Abstract
We studied 28 newborn infants : 20 AGA(mean±SD)GA:30± 1,47weeks(range 28-32) BW: 1301±256g(890-1890) and 8SGA VLBW:GA=34±2,4 (29-37), BW=1137±185g (890-1360). We followed them during 3 to 10 weeks, measuring each week MAC T and SSKF at 60 seconds, AFA and AMA. They were fed BH-BM at 40 cc/Kg/d at day 1 to reach 200 cc/Kg/d between day 15 and day 21. NaCl(2mg/Kg/d)was added for 3weeks when BW<1300g.
Compared with the fetus values previously described, at 33,36,and40weeks of fetal age(FA)in AGA,MAC were respectively 7,2±0,7, 7,63±1 and 8±1,41cm, vs(mean)7,8,8,85 and 10,3cm in utero(lower limit of prediction 8,9cm at 40w);in SGA:6,26±0,64, 7,2±0,6, 7,7±0,3cm, vs 6,2, 7,1, and 8,15cm in utero. The same evolution was found with T and SSKF.In AGA,AMA were respectively 333,7±95,5, 351,31 ±80,6, 366,8±118,4, vs 375, 485 and 647,8mm2in utero; in SGA, 263,4±68,7, 339,5±60,2 and 365,8±49, vs 255, 330 and 425mm2in utero.In AGA,AFA were 86,3±19,9, 116±37,9 and 150,5±61,6,vs 105, 145and 200mm2in utero; in SGA, AFA were 51,34±14,6, 75±18,9 and 106,8±7,34, vs 50,75and 105 mm2in utero. After 36weeks of FA,AGA are below the fetus values of AGA for MAC,SKF,AFA and AMA, whereas SGA,VLBW follow the fetus values of SGA. These results suggest that when VLBW are fed exclusively BHBM, 4 weeks after birth, AFA and AMA are below the fetus values in utero.
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Excler, J., Sann, L., Lasne, Y. et al. EFFECT OF BANKED HUMAN BREAST MILK(BHBM) ON THE POST-NATAL EVOLUTION OF MIDARM CIRCUMFERENCE (MAC), TRICIPITAL (T), AND SUBSCAPULAR(S) SKINFOLD (SKF)THICKNESS, ARM MUSCLE(AMA) AND FAT AREAS (AFA) IN APPROPRIATE(AGA) AND SMALL FOR GESTATIONAL AGE(SGA) VERY LOW BIRTH-WEIGHT INFANTS (VLBW). Pediatr Res 18, 805 (1984). https://doi.org/10.1203/00006450-198408000-00084
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DOI: https://doi.org/10.1203/00006450-198408000-00084