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The Effect of Oral Protein Supplementation on the Growth of Very Low Birth Weight Preterm Infants Admitted to the Neonatal Intensive Care Unit: A Randomized Clinical Trial Cover

The Effect of Oral Protein Supplementation on the Growth of Very Low Birth Weight Preterm Infants Admitted to the Neonatal Intensive Care Unit: A Randomized Clinical Trial

Open Access
|Jun 2023

Figures & Tables

Figure 1.

The CONSORT flow chart of the study population.
The CONSORT flow chart of the study population.

The comparison of laboratory data of neonates in the protein supplement and control groups during trial

TestWeekGroupsP-value*

Protein Supplement(n=36)Control group(n=36)
BUN (mg/dl), mean ± SDBaseline6.06 ± 1.396.71 ± 2.800.216
15.56 ± 1.246.39 ± 2.390.069
25.97 ± 1.215.84 ± 1.970.739
Albumin (g/dL), mean ± SDBaseline3.18 ± 0.333.13 ± 0.410.570
13.41 ± 0.403.21 ± 0.370.031
23.59 ± 0.373.24 ± 0.400.000
PH, mean ± SDBaseline7.34 ± 0.057.33 ± 0.060.044
17.33 ± 0.047.36 ± 0.050.006
27.33 ± 0.067.36 ± 0.040.015
PCO2 (mmHg), mean ± SDBaseline35.12 ± 6.5435.97 ± 5.100.544
139.20 ± 5.9335.41 ± 5.950.008
241.53 ± 6.6834.63 ± 7.820.000
HCO3 (mmol/L), mean ± SDBaseline18.19 ± 4.3318.39 ± 4.870.854
120.47 ± 5.0319.63 ± 4.720.008
221.06 ± 5.2519.58 ± 4.670.004

The comparison of protein intake, duration of trial, and anthropometric parameters (outcomes) in the intervention and control groups

VariableGroupsP-value*

Protein supplementn=36Controln=36
Protein Intake(gr/kg/day), mean ± SD4.55 ± 0.183.66 ± 0.22<0.001
Duration of trial (days), mean ± SD10.39 ± 4.4212.50 ± 5.710.097
Weight (gram), mean ± SD
Before intervention (gr)1276.52 ± 127.231282.06 ± 118.300.854
After intervention (gr) (Discharge time)1518.79 ± 59.781455.88 ± 50.38<0.001
Gain (gr/kg/day)19.12 ± 7.2211.14 ± 5.29<0.001
Weight Percentile, n (%) 0.040
After intervention
≤ 36 (16.7)16 (44.4)
3 – 1016 (44.4)11 (30.6)
> 1014 (38.9)9 (25.0)
Increased head circumference rate (cm/week), mean ± SD0.872 ± 0.2620.525 ± 0.210<0.001
Increased length rate (cm/week), mean ± SD1.00 ± 0.350.62 ± 0.20<0.001

Comparison of baseline characteristics of the neonates in the intervention and control groups before the clinical trial

VariableGroupsP-value*

Protein supplementn=36Controln=36
Gender, n (%) 0.345
Male17 (47.2)21 (58.3)
Female19 (52.8)15 (41.7)
Birth weight (gr), mean ± SD1210.3 ± 189.531229.7 ± 169.60.660
Birth weight percentile, n (%) 0.798
≤ 33 (8.3)1 (2.8)
3 – 104 (11.1)5 (13.9)
> 1029 (80.6)30 (83.3)
Gestational age (weeks), mean ± SD30.50 ± 1.8330.58 ± 1.700.850
Gestational age groups (weeks), n (%) 0.735
< 2912 (33.3)9 (25.0)
29 – 3111 (30.6)12 (33.3)
31 – 3313 (36.1)15 (41.7)
Birth head circumference (cm), mean ± SD26.6 ± 1.727.0 ± 1.50.600
Birth length(cm), mean ± SD37.5 ± 17.6337.3 ± 15.750.665
Age (days), mean ± SD13.7 ± 9.011.6 ± 7.10.291
Type of milk, n (%) 1.000
Formula19 (52.8)19 (52.8)
FBM17 (47.2)17 (47.2)
Type of formula, n (%) 1.000
Pre BeBeLac8 (47.1)7 (38.9)
Pre Aptamil4 (23.5)5 (27.8)
Pre NAN4 (23.5)5 (27.8)
BeBeLac AR1 (5.9)1 (5.6)
DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-22-00072 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 21 - 29
Submitted on: Nov 20, 2022
Accepted on: Jan 12, 2023
Published on: Jun 27, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Fariba Hemmati, Maral Ghassemzadeh, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.