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3. A Moving Target: Studying the Effect of Continuous Transcutaneous CO 2 Monitoring in ELBW Infants During an Equipoise Shift.

Author

Borenstein-Levin, Liron, Avishay, Noa, Hochwald, Ori, Soffer, Orit, Arnon, Shmuel, Riskin, Arieh, Gover, Ayala, Lavie-Nevo, Karen, Haham, Alon, Richardson, Justin, Rozin, Ilya, and Kugelman, Amir

Subjects
VERY low birth weight, PREMATURE infants, PERIVENTRICULAR leukomalacia, INTRAVENTRICULAR hemorrhage, GESTATIONAL age
Abstract

Objectives: To assess whether continuous non-invasive pCO2 monitoring by transcutaneous pCO2 monitor (TCpCO2) among extremely low birth weight (ELBW) premature infants, during the first week of life, will decrease the rate of high-grade intraventricular hemorrhage (IVH) or periventricular leukomalacia (PVL) or the combined outcome of IVH/PVL and death. Methods: This was a prospective, observational, multicenter study. Due to ethical constraints, allocation was based on TCpCO2 monitor availability. ELBW infants were either monitored by TCpCO2 monitor (Sentec, Therwil, Switzerland) (study group), or recruited to the control group if a TCpCO2 monitor was not available. Results: A total of 132 ELBW infants participated in the study. The size of the study group (106 infants) and the control group (26 infants) differed because monitor availability increased during the study period reflecting change in standard of care. The groups had comparable gestational age and baseline characteristics. No difference was found in the rate of IVH/PVL in the study vs. control groups (10% vs. 4%; p = 0.7, respectively), or in the combined outcome of PVL/IVH and death (16% vs. 15%; p = 1.0, respectively). Conclusions: This study demonstrates the challenges in conducting a prospective controlled trial in a rapidly evolving medical field. While the study began with a clear equipoise, this balance shifted as the care team gained more experience with TCpCO2 monitoring among the study population, despite the absence of new clinical evidence to justify such a shift. Consequently, the small control group limited our ability to draw definitive conclusions regarding the study's objective. However, our findings may increase awareness of continuous non-invasive pCO2 monitoring in extremely premature infants. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Effect of Music Therapy on Parent-Infant Bonding Among Infants Born Preterm

Author

Ghetti, Claire M., primary, Gaden, Tora Söderström, additional, Bieleninik, Łucja, additional, Kvestad, Ingrid, additional, Assmus, Jörg, additional, Stordal, Andreas Størksen, additional, Aristizabal Sanchez, Luisa Fernanda, additional, Arnon, Shmuel, additional, Dulsrud, Jeanette, additional, Elefant, Cochavit, additional, Epstein, Shulamit, additional, Ettenberger, Mark, additional, Glosli, Heidi, additional, Konieczna-Nowak, Ludwika, additional, Lichtensztejn, Marcela, additional, Lindvall, Merethe Wolf, additional, Mangersnes, Julie, additional, Murcia Fernández, Luz Dary, additional, Røed, Catharina Janner, additional, Saá, Gladys, additional, Van Roy, Betty, additional, Vederhus, Bente Johanne, additional, and Gold, Christian, additional

Published
2023
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21. Prediction of Late Death or Disability at Age 5 Years Using a Count of 3 Neonatal Morbidities in Very Low Birth Weight Infants

