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Two-Year Neurodevelopment and Growth Outcomes for Preterm Neonates Who Received Low-Dose Intravenous Soybean Oil

Ong ML, Purdy IB, Levit OL, Robinson DT, Grogan T, Flores M, Calkins KL

JPEN. Journal of parenteral and enteral nutrition · 9 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institutes of Health
Gobierno
National Center for Advancing Translational Sciences
Gobierno
NCATS NIH HHS
Subvenciones
National Center for Advancing Translational Sciences (UL1TR001863Ð); National Center for Advancing Translational Sciences (KLR TR000122); National Center for Advancing Translational Sciences (KL2TR001882); National Institutes of Health (UL1TR000124); National Center for Advancing Translational Sciences (UL1TR001881.); National Center for Advancing Translational Sciences (KL2 TR000122)

Según 3 financiadores declarados.

Publicación

Publicado
2016-10-22 · JPEN J Parenter Enteral Nutr · vol. 42 · número 2 · págs. 352–360
Editorial
Wiley
Citado
16 citas · más que el 88% de estudios similares · 2.4× el promedio de su campo
Referencias
25 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Clinical Nutrition and Gastroenterology · Infant Nutrition and Health · Infant Development and Preterm Care
Palabras clave
preterm infants, brain development, infant growth, cognitive development, intestinal failure-associated liver disease, parenteral nutrition
MeSH
humans, soybean oil, treatment outcome, parenteral nutrition, follow-up studies, prospective studies, child development, dose-response relationship, drug, child, preschool, infant, newborn, infant, premature, female, male, administration, intravenous, neurodevelopmental disorders

7 autores

  • Margaret L. Ong🇺🇸University of California, Los Angeles
  • Isabell B. Purdy🇺🇸University of California, Los Angeles
  • Orly L. Levit🇺🇸Yale University
  • Daniel T. Robinson🇺🇸Northwestern University
  • Tristan Grogan🇺🇸University of California, Los Angeles
  • Martiniano Flores🇺🇸University of California, Los Angeles
  • Kara L. Calkins🇺🇸 · autor de correspondenciaUniversity of California, Los Angeles

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

In some studies, the dose of intravenous soybean oil (SO) has been associated with a decreased incidence of intestinal failure-associated liver disease. The effect of lipid sparing on neurodevelopment (ND) and growth remains unknown. This study investigated the impact of SO dose on ND and growth over the first 2 years of age in preterm neonates.

Materials and methods

This is a single-site prospective follow-up study. Neonates with a gestational age ≤29 weeks were randomized to low-dose (LOW) or standard-dose (CON) SO. Bayley Scales of Infant Development III and anthropometric measurements were collected at approximately 6, 12, and 24 months corrected gestational age.

Results

Subjects were premature, with a mean (±SD) gestational age of 28 ± 1 and 27 ± 1 weeks (P = .3) for LOW and CON, respectively. Thirty subjects completed follow-up (LOW = 15, CON = 15). There were no differences for ND and growth outcomes when LOW was compared with CON, with the exception of a higher 12-month follow-up cognitive scaled score in the LOW group (P = .02).

Conclusion

A reduced SO dose did not adversely affect ND or growth in this cohort of preterm neonates. However, larger studies are needed to determine the long-term safety of SO dose reduction before this strategy can be adopted.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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