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Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants.
Am J Perinatol. 2019 Aug 20 [Online ahead of print]AJ

Abstract

OBJECTIVE

To determine the effect of elevated energy intake with medium-chain triglyceride (MCT) oil or formula powder on growth velocity and weight z-score in very low birth weight infants receiving human milk and human milk fortifier.

STUDY DESIGN

This was a cohort study of infants exposed to MCT oil or formula powder for at least 7 days. Mean 7-day change in growth velocity and weight z-scores were compared pre- and postintervention.

RESULTS

Forty-three infants received increased energy with either MCT oil or formula powder. Infants receiving MCT oil were more preterm and had a lower birth weight. When evaluating 7-day changes pre- and postintervention, growth velocity increased from 10.0 g/kg/day to 19.8 g/kg/day, and change in weight Z-score increased from -0.24 to 0.05.

CONCLUSION

This clinical approach using MCT oil or formula powder for additional energy was associated with improved, at least short-term, growth velocity and weight z-score trajectory.

Authors+Show Affiliations

Division of Neonatology, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.Division of Neonatology, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina.Division of Neonatology, Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31430817

Citation

Korff, Stephanie G., et al. "Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants." American Journal of Perinatology, 2019.
Korff SG, Ross J, Morella K, et al. Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants. Am J Perinatol. 2019.
Korff, S. G., Ross, J., Morella, K., & Taylor, S. N. (2019). Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants. American Journal of Perinatology. https://doi.org/10.1055/s-0039-1694724
Korff SG, et al. Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants. Am J Perinatol. 2019 Aug 20; PubMed PMID: 31430817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigation of a Common Clinical Approach to Poor Growth in Preterm Infants. AU - Korff,Stephanie G, AU - Ross,Julie, AU - Morella,Kristen, AU - Taylor,Sarah N, Y1 - 2019/08/20/ PY - 2019/8/21/entrez PY - 2019/8/21/pubmed PY - 2019/8/21/medline JF - American journal of perinatology JO - Am J Perinatol N2 - OBJECTIVE: To determine the effect of elevated energy intake with medium-chain triglyceride (MCT) oil or formula powder on growth velocity and weight z-score in very low birth weight infants receiving human milk and human milk fortifier. STUDY DESIGN: This was a cohort study of infants exposed to MCT oil or formula powder for at least 7 days. Mean 7-day change in growth velocity and weight z-scores were compared pre- and postintervention. RESULTS: Forty-three infants received increased energy with either MCT oil or formula powder. Infants receiving MCT oil were more preterm and had a lower birth weight. When evaluating 7-day changes pre- and postintervention, growth velocity increased from 10.0 g/kg/day to 19.8 g/kg/day, and change in weight Z-score increased from -0.24 to 0.05. CONCLUSION: This clinical approach using MCT oil or formula powder for additional energy was associated with improved, at least short-term, growth velocity and weight z-score trajectory. SN - 1098-8785 UR - https://www.unboundmedicine.com/medline/citation/31430817/Investigation_of_a_Common_Clinical_Approach_to_Poor_Growth_in_Preterm_Infants L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0039-1694724 DB - PRIME DP - Unbound Medicine ER -
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