Clinical experience in enteral nutrition support for premature infants with bronchopulmonary dysplasia.

OBJECTIVE

The comprehensive management of infants with bronchopulmonary dysplasia (BPD) may include the need for fluid restriction. Modular nutrient components added to preterm formulas increase energy and protein contents but may compromise the nutrient integrity of the formula. The purpose of this pilot study was to compare the nutritional status and feeding tolerance of infants fed either a 30 kcal/oz ready-to-feed formula or a preterm formula containing nutrient supplements.

METHODS

Feeding tolerance, growth, and biochemical indicators of nutritional status were compared in 27 premature infants with BPD who were fluid-restricted. These infants were fed either a 30 kcal/oz ready-to-feed formula or a preterm formula with additives concentrated to 30 kcal/oz.

RESULTS

Growth and feeding tolerance were similar between groups. Serum albumin and blood urea nitrogen concentrations, however, were improved in the ready-to-feed formula group.

CONCLUSIONS

A 30 kcal/oz ready-to-feed formula provides similar nutrient composition but improved protein nutritional status; this formula is a safe alternative to preterm formula containing multiple nutrient additives in premature infants with BPD.