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28.11.2020 | Original Article

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

verfasst von: Keita Terui, Yuko Tazuke, Kouji Nagata, Miharu Ito, Hiroomi Okuyama, Masahiro Hayakawa, Tomoaki Taguchi, Yasunori Sato, Noriaki Usui

Erschienen in: Pediatric Surgery International | Ausgabe 2/2021

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Abstract

Purpose

Growth retardation is a severe morbidity in infants with congenital diaphragmatic hernia (CDH). This study aimed to determine when catch-up growth starts in infants with CDH and to determine the adequate amount of nutrition required during catch-up growth.

Methods

This was a multicenter retrospective cohort study involving neonates with isolated CDH (born 2006–2010; n = 98). Weight gain velocity (WGV) was calculated using body weight Z-scores. The minimum required weight gain was defined as WGV ≥ 0. Patients were dichotomized into severe and non-severe cases according to diaphragmatic defects.

Results

Average monthly WGV changed from < 0 to ≥ 0 at 2 months of age. Total caloric intake at 2 months of age was lower when the WGV between 1 and 3 months was < 0 in both severe cases [122 (95% confidence interval (CI) 116–128) vs. 97 (95% CI 84–110) kcal/kg/day, p = 0.02] and non-severe cases [115 (95% CI 110–120) vs. 99 (95% CI 87–111) kcal/kg/day, p < 0.001)].

Conclusion

Catch-up growth started at approximately 2 months of age. During this period, total caloric intake of > 122 kcal/kg/day was needed to avoid decreases in the body weight Z-score in severe cases.

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Titel: Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia
verfasst von: Keita Terui
Yuko Tazuke
Kouji Nagata
Miharu Ito
Hiroomi Okuyama
Masahiro Hayakawa
Tomoaki Taguchi
Yasunori Sato
Noriaki Usui
Publikationsdatum: 28.11.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 2/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04785-y

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Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

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Purpose

Methods

Results

Conclusion

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Purpose

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Results

Conclusion

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