Author

Schmidt, Barbara, D'Ilario, Judy, Cairnie, Janice, Dix, Joanne, Adams, Beth Anne, Warriner, Erin, Marie Kim, Mee-Hai, Anderson, Peter, Davis, Peter, Doyle, Lex, Argus, Brenda, Callanan, Catherine, Davis, Noni, Duff, Julianne, McDonald, Marion, Asztalos, Elizabeth, Hohn, Denise, Lacy, Maralyn, Haslam, Ross, Barnett, Christopher, Goodchild, Louise, Lontis, Rosslyn Marie, Fraser, Simon, Keng, Julie, Saunders, Kerryn, Opie, Gillian, Kelly, Elaine, Woods, Heather, Marchant, Emma, Turner, Anne-Marie, Magrath, Emma, Williamson, Amanda, Bairam, Aida, Bélanger, Sylvie, Fraser, Annie, Blayney, Marc, Lemyre, Brigitte, Frank, Jane, Solimano, Alfonso, Synnes, Anne, Grunau, Ruth E., Hubber-Richard, Philippa, Rogers, Marilyn, Mackay, Margot, Petrie-Thomas, Julianne, Butt, Arsalan, van Wassenaer, Aleid, Nuytemans, Debbie, Houtzager, Bregje, van Sonderen, Loekie, Regev, Rivka, Itzchack, Netter, Arnon, Shmuel, Chalaf, Adiba, Ohlsson, Arne, O'Brien, Karel, Hamilton, Anne-Marie, Chan, May Lee, Sankaran, Koravangattu, Proctor, Pat, Golan, Agneta, Goldsch-Lerman, Esther, Reynolds, Graham, Dromgool, Barbara, Meskell, Sandra, Parr, Vanessa, Maher, Catherine, Broom, Margaret, Kecskes, Zsuzsoka, Ringland, Cathy, McMillan, Douglas, Spellen, Elizabeth, Sauve, Reginald S., Christianson, Heather, Anseeuw-Deeks, Deborah, Creighton, Dianne, Heath, Jennifer, Alvaro, Ruben, Chiu, Aaron, Porter, Ceceile, Turner, Gloria, Moddemann, Diane, Granke, Naomi, Penner, Karen, Bow, Jane, Mulder, Antonius, Wassenberg, Renske, van der Hoeven, Markus, Clarke, Maxine, Parfitt, Judy, Parker, Kevin, Nwaesei, Chukwuma, Ryan, Heather, Saunders, Cory, Schulze, Andreas, Wermuth, Inga, Hilgendorff, Anne, Flemmer, Andreas W., Herlenius, Eric, Legnevall, Lena, Lagercrantz, Hugo, Matthew, Derek, Amos, Wendy, Tulsiani, Suresh, Tan-Dy, Cherrie, Turner, Marilyn, Phelan, Constance, Shinwell, Eric S., Levine, Michael, Juster-Reicher, Ada, Khairy, May, Grier, Patricia, Vachon, Julie, Perepolkin, Larissa, Barrington, Keith J., Sinha, Sunil Kumar, Tin, Win, Fritz, Susan, Walti, Herve, Royer, Diane, Halliday, Henry, Millar, David, Mayes, Clifford, McCusker, Christopher, McLaughlin, Olivia, Fahnenstich, Hubert, Tillmann, Bettina, Weber, Peter, Wariyar, Unni, Embleton, Nicholas, Swamy, Ravi, Bucher, Hans U., Fauchere, Jean-Claude, Dietz, Vera, Harikumar, Chidambara, Anderson, Peter J., Asztalos, Elizabeth V., Davis, Peter G., Dewey, Deborah, Doyle, Lex W., Roberts, Robin S., Gent, Michael, Fraser, William, Hey, Edmund, Perlman, Max, Thorpe, Kevin, Gray, Shari, Chambers, Carole, Costantini, Lorrie, Yacura, Wendy, McGean, Erin, and Scapinello, Lori

Published
2015
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22. Social Variables Predict Gains in Cognitive Scores across the Preschool Years in Children with Birth Weights 500 to 1250 Grams

