Evidence map›Paper›PMID 31536118›Full record

Trial reportThe American journal of clinical nutrition2019

Optimizing the growth of very-low-birth-weight infants requires targeting both nutritional and nonnutritional modifiable factors specific to stage of hospitalization.

Michelle R Asbury, Sharon Unger, Alex Kiss, Dawn V Y Ng, Yunnie Luk, Nicole Bando, Rosine Bishara, Christopher Tomlinson, Deborah L O'Connor, GTA-DoMINO Feeding Group

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Expected and Desirable Preterm and Small Infant Growth Patterns.Advances in nutrition (Bethesda, Md.) · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. A comparison of macronutrient-based methods for deriving energy values in human milk.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Michelle R AsburyDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Sharon UngerDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Alex KissInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Dawn V Y NgDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Yunnie LukDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Nicole BandoTranslational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Rosine BisharaWomen & Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Christopher TomlinsonDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Deborah L O'ConnorDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
GTA-DoMINO Feeding Group
University of Toronto · CASunnybrook Health Science Centre · CAHospital for Sick Children · CA

Funding

CIHR FDN#143233CIHR MOP#102638
6 · The paper itself

Abstract

backgroundData on how baseline characteristics, acuity, morbidity, and nutrition work in combination to affect the growth of very-low-birth-weight (VLBW, <1500 g) infants are limited.

objectiveWe aimed to determine factors associated with in-hospital weight, length, and head circumference (HC) trajectories of VLBW infants.

methodsVLBW infants (n = 316) from the GTA-DoMINO trial were included. Linear mixed-effects models assessed relations of baseline characteristics, acuity (at birth, across hospitalization), major morbidities, and nutrition (enteral feeding type, macronutrient/energy intakes) with changes in anthropometrics over hospitalization (days 1-8, 9-29, 30-75).

resultsSpecific factors and the strength of their associations with growth depended on in-hospital time interval. Small-for-gestational-age infants experienced weight gain (4.3   g · kg-1 · d-1; 95% CI: 2.0, 6.5   g · kg-1 · d-1) during days 1-8, versus weight loss (-4.6     g · kg-1 · d-1; 95% CI: -5.6, -3.7     g · kg-1 · d-1) among appropriate-for-gestational-age infants (P < 0.001). Positive-pressure ventilation (versus oxygen/room air) was associated with slower weight (-1.8    g · kg-1 · d-1) and HC (-0.25 cm/wk) gain during days 9-29 (P < 0.001). Morbidities were negatively associated with growth after days 1-8, with patent ductus arteriosus (PDA) showing negative associations with weight (-2.7     g · kg-1 · d-1), length (-0.11 cm/wk), and HC (-0.21 cm/wk) gain during days 9-29 (P < 0.001). Macronutrient/energy intakes were associated with weight across hospitalization (P ≤ 0.01), with greater weight gain (1.3-3.0 g  ·  kg-1  ·  d-1) among infants achieving macronutrient/energy recommendations during days 9-29 and 30-75. Macronutrient/energy intakes were associated with HC during the first month (P = 0.013-0.003), with greater HC gain (0.07-0.12 cm/wk) among infants achieving protein, lipid, and energy recommendations during days 9-29.

conclusionsBaseline characteristics, acuity, morbidity, and nutrition factors were independently associated with VLBW infant growth. A focus on achieving macronutrient/energy recommendations and improving nutrient delivery to PDA-diagnosed infants may yield improvements to their growth. This trial was registered at www.isrctn.com as ISRCTN35317141.

Indexed as

Body WeightEnergy IntakeEnteral NutritionFemaleHospitalizationHumansInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, Very Low Birth WeightMaleNutritional Statusacuitygrowthhead circumferencelengthmacronutrient intakesmorbiditypatent ductus arteriosuspreterm infantvery low birth weightweight

Identifiers

PMID31536118
PMCPMC6885476
OpenAlexW2973386769

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.