Evidence map›Paper›PMID 39025129›Full record

ArticleJornal de pediatria

Association between type of feeding at hospital discharge and nutritional status of Brazilian very preterm infants: a multicenter study.

Betina Soldateli, Rita C Silveira, Renato S Procianoy, Erika M Edwards, Mandy B Belfort

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Betina SoldateliFaculdade de Medicina, Departamento de Nutrição, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Serviço de Nutrição e Dietética, Hospital de Clinicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. Electronic address: betinasoldateli@ufrgs.br.
Rita C SilveiraFaculdade de Medicina, Departamento de Pediatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Neonatologia, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Renato S ProcianoyFaculdade de Medicina, Departamento de Pediatria, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Neonatologia, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Erika M EdwardsVermont Oxford Network, Burlington, VT, USA; College of Engineering and Mathematical Sciences, University of Vermont, Burlington, VT, USA; The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, VT, USA.
Mandy B BelfortDepartment of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine trends over time in diet and size of very preterm infants, and associations of diet with size at hospital discharge/transfer.

methodsThe authors studied 4062 surviving very preterm infants born < 32 weeks' gestational age and < 1500 g between January 2012 and December 2020 from 12 Brazilian Neonatal Intensive Care Units. Diet type at discharge/transfer was classified as exclusive human milk, exclusive formula, or mixed. Outcomes were weight and head circumference at hospital discharge and the change in each from birth to discharge. The authors used linear regression to estimate adjusted associations of diet type with infant size, overall, and stratified by fetal growth category (small vs. appropriate for gestational age). The authors also examined trends in diet and infant size at discharge over the years.

resultsInfants' mean gestational age at birth was 29.3 weeks, and the mean birth weight was 1136 g. Diet at discharge/transfer was exclusive human milk for 22 %, mixed for 62 %, and exclusive formula for 16 %. Infant size in weight and head circumference were substantially below the growth chart reference for all diets. Infants fed human milk and mixed diets were lighter and had smaller heads at discharge/transfer than infants fed formula only (weight z: -2.0, -1.8, and -1.5; head z: -1.3, -1.2 and -1.1 for exclusive human milk, mixed and exclusive formula respectively).

conclusionResults suggest high human milk use but gaps in nutrient delivery among hospitalized Brazilian very preterm infants, with little evidence of improvement over time.

Indexed as

Milk, HumanNutritional StatusPatient DischargeBirth WeightBrazilFemaleGestational AgeHumansInfant, Extremely PrematureInfant FormulaInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalMaleGrowthHuman milkInfant nutritionNeonatal intensive care unitVery-low-birth-weight infant

Identifiers

PMID39025129
PMCPMC11662740

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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.