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The Role of Nutrition in the Prevention and Management of Bronchopulmonary Dysplasia: A Literature Review and Clinical Approach

2021Journal article Open access
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dc.contributor.authorRocha, G
dc.contributor.authorGuimarães, H
dc.contributor.authorPereira-da-Silva, L
dc.date.accessioned2022-03-16T11:58:13Z
dc.date.available2022-03-16T11:58:13Z
dc.date.issued2021
dc.description.abstractBronchopulmonary dysplasia (BPD) remains the most common severe complication of preterm birth, and nutrition plays a crucial role in lung growth and repair. A practical nutritional approach for infants at risk of BPD or with established BPD is provided based on a comprehensive literature review. Ideally, infants with BPD should receive a fluid intake of not more than 135-150 mL/kg/day and an energy intake of 120-150 kcal/kg/day. Providing high energy in low volume remains a challenge and is the main cause of growth restriction in these infants. They need a nutritional strategy that encompasses early aggressive parenteral nutrition and the initiation of concentrated feedings of energy and nutrients. The order of priority is fortified mother's own milk, followed by fortified donor milk and preterm enriched formulas. Functional nutrient supplements with a potential protective role against BPD are revisited, despite the limited evidence of their efficacy. Specialized nutritional strategies may be necessary to overcome difficulties common in BPD infants, such as gastroesophageal reflux and poorly coordinated feeding. Planning nutrition support after discharge requires a multidisciplinary approach to deal with multiple potential problems. Regular monitoring based on anthropometry and biochemical markers is needed to guide the nutritional intervention.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Environ Res Public Health . 2021 Jun 9;18(12):6245pt_PT
dc.identifier.doi10.3390/ijerph18126245pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4009
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)pt_PT
dc.subjectBronchopulmonary dysplasiapt_PT
dc.subjectEnriched formulaspt_PT
dc.subjectFluid restrictionpt_PT
dc.subjectGrowth monitoringpt_PT
dc.subjectHuman milk fortificationpt_PT
dc.subjectPreterm infantspt_PT
dc.subjectHDE UCI NEOpt_PT
dc.titleThe Role of Nutrition in the Prevention and Management of Bronchopulmonary Dysplasia: A Literature Review and Clinical Approachpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue12pt_PT
oaire.citation.startPage6245pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume18pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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