Longitudinal evaluation of energy expenditure in preterm infants with birth weight less than 1000 g
Open Access
- 1 April 2003
- journal article
- Published by Cambridge University Press (CUP) in British Journal of Nutrition
- Vol. 89 (4), 533-537
- https://doi.org/10.1079/bjn2002816
Abstract
The aim of the present study was to obtain serial values of O2 consumption (VO2), CO2 production (VCO2) and energy expenditure (EE) in healthy but extremely-low-birth-weight infants (birth weight VO2 increased from 4·7 (SD 0·5) TO 9·1 (sd 1·0) ml/kg per min, VCO2 from 4·5 (sd 0·4) to 8·3 (SD 0·6) ml/kg per min and EE from 115 (sd 12) to 310 (sd 71) kJ/kg per d. The energy intake was always higher than EE, even at days 6 and 12. The RER decreased from 0·99 (sd 0·09) at day 12 to 0·91 (SD 0·05) at day 30. On all study days, there were highly significant positive correlations between energy intake and weight gain, EE and weight gain, and EE and energy intake (P<0·05). Multiple regression analysis showed that on most study days EE was more affected by energy intake than by weight gain. We conclude that in healthy preterm infants with birth weight <1000 g, EE increases by about 150 % in the first 5 weeks after birth, and that the EE values are related to energy intake and weight gain independent of postnatal age.Keywords
This publication has 26 references indexed in Scilit:
- Feeding issues in preterm infantsArchives of Disease in Childhood: Fetal & Neonatal, 2000
- Current topic: Limitations of models used to examine the influence of nutrition during pregnancy and adult diseaseArchives of Disease in Childhood, 2000
- Metabolic rate and energy balance in very low birth weight infants during kangaroo holding by their mothers and fathersThe Journal of Pediatrics, 1996
- Metabolic and energy balance in small‐ and appropriate‐for‐gestational‐age, very low‐birth‐weight infantsActa Paediatrica, 1994
- Measured Energy Expenditure in Mechanically Ventilated Very Low Birth Weight InfantsThe American Journal of the Medical Sciences, 1994
- Metabolic response of preterm infants to variable degrees of respiratory illnessThe Journal of Pediatrics, 1994
- Does Diet in Preterm Infants Influence Clinical Outcome?Neonatology, 1987
- New standards for neutral thermal environment of healthy very low birthweight infants in week one of life.Archives of Disease in Childhood, 1984
- Influence of postnatal age, energy intake, and weight gain on energy metabolism in the very low-birth-weight infantThe Journal of Pediatrics, 1981
- Effect of feeding on neonatal oxygen consumption.Archives of Disease in Childhood, 1979