Early Nutrition and Heart Structure and Function in Preterm Infants During the First Year of Life
Study the Association of Early Nutritional Exposure With Cardiac Structure and Function in Preterm Infants During the First Year of Life: A Prospective Study
1 other identifier
observational
117
0 countries
N/A
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2026
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 17, 2026
CompletedFirst Posted
Study publicly available on registry
October 23, 2026
CompletedStudy Start
First participant enrolled
December 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
Study Completion
Last participant's last visit for all outcomes
December 30, 2027
October 23, 2026
October 1, 2026
1 year
October 17, 2026
October 17, 2026
Conditions
Keywords
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
- 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
- Group 3: includes preterm infants how receive breast feeding.
Echocardiography is performed at Birth , 6 months and after 12 months corrected age
-Group 4: includes preterm infants who receive artificial feeding.
Echocardiography is performed at Birth , 6 months and after 12 months corrected age
- 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
Interventions
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.
Eligibility Criteria
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.
PMID: 23446896RESULTKumar 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.
PMID: 28603716RESULTMarkopoulou 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.
PMID: 30992219RESULTCrump 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.
PMID: 33818601RESULTAye 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.
PMID: 28399117RESULTSchubert 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.
PMID: 27156903RESULTHamayun 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.
PMID: 34207785RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
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