Utilizing preterm infant body composition assessments to guide neonatal nutrition.

IF 2.2 3区医学 Q2 PEDIATRICS

Current opinion in pediatrics Pub Date : 2025-01-03 DOI:10.1097/MOP.0000000000001434

Catherine O Buck

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引用次数: 0

Abstract

Purpose of review: The use of body composition to assess the quality of infant growth may add valuable information to pediatric clinical care. Preterm infants have differences in their fat and muscle mass development compared with infants born at term, which may be related to their early nutritional exposures. This review focuses on recent studies examining early nutrition in preterm infants and related body composition outcomes in the newborn period and beyond.

Recent findings: Overall, the evidence shows that early nutrient delivery in parenteral nutrition and through formula supplementation or human milk fortification is associated with increased fat-free mass or lean mass in early life. However, future research is needed to fully understand the link between these body composition changes and longitudinal outcomes in preterm infants.

Summary: Inclusion of body composition assessments in preterm infant nutrition research is critical to understand the factors associated with differences in adiposity and lean mass development in preterm infants. Medical fragility in preterm infants limits the routine use of body composition assessment tools which are currently validated, and additional studies are needed to thoroughly assess other methods which may be more feasible to integrate into bedside routine.

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利用早产儿身体成分评估指导新生儿营养。

综述目的：使用身体成分来评估婴儿生长质量可能为儿科临床护理提供有价值的信息。与足月出生的婴儿相比，早产儿的脂肪和肌肉质量发育存在差异，这可能与他们早期的营养暴露有关。本文综述了近期关于早产儿早期营养和新生儿期及以后相关身体成分结果的研究。最近的发现：总的来说，有证据表明，通过肠外营养和配方奶粉补充或母乳强化的早期营养输送与生命早期无脂体重或瘦体重的增加有关。然而，未来的研究需要充分了解这些身体成分变化与早产儿纵向结局之间的联系。摘要：在早产儿营养研究中纳入身体成分评估对于了解与早产儿肥胖和瘦质量发育差异相关的因素至关重要。早产儿的医疗脆弱性限制了身体成分评估工具的常规使用，这些工具目前已得到验证，需要进一步的研究来彻底评估其他可能更可行的纳入床边常规的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current opinion in pediatrics 医学-小儿科

CiteScore

6.20

自引率

0.00%

发文量

184

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Pediatrics is a reader-friendly resource which allows the reader to keep up-to-date with the most important advances in the pediatric field. Each issue of Current Opinion in Pediatrics contains three main sections delivering a diverse and comprehensive cover of all key issues related to pediatrics; including genetics, therapeutics and toxicology, adolescent medicine, neonatology and perinatology, and orthopedics. Unique to Current Opinion in Pediatrics is the office pediatrics section which appears in every issue and covers popular topics such as fever, immunization and ADHD. Current Opinion in Pediatrics is an indispensable journal for the busy clinician, researcher or student.