ArticleJPEN. Journal of parenteral and enteral nutrition2017
Transitioning Preterm Infants From Parenteral Nutrition: A Comparison of 2 Protocols.
Article in JPEN. Journal of parenteral and enteral nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationship between nutrient intakes in the transition phase and postnatal growth of preterm infants: a systematic review.Italian journal of pediatrics · 2023Pooled it
- Analysis of factors driving variations in neonatal parenteral nutrition over a decade: A retrospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026Article
- AI to predict extrauterine growth restriction during transitional nutrition of preterm infants: a retrospective study.Journal of perinatology : official journal of the California Perinatal Association · 2026Observational
- Feeding Approach to Optimizing Nutrition in Infants with Congenital Heart Disease.Journal of cardiovascular development and disease · 2025Review
- Transition phase of nutrition-optimizing nutrient administration.Frontiers in pediatrics · 2025Review
- Postnatal Growth Assessment and Prediction of Neurodevelopment and Long-Term Growth in Very Low Birth Weight Infants: A Nationwide Cohort Study in Korea.Journal of clinical medicine · 2024Article
- Human Milk Lipids Induce Important Metabolic and Epigenetic Changes in Neonates.Clinics in perinatology · 2022Review
- Length of Nutritional Transition Associates Negatively with Postnatal Growth in Very Low Birthweight Infants.Nutrients · 2021Article
- New Insights in Preterm Nutrition.Nutrients · 2020Article
- Protein Intakes during Weaning from Parenteral Nutrition Drive Growth Gain and Body Composition in Very Low Birth Weight Preterm Infants.Nutrients · 2020Article
- "Extrauterine growth restriction" and "postnatal growth failure" are misnomers for preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2020Review
- Calorie intake is associated with weight gain during transition phase of nutrition in female extremely low birth weight infants.Biology of sex differences · 2020Article
- Use of Concentrated Parenteral Nutrition Solutions Is Associated With Improved Nutrient Intakes and Postnatal Growth in Very Low-Birth-Weight Infants.JPEN. Journal of parenteral and enteral nutrition · 2020Article
- Clinical and Nutritional Determinants of Extrauterine Growth Restriction Among Very Low Birth Weight Infants.International journal of general medicine · 2020Article
- Standardized Parenteral Nutrition for the Transition Phase in Preterm Infants: A Bag That Fits.Nutrients · 2018Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundGrowth in preterm infants is compromised during the transition phase of nutrition, when parenteral nutrition (PN) volumes are weaned with advancing enteral nutrition (EN) feeds, likely due to suboptimal nutrient intakes during this time. We implemented new PN guidelines designed to maintain optimal nutrient intakes during the transition phase and compared growth outcomes of this cohort with a control group. MATERIALS AND
methodsA chart review was conducted on infants born <32 weeks' gestation, before (control group) and after (study group) a new transition PN protocol was implemented in the neonatal intensive care unit. Weight parameters and nutrient intakes were calculated for the transition phase and compared between the 2 groups.
resultsDemographic and clinical characteristics of the 2 groups were comparable except for higher rates of sepsis in control group. Weight-for-age z scores at birth, at 1 week of life, and at the start of the transition phase were similar. At the end of the transition phase, infants in the study group had significantly higher z scores compared with the control group, even when corrected for sepsis, a difference that persisted at 35 weeks' gestation. During the transition phase, study infants gained 16.1 ± 4.6 g/kg/d compared with 13.2 ± 5.4 g/kg/d in control group ( P < .001). Similar results were observed in the subset of expressed breastmilk-only fed infants (15.9 ± 4.6 g/kg/d in the study group compared with 13.2 ± 5.4 g/kg/d in the control group, P < .004).
conclusionOptimizing nutrition by the use of concentrated PN during the transition phase to maintain appropriate nutrient intakes improves growth rates in preterm infants.
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