Patterns of Growth and Nutrition From Birth to 6 Months in Infants With Complex Congenital Cardiac Defects.

Szczegóły
Abstrakt

Tytuł:: Patterns of Growth and Nutrition From Birth to 6 Months in Infants With Complex Congenital Cardiac Defects.
Autorzy:: Steward DK; Deborah K. Steward, PhD, RN, is Associate Professor Emeritus, The Ohio State University College of Nursing, Columbus. Nancy Ryan-Wenger, PhD, RN, FAAN, is Professor Emeritus, The Ohio State University College of Nursing, Columbus. Tondi M. Harrison, PhD, RN, FAAN, is Associate Professor, The Ohio State University College of Nursing, Columbus. Karen F. Pridham, PhD, RN, FAAN, is Helen Denne Schulte Professor Emerita, University of Wisconsin-Madison School of Nursing.
Ryan-Wenger N
Harrison TM
Pridham KF
Źródło:: Nursing research [Nurs Res] 2020 Sep/Oct; Vol. 69 (5S Suppl 1), pp. S57-S65.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: <1998- >: Hagerstown, MD : Lippincott-Ravn Publisher
Original Publication: New York, American Journal of Nursing Co.
MeSH Terms:: Growth and Development*
Time Factors*
Heart Defects, Congenital/*diet therapy
Nutritional Status/*physiology
Female ; Heart Defects, Congenital/physiopathology ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Infant, Newborn ; Longitudinal Studies ; Male ; Pilot Projects
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Grant Information:: UL1 TR002373 United States TR NCATS NIH HHS
Entry Date(s):: Date Created: 20200623 Date Completed: 20210208 Latest Revision: 20210903
Update Code:: 20240105
PubMed Central ID:: PMC8063714
DOI:: 10.1097/NNR.0000000000000460
PMID:: 32569101
: Czasopismo naukowe

Background: Infants with complex congenital heart defects (CCHDs) experience alterations in growth that develop following surgical intervention and persist throughout early infancy, but the roles of nutritional intake and method of feeding require further exploration as their roles are not fully explained.
Objectives: The purpose of this study was to characterize trends in growth and nutritional intake during the first 6 months of life in infants with CCHD.
Methods: We conducted a secondary analysis of growth and nutritional data from a pilot study designed to test the feasibility of nurse-guided participatory intervention with parents of infants with CCHD. Measures included demographic data, anthropometric data at birth, hospital discharge, and 6 months of age, nutritional intake at 2 and 6 months of age from parent-completed 24-hour nutrition diaries, and assessment of oral-motor skills between 1 and 2 months of age. Descriptive statistics and correlation and group differences were examined.
Results: Data for 28 infants were analyzed. Infants demonstrated a decrease in weight-for-age z score (WAZ) and length-for-age z score (LAZ) from birth to hospital discharge and an increase in WAZ and LAZ by 6 months of age. Many of the infants developed failure to thrive. Across the study period, one third of the infants were receiving enteral nutrition. Infants who were orally fed had better growth WAZ and LAZ at 6 months of age when compared to infants who were enterally fed.
Discussion: Infants with CCHD exhibit growth faltering throughout early infancy. Reliance on enteral nutrition did not improve growth outcomes in these infants. Findings suggest nutritional intake may not be enough to meet the nutrient requirements to stimulate catch-up growth.

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