Evidence map›Paper›PMID 39746346›Full record

Observational studyNeonatology2025

Association between Enteral Protein Intake and Fat-Free Mass Accretion in Very Preterm Infants.

Maggie Jerome, Emily Gunawan, Natalia Aristizabal, Paula Chandler-Laney, Ariel A Salas

Abstract readObservational Study
In one paragraph

Observational study in Neonatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Amino acids and lean mass accretion in preterm neonates.Current opinion in clinical nutrition and metabolic care · 2026
    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

5 authors.

Maggie JeromeGraduate Programs in Human Nutrition, Oregon Health and Science University, Portland, Oregon, USA.
Emily GunawanDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Natalia AristizabalDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Paula Chandler-LaneyDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ariel A SalasDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2000 to 2026
$31.9M
UAB Pre-Doctoral Training Program in Obesity-Related ResearchT32HL105349 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2010 to 2026
$5.7M
Early life protein-enriched human milk diets to increase lean body mass accretion and diversity of the gut microbiome in extremely preterm infants: a randomized trialK23HD102554 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SALAS, ARIEL · 2020 to 2024
$774k
NHLBI NIH HHS T32 HL105349NICHD NIH HHS K23 HD102554NIDDK NIH HHS P30 DK056336
6 · The paper itself

Abstract

introductionFor preterm infants, the first 2 weeks after birth are a time when nutrition and protein intake is variable and often falls below recommended intakes. Our objective was to investigate the relationship between protein intake, including source of protein, during the first 2 weeks after birth and fat-free mass (FFM) accretion in a group of very preterm infants.

methodsIn this observational cohort study, body composition was assessed using air displacement plethysmography in eligible infants <32 weeks gestational age at 2 weeks after birth and prior to discharge. FFM accretion was calculated as difference between the two measurements. We collected daily nutrition data for the first 2 weeks. Multivariable linear regression was used to assess the relationship between protein intake and body composition and weight gain.

resultsSeventy-eight infants were included (mean birthweight: 1,408±278 g). Mean cumulative protein intake of this cohort in the first 2 weeks was 2.4±0.8 g/kg/day of which 74±19% was enteral (1.7±0.6 g/kg/day). Enteral protein intake was associated with higher FFM while parenteral protein was associated with lower FFM. Total protein intake from both sources during the first 2 weeks after birth was positively associated with greater weight gain.

conclusionEnteral protein intake during the first 2 weeks after birth is associated with higher FFM and weight in preterm infants. Future interventional studies should investigate the effects of higher enteral protein intake during the first 2 weeks after birth on growth and body composition.

Indexed as

Body CompositionDietary ProteinsEnteral NutritionInfant, Extremely PrematureInfant Nutritional Physiological PhenomenaWeight GainFemaleGestational AgeHumansInfant, NewbornInfant, PrematureLinear ModelsMaleParenteral NutritionPlethysmographyDietary ProteinsBody compositionNeonateNutrition

Identifiers

PMID39746346
PMCPMC12133435

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Registered trials

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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.