Author

Schmidt, Barbara, D'Ilario, Judy, Cairnie, Janice, Dix, Joanne, Anne Adams, Beth, Warriner, Erin, Kim, Mee-Hai Marie, Anderson, Peter, Davis, Peter, Doyle, Lex, Argus, Brenda, Callanan, Catherine, Davis, Noni, Duff, Julianne, McDonald, Marion, Asztalos, Elizabeth, Hohn, Denise, Lacy, Maralyn, Haslam, Ross, Barnett, Christopher, Goodchild, Louise, Lontis, Rosslyn Marie, Fraser, Simon, Keng, Julie, Saunders, Kerryn, Opie, Gillian, Kelly, Elaine, Woods, Heather, Marchant, Emma, Turner, Anne-Marie, Magrath, Emma, Williamson, Amanda, Bairam, Aida, Bélanger, Sylvie, Fraser, Annie, Blayney, Marc, Lemyre, Brigitte, Frank, Jane, Solimano, Alfonso, Synnes, Anne, Grunau, Ruth E., Hubber-Richard, Philippa, Rogers, Marilyn, Mackay, Margot, Petrie-Thomas, Julianne, Butt, Arsalan, van Wassenaer, Aleid, Nuytemans, Debbie, Houtzager, Bregje, van Sonderen, Loekie, Regev, Rivka, Itzchack, Netter, Arnon, Shmuel, Chalaf, Adiba, Ohlsson, Arne, O'Brien, Karel, Hamilton, Anne-Marie, Chan, May Lee, Sankaran, Koravangattu, Proctor, Pat, Golan, Agneta, Goldsch-Lerman, Esther, Reynolds, Graham, Dromgool, Barbara, Meskell, Sandra, Parr, Vanessa, Maher, Catherine, Broom, Margaret, Kecskes, Zsuzsoka, Ringland, Cathy, McMillan, Douglas, Spellen, Elizabeth, Sauve, Reginald S., Christianson, Heather, Anseeuw-Deeks, Deborah, Creighton, Dianne, Heath, Jennifer, Alvaro, Ruben, Chiu, Aaron, Porter, Ceceile, Turner, Gloria, Moddemann, Diane, Granke, Naomi, Penner, Karen, Bow, Jane, Mulder, Antonius, Wassenberg, Renske, van der Hoeven, Markus, Clarke, Maxine, Parfitt, Judy, Parker, Kevin, Nwaesei, Chukwuma, Ryan, Heather, Saunders, Cory, Schulze, Andreas, Wermuth, Inga, Hilgendorff, Anne, Flemmer, Andreas W., Herlenius, Eric, Legnevall, Lena, Lagercrantz, Hugo, Matthew, Derek, Amos, Wendy, Tulsiani, Suresh, Tan-Dy, Cherrie, Turner, Marilyn, Phelan, Constance, Shinwell, Eric S., Levine, Michael, Juster-Reicher, Ada, Khairy, May, Grier, Patricia, Vachon, Julie, Perepolkin, Larissa, Barrington, Keith J., Sinha, Sunil Kumar, Tin, Win, Fritz, Susan, Walti, Herve, Royer, Diane, Halliday, Henry, Millar, David, Mayes, Clifford, McCusker, Christopher, McLaughlin, Olivia, Fahnenstich, Hubert, Tillmann, Bettina, Weber, Peter, Wariyar, Unni, Embleton, Nicholas, Swamy, Ravi, Bucher, Hans U., Fauchere, Jean-Claude., Dietz, Vera, Harikumar, Chidambara, Anderson, Peter J., Asztalos, Elizabeth V., Davis, Peter G., Dewey, Deborah, Doyle, Lex W., Roberts, Robin S., Gent, Michael, Fraser, William, Hey, Edmund, Perlman, Max, Thorpe, Kevin, Gray, Shari, Chambers, Carole, Costantini, Lorrie, Yacura, Wendy, McGean, Erin, Scapinello, Lori, Manley, Brett J., Böhm, Birgitta, and van Wassenaer-Leemhuis, Aleid G.

Published
2015
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26. Transcutaneous CO 2 Monitoring in Extremely Low Birth Weight Premature Infants.

Author

Borenstein-Levin, Liron, Avishay, Noa, Soffer, Orit, Arnon, Shmuel, Riskin, Arieh, Dinur, Gil, Lavie-Nevo, Karen, Gover, Ayala, Kugelman, Amir, and Hochwald, Ori

Subjects
VERY low birth weight, PREMATURE infants, PREMATURE labor, WEIGHT in infancy, CARBON dioxide
Abstract

Extremely low birth weight (ELBW) premature infants are particularly susceptible to hypocarbia and hypercarbia, which are associated with brain and lung morbidities. Transcutaneous CO2 (TcCO2) monitoring allows for continuous non-invasive CO2 monitoring during invasive and non-invasive ventilation and is becoming more popular in the NICU. We aimed to evaluate the correlation and agreement between CO2 levels measured by a TcCO2 monitor and blood gas CO2 (bgCO2) among ELBW infants. This was a prospective observational multicenter study. All infants < 1000 g admitted to the participating NICUs during the study period were monitored by a TcCO2 monitor, if available. For each bgCO2 measured, a simultaneous TcCO2 measurement was documented. In total, 1828 pairs of TcCO2–bgCO2 values of 94 infants were collected, with a median (IQR) gestational age of 26.4 (26.0, 28.3) weeks and birth weight of 800 (702, 900) g. A moderate correlation (Pearson: r = 0.64) and good agreement (bias (95% limits of agreement)):(2.9 [−11.8, 17.6] mmHg) were found between the TcCO2 and bgCO2 values in the 25–70 mmHg TcCO2 range. The correlation between the TcCO2 and bgCO2 trends was moderate. CO2 measurements by TcCO2 are in good agreement (bias < 5 mmHg) with bgCO2 among premature infants < 1000 g during the first week of life, regardless of day of life, ventilation mode (invasive/non-invasive), and sampling method (arterial/capillary/venous). However, wide limits of agreement and moderate correlation dictate the use of TcCO2 as a complementary tool to blood gas sampling, to assess CO2 levels and trends in individual patients. [ABSTRACT FROM AUTHOR]

Published
2023
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31. Bloody Amniotic Fluid and Neonatal Outcomes.

