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Nutrient Utilization and Growth in LBW Infants

  • Chapter
Human Lactation 3

Abstract

Over the past decade, a number of studies concerning growth, nutrient retention and metabolic response of low birth weight (LBW) infants fed a variety of formulas as well as a variety of human milk preparations have been reported (1–21). These studies, in toto, provide important insights concerning both the nutrient requirements of LBW infants and the utilization of nutrients for growth. Some of the insights in both areas will be illustrated in this chapter, using primarily the authors’ studies (21–23) as examples. These studies have the advantage of familiarity and, also, are among the few such studies in which protein and energy intakes were varied independently.

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References

  1. O.G. Brooke, C. Wood and J. Barley, Energy Balance, Nitrogen Balance and Growth in Preterm Infants Fed Expressed Breast Milk, a Premature Infant Formula, and Two Low-Solute Adapted Formulae, Arch. Dis. Child. 57:898 (1982).

    Article  CAS  Google Scholar 

  2. C. Catzeflis, Y. Schutz, J.L. Micheli, C. Welsch, M.J. Arnaud and E. Jequier, Whole Body Protein Synthesis and Energy Expenditure in Very Low Birth Weight Infant, Pediatr. Res 19:679 (1985).

    Article  CAS  Google Scholar 

  3. P. Chessex, B.L. Reichman, G.J.E. Verellen, G. Putet, J.M. Smith, T. Heim and P.R. Swyer, Influence of Postnatal Age, Energy Intake, and Weight Gain on Energy Metabolism in the Very Low Birth Weight Infant, J. Pediatr. 99:761 (1981).

    Article  CAS  Google Scholar 

  4. P. Darling, G. Lepage, P. Tremblay, S. Collet, L.C. Kien and C.C. Roy, Protein Quality and Quantity in Preterm Infants Receiving the Same Energy Intake, Am. J. Dis. Child. 139:186 (1985).

    CAS  Google Scholar 

  5. T.J. French, M. Colbeck, D. Burman, B.D. Speidel and R.A. Hendey, A Modified Cows’ Milk Formula Suitable for Low Birth Weight Infants, Arch. Dis. Child. 57:507 (1982).

    Article  CAS  Google Scholar 

  6. D. Freymond, Y. Schutz, J. Decombaz, J.L. Micheli and E Jequier, Energy Balance, Physical Activity, and Thermogenic Effect of Feeding in Premature Infants, Pediatr. Res. 20:638 (1986).

    Article  CAS  Google Scholar 

  7. S.J. Gross, Growth and Biochemical Response of Preterm Infants Fed Human Milk or Modified Infant Formula, N. Eng. J. Med. 308:237 (1983).

    Article  CAS  Google Scholar 

  8. R.K. Huston, J.W. Reynolds, C. Jensen and R.M. Buis, Nutrient and Mineral Retention and Vitamin D Absorption in Low Birth Weight Infants: Effect of Medium Chain Triglyceride, Pediatr. 72:44 (1983).

    CAS  Google Scholar 

  9. D.K. Rassin, G.E. Gaull, A.L. Jarvenpaa and N.C.R. Raiha, Feeding the Low Birth Weight Infant: II. Effects of Taurine and Cholesterol Supplementation on Amino Acids and Cholesterol, Pediatr. 71:179 (1983).

    CAS  Google Scholar 

  10. A. Lucas, S.M. Gore, T.J. Cole, M.F. Bamford, J.F.B. Dossetor, I Barr, L. Dicarlo, S. Cork and P.J. Lucas, Multicentre Trial on Feeding Low Birth weight Infants: Effects of Diet on Early Growth, Arch. Dis. Child. 59:702 (1984).

    Google Scholar 

  11. E. Okamoto, C.R. Muttart, C.L. Zucker and W.C. Heird, Use of Medium Chain Triglycerides in Feeding Low Birth Weight Infants, Am. J. Dis. Child. 136:428 (1982).

    CAS  Google Scholar 

  12. G. Putet, J. Senterre, J. Rigo and B. Salle, Nutrient Balance, Energy Utilization, and Composition of Weight Gain in Very Low Birth Weight Infants Fed Pooled Human Milk or a Preterm Formula, J. Pediatr. 105:79 (1984).

    Article  CAS  Google Scholar 

  13. N.C.R. Raiha, K. Heinonen, D.K. Rassin and G.E. Gaull, Milk Protein Quantity and Quality in Low Birth Weight Infants. I. Metabolic Responses and Effects on Growth, Pediatr. 57:659 (1976).

    CAS  Google Scholar 

  14. B. Reichman, P. Chessex, G. Verellen, G. Putet, J.M. Smith, T. Heim and P.R. Swyer, Dietary Composition and Macronutrient Storage in Preterm Infants, Pediatr. 72:322 (1983).

    CAS  Google Scholar 

  15. S.B. Roberts and A. Lucas, The Effects of Two Extremes of Dietary Intake on Protein Accretion in Preterm Infants, Early Hum. Dev. 12:301 (1985).

    Article  CAS  Google Scholar 

  16. R.J. Schanler, C. Garza and B.L. Nichols, Fortified Mothers’ Milk For Very Low Birth Weight Infants: Results of Growth and Nutrient Balance Studies, J. Pediatr. 107:437 (1985).

