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The effects of early human milk fortification on extremely preterm infants

Research Project

Project/Area Number 17K10193
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionShowa University

Principal Investigator

Itabashi Kazuo  昭和大学, 医学部, 名誉教授 (00223074)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords早産児 / 低出生体重児 / 母乳強化療法 / 経腸栄養 / 栄養 / 子宮外発育不全 / 母乳 / 発育不全 / 極低出生体重児 / 母乳強化栄養 / 子宮外胎児発育不全 / 超早産児 / 早期強化母乳栄養 / 個別化強化 / 蛋白質添加 / 発育 / 強化母乳栄養 / 早期導入 / 比較対照試験
Outline of Final Research Achievements

Although human milk fortification (HMF) is the standard nutritional management for preterm infants, it currently does not prevent extrauterine growth restriction during NICU admission. We conducted a randomized controlled trial to compare the efficacy and safety of early HMF with those of conventional HMF (delayed HMF). Comparison between the two groups showed no difference in the number of days to establish enteral nutrition or to wean from parenteral nutrition, indicating that early HMF can be safely implemented without increasing feeding intolerance. On the other hand, there were no differences in outcomes such as anthropometric measurements at NICU discharge or developmental delay at the modified 18-month age point.

Academic Significance and Societal Importance of the Research Achievements

本研究により、早産児に対する出生後早期からの母乳強化療法の安全性が確認された。単施設研究であることから、今後さらなる症例の集積が必要ではあるが、従来よりも積極的な経腸栄養管理が実現すれば、早産・低出生体重児の成長や発達予後のより一層の向上が期待される。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (7 results)

All 2020 2019 2018

All Journal Article (1 results) Presentation (6 results) (of which Invited: 1 results)

  • [Journal Article] 超早産児の栄養管理2020

    • Author(s)
      板橋 家頭夫
    • Journal Title

      With NEO

      Volume: 33 Pages: 106-112

    • Related Report
      2019 Research-status Report
  • [Presentation] 蛋白個別強化を行った新生児の体格とバイオマーカーに関する検討2019

    • Author(s)
      鈴木学、村瀬正彦、板橋家頭夫、水野克己
    • Organizer
      第64回日本新生児成育医学会・学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 早産児の予定日周囲の体組成(第1報)正期産児との比較2019

    • Author(s)
      山岡大志朗、中野有也、及川洸輔、江畑晶夫、杉下友美子、水越曜子、浅井秀幸、寺田知正,城所励太、清水武、長谷部義幸、宮沢篤生、藤井隆成、水野克己、板橋家頭夫
    • Organizer
      第64回日本新生児成育医学会・学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 早産児の予定日周囲の体組成(第2報)体組成を推測するために有用な指標の検討2019

    • Author(s)
      中野有也、山岡大志朗、江畑晶夫、及川洸輔、杉下友美子、水越曜子、浅井秀幸、寺田知正、城所励太、清水武、長谷部義幸、宮沢篤生、藤井隆成、水野克己、板橋家頭夫
    • Organizer
      第64回日本新生児成育医学会・学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 超低出生体重児に対する早期母乳強化(early HMF)の一例2018

    • Author(s)
      宮沢篤生、鈴木学、長谷部義幸、中野有也、板橋家頭夫
    • Organizer
      第54回日本周産期新生児医学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 早産低出生体重児の栄養管理-現状と展望ー2018

    • Author(s)
      板橋家頭夫
    • Organizer
      第18回新生児栄養フォーラム
    • Related Report
      2018 Research-status Report
  • [Presentation] Nutritional Management of Very Preterm Infants2018

    • Author(s)
      Kazuo Itabashi
    • Organizer
      31th Congress of Korean Society of Perinatology
    • Related Report
      2018 Research-status Report
    • Invited

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Published: 2017-04-28   Modified: 2024-01-30  

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