Evidence map›Paper›PMID 41407890›Full record

ArticlePediatric research2026

Growth outcome trends after necrotizing enterocolitis in preterm infants across changes in nutritional practices.

Lan-Wan Wang, Chi-Hsiang Chu, Yung-Chieh Lin, Chao-Ching Huang, Taiwan Premature Infant Follow-up Network

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lan-Wan Wang *Department of Pediatrics, Chi Mei Medical Center, Tainan, Taiwan.
Chi-Hsiang Chu *Institute of Statistics, National University of Kaohsiung, Kaohsiung, Taiwan.
Yung-Chieh LinDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chao-Ching HuangDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. huangped@mail.ncku.edu.tw.
Taiwan Premature Infant Follow-up Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigated trends in postnatal and after-discharge growth outcomes during changes in nutritional practices over time in extremely preterm infants with necrotizing enterocolitis (NEC).

methodsThis multicenter cohort study enrolled 3046 infants born at <28 weeks' gestation between 2006 and 2019. Growth trajectories by z-scores of body weight (zBW) and head circumference (zHC) from neonatal-intensive-care-unit discharge to corrected age 24 months were analyzed across NEC severity (no/stage-I NEC, stage-II, stage-III) and epochs (1: 2006-2009; 2: 2010-2014; 3: 2015-2019) after propensity-score-matching (PSM).

resultsThe PSM cohort included the stage-II (n = 221), stage-III (n = 103), and no/stage-I NEC (n = 972) groups. The stage-II/III NEC groups had significantly lower zBW and zHC compared to the no/stage-I NEC group at discharge during Epochs 2 and 3. After discharge, the stage-II NEC group achieved comparable zBW and zHC to the no/stage-I NEC group by 6-24 months in all epochs. In contrast, the stage-III NEC group displayed zBW improvement between 12 and 24 months in Epochs 2 and 3, but continued to have lower zHC from discharge to 24 months throughout all epochs.

conclusionsAs the general nutritional practices advanced, preterm infants with stage-III NEC consistently exhibited head growth deficits through 24 months of age. IMPACT: For infants born extremely preterm in the three epochs of evolution in nutritional practices: By discharge, infants with stage-II or stage-III NEC had significantly lower mean z-scores of body weight and head circumference compared to those with no/stage-I NEC. By age 6 to 24 months, infants with stage-II NEC caught up in weight and head growth with the no/stage-I NEC group. Infants with stage-III NEC caught up in weight growth with the no/stage-I NEC group between age 12 and 24 months, but persistently lagged behind in head growth up to 24 months throughout all epochs.

Indexed as

Child DevelopmentEnterocolitis, NecrotizingInfant, Extremely PrematureBody WeightCohort StudiesFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMale

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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.