Patterns of Growth and Nutrition From Birth to 6 Months in Infants With Complex Congenital Cardiac Defects Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.1097/nnr.0000000000000460
Background Infants with complex congenital heart defects (CCHDs) experience alterations in growth that develop following surgical intervention and persist throughout early infancy, but the roles of nutritional intake and method of feeding require further exploration as their roles are not fully explained. Objectives The purpose of this study was to characterize trends in growth and nutritional intake during the first 6 months of life in infants with CCHD. Methods We conducted a secondary analysis of growth and nutritional data from a pilot study designed to test the feasibility of nurse-guided participatory intervention with parents of infants with CCHD. Measures included demographic data, anthropometric data at birth, hospital discharge, and 6 months of age, nutritional intake at 2 and 6 months of age from parent-completed 24-hour nutrition diaries, and assessment of oral–motor skills between 1 and 2 months of age. Descriptive statistics and correlation and group differences were examined. Results Data for 28 infants were analyzed. Infants demonstrated a decrease in weight-for-age z score (WAZ) and length-for-age z score (LAZ) from birth to hospital discharge and an increase in WAZ and LAZ by 6 months of age. Many of the infants developed failure to thrive. Across the study period, one third of the infants were receiving enteral nutrition. Infants who were orally fed had better growth WAZ and LAZ at 6 months of age when compared to infants who were enterally fed. Discussion Infants with CCHD exhibit growth faltering throughout early infancy. Reliance on enteral nutrition did not improve growth outcomes in these infants. Findings suggest nutritional intake may not be enough to meet the nutrient requirements to stimulate catch-up growth.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/nnr.0000000000000460
- OA Status
- green
- Cited By
- 11
- References
- 34
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W3035978106Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/nnr.0000000000000460Digital Object Identifier
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Patterns of Growth and Nutrition From Birth to 6 Months in Infants With Complex Congenital Cardiac DefectsWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
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2020-06-22Full publication date if available
- Authors
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Deborah K. Steward, Nancy A. Ryan‐Wenger, Tondi M. Harrison, Karen F. PridhamList of authors in order
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https://doi.org/10.1097/nnr.0000000000000460Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/8063714Direct OA link when available
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Medicine, Pediatrics, Anthropometry, Failure to thrive, Growth chart, Malnutrition, Weight for Age, Enteral administration, Low birth weight, Parenteral nutrition, Pregnancy, Intensive care medicine, Internal medicine, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
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11Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 4, 2022: 5Per-year citation counts (last 5 years)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| authorships[0].affiliations[0].raw_affiliation_string | The institutional review board at the University of Wisconsin-Madison reviewed and approved the study, as well as institutional review boards from participating institutions. |
| authorships[0].affiliations[1].raw_affiliation_string | The review and editing of this article was managed by Dr. Christine Fortney, Guest Editor. |
| authorships[0].affiliations[2].raw_affiliation_string | Beth Gissibl, BSN, RN, CCRN, Manager, Pediatric Translational Research Unit |
| authorships[0].affiliations[3].raw_affiliation_string | Suzanne M. Thoyre, PhD, RN, FAAN, Frances Hill Fox Distinguished Term Professor. |
| authorships[0].affiliations[4].raw_affiliation_string | Mary Krolikowski, MSN, RN, Research Coordinator |
| authorships[0].affiliations[5].raw_affiliation_string | The authors have no conflicts of interest to report. |
| authorships[0].affiliations[6].raw_affiliation_string | We express our gratitude to the parents and infants who participated in the study. We would like to acknowledge the following individuals for contributing to the success of this study: Raymond Fedderly, MD, Pediatric Cardiologist |
| authorships[0].affiliations[7].raw_affiliation_string | Nancy Ryan-Wenger, PhD, RN, FAAN, is Professor Emeritus, The Ohio State University College of Nursing, Columbus. |
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| authorships[0].affiliations[9].raw_affiliation_string | Karen F. Pridham, PhD, RN, FAAN, is Helen Denne Schulte Professor Emerita, University of Wisconsin-Madison School of Nursing. |
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| authorships[0].affiliations[12].raw_affiliation_string | This study was supported by funds from the American Heart Association (14GRNT19890006) and the University of Wisconsin-Madison School of Nursing. The project described was supported by the Clinical and Translational Science Award program, through the National Institutes of Health National Center for Advancing Translational Sciences (Grant UL1TR002373). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |
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| primary_location.source.host_organization_lineage_names | Lippincott Williams & Wilkins, Wolters Kluwer |
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| publication_date | 2020-06-22 |
| publication_year | 2020 |
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