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KMID : 0869620010180020237
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Journal of Korean Society of Hospital Pharmacists
2001 Volume.18 No. 2 p.237 ~ p.245
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Nutrition Intakes and Growth of Very Low Birth Weight Infants in Neonatal Intensive Care Unit
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이재연/Lee, Jae Yeon
노서영/김승란/노환성/김애란/김기수/피수영/Ro, Seo Young/Kim, Seoung Lan/Ro, Hwan Seong/Kim, Ae Lan/Kim, Ki Soo/Pi, Soo Young
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Abstract
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Low birth weight premature infants require unique nutritional supplement that can recover rapid growth within a short term. There has been an examination for correlation between growth and nutritional supplement. With this, we suggest ideal nutrition guideline for low birth weight premature infants in neonatal intensive care units (NICU) by investigating neonate nutritional status.
The survey consisted of infants admitted to Asan Medical Center from 1 Jan 1999 to 31 May 2000. Data were obtained concerning all 67 infants born weighing < 1625 gm who were divided into four groups. Daily intakes of fluid, energy, and protein from all sources were determined and body weight was recorded.
During the first 2 weeks of life, intake of energy averaged 87.3±12.0 ㎉/㎏/day and intake of protein averaged 2.0±0.4 g/㎏/day. From 15 to 35 days, intake of energy averaged 99.6±12.2 ㎉/㎏/day and intake of protein averaged 3.0±0.4 g/㎏/day. During the period 36 to 56 days, energy intakes were 109.8±16.4 ㎉/㎏/day and protein intakes were 3.2±0.5 g/㎏/day, respectively.
Weight reached birth weight by 17.5 days of age. Subsequently, weight gains averaged 14.4, 15.9, 16.4, 16.3 g/㎏/day, in successive periods. Our data suggest that more liberal volume of intake combined with more frequent use of concentrated feedings would lead to increase in both energy and protein intake. Bur low birth weight infants are required fluid restriction therapy, so we can change in feeding practice or in composition of TPN fluid. And we can attempt early MEN (minimal enteral nutrition) a supplement to parenteral nutrition for reducing TPN toxicity by shorter time to full enteral feedings, smaller gastric residuals and less feeding intolerance and the same or faster weight gain.
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