PreTerm Birth Clinical Trial
Official title:
Protein Balance and Body Composition in Preterm Infants According to Feeding Regimen
The adequacy of the quality of protein supply could influence the rate and the relative
composition of weight gain in very low birth weight preterm infants.
Aim of the study is to investigate protein balance according to feeding regimen and the
association between human milk feeding and fat free mass content at term corrected age in a
cohort of very low birth weight infants.
Nutritional management of preterm infants aims to approximate tissue growth and body
composition of a foetus of same postconceptional age. The adequacy of the quality of protein
supply could influence the rate and the relative composition of weight gain.
Aim of the study is to investigate protein balance according to feeding regimen and the
association between exclusive human milk feeding and fat free mass content at term corrected
age in a cohort of very low birth weight infants.
A prospective observational study. Infants are included according to inclusion criteria.
Enrollment is performed at hospital discharge. Infants are divided into two groups
(exclusively human milk or exclusively formula) according to own mother's milk availability.
At enrollment macronutrients' intakes and protein balance are determined. Anthropometric
measurements and body composition are also assessed. Nutritional composition of human milk
is calculated by infrared spectroscopy (MIRIS® AB, Uppsala, Sweden). Protein balance is
determined according to nitrogen balance standard method. Body composition is assessed by an
air-displacement plethysmography system system (PEA POD Infant Body Composition System,
COSMED SRL, Roma, Italy). At term corrected age anthropometry and body composition
assessments are repeated.
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