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Article Dans Une Revue Frontiers in Pediatrics Année : 2022

Nutritional status at age 1 year in patients born with esophageal atresia: A population-based, prospective cohort study

1 INFINITE - Institute for Translational Research in Inflammation - U 1286
2 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
3 Hôpital Necker - Enfants Malades [AP-HP]
4 AP-HP Hôpital universitaire Robert-Debré [Paris]
5 HCL - Hospices Civils de Lyon
6 CHU Marseille
7 CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
8 CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
9 BPH - Bordeaux population health
10 CHU Bordeaux
11 CHU Trousseau [APHP]
12 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
13 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
14 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
15 CHU Montpellier
16 CHU Rouen
17 BB - Biomatériaux et Bioingénierie
18 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
19 Unité fonctionnelle de la plateforme d’aide à la recherche clinique - ESPRI-Biobase [CHRU Nancy]
20 CHU Reims - Hôpital universitaire Robert Debré [Reims]
21 CHR La réunion
22 CHU Dijon
23 CHU Amiens-Picardie
24 CHU Angers - Centre Hospitalier Universitaire d'Angers
25 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
26 CHU Caen
27 CHRU Besançon - Centre Hospitalier Régional Universitaire de Besançon
28 CHU Clermont-Ferrand
29 CHU de Poitiers [La Milétrie] - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
30 CHU ST-E - Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
31 CHU de la Martinique [Fort de France]
32 CHU Nice - Centre Hospitalier Universitaire de Nice
33 CHU Henri Mondor [Créteil]
34 CHU Limoges
35 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
36 CHRO - Centre Hospitalier Régional d'Orléans
37 Centre Hospitalier Le Mans (CH Le Mans)
38 CH Colmar
39 CHU Pointe-à-Pitre / Abymes [Guadeloupe]
Nicoleta Panait
  • Fonction : Auteur
Hossein Allal
  • Fonction : Auteur
Frédéric Elbaz
  • Fonction : Auteur
Jean-Luc Michel
  • Fonction : Auteur
Thierry Petit
  • Fonction : Auteur
Céline Grossos
  • Fonction : Auteur
Stephan Geiss
  • Fonction : Auteur

Résumé

Objective Despite recent progress in caring for patients born with esophageal atresia (EA), undernutrition and stunting remain common. Our study objective was to assess nutritional status in the first year after birth with EA and to identify factors associated with growth failure. Study design We conducted a population-based study of all infants born in France with EA between 2010 and 2016. Through the national EA register, we collected prenatal to 1 year follow-up data. We used body mass index and length-for-age ratio Z scores to define patients who were undernourished and stunted, respectively. Factors with P < 0.20 in univariate analyses were retained in a logistic regression model. Results Among 1,154 patients born with EA, body mass index and length-for-age ratio Z scores at 1 year were available for about 61%. Among these, 15.2% were undernourished and 19% were stunted at the age of 1 year. There was no significant catch-up between ages 6 months and 1 year. Patients born preterm (41%), small for gestational age (17%), or with associated abnormalities (55%) were at higher risk of undernutrition and stunting at age 1 year ( P < 0.05). Neither EA type nor surgical treatment was associated with growth failure. Conclusion Undernutrition and stunting are common during the first year after birth in patients born with EA. These outcomes are significantly influenced by early factors, regardless of EA type or surgical management. Identifying high-risk patient groups with EA (i.e., those born preterm, small for gestational age, and/or with associated abnormalities) may guide early nutritional support strategies.
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hal-03781470 , version 1 (20-09-2022)

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Suzanne Depoortere, Alexandre Lapillonne, Rony Sfeir, Arnaud Bonnard, Thomas Gelas, et al.. Nutritional status at age 1 year in patients born with esophageal atresia: A population-based, prospective cohort study. Frontiers in Pediatrics, 2022, ⟨10.3389/fped.2022.969617⟩. ⟨hal-03781470⟩
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