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Investigating the changes in amino acid values in premature infants: a pilot study

  • Yuqi Yang , Bin Yu , Wei Long , Huaiyan Wang , Ying Wang and Yunjuan Chen EMAIL logo
Published/Copyright: February 22, 2018

Abstract

Background:

The objective of the study was to investigate the changes in amino acid (AAs) values in premature infants.

Methods:

A total of 2159 premature and/or low birth weight infants were recruited for this study. They were divided into three groups: premature infants with normal birth weight (G1), simple low birth weight infants (G2) and premature combined with low birth weight infants (G3). The tandem mass spectrometry technique was used to detect the levels of 11 AAs in neonatal blood.

Results:

Compared with normal babies, there were eight and five AAs that significantly changed in G1 and G2, respectively. It was worth noting that the changes greatly exacerbated when the babies were both premature and of low birth weight. All the levels of AAs demonstrated significant changes in G3 compared with the normal control group (G4). With the increase in gestational age, the AAs in premature infants tended to the levels in normal newborns. Meanwhile, there was a correlation between AAs and birth weight. Four AAs significantly changed with the increase in body weight. Among normal newborns, the levels of AAs in girls were significantly higher than in boys. However, if the newborns were premature or had low birth weight, the differences between AA values and sexual distinction would decrease. In the end, we established the specific reference ranges of AAs for premature and/or low birth weight infants.

Conclusions:

There were significant differences in AAs in the premature and/or low birth weight infants. Gestational age and birth weight were two important factors inflecting the AAs metabolism.


Corresponding author: Prof. Yunjuan Chen, Changzhou Wujin District Maternal and Child Health Care and Family Planning Service Center, Changzhou 213003, Jiangsu Province, P.R. China
aYuqi Yang and Bin Yu contributed equally to this work.

Acknowledgments

We thank all the project participants for their contributions.

  1. Author contributions: Bin Yu, Yuqi Yang and Yujuan Chen carried out the assays and participated in designing the study. Bin Yu, Yuqi Yang, Huaiyan Wang and Ying Wang carried out clinical consultation. Yuqi Yang and Bin Yu carried out laboratory tests and performed the statistical analysis. Yujuan Chen conceived the study, participated in its design and coordination and helped draft the manuscript. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: This study was supported by grants from the key research and development plan project of Jiangsu Province (BE2017650), Changzhou science and technology support project (Social Development CE20175021), Jiangsu maternal and child health research project (F201671) and project funding for the training of high level health professionals in Changzhou (2016CZLJ013).

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2017-9-19
Accepted: 2018-1-18
Published Online: 2018-2-22
Published in Print: 2018-3-28

©2018 Walter de Gruyter GmbH, Berlin/Boston

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