    Article  CAS  Google Scholar 

  17. P.J. Shenai, J.W. Reynolds and S.G. Babson, Nutritional Balance Studies in Very Low Birth Weight Infants: Enhanced Nutrient Retention Rates by an Experimental Formula, Pediatr. 66:233 (1980).

    CAS  Google Scholar 

  18. N.W. Svenningsen, M. Lindroth and B. Lindquist, Growth in Relation to Protein Intake of Low Birth Weight Infants, Early Hum. Dev. 6:47 (1982).

    Article  CAS  Google Scholar 

  19. J.E. Tyson, R.E. Kasky, C.E. Mize, C.J. Richards, N. Blair-Smith, R. Whyte and A.E. Beer, Growth Metabolic Response and Development in Very Low Birth Weight Infants Fed Banked Human Milk or Enriched Formula: I. Neonatal Findings, J. Pediatr. 103:95 (1983).

    Article  CAS  Google Scholar 

  20. R.K. Whyte, R. Haslam, C. Vlainic, S. Shannon, K. Samulski, D. Campbell, HS. Bayley and J.C. Sinclair, Energy Balance and Nitrogen Balance in Growing Low Birth weight Infants Fed Human Milk or Formula, Pediatr. Res. 17:891 (1983).

    Article  CAS  Google Scholar 

  21. S. Kashyap, M. Forsyth, C. Zucker, R. Ramakrishnan, R.B. Dell and W.C. Heird, Effects of Varying Protein and Energy Intakes on Growth and Metabolic Response in Low Birth Weight Infants, J. Pediatr. 108:955 (1986).

    Article  CAS  Google Scholar 

  22. S. Kashyap, K.F. Schulze, M. Forsyth, C. Zucker, R. Ramakrishnan, R.B. Dell and W.C. Heird, Effects of Varying Protein and Energy Intakes on Growth, Nutrient Retention and Metabolic Response of Low Birth Weight Infants, J. Pediatr. (Submitted, 1986).

    Google Scholar 

  23. K.F. Schulze, M. Stefanski, J. Masterson, R. Spinnazola, R. Ramakrishnan, R.B. Dell and W.C. Heird, Energy Expenditure, Energy Balance and Composition of Weight Gain in Low Birth Weight Infants Fed Diets of Different Protein and Energy Content, J. Pediatr. In press (1987).

    Google Scholar 

  24. E. Danforth, Diet and Obesity, Am. J. Clin.Nutr. 41:1132 (1985).

    Google Scholar 

  25. E.E. Ziegler, A.M. O’Donnel, S.E. Nelson and S.J. Fomon, Body Composition of the Reference Fetus, Growth. 40:329 (1976).

    CAS  Google Scholar 

  26. S. Kashyap, M. Forsyth, C. Zucker, R.B. Dell and W.C. Heird, Relationship between Nitrogen(N) Retention and Retention of Electrolytes and Minerals in Low Birth Weight(LWB) Infants, Pediatr. Res. 20:413A (1986).

    Google Scholar 

  27. J.W.T. Dickerson, Changes in Composition of the Human Femur During Growth, Biochem. J. 82:56 (1962).

    CAS  Google Scholar 

  28. D. Rudman, W.J. Millikan, T.J. Richardson, T.J. Bixler, W.J. Stockhouse and W.C. McGarrity, Elemental Balances During Intravenous Hyperalimentation of Underweight Adult Subjects, J. Clin. Invest. 55:94 (1975).

    Article  CAS  Google Scholar 

  29. W.C. Heird, Unpublished Data.

    Google Scholar 

  30. S. Kashyap, K.F. Schulze, M. Forsyth, C. Zucker, R. Ramakrishnan, R.B. Dell and W.C. Heird, Growth, Nutrient Retention and Metabolic Response of Low Birth Weight Infants Fed Different Preparations of Human Milk, J. Pediatr. (Submitted, 1986).

    Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, College of Physicians and Surgeons of Columbia University, 630 West 168th Street, New York, NY, 10032, USA

    William C. Heird, Sudha Kashyap, Karl F. Schulze, Rajasekhar Ramakrishnan, Christine L. Zucker & Ralph B. Dell

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  1. William C. Heird
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  2. Sudha Kashyap
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  3. Karl F. Schulze
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  4. Rajasekhar Ramakrishnan
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  5. Christine L. Zucker
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  6. Ralph B. Dell
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Editors and Affiliations

  1. University of Texas Medical Branch, Galveston, Texas, USA

    Armond S. Goldman

  2. McMaster University, Hamilton, Ontario, Canada

    Stephanie A. Atkinson

  3. University of Göteborg, Göteborg, Sweden

    Lars Å. Hanson

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© 1987 Springer Science+Business Media New York

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Heird, W.C., Kashyap, S., Schulze, K.F., Ramakrishnan, R., Zucker, C.L., Dell, R.B. (1987). Nutrient Utilization and Growth in LBW Infants. In: Goldman, A.S., Atkinson, S.A., Hanson, L.Å. (eds) Human Lactation 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0837-7_2

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  • DOI: https://doi.org/10.1007/978-1-4899-0837-7_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0839-1

  • Online ISBN: 978-1-4899-0837-7

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