Evidence map›Paper›PMID 34637493›Full record

ArticleThe American journal of clinical nutrition2022

Anthropometrics and fat mass, but not fat-free mass, are compromised in infants requiring parenteral nutrition after neonatal intestinal surgery.

Lotte E Vlug, Esther G Neelis, Jonathan C K Wells, Mary S Fewtrell, Wendy L M Kastelijn, Joanne F Olieman, Marijn J Vermeulen, Jorine A Roelants, Dimitris Rizopoulos, René M H Wijnen and 3 more

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Article in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Lotte E VlugDepartment of Pediatrics, Division of Gastroenterology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0003-3148-7379
Esther G NeelisDepartment of Pediatrics, Division of Gastroenterology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0002-9588-7040
Jonathan C K WellsChildhood Nutrition Research Centre, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0003-0411-8025
Mary S FewtrellChildhood Nutrition Research Centre, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0001-9783-3444
Wendy L M KastelijnDepartment of Internal Medicine, Division of Dietetics, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-7986-9056
Joanne F OliemanDepartment of Internal Medicine, Division of Dietetics, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0003-4100-6030
Marijn J VermeulenDepartment of Neonatology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-9686-8186
Jorine A RoelantsDepartment of Neonatology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0002-6110-9398
Dimitris RizopoulosDepartment of Biostatistics, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-9397-0900
René M H WijnenDepartment of Pediatric Surgery, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.
Edmond H H M RingsDepartment of Pediatrics, Division of Gastroenterology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-8195-4356
Barbara A E de KoningDepartment of Pediatrics, Division of Gastroenterology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.
Jessie M HulstDepartment of Pediatrics, Division of Gastroenterology, Erasmus MC University Medical Center Sophia Children's Hospital, Rotterdam, The Netherlands.ORCID 0000-0002-4899-7343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with intestinal failure (IF) receiving long-term parenteral nutrition (PN) have altered body composition (BC), but data on BC changes from start of PN onwards are lacking.

objectivesWe aimed to assess growth and BC in infants after neonatal intestinal surgery necessitating PN and at risk of IF, and to explore associations with clinical parameters.

methodsA prospective cohort study in infants after intestinal surgery. IF was defined as PN dependency for >60 d. SD scores (SDS) for anthropometry were calculated until 6-mo corrected age. In a subgroup, fat mass (FM) and fat-free mass (FFM) were measured with air-displacement plethysmography at 2- and 6-mo corrected age. SDS for length-adjusted FM index and FFM index were calculated. Associations between cumulative amount of PN and BC parameters were analyzed with linear mixed-effect models.

resultsNinety-five neonates were included (54% male, 35% born <32 wk) and 39 infants (41%) had IF. Studied infants had compromised anthropometric parameters during follow-up. At 6-mo corrected age, they remained smaller (median weight-for-age SDS -0.9 [IQR -1.5, 0.1], P < 0.001) than the normal population. In 57 infants, 93 BC measurements were performed. FM index SDS was lower than in healthy infants at 2- and 6-mo corrected age (-0.9 [-1.6, -0.3], P < 0.001 and -0.7 [-1.3, 0.1], P = 0.001, respectively), but FFM index SDS did not differ. A higher cumulative amount of PN predicted a higher FM index in female infants but lower FM index in male infants.

conclusionsIn this cohort of infants receiving PN after intestinal surgery, compromised anthropometrics, decreased FM, and adequate FFM were observed during the first 6 mo. Male and female infants seemed to respond differently to PN when it comes to FM index. Continuing growth monitoring after the age of 6 mo is strongly recommended, and further research should explore the benefit of incorporating ongoing BC monitoring during follow-up.

Indexed as

AnthropometryBody Mass IndexAdipose TissueBody CompositionFemaleHumansInfantInfant, NewbornIntestinal FailureMaleParenteral NutritionPostoperative PeriodProspective StudiesSex Factorsbody compositiongrowthintestinal failureparenteral nutritionshort bowel syndrome

Identifiers

PMID34637493
PMCPMC8827070

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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.