Pediatr Gastroenterol Hepatol Nutr.  2024 Sep;27(5):313-321. 10.5223/pghn.2024.27.5.313.

Nutrition Supply and Growth Post Nutrition Support Team Activity in Neonatal Intensive Care Unit

• Ha HM
• Jung YJ
• Hong YR
• Choi SY

• KMID: 2559634
• DOI: http://doi.org/10.5223/pghn.2024.27.5.313

Abstract

Purpose
For neonates admitted to the neonatal intensive care unit (NICU), appropriate nutritional assessment and intervention are important for adequate growth. In this study, we aimed to determine whether there were changes in the nutritional supply and growth status of premature infants hospitalized in the NICU after the introduction of the Nutrition support team (NST).
Methods
This study retrospectively analyzed premature infants admitted to the NICU for over 14 days. The average daily calorie, protein, and fat supply at 1 and 2 weeks after birth were compared before and after NST, and growth was evaluated by changes in length, weight, and head circumference z-scores at birth and 28 days after birth.
Results
A total of 79 neonates were included in the present study, with 32 in the preNST group and 47 in the post-NST group. The average daily energy supply during the first (p=0.001) and second (p=0.029) weeks postnatal was significantly higher in the post-NST group than in the pre-NST group. Lipid supply for the first week was significantly higher in the post-NST group than in the pre-NST group (p=0.010). The change in the z-score for length was significantly higher in the post-NST group than in the pre-NST group (p=0.049).
Conclusion
Nutrient supply and length z-score change increased significantly at 28 days after birth in the post-NST group. These results suggest that calorie calculators and NST activity can promote adequate growth and development in neonates.

Keyword

Nutritional support; Nutritional status; Growth; Infant; premature; Intensive care units; neonatal