{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:43:59Z","timestamp":1791265439595,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,12,27]],"date-time":"2012-12-27T00:00:00Z","timestamp":1356566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the impact of an improved nutritional policy for extremely low birthweight (<jats:styled-content style=\"fixed-case\">ELBW<\/jats:styled-content>) infants on nutritional deficits and postnatal growth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We compared two groups of 37 <jats:styled-content style=\"fixed-case\">ELBW<\/jats:styled-content> infants, born before and after the introduction of an improved nutritional policy in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2006. Group <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content> (born 2005 to early 2006) and group <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> (born 2009) stayed in a French neonatal intensive care unit (<jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>) for at least 7\u00a0weeks. Optimal energy and protein intakes were 120 and 3.5\u00a0g\/kg\/day, respectively, and used to calculate cumulative deficits. Delta z\u2010scores for weight, length and head circumference were calculated between birth and 36\u00a0weeks of postmenstrual age (<jats:styled-content style=\"fixed-case\">PMA<\/jats:styled-content>). The improved nutritional policy focused on earlier and higher parenteral intake of lipids and proteins, earlier and higher human milk fortification and earlier transition to preterm formula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The two groups did not differ in gestational age and birthweight. However, protein and energy deficits were significantly reduced in group <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>. Between birth and 36\u00a0weeks of <jats:styled-content style=\"fixed-case\">PMA<\/jats:styled-content>, delta z\u2010scores were significantly reduced for length (p\u00a0=\u00a00.012) but not for weight (p\u00a0=\u00a00.09) or head circumference (p\u00a0=\u00a00.83).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher parenteral intake and close attention to enteral feeding reduced nutritional deficits and linear growth restriction in infants admitted to a French <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12092","type":"journal-article","created":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T14:05:14Z","timestamp":1353420314000},"page":"242-248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Extremely low birthweight infants: how neonatal intensive care unit teams can reduce postnatal malnutrition and 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