Early feeding, antenatal glucocorticoids, and human milk decrease intestinal permeability in preterm infants.

Abstract:

:To determine the effects of age, feeding regimen, and antenatal glucocorticoids on intestinal permeability, preterm infants (n = 132) were stratified by gestational age and by diet (mothers' own milk versus preterm formula), and assigned randomly to one of four feeding regimens: early-continuous, early-bolus, standard-continuous, and standard-bolus. At 10, 28, and 50 d of age permeability was determined by measuring the ratio of lactulose/ mannitol in the urine after the two sugars were administered enterally for 30 h. The mean (+/-SE) birth weight and gestational age of the infants were 1044 +/- 13 g and 27 +/- 0.1 wk, respectively. Permeability changed as a function of age (p = 0.003). Early feeding was associated with a reduction in permeability at 10 d of age (p = 0.01). Antenatal steroid administration was associated with decreased permeability at 28 d of age (p = 0.017). The feeding of human milk (versus formula) was associated with decreased permeability at 28 d of age (p = 0.02). Continuous versus bolus feeding did not affect permeability.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Shulman RJ,Schanler RJ,Lau C,Heitkemper M,Ou CN,Smith EO

doi

10.1203/00006450-199810000-00009

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

519-23

issue

4

eissn

0031-3998

issn

1530-0447

journal_volume

44

pub_type

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