Expected and Desirable Preterm and Small Infant Growth Patterns

IF 8 1区 医学 Q1 NUTRITION & DIETETICS Advances in Nutrition Pub Date : 2024-06-01 DOI:10.1016/j.advnut.2024.100220
Tanis R Fenton , Stephanie Merlino Barr , Seham Elmrayed , Belal Alshaikh
{"title":"Expected and Desirable Preterm and Small Infant Growth Patterns","authors":"Tanis R Fenton ,&nbsp;Stephanie Merlino Barr ,&nbsp;Seham Elmrayed ,&nbsp;Belal Alshaikh","doi":"10.1016/j.advnut.2024.100220","DOIUrl":null,"url":null,"abstract":"<div><p>Adequate nutrition is necessary for achieving optimal growth and neurodevelopment. Growth is a natural and expected process that happens concomitantly with rapid advancements in neurodevelopment. Serial weight, length, and head circumference growth measures are essential for monitoring development, although identifying pathological deviations from normal growth can pose challenges. Appropriate growth assessments require considerations that a range of sizes for length, head circumference, and weight are expected and appropriate. Because of genetic differences and morbidities, there is a considerable overlap between the growth of healthy infants and those with growth alterations. Parents tend to be over-concerned about children who plot low on growth charts and often need reassurance. Thus, the use of terms such as “poor” growth or growth “failure” are discouraged when growth is approximately parallel to growth chart curves even if their size is smaller than specific percentiles. No specific percentile should be set as a growth goal; individual variability should be expected. An infant’s size at birth is important information that goes beyond the common use of prognostic predictions of appropriate compared with small or large for gestational age. The lower the birthweight, the lower the nutrient stores and the more important the need for nutrition support. Compared to term infants, preterm infants at term-equivalent age have a higher percentage of body fat, but this diminishes over the next months. Current research findings support expert recommendations that preterm infants should grow, after early postnatal weight loss, similar to the fetus and then term-born infants, which translates to growth approximately parallel to growth chart curves. There is no need for a trade-off between optimum cognition and optimum future health. Each high-risk infant needs individualized nutrition and growth assessments. This review aims to examine infant growth expectations and messaging for parents of preterm and term-born infants within the broader causal framework.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":null,"pages":null},"PeriodicalIF":8.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000541/pdfft?md5=0b96366e3566c2f4f9ce9f54a38b2983&pid=1-s2.0-S2161831324000541-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2161831324000541","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0

Abstract

Adequate nutrition is necessary for achieving optimal growth and neurodevelopment. Growth is a natural and expected process that happens concomitantly with rapid advancements in neurodevelopment. Serial weight, length, and head circumference growth measures are essential for monitoring development, although identifying pathological deviations from normal growth can pose challenges. Appropriate growth assessments require considerations that a range of sizes for length, head circumference, and weight are expected and appropriate. Because of genetic differences and morbidities, there is a considerable overlap between the growth of healthy infants and those with growth alterations. Parents tend to be over-concerned about children who plot low on growth charts and often need reassurance. Thus, the use of terms such as “poor” growth or growth “failure” are discouraged when growth is approximately parallel to growth chart curves even if their size is smaller than specific percentiles. No specific percentile should be set as a growth goal; individual variability should be expected. An infant’s size at birth is important information that goes beyond the common use of prognostic predictions of appropriate compared with small or large for gestational age. The lower the birthweight, the lower the nutrient stores and the more important the need for nutrition support. Compared to term infants, preterm infants at term-equivalent age have a higher percentage of body fat, but this diminishes over the next months. Current research findings support expert recommendations that preterm infants should grow, after early postnatal weight loss, similar to the fetus and then term-born infants, which translates to growth approximately parallel to growth chart curves. There is no need for a trade-off between optimum cognition and optimum future health. Each high-risk infant needs individualized nutrition and growth assessments. This review aims to examine infant growth expectations and messaging for parents of preterm and term-born infants within the broader causal framework.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
早产儿和小婴儿的预期和理想生长模式
充足的营养是实现最佳生长和神经发育的必要条件。生长是一个自然和预期的过程,与神经发育的快速发展同时发生。连续测量体重、身长和头围对监测发育至关重要,但识别正常发育的病理偏差可能会带来挑战。要进行适当的生长评估,就必须考虑身长、头围和体重的预期和适宜范围。由于遗传差异和疾病原因,健康婴儿和生长改变婴儿的生长情况有相当大的重叠。家长往往会过度关注生长曲线图上偏低的孩子,并经常需要安慰。因此,当婴儿的生长与生长曲线图上的曲线大致平行时,即使他们的体型小于特定的百分位数,也不应使用 "生长不良 "或 "生长失败 "等术语。不应将特定的百分位数设定为生长目标;应预计到个体差异。婴儿出生时的体型是非常重要的信息,它超出了常用的预后预测,即与胎龄小或胎龄大相比是否合适。出生体重越低,营养储存就越少,营养支持的需求就越大。与足月婴儿相比,足月早产儿的体脂百分比较高,但在接下来的几个月中会逐渐降低。目前的研究结果支持专家的建议,即早产儿在产后早期体重减轻后,其生长发育应与胎儿和足月儿相似,即与生长曲线图大致平行。没有必要在最佳认知能力和最佳未来健康之间做出权衡。每个高风险婴儿都需要个性化的营养和生长评估。本综述旨在研究早产儿和足月儿父母在更广泛的因果框架内对婴儿生长的期望和信息传递。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Advances in Nutrition
Advances in Nutrition 医学-营养学
CiteScore
17.40
自引率
2.20%
发文量
117
审稿时长
56 days
期刊介绍: Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.
期刊最新文献
Inequalities in Research on Food Environment Policies: An Evidence Map of Global Evidence from 2010-2020 Biomedical Applications and Nutritional Value of Specific Food-Derived Polysaccharide-Based Hydrogels Associations between Variability in Between- and Within-Day Dietary Intake with Adiposity and Glucose Homeostasis in Adults: A Systematic Review Influence of the Interaction between Genetic Factors and Breastfeeding on Children’s Weight Status: A Systematic Review Carbohydrates
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1