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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 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
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Accepted on: Jan 12, 2023
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Published on: Jun 27, 2023
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.