Nutritional status assessment of 84 cases of very low and extremely low birth weight children.

LING Ya,HUANG Li-mi,ZHU Xiao-na,QIAN Yan,YU Zhen.

Chinese Journal of Child Health Care ›› 2013, Vol. 21 ›› Issue (3) : 311-314.

Chinese Journal of Child Health Care ›› 2013, Vol. 21 ›› Issue (3) : 311-314.

Nutritional status assessment of 84 cases of very low and extremely low birth weight children.

  • LING Ya,HUANG Li-mi,ZHU Xiao-na,QIAN Yan,YU Zhen.
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Abstract

Objective To explore very low and extremely low birth weight children by three different methods of nutritional evaluation of nutritional assessment,explore the ideal nutrition for premature children evaluation methods. Methods A total of 84 VLBWIs and ELBWIs were collected.They were divided into two groups according to the length of their days receiving PN.General clinical data of birth weight,head circumference,height,and weight variance (measured once per day) were recorded.Comparisons were made among the three parenteral and enteral nutrition methods (Mounla's method,the Chinese criteria of VLBWI's growth assessment,and Christensen's weight growth chart),while using them to analyze the nutrition conditions of each group. Results Applying the Mounla's method of nutrition assessment,there were no significant difference (P>0.05) in elements and intake amounts of nutrition between the two groups.while according to the domestic preterm low birth weight child growth assessment methods,average weight growth were both more than 15 g/(kg·d).And there were significant differences(P<0.05) between the two groups.Compared weight growth chart of two groups with Christensen's,five weight growth indicators were found all behind the growth of Christensen's value,the Group 2 was more apparentent. Conclusions The conclusion of applying Mounla nutrition evaluation method and standard of the intrauterine growth rate to assess the nutrition composition of VLBWIs and ELBWIs is not comprehensive with the results found in this study,and growth curve of Christensen are uncertain for use in chinese baby.a more reasonable method of nutritional assessment and the establish of VLBWI and ELBWI growth curve needs expanding samples for further study.

Key words

extremely low birth weight / parentaral nutrition / enteral nutrition / nutrition assessment / infant

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LING Ya,HUANG Li-mi,ZHU Xiao-na,QIAN Yan,YU Zhen.. Nutritional status assessment of 84 cases of very low and extremely low birth weight children.[J]. Chinese Journal of Child Health Care. 2013, 21(3): 311-314

References

[1] 早产儿营养调查协作组.新生儿重症监护病房中早产儿营养相关状况多中心调查974例报告[J].中华儿科杂志,2009,47(1):12-17.
[2] Mounla N.A grid to assess the nutritional status of low-birth-weight infants in the neonatal Period[J].Am J Perinatol,2004,21(1):45-47.
[3] Christensen RD,Henry E,Kiehn TI,et al.Pattern of daily weights among low birth weight neonates in the neonatal intensive care unit:data from a multihospital health-care system[J].J Perinatol,2006,26(1):37-43.
[4] 单红梅,蔡威,孙建华,等.Moula营养评价方法在极低出生体重儿中应用[J].临床儿科杂志,2006,24(8):652-654.
[5] Wright K,Dawson JP,Fallis D,et al.New postnatal growth grids for very low birth weight infants[J].Pediatrics J,1993,91(5):922-926.
[6] 孙秀静,王丹华.NICU 中早产儿营养状况的初步探讨[J].新生儿科杂志,2005,20(5):198-201.
[7] Fenton TR.A new growth chart for preterm babies:Babson and Benda's chart updated with recent data and a new format[J].BMC Pediatr,2003,3(13):2431-2434.
[8] Leni MA,Cesar CX,Enrieo AC.Growth of newborns during the first 12 weeks of life[J].J Pediatr(Rio J),2004,80(4):267-276.
[9] Adamkin DH.Early aggressive nutrition:parenteral aminoacids and minimal enteral nutrition for extremely low birth weight(<1000g)infant[J].Minerva Pediatr,2007,59(4):369-377.
[10] Josef N.Gastrointestinal development and meeting the nutritional needs of premature infants[J].Am`J Clin Nutri,2007,85(2S):629-634.
[11] Dinerstein A,Nieto RM,Solana CL,et al.Early and aggressive nutritional strategy(parenteral and enteral)decreases postnatal growth failure in very low birth weight infants[J].J Perinatol,2006,26(7):436-442.
[12] 单红梅,蔡威,孙建华,等.早产儿宫外生长发育迟缓及相关因素分析[J].中华儿科杂志,2007,45(3):183-188.
[13] 张蓓,肖绪武.低出生体重儿合理营养及评价的研究进展[J].中国儿童保健杂志,2012,20(5):431-434.

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