Abstract
Advances in neonatal intensive care have resulted in increasing survival of very small babies, who often require prolonged periods of mechanical ventilation. These babies have limited nutritional reserves, and are difficult to feed by either parenteral or enteral routes. This review article discusses the interaction between undernutrition and respiratory muscle function in the critically ill preterm baby.
Similar content being viewed by others
References
Roussos C, Macklem PT (1982) The respiratory muscles. N Engl J Med 307:786–797
Lewis MI, Belman MJ (1988) Nutrition and the respiratory muscles. Clin Chest Med 9:337–348
Wilson DC, McClure G, Halliday HL, Reid MMcC, Dodge JA (1991) Nutrition and bronchopulmonary dysplasia. Arch Dis Child 66:37–38
Collaborative European Multicenter Study Group (1988) Surfactant replacement therapy for severe neonatal respiratory distress syndrome: An international randomized clinical trial. Pediatrics 82:683–691
Sittlington N, Tubman R, Halliday HL (1991) Surfactant replacement therapy for severe neonatal respiratory distress syndrome: implications for nursing care. Midwifery 7:20–24
Northway WJ, Rosan RC, Porter DY (1967) Pulmonary disease following respirator therapy of hyaline membrane disease: bronchopulmonary dysplasia. N Engl J Med 276:357–368
Bancalari E, Gerhardt T (1986) Bronchopulmonary dysplasia. Pediatr Clin North Am 33:1–23
Knisely AS, Leal SM, Singer DB (1988) Abnormalities of diaphragmatic muscle in neonates with ventilated lungs. J Pediatr 113:1074–1077
O'Brien MJ, Van Eykern LA, Oetomo SB, Van Vught HAJ (1987) Transcutaneous respiratory electromyographic monitoring. Crit Care Med 15:294–299
Driver AG, Le Brun M (1990) Iatrogenic malnutrition in patients receiving ventilatory support. JAMA 244:2195–2196
Bassili HR, Deitel M (1981) Effect of nutritional support on weaning patients off mechanical ventilators. JPEN 5:161–163
Keens TG, Bryan AC, Levison H, Ianuzzo CD (1978) Developmental pattern of muscle fiber types in human ventilatory muscles. J Appl Physiol 44:909–913
Muller N, Gulston G, Cade D, Whitton J, Froese AB, Bryan MH, Bryan AC (1979) Diaphragmatic muscle fatigue in the newborn. J Appl Physiol 44:688–695
Malsch E (1978) Maximal inspiratory force in infants and children. Southern Med J 71:428–429
Schardonofsky FR, Perez-Chada D, Carmuega E, Millic-Emili J (1989) Airway pressures during crying in healthy infants. Pediatr Pulmonol 6:14–18
Carlo WA, Martin RJ, Abboud EF, Bruce EN, Strohl KP (1983) Effect of sleep state and hypercapnia on alae nasi and diaphragm EMGs in preterm infants. J Appl Physiol 54:1590–1596
Chambille B, Vardon G, Monrigal JP, Dehan M, Gaultier C (1989) Technique of on-line analysis of diaphragmatic electromyogram activity in the newborn. Eur Respir J 2:883–886
Guslits BG, Gaston SE, Bryan MH, England SJ, Bryan AC (1987) Diaphragmatic work of breathing in premature human infants. J Appl Physiol 62:1410–1415
ESPGAN Committee on Nutrition of the Preterm Infant (1987). Nutrition and feeding of preterm infants. Acta Paediatr Scand [Suppl] 336:1–14
Frank L (1988). Nutrition: influence on lung growth, injury and repair, and development of bronchopulmonary dysplasia. In: Bancalari E, Stocker JT (eds) Bronchopulmonary dysplasia. Hemisphere, New York, pp 78–108
Weinstein MR, Oh W (1981) Oxygen consumption in infants with bronchopulmonary dysplasia. J Pediatr 99:958–961
Goldman SL, Hirata T (1980) Attenuated response to insulin in very low birth weight infants. Pediatr Res 14:50–53
Friedman Z, Marks KM, Maisels MJ, Thorson R, Naeye R (1978) Effect of parenteral fat emulsion on the pulmonary and reticuloedothelial systems in the newborn infant. Pediatrics 61:694–698
