Premium
Intensive nutritional support in genetically identical triplets of nine months old with primary and severe malnutrition
Author(s) -
VasquezGaribay Edgar Manuel,
PadillaMarquez Gabriela,
IbarraGutierrez Maria Isabel,
RamirezMagaña Olga Yolanda,
RomeroVelarde Enrique
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.734.3
Subject(s) - respiratory distress , medicine , pediatrics , birth weight , body weight , malnutrition , weight gain , zoology , surgery , biology , pregnancy , genetics
Objective To characterize the gain in velocity of growth of nine months old, genetically identical triplet infants with severe and primary protein energy malnutrition after a six weeks‐periods of intensive nutritional support Subjects Mother: 18 years old, 28 weeks of gestational age and father of 20 years old. First Triplet: Apgar 7‐9, birth weight 890g with respiratory distress. Second triplet: Apgar 8‐9, multiple congenital abnormalities in thoracic members that were diagnosed as arthrogryposis, birth weight 1100g. Third triplet: Apgar 3‐8 with respiratory distress. They were genetically identical. First and second triplets received milk infant formula lactose free, and the third triplet soy formula. At two, four and six weeks they received liquids (mL/kg/d) (189, 236 and 256), energy kcal/kg/d (141, 189, and 205), and proteins g/kg/d (3.2, 4.1 and 4.4) respectively. Results Initial weight at admission: first triplet 3540g, second 3320g, third 3935g. The cost of weight gain (g) was 4.3, 3.7 and 4.3 kcal/kg/d and 0.10, 0.08 and 0.10 g/kg/d of proteins respectively. Conclusion The weight increase among triplets was identical in the six weeks‐periods. The velocity of increase of arm circumference, arm muscular area and arm fat area was lower in the second triplet with arthrogryposis.