Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Bioelectrical Impedance in Premature Newborns and Its Relationship with Diet Therapy in a Neonatal Intensive Care Unit

Version 1 : Received: 5 January 2024 / Approved: 8 January 2024 / Online: 8 January 2024 (11:16:07 CET)

A peer-reviewed article of this Preprint also exists.

Tortorella, C.C.S.; Chao, B.M.P.; Rabito, E.I.; Lima, M.N.; Sarquis, A.L.F. Bioelectrical Impedance in Premature Newborns and Its Relationship with Diet Therapy in a Neonatal Intensive Care Unit. Nutrients 2024, 16, 601. Tortorella, C.C.S.; Chao, B.M.P.; Rabito, E.I.; Lima, M.N.; Sarquis, A.L.F. Bioelectrical Impedance in Premature Newborns and Its Relationship with Diet Therapy in a Neonatal Intensive Care Unit. Nutrients 2024, 16, 601.

Abstract

(1) Background: To estimate resistance, reactance and phase angle values among moderate preterm infants and their variation according to neonatal and maternal characteristics and nutritional intake. (2) Methods: This was a cohort that evaluated 43 moderate preterm infants using bioelectrical impedance analysis. The study variables included resistance, reactance and PA measurements, in addition to classification of nutritional intake. (3) Results: The mean resistance was 602.0+118.2 Ω, reactance was 57.2 Ω (IIQ = 42.6-65.2) and phase angle was 522° (IIQ = 4.1-6.6). Lower resistance values were found in the presence of risky pregnancy (532.2+111.9 Ω vs 650.9+97.9 Ω, p<0.001) and lower reactance values, in the presence of harmful maternal lifestyle habits at both the first (p=0.01) and second assessments (p=0.01). Eight preterm infants were considered to have insufficient nutritional intake (23.5%); 17, sufficient (50.0%) and 9, partially sufficient (26.5%). There was less reactance among preterm infants with insufficient nutritional intake (p < 0.001). (4) Conclusions: The bioelectrical impedance analysis measurements were within the range of values reported in other studies. There was an association between full diet and adequate nutritional intake with higher resistance values, and a lower reactance value was associated with the presence of risky pregnancy and harmful maternal lifestyle.

Keywords

electrical impedance; nutrition therapy; preterm birth; maternal behaviors; Intensive Care Units; Neonatal

Subject

Medicine and Pharmacology, Dietetics and Nutrition

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