Author

Schreiber, Hanoch, Cohen, Gal, Shalev-Ram, Hila, Farladansky-Gershnabel, Sivan, Weitzner, Omer, Biron-Shental, Tal, Kovo, Michal, Arnon, Shmuel, and Markovitch, Ofer

Subjects
FETAL heart rate, NEONATAL intensive care, MULTIPLE regression analysis, MULTIVARIATE analysis, ABRUPTIO placentae, AMNIOTIC liquid, HEALTH outcome assessment, NEONATAL intensive care units, PREGNANCY outcomes, RISK assessment, PREGNANCY complications, CESAREAN section, ODDS ratio, WOMEN'S health, DISEASE risk factors
Abstract

Information on the effect of bloody amniotic fluid during labor at term is scarce. This study assessed risk factors and adverse outcomes in labors with bloody amniotic fluid. During the six years of this study, all nulliparas in our institution, with a trial of labor, were included. Multiple pregnancies and preterm deliveries were excluded. Outcomes were compared between the bloody amniotic fluid group and the clear amniotic fluid group. Overall, 11,252 women were included. Among them, 364 (3.2%) had bloody amniotic fluid and 10,888 (96.7%) had clear amniotic fluid. Women in the bloody amniotic fluid group were characterized by shorter duration of the second stage and higher rate of cesarean section due to non-reassuring fetal heart rate. In addition, there were higher rates of low cord pH (<7.1) and NICU admissions in the bloody amniotic fluid group. In multivariate logistic regression analysis, cesarean delivery, cord blood pH < 7.1, and NICU admission were independently associated with increased odds ratio for bloody amniotic fluid. Bloody amniotic fluid at term is associated with adverse outcomes and must be considered during labor. [ABSTRACT FROM AUTHOR]

Published
2023
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34. Short-term Music Therapy for Families With Preterm Infants: A Randomized Trial

Author

Gaden, Tora Söderström, primary, Ghetti, Claire, additional, Kvestad, Ingrid, additional, Bieleninik, Łucja, additional, Stordal, Andreas Størksen, additional, Assmus, Jörg, additional, Arnon, Shmuel, additional, Elefant, Cochavit, additional, Epstein, Shulamit, additional, Ettenberger, Mark, additional, Lichtensztejn, Marcela, additional, Lindvall, Merethe Wolf, additional, Mangersnes, Julie, additional, Røed, Catharina Janner, additional, Vederhus, Bente Johanne, additional, and Gold, Christian, additional

Published
2022
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37. Association between Intermittent Hypoxemia and Severe Bronchopulmonary Dysplasia in Preterm Infants

