Influence of prematurity on the nutritional, metabolic and inflammatory aspects of pre-school children

• Simone Raposo Miranda ^[1] ; Camila Yandara Sousa Vieira de Melo ^[1] ; Ana Célia Oliveira Santos ^[1] ; Nathalia Fidelis Lins Vieira ^[1]
  1. [1] Univerdidade de Pernambuco. Brasil
• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 43, Nº. 1, 2023, págs. 12-19
• Idioma: inglés
• Títulos paralelos:
  • Influência da prematuridade nos aspectos nutricionais, metabólicos e inflamatórios de pré-escolares.
  • Influencia de la prematuridad en los aspectos nutricionales, metabólicos e inflamatorios de los niños en edad preescolar.
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• Resumen

  • Objective: To identify an association between prematurity and the nutritional, metabolic and inflammatory aspects of pre-school children. Methods: This was a case-control study with 32 preterm children and 32 full-term children. A nutritional diagnosis was obtained through the anthropometric indexes of height/age (H/A) and BMI/Age (BMI/A) using the WHO AnthroPlus® program. Metabolic assessment was performed through the levels of fasting glucose, fasting insulin, total cholesterol, triacylglycerides, high-density lipoprotein and low-density lipoprotein. The inflammatory profile was identified through the serum levels of interleukin 6 (IL-6) and C-reactive protein (CRP). Results: The assessment age of preterm children was 81 months ± 23.8. A shorter gestation time was associated with an increased waist circumference (p=0.035), and total cholesterol levels (p=0.031), and tended toward an association with higher interleukin 6 levels (p=0.062). Waist circumference was associated with higher adiposity (p=0.003) and with increased blood pressure (p=0.010). Conclusion: Preterm birth was related to increased levels of total serum cholesterol and increased waist circumference, thereby suggesting a higher risk of future cardiovascular events. No association was observed between gestational age and birth weight with other nutritional, metabolic or inflammatory aspects in the pre-school children assessed.