Andrew G, Chan G, Schiff D (1976) Lipid metabolism in the neonate II. The effect of intralipid on bilirubin binding in vitro and in vivo. J Pediatr 88:279–284
Saini J, MacMahon P, Morgan JB, Kovar IZ (1989) Early parenteral feeding of amino acids. Arch Dis Child 64:1362–1366
Lucas A (1986) Infant feeding. In: Roberton NRC (ed) Textbook of neonatology. Churchill Livingstone, Edingburgh, pp 178–192
Kalhan SG, Denne SC (1990) Energy consumption in infants with bronchopulmonary dysplasia. J Pediatr 116:662–664
Yeh TF, McClenan DA, Ajayi OA, Pildes RS (1989) Metabolic rate and energy balance in infants with bronchopulmonary dysplasia. J Pediatr 114:448–451
Kurzner SI, Garg M, Bautista DB, Bader D, Merritt RJ, Worburton D, Keens TG (1988) Growth failure in infants with bronchopulmonary dysplasia: nutrition and elevated resting metabolic expenditure. Pediatrics 81:379–384
Roberts SB, Coward WA, Schlingenseipen K-M, Nohria V, Lucas A (1986) Comparison of the doubly labelled water (2H2 18O) method with indirect calorimetry and a nutrient balance study for simultaneous determination of energy expenditure, water intake, and metabolizable energy intake in preterm infants. Am J Clin Nutr 44:315–322
Goldspink G, Ward PS (1979) Changes in rodent muscle fiber types during postnatal growth, undernutrition, and exercise. J Physiol 296:453–469
Kelsen SG, Ference M, Kapoor S (1985) Effects of prolonged under-nutrition on structure and function of the diagphragm. J Appl Physiol 58:1354–1359
Lopes J, Russell D McR, Whitewell J, Jeejeebhoy KN (1982) Skeletal muscle function in malnutrition. Am J Clin Nutr 36:602–610
Arora NS, Rochester DF (1982) Respiratory muscle strength and maximal voluntary ventilation in undernourished patients. Am Rev Respir Dis 126:5–8
Arora NS, Rochester DF (1982) Effects of bodyweight and muscularity on human diaphragm muscle mass, thickness, and area. J Appl Physiol 52:64–70
Wilson DO, Rogers RM, Sanders MH, Pennock BE, Reilly JJ (1986) Nutritional intervention in malnourished patients with emphysema. Am Rev Respir Dis 134:672–677
Aubier M, Murciano D, Lecocoguie J, Viires N, Jacgrens Y, Square P, Pariente R (1985) Effect of hypophosphataemia on diaphragmatic contractillity in patients with acute respiratory failure. N Engl J Med 313:420–424
Aubier M, Viires N, Piquet J, Murciano D, Blanchet F, Marty C, Gheradi R, Pariente R (1985) Effects of hypocalcaemia on diaphragmatic strength generation. J Appl Physiol 58:2054–2061
Molloy DW, Dhingra S, Solven F, Wilson A, McCarthy DS (1984) Hypomagnasaemia and respiratory muscle power. Am Rev Respir Dis 129:497–498
Glasgow JFT, Thomas PS (1977) Rachitic respiratory distress in small preterm infants. Arch Dis Child 52:268–273
Massaro D, Teich N, Maxwell S, Massaro GD, Whitney P (1985) Postnatal development of alveoli. J Clin Invest 76:1297–1305
Starker PM, Gump FE (1986) Nutrition and lung water. Clin Chest Med 7:127–130
Lucas A, Gore SM, Cole TJ, Bamford MF, Dossetor JFB, Barr I, Dicarlo L, Cork S, Lucas PJ (1984) Multicentre trial on feeding low birthweight infants: effects of diet on early growth. Arch Dis Child 59:722–730
Lucas A, Morley R, Cole TJ, Gore SM, Davis JA, Bamford MFM, Dossetor JFB (1989) Early diet in preterm babies and developmental status in infancy. Arch Dis Child 64:1570–1578
Swyer PR (1987) New perspectives in neonatal nutrition. Biol Neonate 52 [Suppl]: 4–16
Georgieff MK, Mills MM, Lindeke L, Iverson S, Johnson DE, Thompson TR (1989) Changes in nutritional management and outcome of very-low-birth-weight infants. Am J Dis Child 143:82–85
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wilson, D.C., McClure, G. & Dodge, J.A. The influence of nutrition on neonatal respiratory muscle function. Intensive Care Med 18, 105–108 (1992). https://doi.org/10.1007/BF01705042
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01705042