Outcomes in preterm infants who received a lipid emulsion with fish oil: An observational study

4Citations
Citations of this article
14Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

Background: 100% soybean oil emulsions (SO100) are associated with poor docosahexaenoic acid (DHA) and arachidonic acid (ARA) status in extremely low birth weight (ELBW) infants. A multi-oil emulsion with 15% fish oil (FO15) contains more DHA and ARA than SO100. This study compares clinical outcomes, namely growth and fatty acids, in ELBW infants who received S0100 or FO15. Methods: This observational study included ELBW infants born between 2014 and 2019 who received SO100 or FO15 for >7 days. Gas chromatography/mass spectrometry was used to measure erythrocyte fatty acids. Results: The mean ± SD gestational age was 27 ± 3 and 26 ± 2 weeks for SO100 (n = 43) and FO15 (n = 43), respectively (P = 0.2). DHA (−0.3 ± 0.10% per week, P = 0.026, for FO15 vs −0.2 ± 0.05% per week, P < 0.001, for SO100) and ARA (−0.8 ± 0.21% per week for FO15 vs −0.9 ± 0.17% per week for SO100; P < 0.001 for both) declined in both groups with no difference between groups (P interaction > 0.7 for both). After controlling for days to reach full feeds, the mean difference in weight z score trajectories was similar (Est = −0.08; 95% CI, −0.82 to 0.04; P = 0.2), and SO100 was associated with a nonsignificant increased odds for cholestasis (odds ratio, 3.1; 95% CI, 0.96–10.2; P = 0.059). There was no difference in other clinical comorbidities. Conclusions: In comparison with ELBW infants who received SO100, infants who received FO15 still demonstrated a decline in DHA and ARA. Growth and other clinical outcomes were unchanged.

Cite

CITATION STYLE

APA

Kim, E. S., Lee, L. J., Romero, T., & Calkins, K. L. (2023). Outcomes in preterm infants who received a lipid emulsion with fish oil: An observational study. Journal of Parenteral and Enteral Nutrition, 47(3), 354–363. https://doi.org/10.1002/jpen.2464

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free