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Complementary Feeding for Preterm Newborns

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Pediatric Nutrition".

Deadline for manuscript submissions: closed (10 May 2022) | Viewed by 2399

Special Issue Editor


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Guest Editor
Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA 52242, USA
Interests: breast milk; oral feeding; prematurity; preterm infants; complementary feeds
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In comparison to term infants, whose needs for energy and nutrients may not exceed what is provided by breast milk for at least 6 months, there are increased demands for preterm infants that may exceed breast milk supplies sooner. Unfortunately, immature feeding skills and intestinal underdevelopment may preclude oral feeding success beyond the time when complementary feeding could otherwise be optimally introduced. Despite this, preterm infants are often weaned with respect to complementary feedings before their term counterparts. For this Special Issue, I am soliciting your contributions in order to better define the importance of the timing and composition of complementary feeding for preterm newborns. What specific nutritional or hormonal deficiencies occur in preterm infants that are exclusively fed maternal or donor breast milk? Does earlier or later introductions of complementary feedings improve short-term or long-term outcomes? How does the introduction of complementary feedings influence the developing microbiome or the duration of breast feeding? Should preterm infants begin to receive the same complementary foods that term infants typically receive at 6 months corrected postmenstrual age, or can the timing of complementary food introduction be individualized by observed patterns of growth and development? What growth patterns are optimal, and how are those patterns influenced by complementary feedings? How should recommendations be modified for infants with oral aversion, a history of intestinal injury or oral feeding difficulty? The purpose of this Special Issue of Nutrients is to define and expand our shared understanding of optimal complementary feeding for preterm infants.

Dr. Robert D. Roghair
Guest Editor

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Keywords

  • breast milk
  • oral feeding
  • prematurity
  • preterm infants
  • complementary feeds
  • growth
  • development
  • microbiome
  • intestinal function

Published Papers (1 paper)

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Research

13 pages, 1234 KiB  
Article
Randomized Controlled Trial of Two Timepoints for Introduction of Standardized Complementary Food in Preterm Infants
by Nadja Haiden, Margarita Thanhaeuser, Fabian Eibensteiner, Mercedes Huber-Dangl, Melanie Gsoellpointner, Robin Ristl, Bettina Kroyer, Sophia Brandstetter, Margit Kornsteiner-Krenn, Christoph Binder, Alexandra Thajer and Bernd Jilma
Nutrients 2022, 14(3), 697; https://doi.org/10.3390/nu14030697 - 07 Feb 2022
Cited by 6 | Viewed by 2021
Abstract
In term infants it is recommended to introduce solids between the 17th and 26th week of life, whereas data for preterm infants are missing. In a prospective, two-arm interventional study we investigated longitudinal growth of VLBW infants after early (10–12th) or late (16–18th) [...] Read more.
In term infants it is recommended to introduce solids between the 17th and 26th week of life, whereas data for preterm infants are missing. In a prospective, two-arm interventional study we investigated longitudinal growth of VLBW infants after early (10–12th) or late (16–18th) week of life, corrected for term, introduction of standardized complementary food. Primary endpoint was height at one year of age, corrected for term, and secondary endpoints were other anthropometric parameters such as weight, head circumference, BMI, and z-scores. Among 177 infants who underwent randomization, the primary outcome could be assessed in 83 (93%) assigned to the early and 83 (94%) to the late group. Mean birthweight was 941 (SD ± 253) g in the early and 932 (SD ± 256) g in the late group, mean gestational age at birth was 27 + 1/7 weeks in both groups. Height was 74.7 (mean; SD ± 2.7) cm in the early and 74.4 cm (mean; SD ± 2.8; n.s.) cm in the late group at one year of age, corrected for term. There were no differences in anthropometric parameters between the study groups except for a transient effect on weight z-score at 6 months. In preterm infants, starting solids should rather be related to neurological ability than to considerations of nutritional intake and growth. Full article
(This article belongs to the Special Issue Complementary Feeding for Preterm Newborns)
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