Author

Jensen, Erik A., primary, Whyte, Robin K., additional, Schmidt, Barbara, additional, Bassler, Dirk, additional, Vain, Nestor E., additional, Roberts, Robin S., additional, Shah, Prakesh, additional, Brown, Leanne, additional, Wenger, Lisa, additional, Frye, Samantha, additional, Imbesi, Francesca, additional, Kelly, Edmond, additional, D’Ilario, Judy, additional, Roy, Madan, additional, Dix, Joanne, additional, Adams, Beth, additional, Cairnie, Janice, additional, Gillie, Patrice, additional, Asztalos, Elizabeth V., additional, Hyndman, Marilyn, additional, Lacy, Maralyn, additional, Hohn, Denise, additional, Kruk, Laura Cooper, additional, Abbasi, Soraya, additional, Mancini, Toni, additional, Sivieri, Emidio, additional, Finnegan, Kathleen, additional, Bairam, Aida, additional, Bélanger, Sylvie, additional, Deschenes, Marianne, additional, Fraser, Annie, additional, Harrold, JoAnn, additional, Frank, Jane, additional, Barden, Julie, additional, Vincer, Michael, additional, Stone, Sharon, additional, Rabi, Yacov, additional, Sauve, Reg, additional, Cyr, Danielle, additional, Christianson, Heather, additional, Anseeuw-Deeks, Deborah, additional, Creighton, Dianne, additional, Solimano, Alfonso, additional, Colby, Lindsay, additional, Butt, Arsalan, additional, Synnes, Anne, additional, Peterson, Meredith, additional, Chaudhary, Aasma, additional, Hurt, Hallam, additional, Foy, Danielle, additional, Ziolkowski, Kristina, additional, Gerdes, Marsha, additional, Bernbaum, Judy, additional, Peliowski, Abraham, additional, Kumar, Manoj, additional, Hendson, Leonora, additional, Athaide, Melba, additional, Tomlinson, Jill, additional, Poets, Christian F., additional, Armbruster, Jutta, additional, Garcia, Cecilia, additional, DiGruccio, Vanesa, additional, Tamanaha, Fernanda, additional, Jacobi, Noemí, additional, Garcia, Silvia, additional, Vivas, Norma, additional, Osio, Cristina, additional, Sridhar, Shanthy, additional, Parekh, Aruna, additional, McGovern, Rose, additional, Arnon, Shmuel, additional, Meyer, Michelle, additional, Poller, Rachel, additional, Ali, Nabeel, additional, Khairy, May, additional, Paquet, Isabelle, additional, Perepolkin, Larissa, additional, Grier, Patricia, additional, Wali, Sadia, additional, Seshia, Mary, additional, Moddemann, Diane, additional, Minski, John, additional, Cook, Valerie, additional, Kwiatkowski, Kim, additional, Penner, Karen A. H., additional, Williams, Debbie, additional, Givelichian, Laurentiu, additional, Sankaran, Koravangattu, additional, Thiel, Cindy, additional, Bader, David, additional, Sandler, Bella, additional, Chiu, Aaron, additional, Everatt, Dayle, additional, Granke, Naomi, additional, Golan, Agneta, additional, Goldstein, Esther, additional, Dadoun, Shlomith, additional, Vikevainen, Riitta, additional, Kallankari, Hanna, additional, Kaukola, Tuula, additional, Hallman, Mikko, additional, Barrington, Keith, additional, Lavoie, Julie, additional, Fraser, William, additional, Davis, Deborah J., additional, Wells, George, additional, Costantini, Lorrie, additional, Yacura, Wendy, additional, Gent, Bronwyn, additional, and Nelson, Harvey, additional

Published
2021
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38. Predicting severe motor impairment in preterm children at age 5 years

