Premium
The association of weight and nutrient intakes with preterm infants in neonatal intensive care unit in Taiwan
Author(s) -
Huang ShihChien,
Huang ChinShiu,
Lee MingSheng
Publication year - 2017
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.31.1_supplement.960.5
Subject(s) - medicine , neonatal intensive care unit , gestational age , anthropometry , birth weight , pediatrics , low birth weight , growth curve (statistics) , obstetrics , pregnancy , biology , genetics , economics , econometrics
Intrauterine growth curves are the standard for assessing the growth of preterm infants and are widely used in the neonatal intensive care unit setting in United States; however, we do not have our own reference growth curves in Taiwan. Therefore, due to different racial and growth environment, it is doubt that if the intrauterine growth curves in United States is applicable to Taiwanese. The nutritional intakes of preterm infants are related to growth, and influence on the intellectual development and cardiovascular metabolism. As a result, the purposes of this study were: 1) to compare the growth pattern data and draw weight‐age growth curve from the neonatal intensive care unit in Taiwan to the intrauterine growth curves; 2) to compare the nutrient intakes and weight of preterm infants before and after 2010 year; 3) to investigate the association between the nutritional situation and body weight of preterm infants. This is a retrospective study. The study duration was from December 2005 to December 2013 in neonatal intensive care unit (n = 594). Data collected included individual baseline data, anthropometric data, and preterm neonatal disease severity within 24 hours when hospitalizing and nutrient intakes. The results showed that regardless gender, gestational age (GA) less than 30 weeks, and their birth weight curves were closed to the intrauterine growth curves; however, GA more than 30 weeks, their birth weight curves were lower than intrauterine growth curves. When following the preterm infants' body weight until GA 37 weeks, the average body weight of GA 24–29 weeks was significantly higher than GA 30–35 weeks. When dividing group based on preterm infants' birth year, the fat and calorie intakes in first, second, and fourth week among the group of birth, year within 2010–2013 were significantly higher than birth year within 2005–2009. The macronutrients and calorie intakes were positive correlation with body weight among the group of birth year within 2005–2009, GA within 24–29 weeks in the first and second week after birth. The fat and calorie intakes were significant positive correlation with body weight after fourth week birthed. This study show recently the nutritional status and growth patterns are significant improved in preterm infants in Taiwan. In order to catch up the normal growth and safe to the kidney development of preterm infants, the macronutrients and calorie intakes should be increased in the first and second week after birth; the fat intakes should be increased in fourth week after birth.