{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:00:47Z","timestamp":1783101647705,"version":"3.54.6"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We aimed to gain insights into current nutritional management practices of late preterm infants (34\u201336\u2009weeks gestational age) in Nigeria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Purposive sampling was employed to recruit 19 healthcare professionals (neonatologists, paediatricians, general practitioners and nurses) involved in the care and nutritional management of late preterm infants in Lagos and Ogun states, Nigeria. Data were collected using interviews, either individually or in small focus groups, between 15 August and 6 September 2022. Thematic analysis of interview transcripts was carried out to interpret the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten distinct themes emerged across the research questions and objectives. For growth monitoring, 11, 6, 1 and 1 of our participants preferred to use the 2006 WHO growth standards, Fenton preterm growth chart, Ballard score and Intergrowth\u201021, respectively. Regarding the growth velocity of late preterm infants, most healthcare professionals aimed for 15\u2009g\/kg BW\/day or more during hospitalisation. Breastmilk was unanimously the primary feeding option for late preterm infants. Most healthcare professionals preferred to use international guidelines over local guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study shows that there is a wide divergence in the nutritional guidelines used in managing late preterm infants in Nigeria. Regarding growth monitoring, healthcare professionals tended to aim for a growth velocity higher than necessary for late preterm infants, which may be disadvantageous for their long\u2010term health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16906","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T01:00:41Z","timestamp":1689642041000},"page":"2137-2148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2758-4088","authenticated-orcid":false,"given":"Adedotun Joshua","family":"Owolabi","sequence":"first","affiliation":[{"name":"Division of Human Nutrition and Health Wageningen University and Research  Wageningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Folake O.","family":"Samuel","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition and Dietetics, Faculty of Public Health, College of Medicine University of Ibadan  Ibadan Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith J. M.","family":"Feskens","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition and Health Wageningen University and Research  Wageningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Schaafsma","sequence":"additional","affiliation":[{"name":"Expert Nutrition Team, FrieslandCampina, Stationsplein  Amersfoort The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alida","family":"Melse\u2010Boonstra","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition and Health Wageningen University and Research  Wageningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60560-1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2013.204"},{"key":"e_1_2_11_4_1","unstructured":"World Health Organization.Preterm birth. Published 10 May 2023. Accessed June 4 2023.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/preterm\u2010birth"},{"key":"e_1_2_11_5_1","unstructured":"World Health Organization (WHO).Born too soon: decade of action on preterm birth;2023.10.3828\/liverpool\/9781949979688.003.0009"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0B013E3181ADAEE0"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2952"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.039974"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002397"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16344"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/JPC.13775"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690200100201"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00384-6"},{"key":"e_1_2_11_15_1","first-page":"1","volume-title":"WHO Child Growth Standards: Length\/Height\u2010for\u2010Age, Weight\u2010for\u2010Age, Weight\u2010for\u2010Length, Weight\u2010for\u2010Height and Body Mass Index\u2010Forage: Methods and Development","author":"World Health Organization","year":"2006"},{"key":"e_1_2_11_16_1","unstructured":"University of Rochester Medical Center.Gestational age assessment \u2013 health encyclopedia. Accessed June 5 2023.https:\/\/www.urmc.rochester.edu\/encyclopedia\/content.aspx?ContentTypeID=90&ContentID=P02671"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-3-13"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3945\/JN.115.214064"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-59"},{"issue":"11","key":"e_1_2_11_20_1","first-page":"1765","article-title":"Nutrient needs and feeding of premature infants","volume":"152","author":"Malhotra TR","year":"1995","journal-title":"CMAJ"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-3782(96)01793-8"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/JP.2013.114"},{"key":"e_1_2_11_23_1","unstructured":"University of Calgary. Fenton Growth Chart global usage. Welcome to the Fenton Preterm Growth Chart site. Accessed June 5 2023.https:\/\/live\u2010ucalgary.ucalgary.ca\/resource\/preterm\u2010growth\u2010chart\/preterm\u2010growth\u2010chart"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265040251S103"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-92"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265040251S104"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1542\/PEDS.2010-2630"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1542\/PEDS.2008-3258"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.2673"},{"key":"e_1_2_11_30_1","first-page":"31","article-title":"Growth and micronutrient status of Nigerian preterm infants consuming preterm formula or breastmilk","author":"Owolabi AJ","year":"2023","journal-title":"Pediatr Res"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(80)91731-6"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01044-2"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12887-016-0722-7"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/089033449501100211"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/MCN.12842"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/S13006-020-00283-Y\/FIGURES\/2"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/S13006-020-00272-1\/FIGURES\/1"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334420941805"},{"key":"e_1_2_11_39_1","unstructured":"European Milk Bank Association.Active milk banks;2022Accessed November 23 2022.https:\/\/europeanmilkbanking.com\/"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.16906","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T13:40:07Z","timestamp":1734702007000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.16906"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,21]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/apa.16906"],"URL":"https:\/\/doi.org\/10.1111\/apa.16906","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,21]]},"assertion":[{"value":"2023-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}