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Information Journal Paper

Title

THE RELATIONSHIP BETWEEN EARLYWEIGHT Z-SCORE CHANGES AND NUTRITIONAL DIFFERENCES IN VERY LOW BIRTHWEIGHT INFANTS DURING HOSPITAL STAY

Pages

  1-9

Abstract

 Background: Advances in neonatal care have resulted in improved survival for very low birth weight infants (VLBWIs). However, the main factors that lead to early weight Z-score [standard deviation score (SDS)] changes during hospital stay in VLBWIs still need to be studied more.Objectives: In this study we aimed to investigate the differences in specific factors that relate to VLBWIs’ early weight Z-score changes as the scientific basis for clinical practice of VLBWIs during the entire hospital stay.Methods: We retrospectively reviewed baseline characteristics, nutrition management, clinical outcomes, and complications between non-catch-down (NCD) (Dweight SDS³ -0.67) and catch-down (CD) groups (Dweight SDS<-0.67) in VLBWIs during hospital stay.Results: A total of 227 infants (NCD group=117, CD group=110) met the inclusion criteria. No significant differences were found in baseline characteristics between the two groups. The NCD group received higher parenteral lipids (g/kg/d) from day 5 to day 7 and higher enteral feeding volume (mL/kg/d) from day 5 to week 5. The NCD group had higher protein: energy ratios at day 2 to day 4 and day 7 and higher total energy (kcal/kg/d) during the first six weeks. The NCD group had lower incidence of bronchopulmonary dysplasia (BPD) and PARENTERAL NUTRITION-associated cholestasis (PNAC).Conclusions: This study showed that adequate parenteral lipid and energy at the first week of life and earlier enhanced enteral feeding volume might significantly improve the VLBWIs’ weight Z-scores during hospital stay. The VLBWIs with catch-down growth might be more prone to developing BPD and PNAC.

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    APA: Copy

    GUO, CHU YI, YU, MU XUE, DENG, LIN XIA, LIU, WANG KAI, & ZHUANG, SI QI. (2018). THE RELATIONSHIP BETWEEN EARLYWEIGHT Z-SCORE CHANGES AND NUTRITIONAL DIFFERENCES IN VERY LOW BIRTHWEIGHT INFANTS DURING HOSPITAL STAY. IRANIAN JOURNAL OF PEDIATRICS, 28(4), 1-9. SID. https://sid.ir/paper/713745/en

    Vancouver: Copy

    GUO CHU YI, YU MU XUE, DENG LIN XIA, LIU WANG KAI, ZHUANG SI QI. THE RELATIONSHIP BETWEEN EARLYWEIGHT Z-SCORE CHANGES AND NUTRITIONAL DIFFERENCES IN VERY LOW BIRTHWEIGHT INFANTS DURING HOSPITAL STAY. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2018;28(4):1-9. Available from: https://sid.ir/paper/713745/en

    IEEE: Copy

    CHU YI GUO, MU XUE YU, LIN XIA DENG, WANG KAI LIU, and SI QI ZHUANG, “THE RELATIONSHIP BETWEEN EARLYWEIGHT Z-SCORE CHANGES AND NUTRITIONAL DIFFERENCES IN VERY LOW BIRTHWEIGHT INFANTS DURING HOSPITAL STAY,” IRANIAN JOURNAL OF PEDIATRICS, vol. 28, no. 4, pp. 1–9, 2018, [Online]. Available: https://sid.ir/paper/713745/en

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