Author

Synnes, Anne, Anderson, Peter J, Grunau, Ruth E, Dewey, Deborah, Moddemann, Diane, Tin, Win, Davis, Peter G, Doyle, Lex W, Foster, Gary, Khairy, May, Nwaesei, Chukwuma, Schmidt, Barbara, DʼIlario, Judy, Cairnie, Janice, Dix, Joanne, Adams, Beth Anne, Warriner, Erin, Kim, Mee-Hai Marie, Argus, Brenda, Callanan, Catherine, Davis, Noni, Duff, Julianne, McDonald, Marion, Asztalos, Elizabeth, Hohn, Denise, Lacy, Maralyn, Haslam, Ross, Barnett, Christopher, Goodchild, Louise, Lontis, Rosslyn Marie, Fraser, Simon, Keng, Julie, Saunders, Kerryn, Opie, Gillian, Kelly, Elaine, Woods, Heather, Marchant, Emma, Turner, Anne-Marie, Magrath, Emma, Williamson, Amanda, Bairam, Aida, Bélanger, Sylvie, Fraser, Annie, Blayney, Marc, Lemyre, Brigitte, Frank, Jane, Solimano, Alfonso, Hubber-Richard, Philippa, Rogers, Marilyn, Mackay, Margot, Petrie-Thomas, Julianne, Butt, Arsalan, van Wassenaer, Aleid, Nuytemans, Debbie, Houtzager, Bregje, van Sonderen, Loekie, Regev, Rivka, Itzchack, Netter, Arnon, Shmuel, Chalaf, Adiba, Ohlsson, Arne, OʼBrien, Karel, Hamilton, Anne-Marie, Chan, May Lee, Sankaran, Koravangattu, Proctor, Pat, Golan, Agneta, Goldsch-Lerman, Esther, Reynolds, Graham, Dromgool, Barbara, Meskell, Andra, Parr, Vanessa, Maher, Catherine, Broom, Margaret, Kecskes, Zsuzsoka, Ringland, Cathy, McMillan, Douglas, Spellen, Elizabeth, Sauve, Reginald S, Christianson, Heather, Anseeuw-Deeks, Deborah, Creighton, Dianne, Heath, Jennifer, Alvaro, Ruben, Chiu, Aaron, Porter, Ceceile, Turner, Gloria, Granke, Naomi, Penner, Karen, Bow, Jane, Mulder, Antonius, Wassenberg, Renske, van der Hoeven, Markus, Clarke, Maxine, Parfitt, Judy, Parker, Kevin, Ryan, Heather, Saunders, Cory, Schulze, Andreas, Wermuth, Inga, Hilgendorff, Anne, Flemmer, Andreas W, Herlenius, Eric, Legnevall, Lena, Lagercrantz, Hugo, Matthew, Derek, Amos, Wendy, Tulsiani, Suresh, Tan-Dy, Cherrie, Turner, Marilyn, Phelan, Constance, Shinwell, Eric S, Levine, Michael, Juster-Reicher, Ada, Grier, Patricia, Vachon, Julie, Perepolkin, Larissa, Barrington, Keith J, Sinha, Sunil Kumar, Fritz, Susan, Walti, Herve, Royer, Diane, Halliday, Henry, Millar, David, Mayes, Clifford, McCusker, Christopher, McLaughlin, Olivia, Fahnenstich, Hubert, Tillmann, Bettina, Weber, Peter, Wariyar, Unni, Embleton, Nicholas, Swamy, Ravi, Bucher, Hans U, Fauchere, Jean-Claude, Dietz, Vera, Harikumar, Chidambara, Anderson, Peter J, Asztalos, Elizabeth V, Barrington, Keith J, Davis, Peter G, Doyle, Lex W, Ohlsson, Arne, Solimano, Alfonso, Gent, Michael, Fraser, William, Hey, Edmund, Thorpe, Kevin, Gray, Shari, Roberts, Robin S, Chambers, Carole, Costantini, Lorrie, Yacura, Wendy, McGean, Erin, and Scapinello, Lori

Published
2015
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43. Social Variables Predict Gains in Cognitive Scores across the Preschool Years in Children with Birth Weights 500 to 1250 Grams

