Abstract
A double blind randomised controlled trial in small for gestational age (SGA) infants, whose intestinal mucosa was shown to be functionally impaired as a result of intrauterine undernutrition, was carried out to investigate the hypothesis that nucleotide supplementation of a milk formula could improve catchup growth. Anthropometric data were collected on 74 infants, 39 randomly allocated to the nucleotide supplemented group (group N) and 35 to a standard formula group (group S). From study entry to 2 months of age, infants in group N had significantly higher mean rates of weight gain (106.3 compared with 94.7 g/kg baseline weight/week) and length gain (21.8 v 19.7 mm/m baseline length/week). Over the whole six months for which the trial formula was provided group N had significantly higher mean rates of gain of weight (80.1 compared with 71.8 g/kg baseline weight/week), length (16.2 compared with 15.0 mm/m baseline length/week), and head circumference (11.8 compared with 10.8 mm/m baseline head circumference/week). Catchup growth in SGA infants is therefore improved by nucleotide supplementation of infant formula.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Avila C. G., Harding R., Rees S., Robinson P. M. Small intestinal development in growth-retarded fetal sheep. J Pediatr Gastroenterol Nutr. 1989 May;8(4):507–515. doi: 10.1097/00005176-198905000-00015. [DOI] [PubMed] [Google Scholar]
- Boehm G., Bierbach U., Senger H., Jakobsson I., Minoli I., Moro G., Räihä N. C. Activities of lipase and trypsin in duodenal juice of infants small for gestational age. J Pediatr Gastroenterol Nutr. 1991 Apr;12(3):324–327. doi: 10.1097/00005176-199104000-00006. [DOI] [PubMed] [Google Scholar]
- Boehm G., Jakobsson I., Månsson M., Räihä N. C. Macromolecular absorption in small-for-gestational-age infants. Acta Paediatr. 1992 Nov;81(11):864–867. doi: 10.1111/j.1651-2227.1992.tb12124.x. [DOI] [PubMed] [Google Scholar]
- Bueno J., Torres M., Almendros A., Carmona R., Nuñez M. C., Rios A., Gil A. Effect of dietary nucleotides on small intestinal repair after diarrhoea. Histological and ultrastructural changes. Gut. 1994 Jul;35(7):926–933. doi: 10.1136/gut.35.7.926. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carver J. D., Pimentel B., Cox W. I., Barness L. A. Dietary nucleotide effects upon immune function in infants. Pediatrics. 1991 Aug;88(2):359–363. [PubMed] [Google Scholar]
- Dubowitz L. M., Dubowitz V., Goldberg C. Clinical assessment of gestational age in the newborn infant. J Pediatr. 1970 Jul;77(1):1–10. doi: 10.1016/s0022-3476(70)80038-5. [DOI] [PubMed] [Google Scholar]
- Ducker D. A., Hughes C. A., Warren I., McNeish A. S. Neonatal gut function, measured by the one hour blood D (+) xylose test: influence of gestational age and size. Gut. 1980 Feb;21(2):133–136. doi: 10.1136/gut.21.2.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fitzhardinge P. M., Steven E. M. The small-for-date infant. I. Later growth patterns. Pediatrics. 1972 May;49(5):671–681. [PubMed] [Google Scholar]
- Gil A., Sanchez-Medina F. Acid-soluble nucleotides of human milk at different stages of lactation. J Dairy Res. 1982 May;49(2):301–307. doi: 10.1017/s0022029900022391. [DOI] [PubMed] [Google Scholar]
- Janas L. M., Picciano M. F. The nucleotide profile of human milk. Pediatr Res. 1982 Aug;16(8):659–662. doi: 10.1203/00006450-198208000-00014. [DOI] [PubMed] [Google Scholar]
- Kolacek S., Puntis J. W., Lloyd D. R., Brown G. A., Booth I. W. Ontogeny of pancreatic exocrine function. Arch Dis Child. 1990 Feb;65(2):178–181. doi: 10.1136/adc.65.2.178. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lebenthal E., Nitzan M., Chrzanowski B. L., Krantz B. The effect of reduced maternofetal blood flow on the development of fetal pancreatic acinar cells and enzymes. Pediatr Res. 1980 Dec;14(12):1356–1359. doi: 10.1203/00006450-198012000-00018. [DOI] [PubMed] [Google Scholar]
- Lucas A., Lockton S., Davies P. S. Randomised trial of a ready-to-feed compared with powdered formula. Arch Dis Child. 1992 Jul;67(7):935–939. doi: 10.1136/adc.67.7.935. [DOI] [PMC free article] [PubMed] [Google Scholar]
- NAGAI H., USUI T., AKAISHI K., IOI S. [THE EFFECT OF SUPPLEMENTATION OF NUCLEOTIDES TO COMMERCIAL MILK ON THE WEIGHT GAIN OF PREMATURE AND HEALTHY INFANTS]. Shonika Kiyo. 1963 May-Jun;9:169–175. [PubMed] [Google Scholar]
- North American Society for Pediatric Gastroenterology and European Society for Paediatric Gastroenterology and Nutrition. Acta Paediatr Belg. 1978 Jul-Sep;31(3):169–177. [PubMed] [Google Scholar]
- Nuñez M. C., Ayudarte M. V., Morales D., Suarez M. D., Gil A. Effect of dietary nucleotides on intestinal repair in rats with experimental chronic diarrhea. JPEN J Parenter Enteral Nutr. 1990 Nov-Dec;14(6):598–604. doi: 10.1177/0148607190014006598. [DOI] [PubMed] [Google Scholar]
- Ounsted M., Moar V. A., Scott A. Neurological development of small-for-gestational age babies during the first year of life. Early Hum Dev. 1988 Mar;16(2-3):163–172. doi: 10.1016/0378-3782(88)90096-5. [DOI] [PubMed] [Google Scholar]
- Savaiano D. A., Clifford A. J. Adenine, the precursor of nucleic acids in intestinal cells unable to synthesize purines de novo. J Nutr. 1981 Oct;111(10):1816–1822. doi: 10.1093/jn/111.10.1816. [DOI] [PubMed] [Google Scholar]
- Tanner J. M., Thomson A. M. Standards for birthweight as gestation periods from 32 to 42 weeks, allowing for maternal height and weight. Arch Dis Child. 1970 Aug;45(242):566–569. doi: 10.1136/adc.45.242.566. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Uauy R., Stringel G., Thomas R., Quan R. Effect of dietary nucleosides on growth and maturation of the developing gut in the rat. J Pediatr Gastroenterol Nutr. 1990 May;10(4):497–503. doi: 10.1097/00005176-199005000-00014. [DOI] [PubMed] [Google Scholar]
- Xu R. J., Mellor D. J., Birtles M. J., Reynolds G. W., Simpson H. V. Impact of intrauterine growth retardation on the gastrointestinal tract and the pancreas in newborn pigs. J Pediatr Gastroenterol Nutr. 1994 Feb;18(2):231–240. doi: 10.1097/00005176-199402000-00018. [DOI] [PubMed] [Google Scholar]