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<p><b>OBJECTIVE</b>To study the effects of post-discharge formula (PDF) for preterm infants, breast milk (BM) and term infant formula (TF) on increase rates of body weight, length and head circumference in preterm and low-birth-weight infants (PLBWIs) from discharge to 3 months after birth, and to provide a reference for the choice of feeding pattern for PLBWIs.</p><p><b>METHODS</b>A total of 407 PLBWIs discharged from the newborn departments of ten hospitals in Guangzhou City and Foshan City in Guangdong Province, China were chosen for this study. According to feeding pattern, they were assigned to three groups: PDF-fed (n=258), BM-fed (n=58) and TF-fed (n=91). Their body weight, length and head circumference were measured at 3 months after birth, and the increase rates of growth indices relative to baseline values (at birth) were calculated and compared.</p><p><b>RESULTS</b>At 3 months after birth, the PDF-fed group had significantly greater body weight, length and head circumference than the BM-fed and TF-fed groups (P<0.05). The increase rates of body weight and length were significantly higher in the PDF-fed group than in the BM-fed and TF-fed groups (P<0.05).</p><p><b>CONCLUSIONS</b>Compared with those fed with BM and TF after discharge, the PDF-fed PLBWIs have higher increase rates of body weight and length and show greater body weight and length at 3 months after birth. However, further study is needed to investigate the long-term effects.</p>
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Female , Humans , Infant , Infant, Newborn , Male , Body Height , Body Weight , Breast Feeding , Feeding Behavior , Infant Formula , Infant, Low Birth Weight , Infant, PrematureABSTRACT
Objective To measure the values of quantitative ultrasound(QUS) of different gestational age preterm infants at birth in Guangzhou area,and compare them with the values of Caucasian preterm infants in order to get insight into the bone development status of preterm infants in Guangzhou area and to evaluate the practicability of QUS.Methods The Omnisense quantitative ultrasound produced by Israel Sunlight company was used to measure the bone speed of sound(SOS) of left tibia of preterm infants born between Jun.2010 and Jun.2012 in Maternity and Children Health Hospital of Huadu District in Guangzhou,and the values of SOS of Caucasian preterm infants was compared.Results There were totally 1039 preterm infants born in Guangzhou area involved in this study,and they were divided into group A,B,C,D by gestational ages:≤ 30 weeks,30 + 1 ～ 32 weeks,32 + 1 ～ 34 weeks,34 + 1 ～ 36 + 6 weeks.The values of SOS of each group at birth were(2892.05 ± 139.17) m/s,(2936.84 ± 137.87) m/s,(2966.65 ± 116.60) m/s and (2988.63 ± 120.74) m/s,separately,and with the increase of gestational age,and there was significant difference of SOS between different gestational age groups(F =15.758,P =0.000).But there was no significant difference of SOS between male and female (F =2.665,P =0.103).Compared with Caucasian preterm infants,the SOS value gap (defined as the Z value) of preterm infants of different gestational age in Guangzhou area was no significant difference(P =0.117),and there was no significant difference between male and female (F =3.494,P =0.062).Conclusions The value of SOS of preterm infants was higher with the increase of maturity of preterm infants.There was no significant difference of SOS between Guangzhou preterm infants and Caucasian preterm infants.And QUS is suitable for clinical evaluation of bone development status of preterm infants.
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Objective To detect the glycomacropeptide (GMP) content of human breast milk,and take it as reference of newborn infant formula milk powder to optimize the nutritional content of infant formulas.Methods Thirty primiparas who fit the following conditions were selected:healthy,no special diet habits,living stably,having adequate milk,aged between 25 to 39 years old,and term delivery,were selected.Then they were divided into 2 groups,the colostrum group and mature milk group,and each group had 15 cases.Each case had been collected of breast milk 5 mL(front milk).The gathering time of colostrum group was the 2nd day postpartum and mature milk group was the 42nd day postpartum.Hydrolyzing the breast milk by chymosin at 37 ℃,then the sialic acid(SA) content was detected by a sialic acid detection kit,and GMP content was represented by SA content.In addition,6 brands of formula milk powder were detected in the same way as breast milk after being made into standard liquid milk.The differences between groups were compared by analysis of variance (ANOVA).Results Best conditions for enzymolysis were:chymosin concentration 0.25 g/L,hydrolysis time 120 min.SA content of colostrum group was (3486.98 ± 406.70) mg/L,while mature milk group was (2687.95 ± 375.85) mg/L,as the former was significantly higher than the latter (P ＜ 0.01),but the differences between individuals within each group were small (CVco1 =0.12,CVma ilk =0.14).The average level of SA content of various infant formulas was (1196.93 ± 608.40)mg/L,which was significantly lower than colostrum and mature milk(all P ＜ 0.01).SA contents of various brands of formulas were various,and the difference among these brands was relatively big(CV =0.63).Conclusions The content of GMP in human colostrum was higher than that of the mature milk.The contents of the GMP in different brands of infant formula milk powder were uneven,and the measured values were quite different with human milk.However,because of the difference of the molecular weight of GMP and the number of amino acid residues between human milk and bovine milk,the amount of GMP required to achieve the same physiological effects may be different in breast milk and bovine milk.In order to optimize the nutritional content of infant formula,and make it even closer to human milk,it is necessary to further explore the best GMP content relative to human milk.