Author

Manley, Brett J., Roberts, Robin S., Doyle, Lex W., Schmidt, Barbara, Anderson, Peter J., Barrington, Keith J., Böhm, Birgitta, Golan, Agneta, van Wassenaer-Leemhuis, Aleid G., Davis, Peter G., Schmidt, Barbara, DʼIlario, Judy, Cairnie, Janice, Dix, Joanne, Adams, Beth Anne, Warriner, Erin, Kim, Mee-Hai Marie, Anderson, Peter, Davis, Peter, Doyle, Lex, Argus, Brenda, Callanan, Catherine, Davis, Noni, Duff, Julianne, McDonald, Marion, Asztalos, Elizabeth, Hohn, Denise, Lacy, Maralyn, Haslam, Ross, Barnett, Christopher, Goodchild, Louise, Lontis, Rosslyn Marie, Fraser, Simon, Keng, Julie, Saunders, Kerryn, Opie, Gillian, Kelly, Elaine, Woods, Heather, Marchant, Emma, Turner, Anne-Marie, Magrath, Emma, Williamson, Amanda, Bairam, Aida, Bélanger, Sylvie, Fraser, Annie, Blayney, Marc, Lemyre, Brigitte, Frank, Jane, Solimano, Alfonso, Synnes, Anne, Grunau, Ruth E., Hubber-Richard, Philippa, Rogers, Marilyn, Mackay, Margot, Petrie-Thomas, Julianne, Butt, Arsalan, van Wassenaer, Aleid, Nuytemans, Debbie, Houtzager, Bregje, van Sonderen, Loekie, Regev, Rivka, Itzchack, Netter, Arnon, Shmuel, Chalaf, Adiba, Ohlsson, Arne, OʼBrien, Karel, Hamilton, Anne-Marie, Chan, May Lee, Sankaran, Koravangattu, Proctor, Pat, Goldsch-Lerman, Esther, Reynolds, Graham, Dromgool, Barbara, Meskell, Sandra, Parr, Vanessa, Maher, Catherine, Broom, Margaret, Kecskes, Zsuzsoka, Ringland, Cathy, McMillan, Douglas, Spellen, Elizabeth, Sauve, Reginald S., Christianson, Heather, Anseeuw-Deeks, Deborah, Creighton, Dianne, Heath, Jennifer, Alvaro, Ruben, Chiu, Aaron, Porter, Ceceile, Turner, Gloria, Moddemann, Diane, Granke, Naomi, Penner, Karen, Bow, Jane, Mulder, Antonius, Wassenberg, Renske, van der Hoeven, Markus, Clarke, Maxine, Parfitt, Judy, Parker, Kevin, Nwaesei, Chukwuma, Ryan, Heather, Saunders, Cory, Schulze, Andreas, Wermuth, Inga, Hilgendorff, Anne, Flemmer, Andreas W., Herlenius, Eric, Legnevall, Lena, Lagercrantz, Hugo, Matthew, Derek, Amos, Wendy, Tulsiani, Suresh, Tan-Dy, Cherrie, Turner, Marilyn, Phelan, Constance, Shinwell, Eric S., Levine, Michael, Juster-Reicher, Ada, Khairy, May, Grier, Patricia, Vachon, Julie, Perepolkin, Larissa, Barrington, Keith J., Sinha, Sunil Kumar, Tin, Win, Fritz, Susan, Walti, Herve, Royer, Diane, Halliday, Henry, Millar, David, Mayes, Clifford, McCusker, Christopher, McLaughlin, Olivia, Fahnenstich, Hubert, Tillmann, Bettina, Weber, Peter, Wariyar, Unni, Embleton, Nicholas, Swamy, Ravi, Bucher, Hans U., Fauchere, Jean-Claude., Dietz, Vera, Harikumar, Chidambara, Asztalos, Elizabeth V., Dewey, Deborah, Moddemann, Diane, Gent, Michael, Fraser, William, Hey, Edmund, Perlman, Max, Thorpe, Kevin, Gray, Shari, Chambers, Carole, Costantini, Lorrie, Yacura, Wendy, McGean, Erin, and Scapinello, Lori

Published
2015
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45. Early physical activity intervention prevents decrease of bone strength in very low birth weight infants

Author

Litmanovitz, Ita, Dolfin, Tzipora, Friedland, Orit, Arnon, Shmuel, Regev, Rivka, Shainkin-Kestenbaum, Ruth, Lis, Monika, and Eliakim, Alon

Subjects
Birth weight, Low -- Health aspects, Bone diseases -- Risk factors
Abstract

Objective. To evaluate the effect of early range-of-motion intervention on bone strength and bone turnover in very low birth weight infants. Methods. Twenty-four infants (mean birth weight: 1135 [+ or -] 247 g; mean gestational age: 28.5 [+ or -] 2.3 weeks) were matched for gestational age and birth weight and then randomly assigned into exercise (n = 12) and control (n = 12) groups. Exercise protocol started at the first week of life and involved daily extension and flexion range of motion against passive resistance of the upper and lower extremities (5 minutes per day, 5 days per week, 4 weeks). Growth parameters, bone strength, and biochemical markers of bone homeostasis were measured at enrollment and after 4 weeks. Bone strength was determined using quantitative ultrasound measurement of bone speed of sound (SOS) at the middle left tibial shaft. Results. Bone SOS decreased significantly in the control group during the study period (from 2892 [+ or -] 30 m/sec to 2799 [+ or -] 26), whereas bone SOS of the exercise group remained stable (2825 [+ or -] 32 m/sec and 2827 [+ or -] 26 m/sec at baseline and 4 weeks, respectively). This significant difference in bone SOS was not expressed in the biochemical markers of bone homeostasis. Conclusions. There is a significant postnatal decrease in the bone SOS of very low birth weight infants. A brief range-of-motion exercise attenuates the decrease in bone strength and may decrease the risk of osteopenia. Pediatrics 2003;112:15-19; premature, osteopenia, exercise, quantitative ultrasound, speed of sound., ABBREVIATIONS. VLBW, very low birth weight; DEXA, dual-energy x-ray absorptiometry; QUS, quantitative ultrasound; SOS, speed of sound; BSAP, bone-specific alkaline phosphate; ICTP, carboxy terminal cross-links telopeptide of type-I collagen; CV, [...]

Published
2003

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