Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Prevalence and risk factors for post discharge feeding problems in children born extremely preterm
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.ORCID iD: 0000-0003-2547-1151
Umeå University, Faculty of Social Sciences, Department of Food, Nutrition and Culinary Science.ORCID iD: 0000-0002-4649-0653
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.ORCID iD: 0000-0002-0726-7029
2023 (English)In: Journal of Pediatric Gastroenterology and Nutrition - JPGN, ISSN 0277-2116, E-ISSN 1536-4801, Vol. 76, no 4, p. 498-504Article in journal (Refereed) Published
Abstract [en]

Objectives: Preterm infants have a high risk of post discharge feeding problems, but there is a lack of population-based studies in infants born extremely preterm and little is known about underlying mechanisms.The objectives were to assess the incidence of post discharge feeding problems and underweight in a population-based cohort of infants born extremely preterm in Sweden (EXPRESS) and identify perinatal risk factors.

Methods: Perinatal health data and prenatal/postnatal growth data was prospectively collected in the cohort. Data on clinical diagnoses related to feeding problems were obtained from the Swedish Patient Register, population prevalence data was also obtained. The main outcome was a composite of post discharge feeding problem diagnosis and/or underweight at 2.5 years of age.

Results: In total, 66 children (19%) had post discharge feeding problems diagnosed before 2 years and/or underweight at 2.5 years of age. The risk of feeding problems when compared to the general population was significantly higher, with an odds ratio (OR) of 193 (95% CI 137.6-270.9). The strongest risk factors for feeding problems were the number of days on mechanical ventilation during the first eight postnatal weeks, OR of 1.59 (CI 95% 1.29-1.98), and the Clinical Risk Index for Babies-score, OR of 1.14 (CI 95% 1.03-1.26).

Conclusions: Post discharge feeding problems and underweight are common in children born extremely preterm. The strongest perinatal risk factor for later feeding problems was early treatment with mechanical ventilation. Identifying infants at risk of post discharge feeding problems might be useful for targeting of nutritional support.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023. Vol. 76, no 4, p. 498-504
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-205895DOI: 10.1097/mpg.0000000000003704ISI: 000957196200024PubMedID: 36652562Scopus ID: 2-s2.0-85151043409OAI: oai:DiVA.org:umu-205895DiVA, id: diva2:1745120
Funder
Swedish Research Council, 2016-02095Swedish Research Council, 2019-01005Available from: 2023-03-22 Created: 2023-03-22 Last updated: 2023-09-05Bibliographically approved

Open Access in DiVA

fulltext(598 kB)148 downloads
File information
File name FULLTEXT01.pdfFile size 598 kBChecksum SHA-512
54f5d6fa0061565a834ea4b5d4ba2dde13c56263f9fd0f932c35cf8e0e0a1ac3ee465f1866784d6cd60945983ed8bbee3df9f36411097993110a6a1e9fb2df45
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Alm, StinaStoltz Sjöström, ElisabethDomellöf, Magnus

Search in DiVA

By author/editor
Alm, StinaStoltz Sjöström, ElisabethDomellöf, Magnus
By organisation
PaediatricsDepartment of Food, Nutrition and Culinary Science
In the same journal
Journal of Pediatric Gastroenterology and Nutrition - JPGN
Pediatrics

Search outside of DiVA

GoogleGoogle Scholar
Total: 148 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 285 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf