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Clinical outcomes fed by individualized human milk fortification in extremely preterm infants

Research Project

Project/Area Number 26461646
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, 教授 (00223074)

Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords超早産児 / 強化母乳栄養 / 個別化強化 / 蛋白質添加 / 発育 / 極低出生体重児 / 個別蛋白質強化 / 成長
Outline of Final Research Achievements

Extrauterine growth restriction (EUGR) is associated with poor neurodevelopmental outcome in extremely preterm and/or very low birth weight infants. EUGR is associated with inadequate protein intake. Individualized human milk fortification has two approaches, adjustable human milk fortification and targeted human milk fortification. However, it remained unknown which is better fortification to prevent EUGR. Our study aim is to compare the effects on postnatal growth during NICU stay among these two approaches. There were no differences in SD scores for body weight, body length (BL) and head circumference (HC) at term equivalent age among two individualized fortification regimens. By individualized fortification, not only body weight and HC but also BL was equal to the reference fetus at term equivalent age. Higher protein intake by these two individualized fortification regimens may improve growth outcomes without linear growth depression in extremely preterm infants.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (9 results)

All 2018 2017 2015 2014

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 5 results) Presentation (4 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results)

  • [Journal Article] The necessity ofhuman milk banking in Japan: questionnaire surveyofneonatologists.2015

    • Author(s)
      Mizuno K, Sakurai M, Itabashi K.
    • Journal Title

      Pediatr Int

      Volume: 26 Issue: 4 Pages: 1-5

    • DOI

      10.1111/ped.12606

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Predictors of low milk volume among mothers who delivered preterm.2014

    • Author(s)
      Murase M, Nommsen-Rivers L, Morrow AL, Hatsuno M, Mizuno K, Taki M, Miyazawa T, Nakano Y, Aizawa M, Itabashi K
    • Journal Title

      J Hum Lact

      Volume: 30(4) Issue: 4 Pages: 425-435

    • DOI

      10.1177/0890334414543951

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Is fat content of human milk decreased by infusion?2014

    • Author(s)
      Igawa M, Murase M, Mizuno K, Itabashi K.
    • Journal Title

      Pediatr Int

      Volume: 56(2) Pages: 230-233

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Accumulation of subcutaneous fat, but not visceral fat, is a predictor of adiponectin levels in preterm infants at term-equivalent age.2014

    • Author(s)
      Nakano Y, Itabashi K, Sakurai M, Aizawa M, Dobashi K, Mizuno K.
    • Journal Title

      Early Hum Dev

      Volume: 90 Issue: 5 Pages: 213-217

    • DOI

      10.1016/j.earlhumdev.2014.02.009

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] New Japanese neonatal anthropometric charts for gestational age at birth.2014

    • Author(s)
      Itabashi K, Miura F, Uehara R, Nakamura Y.
    • Journal Title

      Pediatr Int

      Volume: 56(5) Issue: 5 Pages: 702-708

    • DOI

      10.1111/ped.12331

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] The better way of individualized human milk fortification: targeted fortification or adjustable fortification?2018

    • Author(s)
      Murase M, Itabashi K,
    • Organizer
      Pediatric Academic Societies (PAS) 2018
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 極低出生体重児の栄養管理戦略2017

    • Author(s)
      板橋家頭夫
    • Organizer
      第120回日本小児科学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2017-04-14
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 早産低出生体重児の栄養管理2017

    • Author(s)
      板橋家頭夫
    • Organizer
      第53回日本周産期新生児医学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 極低出生体重児を娩出下母親の母乳中のたんぱく質濃度の推移についての検討2015

    • Author(s)
      村瀬正彦、鈴木学、小林梢、大山伸雄、中野有也、宮沢篤生、板橋家頭夫
    • Organizer
      第60回日本新生児成育医学会・学術集会
    • Place of Presentation
      盛岡
    • Year and Date
      2015-10-23
    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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