Evidence map›Paper›PMID 32384168›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2021

Early Lipid Intake Improves Cerebellar Growth in Very Low-Birth-Weight Preterm Infants.

Katherine M Ottolini, Nickie Andescavage, Kushal Kapse, Marni Jacobs, Jonathan Murnick, Rebecca VanderVeer, Sudeepta Basu, Mariam Said, Catherine Limperopoulos

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Early parenteral lipid intake supports cerebellar neurometabolism at term-age in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  4. Article
  5. Essential fatty acid deficiency in parenteral nutrition: Historical perspective and modern solutions, a narrative review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Aging, Neurodegenerative Disorders, and Cerebellum.International journal of molecular sciences · 2024
    Review
  10. Review
  11. Article
  12. Review
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

9 authors at 2 institutions in 2 countries.

Katherine M OttoliniDepartment of Neonatology, 18th Medical Operations Squadron, Kadena AB, Okinawa, Japan.
Nickie AndescavageDepartment of Neonatology, Children's National Hospital, Washington, District of Columbia, USA.
Kushal KapseDeveloping Brain Research Laboratory, Children's National Hospital, Washington, District of Columbia, USA.
Marni JacobsDivision of Biostatistics & Study Methodology, Children's National Hospital, Washington, District of Columbia, USA.ORCID 0000-0001-6649-6692
Jonathan MurnickDepartment of Radiology, Children's National Hospital, Washington, District of Columbia, USA.
Rebecca VanderVeerDepartment of Neonatology, Children's National Hospital, Washington, District of Columbia, USA.
Sudeepta BasuDepartment of Neonatology, Children's National Hospital, Washington, District of Columbia, USA.
Mariam SaidDepartment of Neonatology, Children's National Hospital, Washington, District of Columbia, USA.
Catherine LimperopoulosDeveloping Brain Research Laboratory, Children's National Hospital, Washington, District of Columbia, USA.ORCID 0000-0003-1735-0069
Children's National · USUniformed Services University of the Health Sciences · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
NEUROIMAGING COREP30HD040677 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI MCCARTER, ROBERT JAMES · 2001 to 2015
$15.9M
Neurobehavioral Evaluation CoreP50HD105328 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI WILLIAM Davis GAILLARD · 2021 to 2026
$9.3M
Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2016 to 2020
$5.9M
Antecedents of Impaired Brain Development in Fetuses with Heart DiseaseR01HL116585 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI LIMPEROPOULOS, CATHERINE · 2013 to 2017
$3.8M
Impaired Brain Development in a Premature Ex-utero EnvironmentR01HD099393 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI DU PLESSIS, ADRE JACQUES, LIMPEROPOULOS, CATHERINE · 2020 to 2024
$3.4M
National Heart, Lung, and Blood Institute (NHLBI) R01 HL116585-01NCATS NIH HHS UL1 TR001876NCATS NIH HHS UL1TR001876NHLBI NIH HHS R01 HL116585NICHD NIH HHS P30 HD040677NICHD NIH HHS P50 HD105328NICHD NIH HHS R01 HD099393NICHD NIH HHS U54 HD090257
6 · The paper itself

Abstract

backgroundDespite recent advances in nutrition practice in the neonatal intensive care unit, infants remain at high risk for growth restriction following preterm birth. Additionally, optimal values for macronutrient administration, especially lipid intake, have yet to be established for preterm infants in the extrauterine environment.

methodsWe studied preterm infants born at very low-birth weight (VLBW, <1500 g) and ≤32 weeks' gestation. Cumulative macronutrient (carbohydrate, lipid, protein, energy) intake in the first 2 and 4 weeks of life was compared with total and regional brain volumes on magnetic resonance imaging (MRI) obtained at term-equivalent age. Preterm infants had no structural brain injury on conventional MRI.

resultsIn a cohort of 67 VLBW infants, cumulative lipid intake in the first 2 weeks of life was positively associated with significantly greater cerebellar volume (β = 95.8; P = .01) after adjusting for weight gain, gestational age at birth, and postmenstrual age at MRI. Cumulative lipid (β = 36.1, P = .01) and energy (β = 3.1; P = .02) intake in the first 4 weeks of life were both significantly associated with greater cerebellar volume. No relationship was seen between carbohydrate or protein intake in the first month of life and cerebral volume at term-equivalent age.

conclusionEarly cumulative lipid intake in the first month of life is associated with significantly greater cerebellar volume by term-equivalent age in very premature infants. Our findings emphasize the importance of early, aggressive nutrition interventions to optimize cerebellar development in VLBW infants.

Indexed as

Infant, PrematurePremature BirthFemaleHumansInfantInfant, NewbornInfant, Very Low Birth WeightIntensive Care Units, NeonatalLipidsPregnancyLipidsenteral nutritionlipidsmagnetic resonance imagingneonatesnutritionparenteral nutritionpediatrics

Identifiers

PMID32384168
PMCPMC8496982
OpenAlexW3022612291

What OpenQuestion holds

Textmetadata
LicenceTDM
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.