title: Fluid and electrolyte intake during the first week of life in preterm infants receiving parenteral nutrition according current guidelines.
abstract: There is growing evidence that early water and electrolyte homeostasis may be influenced by energy balance in preterm infants. Some fluid and electrolyte disturbances of postnatal life could be in part promoted by the catabolism due to withheld amino acid and energy supply after birth. According to current guidelines parenteral nutrition with relatively high protein and lipid needs is commenced on day one. By turning the nitrogen balance from negative to zero or even positive, amino acid administration could also minimize the occurrence of water and ions disturbances after birth especially in extremely preterm infants. Future researches are needed in order to further investigate the impact of amino acid and energy intake on early fluid balance in preterm infants.
authors.affiliation: Neonatall Intensive Care Unit, Department of Pediatrics, Dijon University Hospital, France.
authors.forename: S
authors.initials: S
authors.lastname: Iacobelli
authors.forename: F
authors.initials: F
authors.lastname: Bonsante
authors.forename: J B
authors.initials: JB
authors.lastname: Gouyon
mesh_terms: D000596:Amino Acids / Q000008:administration & dosage; D004435:Eating; D004734:Energy Metabolism; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology / Q000517:prevention & control; D041943:Infant Formula; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature / Q000378:metabolism*; D007235:Infant, Premature, Diseases / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D007236:Infant, Small for Gestational Age; D009751:Nutritional Requirements; D010288:Parenteral Nutrition / Q000009:adverse effects; D057947:Parenteral Nutrition Solutions / Q000008:administration & dosage* / Q000009:adverse effects / Q000737:chemistry; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D014867:Water / Q000008:administration & dosage; D014882:Water-Electrolyte Balance; D014883:Water-Electrolyte Imbalance / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000596:Amino Acids; D057947:Parenteral Nutrition Solutions; D014867:Water