Nutritional intake and growth in very low birth weight infants: a comparison of standardized versus parent-led complementary feeding

IF 3.2 3区医学 Q2 NUTRITION & DIETETICS

European Journal of Clinical Nutrition Pub Date : 2026-08-08 DOI:10.1038/s41430-026-01809-z

Melanie Gsoellpointner, Margarita Thanhaeuser, Margit Kornsteiner-Krenn, Fabian Eibensteiner, Robin Ristl, Bernd Jilma, Sophia Brandstetter, Angelika Berger, Nadja Haiden

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引用次数: 0

Abstract

The complementary feeding (CF) period is critical for ensuring adequate nutrient intake to support optimal growth in very low birth weight (VLBW) infants. This analysis compares nutritional intake and growth across two CF strategies: a standardized, protocol-driven approach and a non-standardized, parent-led approach. Both cohorts included infants with a birth weight <1500 g. The standardized group followed an age-dependent CF protocol utilizing commercial baby jars, whereas the non-standardized cohort practiced parent-led feeding without dietary restrictions. Nutritional intake was assessed using 3-day dietary records. Infants in the non-standardized study had significantly higher intakes of protein, fat, arachidonic and docosahexaenoic acid, while the standardized cohort showed higher iron and zinc intakes from 6 months corrected age onwards. Despite nutritional differences, growth was similar between cohorts. This comparison demonstrates notable differences in nutrient intake between CF approaches and may guide individualized strategies to support the nutritional needs of VLBW infants. Clinical trial registration: Randomized, standardized study: ClinicalTrials.gov: NCT01809548. Non-standardized, prospective study: ClinicalTrials.gov: NCT02936219.

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极低出生体重儿的营养摄入和生长：标准化喂养与家长主导的补充喂养的比较

辅食期对于确保足够的营养摄入以支持极低出生体重（VLBW）婴儿的最佳生长至关重要。本分析比较了两种CF策略的营养摄入和生长情况：标准化的、协议驱动的方法和非标准化的、家长主导的方法。两个队列都包括出生体重相同的婴儿

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

European Journal of Clinical Nutrition 医学-营养学

CiteScore

10.60

自引率

2.10%

发文量

189

审稿时长

3-6 weeks

期刊介绍： The European Journal of Clinical Nutrition (EJCN) is an international, peer-reviewed journal covering all aspects of human and clinical nutrition. The journal welcomes original research, reviews, case reports and brief communications based on clinical, metabolic and epidemiological studies that describe methodologies, mechanisms, associations and benefits of nutritional interventions for clinical disease and health promotion. Topics of interest include but are not limited to: Nutrition and Health (including climate and ecological aspects) Metabolism & Metabolomics Genomics and personalized strategies in nutrition Nutrition during the early life cycle Health issues and nutrition in the elderly Phenotyping in clinical nutrition Nutrition in acute and chronic diseases The double burden of ''malnutrition'': Under-nutrition and Obesity Prevention of Non Communicable Diseases (NCD)