“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age
Introduction: The effects of “aggressive” neonatal feeding policies of very preterm neonates (VPN) and the risk of metabolic syndrome later in life remain questionable. We aimed to evaluate the effect of our “aggressive” nutrition policies of VPN during hospitalisation on body mass index (BMI) at ag...
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doaj-6e3534f986d84545903698b48585c8682021-06-30T23:00:25ZengMDPI AGNutrients2072-66432021-06-01131901190110.3390/nu13061901“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School AgeAntonios Gounaris0Rozeta Sokou1Martha Theodoraki2Eleni Gounari3Polytimi Panagiotounakou4George Antonogeorgos5Georgios Ioakeimidis6Stavroula Parastatidou7Aikaterini Konstantinidi8Ioanna N. Grivea9Neonatal Clinic-NICU, University General Hospital, 41222 Larissa, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceRoyal Alexandra Children’s Hospital Brighton, Eastern Road, Brighton BN2 5BE, East Sussex, UKNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, General Hospital “Agios Panteleimon”, 18454 Piraeus, GreeceNeonatal Clinic-NICU, University General Hospital, 41222 Larissa, GreeceIntroduction: The effects of “aggressive” neonatal feeding policies of very preterm neonates (VPN) and the risk of metabolic syndrome later in life remain questionable. We aimed to evaluate the effect of our “aggressive” nutrition policies of VPN during hospitalisation on body mass index (BMI) at ages 2 and 8 years. Materials and Methods: Eighty four VPN, who received “aggressive” nutrition during hospitalisation in an effort to minimise postnatal growth restriction (PGR) (group A), and 62 term neonates, as controls (group B), were enrolled in the study. Group A was further divided in four subgroups depending on the type (A1: fortified expressed breast milk and preterm formula; A2: exclusively preterm formula) and quantity of milk received (A3: maximum feeds 180–210 mL/kg/day; A4: maximum feeds 210 and up to 260 mL/kg/day). BMI was calculated at ages 2 and 8 years and plotted on the centile charts. Results: There was no significant difference in BMI between groups A and B at 2 and 8 years, respectively, in both absolute BMI values and their centile chart distribution. There was no significant difference in BMI at 2 and 8 years either between subgroups A1 and A2 or between subgroups A3 and A4. Conclusions: “Aggressive” and individualised feeding policy for VPN did not affect the BMI and obesity rates at ages of 2 and 8 years in our study population. The type and quantity of milk feeds had no impact on their BMI at school age. Further larger studies are needed to confirm our results.https://www.mdpi.com/2072-6643/13/6/1901very preterm neonates“aggressive” feeding policiesneonatal periodbody mass indexchildren born preterm |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antonios Gounaris Rozeta Sokou Martha Theodoraki Eleni Gounari Polytimi Panagiotounakou George Antonogeorgos Georgios Ioakeimidis Stavroula Parastatidou Aikaterini Konstantinidi Ioanna N. Grivea |
spellingShingle |
Antonios Gounaris Rozeta Sokou Martha Theodoraki Eleni Gounari Polytimi Panagiotounakou George Antonogeorgos Georgios Ioakeimidis Stavroula Parastatidou Aikaterini Konstantinidi Ioanna N. Grivea “Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age Nutrients very preterm neonates “aggressive” feeding policies neonatal period body mass index children born preterm |
author_facet |
Antonios Gounaris Rozeta Sokou Martha Theodoraki Eleni Gounari Polytimi Panagiotounakou George Antonogeorgos Georgios Ioakeimidis Stavroula Parastatidou Aikaterini Konstantinidi Ioanna N. Grivea |
author_sort |
Antonios Gounaris |
title |
“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age |
title_short |
“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age |
title_full |
“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age |
title_fullStr |
“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age |
title_full_unstemmed |
“Aggressive” Feeding of Very Preterm Neonates and Body Mass Index at School Age |
title_sort |
“aggressive” feeding of very preterm neonates and body mass index at school age |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-06-01 |
description |
Introduction: The effects of “aggressive” neonatal feeding policies of very preterm neonates (VPN) and the risk of metabolic syndrome later in life remain questionable. We aimed to evaluate the effect of our “aggressive” nutrition policies of VPN during hospitalisation on body mass index (BMI) at ages 2 and 8 years. Materials and Methods: Eighty four VPN, who received “aggressive” nutrition during hospitalisation in an effort to minimise postnatal growth restriction (PGR) (group A), and 62 term neonates, as controls (group B), were enrolled in the study. Group A was further divided in four subgroups depending on the type (A1: fortified expressed breast milk and preterm formula; A2: exclusively preterm formula) and quantity of milk received (A3: maximum feeds 180–210 mL/kg/day; A4: maximum feeds 210 and up to 260 mL/kg/day). BMI was calculated at ages 2 and 8 years and plotted on the centile charts. Results: There was no significant difference in BMI between groups A and B at 2 and 8 years, respectively, in both absolute BMI values and their centile chart distribution. There was no significant difference in BMI at 2 and 8 years either between subgroups A1 and A2 or between subgroups A3 and A4. Conclusions: “Aggressive” and individualised feeding policy for VPN did not affect the BMI and obesity rates at ages of 2 and 8 years in our study population. The type and quantity of milk feeds had no impact on their BMI at school age. Further larger studies are needed to confirm our results. |
topic |
very preterm neonates “aggressive” feeding policies neonatal period body mass index children born preterm |
url |
https://www.mdpi.com/2072-6643/13/6/1901 |
work_keys_str_mv |
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