Premature birth impacts bolus size and shape through nursing in infant pigs.
Premature birth impacts bolus size and shape through nursing in infant pigs.
复制标题
早产会通过哺乳影响小猪的食团大小和形状。
DOI:
10.1038/s41390-019-0624-0
复制
发表时间:
2020
影响因子:
3.6
通讯作者:
Gould,FrancoisDH
中科院分区:
文献类型:
--
作者:
Mayerl,ChristopherJ;Myrla,AlexisM;Bond,LauraE;Stricklen,BethanyM;German,RebeccaZ;Gould,FrancoisDH
BackgroundThe formation of a bolus of food is critical for proper feeding function, and there is substantial variation in the size and shape of a bolus prior to a swallow. Preterm infants exhibit decreased abilities to acquire and process food, but how that relates to their bolus size and shape is unknown. Here, we test two hypotheses: (1) that bolus size and shape will differ between term and preterm infants, and (2) bolus size and shape will change longitudinally through development in both term and preterm infants.MethodsTo test these hypotheses, we measured bolus size and shape in preterm and term infant pigs longitudinally through nursing using high-speed videofluoroscopy.ResultsPreterm infant pigs swallowed smaller volumes of milk. Although term infants increased the amount of milk per swallow as they aged, preterm infants did not. These changes in bolus volume were also correlated with changes in bolus shape; larger boluses became more elongate as they better filled the available anatomical space of the valleculae.ConclusionsThese results suggest that preterm birth reduces the ability of preterm pigs to increase bolus size as they grow, affecting development in this fragile population. These results highlight that studies on term infant feeding may not translate to preterm infants.