initial protein intake and a significantly greater weekly increase of 0.88 g/week (95% CI 0.5, 1.3), P < 0.001) compared with the Singapore cohort. The weight gain of the Adelaide cohort was 9 g/day more than the Singapore cohort (95% CI 7.3, 10.7; P < 0.001). Post-natal growth failure was evident in 32% (n = 64) of the Adelaide cohort and 64% (n = 94) of the Singapore cohort. Conclusions: The two centres showed distinct differences in nutritional management. A higher energy and protein intake was associated with improved growth yet growth in both cohorts was still below current recommendations. |
Keywords: | enteral nutrition infant premature parenteral nutrition |
Rights: | © 2010 The Authors. Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians) |
DOI: | 10.1111/j.1440-1754.2009.01645.x |
Grant ID: | http://purl.org/au-research/grants/nhmrc/250322 NHMRC |
Published version: | http://dx.doi.org/10.1111/j.1440-1754.2009.01645.x |
Appears in Collections: | Aurora harvest 5 Obstetrics and Gynaecology publications |
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