Vitamin D supplementation improved physical growth and neurologic development of Preterm Infants receiving Nesting Care in the neonatal Intensive Care Unit

BMC Pediatrics

Research

Ning Ma¹  Ya-wen Luo²  Wei-qin Tang²  Ying-jie Wang²  Di Zhang²  Li-ying Meng² 

[1] Endocrine Department, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei, China;Neonatology Department, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Haigang District, 066000, Qinhuangdao, Hebei, China;

关键词: Nesting;    Vitamin D supplementation;    Preterm infants;    Physical growth;    Neurologic development;   

DOI  :  10.1186/s12887-023-04075-1

 received in 2022-11-04, accepted in 2023-05-16,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveTo study the effects of vitamin D supplementation on physical growth and neurologic development of very preterm infants receiving nesting intervention in the neonatal intensive care unit (NICU).MethodsA total of 196 preterm infants had been hospitalized in NICU with the gestational age (GA) between 28 and 32 weeks. Among them, 98 preterm infants received nesting intervention, and the other 98 cases received both nesting and vitamin D supplementation (400 IU). The interventions were continued until 36 weeks postmenstrual age (PMA). The 25(OH)D serum levels, anthropometric parameters, and Premie-Neuro (PN) scores were compared at 36 weeks PMA.ResultsHigher median serum level of 25(OH)D was found in the nesting + vitamin D [38.40 ng/mL (IQR: 17.20 ~ 70.88) ng/mL] as compared to the nesting group [15.95 ng/mL (IQR: 10.80 ~ 24.30) ng/mL] at 36 weeks PMA. Besides, infants receiving combined nesting intervention and vitamin D supplementation had less proportion of vitamin D deficiency [VDD, 25(OH)D levels < 20 ng/mL] than those receiving nesting intervention alone. After intervention, the anthropometric parameters of infants, including weight, length, BMI and head circumference were improved in the nesting + vitamin D group as compared to the nesting group at 36 weeks PMA, with higher scores of neurological, movement and responsiveness.ConclusionsVitamin D supplementation effectively decreased the prevalence of VDD and led to higher concentrations of 25(OH)D at 36 weeks PMA. This was one more study that supported the necessity of vitamin D supplementation to improve physical growth and neurologic development of preterm-born newborns who received nesting intervention in the NICU.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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