NCT07892209

Brief Summary

Preterm infants are babies born before 37 completed weeks of pregnancy. Early nutrition is important for their growth and development, and it may also be associated with how their heart develops and functions during infancy. This prospective observational study aims to investigate the association between early nutritional exposure during the neonatal period and cardiac structure and function at 12 months of corrected age in preterm infants. The study will be conducted at Assiut University Hospital and El-Eman General Hospital in Assiut, Egypt. Preterm infants born before 37 weeks of gestation who are admitted to the neonatal unit within 24 hours of birth, have adequate records of their nutritional intake, and whose parents provide written informed consent will be considered for participation. Infants with major congenital heart disease, known congenital cardiomyopathy, major genetic or chromosomal abnormalities, or other specified exclusion criteria will not be included. The study will collect information about maternal and neonatal characteristics, neonatal complications, feeding patterns, growth, and anthropometric measurements. Cardiac structure and function will be assessed using echocardiography at birth, 6 months, and approximately 12 months of corrected age. Growth measurements will also be recorded at different time points, including 12 months of corrected age. The study will compare cardiac measurements and growth outcomes among infants with different early nutritional exposures. It will also investigate which early nutritional and clinical factors are associated with left ventricular mass index at 12 months of corrected age. The findings may improve understanding of the relationship between early nutrition and cardiovascular development in preterm infants. Participation will involve clinical data collection, growth measurements, and echocardiographic assessments, with written informed consent obtained from parents or legal guardians.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
117

participants targeted

Target at P50-P75 for all trials

Timeline
13mo left

Started Dec 2026

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 17, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 23, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

December 1, 2026

Expected
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

29 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2027

Last Updated

October 23, 2026

Status Verified

October 1, 2026

Enrollment Period

1 year

First QC Date

October 17, 2026

Last Update Submit

October 17, 2026

Conditions

Keywords

nutritionpretermNICU admission

Outcome Measures

Primary Outcomes (1)

  • to investigate the association between early nutritional strategies and cardiac structure and function at 12 months of corrected age.

    one year old age of preterm infants

Secondary Outcomes (1)

  • comparing left ventricular mass index z-scores, other echocardiographic parameters, and anthropometric outcomes among feeding groups

    over one year period study

Study Arms (5)

- Group 1: Includes preterm Infants how receive early complementary feeding at 17 weeks.

Echocardiography is performed at Birth , 6 months and after 12 months corrected age

Diagnostic Test: echocardiography

- Group 2: includes preterm infants how receive late complementary feeding After 26 weeks.

Echocardiography is performed at Birth , 6 months and after 12 months corrected age

Diagnostic Test: echocardiography

- Group 3: includes preterm infants how receive breast feeding.

Echocardiography is performed at Birth , 6 months and after 12 months corrected age

Diagnostic Test: echocardiography

-Group 4: includes preterm infants who receive artificial feeding.

Echocardiography is performed at Birth , 6 months and after 12 months corrected age

Diagnostic Test: echocardiography

- Group 5: includes preterm infants who receive both breast and artificial feeding.

Echocardiography is performed at Birth , 6 months and after 12 months corrected age

Diagnostic Test: echocardiography

Interventions

echocardiographyDIAGNOSTIC_TEST

Echocardiography is performed at Birth , 6 months and after 12 months corrected age (±2 weeks) by a single trained pediatric cardiologist blinded to the feeding group. The following parameters will be reported: * Cardiac structure: LV end-diastolic and end-systolic dimensions, septal and posterior wall thickness, LV mass index, relative wall thickness, LV sphericity index, left atrial size, RV basal dimension, and aortic root. * Cardiac function: LV ejection fraction, and global longitudinal strain; mitral E/A, septal and lateral e', E/e', and IVRT; TAPSE, tricuspid S', RV fractional area change, and RV free-wall strain; pulmonary acceleration time, and septal configuration. Note any PFO or PDA is incidental finding.

- Group 1: Includes preterm Infants how receive early complementary feeding at 17 weeks.- Group 2: includes preterm infants how receive late complementary feeding After 26 weeks.- Group 3: includes preterm infants how receive breast feeding.- Group 5: includes preterm infants who receive both breast and artificial feeding.-Group 4: includes preterm infants who receive artificial feeding.

