From: Osteopenia of prematurity and associated nutritional factors: case–control study
Total | Case (n = 46) | Control (n = 69) | p | |
---|---|---|---|---|
Gender, n(%) | 0.485 | |||
Female | 61 (53.0) | 25 (54.3) | 36 (52.2) | |
Male | 54 (47.0) | 21 (45.7) | 33 (47.8) | |
APGAR 1st minute, n(%) | 0.017b | |||
< 7 | 65 (56.5) | 32 (69.6) | 33 (47.8) | |
≥ 7 | 50 (43.5) | 14 (30.4) | 36 (52.2) | |
Gestational age at birth, n(%) | < 0.001b | |||
< 28 weeks | 30 (26.1) | 22 (47.8) | 8 (11.6) | |
≥ 28 weeks | 85 (73.9) | 24 (52.2) | 61 (88.4) | |
Weight at birth, n(%) | < 0.001b | |||
< 1,000 g | 42 (36.5) | 31 (67.4) | 11 (15.9) | |
≥ 1,000 g | 73 (63.5) | 15 (32.6) | 58 (84.1) | |
Clinical diagnosis, n(%) | ||||
Jaundice | 104 (90.4) | 42 (91.3) | 62 (89.9) | 1.000 |
Patent foramen ovale | 75 (65.2) | 29 (63.0) | 46 (66.7) | 0.419 |
Sepsis | 59 (51.3) | 32 (69.6) | 27 (39.1) | 0.001b |
Intraventricular hemorrhage | 59 (51.3) | 24 (52.2) | 35 (50.7) | 0.515 |
Patent ductus arteriosus | 55 (47.8) | 25 (54.3) | 30 (43.5) | 0.170 |
Bronchopulmonary dysplasia | 37 (32.2) | 22 (47.8) | 15 (21.7) | 0.003b |
Retinopathy of prematurity | 36 (31.3) | 15 (32.6) | 21 (30.4) | 0.482 |
Support (Days), average ± SD | ||||
Non-invasive mechanical ventilation | 23 ± 17.2 | 22 ± 17.9 | 23 ± 16.7 | 0.753 |
Invasive mechanical ventilation | 16 ± 18.6 | 25 ± 21.8 | 10 ± 12.9 | < 0.001b |
Physiotherapy (Days) | ||||
Average ± SD | 49 ± 8.3 | 49 ± 6.7 | 49 ± 9.3 | 0.590 |
Medications (Days), average ± SD | ||||
Antibiotics | 23 ± 13.1 | 26 ± 12.5 | 21 ± 13.2 | 0.040b |
Diuretics | 11 ± 13.9 | 16 ± 15.8 | 7 ± 11.1 | < 0.001b |
Methylxanthines | 38 ± 14.2 | 46 ± 10.8 | 33 ± 13.9 | < 0.001b |
Corticosteroids | 3 ± 6.0 | 4 ± 6.7 | 2 ± 5.5 | 0.216 |
Antiulceratives | 3 ± 7.7 | 2 ± 4.2 | 4 ± 9.3 | 0.203 |
Sedatives | 9 ± 14.9 | 12 ± 15.3 | 8 ± 14.5 | 0.143 |
Nutritional status at term, n(%) | 0.013b | |||
Score Z ≤ -3SD | 18 (15,7) | 12 (26,1) | 6 (8,7) | |
Score Z > -3SD | 97 (84,3) | 34 (73,9) | 63 (91,3) | |
Parenteral nutritional therapy, n(%) | 0.017b | |||
≥ 14 days | 73 (63.5) | 35 (76.1) | 38 (55.1) | |
< 14 days | 42 (36.5) | 11 (23.9) | 31 (44.9) | |
Trophic enteral feeding, n(%) | 0.255 | |||
≥ 7 days | 47 (40.9) | 21 (45.7) | 26 (37.7) | |
< 7 days | 68 (59.1) | 25 (54.3) | 43 (62.3) | |
Full enteral feeding, n(%) | 0.001b | |||
≥ 14 days | 55 (47.8) | 13 (28.3) | 42 (60.9) | |
< 14 days | 60 (52.2) | 33 (71.7) | 27 (39.1) | |
Pasteurized fresh human milk, average ± SD | ||||
Total acidity (ºDornic) | 3.8 ± 0.58 | 3.91 ± 0.55 | 3.77 ± 0.59 | 0.191 |
Acidity in the first week | 0.025b | |||
≥ 4 ºDornic, n (%) | 39 (33.9) | 21 (45.7) | 18 (26.1) | |
< 4 ºDornic, n (%) | 76 (66.1) | 25 (54.3) | 51 (73.9) | |
Nutrient formula (FM85) | 0.202 | |||
No | 41 (35.7) | 19 (41.3) | 22 (31.9) | |
Yes | 74 (64.3) | 27 (58.7) | 47 (68.1) | |
Supplementation, n(%) | ||||
Tricalcium phosphate | 84 (73.0) | 43 (93.5) | 41 (59.4) | < 0.001b |
Chelated zinc | 44 (38.3) | 13 (28.3) | 31 (44.9) | 0.053 |
Vitamin D | 114 (99.1) | 45 (97.8) | 69 (100) | 0.400 |
Nutritional supply, average ± SD | ||||
Total energy value (kcal/kg) | 88.9 ± 20.8 | 84.1 ± 9.3 | 92.3 ± 25.4 | 0.013b |
Protein (g/kg) | 2.9 ± 0.3 | 2.92 ± 0.34 | 2.94 ± 0.27 | 0.629 |
Calcium (mg/kg) | 169.9 ± 43.9 | 182.7 ± 47.5 | 161.5 ± 39.5 | 0.013b |
Phosphorus (mg/kg) | 89.4 ± 28.4 | 98.3 ± 31.3 | 83.5 ± 24.8 | 0.008b |
Zinc (mcg/kg) | 659 ± 348 | 554 ± 326 | 729 ± 347 | 0.010b |
Vitamin D (UI/dia) | 485 ± 176 | 410 ± 160 | 536 ± 169 | < 0.001b |
Average calcium/phosphorus ratio | 1.95 ± 0.25 | 1.92 ± 0.25 | 1.96 ± 0.25 | 0.367 |