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Nutritional practices and postnatal growth restriction in preterm newborns
Rev Assoc Med B ras 2015; 61(6):500-506 505
mendações, a NP foi iniciada tardiamente, sua progres-
são foi lenta e as ofertas máximas de glicose, aminoácidos,
lipídios e energia foram baixas nos dois grupos. A oferta
inicial de aminoácido e lipídio e a inicial e máxima de gli-
cose e energia foram menores no G1. O início da NE foi
precoce (1 a 2 dias), o tempo para atingir NE exclusiva foi
adequado (11 a 15 dias), e o uso de leite humano foi pos-
sível por tempo razoável (7 a 13 dias). A análise multiva-
riada mostrou que a síndrome do desconforto respirató-
rio e o alcance tardio da oferta de 120 kcal/kg/dia
aumentaram a chance de perda de peso superior a 10%.
Sepse, oferta energética máxima por NP < 60 kcal/kg/dia
e alcance tardio da oferta de 120 kcal/kg/dia aumenta-
ram a chance de recuperar o peso de nascimento após 14
dias, enquanto a condição de pequeno para idade gesta-
cional (PIG) ao nascimento reduziu essa chance. PIG ao
nascimento, sepse e alcance de NE exclusiva após 14 dias
aumentaram a chance de ser PIG na idade pós-concep-
tual de termo.
Conclusão: aprimorar as práticas nutricionais em UCIN
pode reduzir o déficit de crescimento em prematuros de
muito baixo peso ao nascer.
Palavras-chave: prematuro, nutrição enteral, nutrição pa-
renteral, recém-nascido de muito baixo peso.
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