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The effects of high-energy feeding on energy balance and growth in infants with congenital heart disease and failure to thrive

Published online by Cambridge University Press:  09 March 2007

Mark Jackson  and
Elizabeth M. E. Poskttt
Mark Jackson
Affiliation:
Institute of Child Health, University of Liverpool, Royal Liverpool Childrens Hospital, Alder Hey, Eaton Road, Liverpool L12 2AP
Elizabeth M. E. Poskttt
Affiliation:
Institute of Child Health, University of Liverpool, Royal Liverpool Childrens Hospital, Alder Hey, Eaton Road, Liverpool L12 2AP
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Abstract

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Failure to thrive (FTT) in infants with congenital heart disease (CHD) can be attributed to their low energy intakes and high resting energy expenditures. Energy intake, energy expenditure and growth were studied in infants with CHD on normal formula feeds and then on feeds supplemented with glucose polymer to see whether supplementation improved energy retention and growth. Mean gross energy intakes increased by 31.7% on high-energy feeding and mean weight gain improved from 1.3 g/kg per d on control to 5.8 g/kg per d on high-energy feeding. Resting oxygen consumption (νo2 ml/kg per min) was not significantly different on the two feeding regimens, although respiratory quotient rose on high-energy feeding reflecting the increased carbohydrate intake. Estimated energy costs of growth on high-energy feeding fell within the previously described range for normal infants. It is recommended that infants with CHD known to be associated with FTT are fed on high-energy diets from the time of diagnosis in order to optimize growth.

Keywords

Congenital heart diseaseEnergy balance in infancyFailure to thriveHigh-energy feeding
Type
Energy Balance
Information
British Journal of Nutrition , Volume 65 , Issue 2 , March 1991 , pp. 131 - 143
Copyright
Copyright © The Nutrition Society 1991

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