Eligibility Criteria

Age1 Year - 18 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodNon-Probability Sample
Study Population

Preterm infants at 1 year old age with past nutritional history avalible

You may qualify if:

  • Preterm infants born at \<37 weeks of gestation.
  • preterm Infants admitted to the neonatal unit within 24 hours of birth.
  • preterm Infants who have adequate records of nutritional intake during the neonatal period.
  • Parents provided a consent for participation.
  • preterm Infants available for follow-up echocardiographic assessment at 12 months corrected age.

You may not qualify if:

  • preterm Infants with major congenital heart disease or known congenital cardiomyopathy.
  • preterm Infants with major chromosomal, genetic abnormalities, congenital anomaly, or infections associated with or have potential for cardiac disease.
  • Inadequate nutritional records.
  • Refusal to provide written consent.
  • Lack of follow-up at one year.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (7)

  • Moyses HE, Johnson MJ, Leaf AA, Cornelius VR. Early parenteral nutrition and growth outcomes in preterm infants: a systematic review and meta-analysis. Am J Clin Nutr. 2013 Apr;97(4):816-26. doi: 10.3945/ajcn.112.042028. Epub 2013 Feb 27.

  • Kumar RK, Singhal A, Vaidya U, Banerjee S, Anwar F, Rao S. Optimizing Nutrition in Preterm Low Birth Weight Infants-Consensus Summary. Front Nutr. 2017 May 26;4:20. doi: 10.3389/fnut.2017.00020. eCollection 2017.

  • Markopoulou P, Papanikolaou E, Analytis A, Zoumakis E, Siahanidou T. Preterm Birth as a Risk Factor for Metabolic Syndrome and Cardiovascular Disease in Adult Life: A Systematic Review and Meta-Analysis. J Pediatr. 2019 Jul;210:69-80.e5. doi: 10.1016/j.jpeds.2019.02.041. Epub 2019 Apr 13.

  • Crump C, Groves A, Sundquist J, Sundquist K. Association of Preterm Birth With Long-term Risk of Heart Failure Into Adulthood. JAMA Pediatr. 2021 Jul 1;175(7):689-697. doi: 10.1001/jamapediatrics.2021.0131.

  • Aye CYL, Lewandowski AJ, Lamata P, Upton R, Davis E, Ohuma EO, Kenworthy Y, Boardman H, Wopperer S, Packham A, Adwani S, McCormick K, Papageorghiou AT, Leeson P. Disproportionate cardiac hypertrophy during early postnatal development in infants born preterm. Pediatr Res. 2017 Jul;82(1):36-46. doi: 10.1038/pr.2017.96. Epub 2017 May 24.

  • Schubert U, Muller M, Abdul-Khaliq H, Norman M. Preterm Birth Is Associated with Altered Myocardial Function in Infancy. J Am Soc Echocardiogr. 2016 Jul;29(7):670-8. doi: 10.1016/j.echo.2016.03.011. Epub 2016 May 4.

  • Hamayun J, Mohlkert LA, Stoltz Sjostrom E, Domellof M, Norman M, Zamir I. Association between Neonatal Intakes and Hyperglycemia, and Left Heart and Aortic Dimensions at 6.5 Years of Age in Children Born Extremely Preterm. J Clin Med. 2021 Jun 9;10(12):2554. doi: 10.3390/jcm10122554.

MeSH Terms

Conditions

Premature Birth

Interventions

Echocardiography

Condition Hierarchy (Ancestors)

Obstetric Labor, PrematureObstetric Labor ComplicationsPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital Diseases

Intervention Hierarchy (Ancestors)

Cardiac Imaging TechniquesDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisUltrasonographyHeart Function TestsDiagnostic Techniques, Cardiovascular

Central Study Contacts

ahmed elhady assuit university

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
resident

Study Record Dates

First Submitted

October 17, 2026

First Posted

October 23, 2026

Study Start (Estimated)

December 1, 2026

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 30, 2027

Last Updated

October 23, 2026

Record last verified: 2026-10