Effect of a light-darkness cycle on the body weight gain of preterm infants admitted to the neonatal intensive care unit
Por:
Sanchez-Sanchez, Manuel, Garcia, Teodoro L., Heredia, Donaji, Resendiz, Isaac, Cruz, Lorena, Santiago, Jacqueline, Rojas-Granados, Adelina, Ubaldo-Reyes, Laura, Perez-Campos-Mayoral, Laura, Perez-Campos, Eduardo, Vasquez, Gervacio S., Moguel, Juan M., Zarate, Romeo, Garcia, Oscar, Sanchez, Luisa, Torres, Fernando, Paz, Alberto, Elizarraras-Rivas, Jesus, Hernandez-Huerta, Maria T., Angeles-Castellanos, Manuel
Publicada:
20 oct 2022
Categoría:
Multidisciplinary
Resumen:
The Continuous bright light conditions to which premature infants are
subjected while hospitalized in Neonatal Intensive Care Units (NICU) can
have deleterious effects in terms of growth and development. This study
evaluates the benefits of a light/darkness cycle (LDC) in weight and
early hospital discharge from the NICU. Subjects were recruited from
three participating institutions in Mexico. Eligible patients (n = 294)
were premature infants who were hospitalized in the low-risk and
high-risk neonatal units classified as stable. The subjects randomized
to the experimental group (n = 150) were allocated to LDC conditions are
as follows: light from 07:00 to 19:00 and darkness (25 lx) from 19:00 to
07:00. The control group (n = 144) was kept under normal room light
conditions (CBL) 24 h a day. Main outcome was weight gain and the effect
of reducing the intensity of nocturnal light in development of premature
infants. Infants to the LDC gained weight earlier, compared with those
randomized to CBL, and had a significant reduction in length of hospital
stay. These results highlight those premature infants subjected to a LDC
exhibit improvements in physiological development, favoring earlier
weight gain and consequently a decrease in hospital stays.
ClinicalTrials.gov; 02/09/2020 ID: NCT05230706.
Filiaciones:
Sanchez-Sanchez, Manuel:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Division de Posgrado, Facultad de Odontología, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Garcia, Teodoro L.:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Faculty of Medicine and Surgery, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Heredia, Donaji:
Neonatology Department of the Superior Specialty Medical Unit, Hospital of Gynecology and Obstetrics N° 3. National Medical Center “La Raza”, Mexico City, Mexico
Resendiz, Isaac:
Pediatric Department and Family Medicine, General Hospital of Zone No 1 “Dr. Demetrio Mayoral Pardo” and Health Research Coordination Mexican Institute of Social Security, Oaxaca City, Mexico
Cruz, Lorena:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Santiago, Jacqueline:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Rojas-Granados, Adelina:
Departamento de Anatomía, Faculty of Medicine, Universidad Nacional Autónoma de México, Edificio B 4º Piso, DF, Mexico City, 04510, Mexico
Ubaldo-Reyes, Laura:
Departamento de Anatomía, Faculty of Medicine, Universidad Nacional Autónoma de México, Edificio B 4º Piso, DF, Mexico City, 04510, Mexico
Perez-Campos-Mayoral, Laura:
Faculty of Medicine and Surgery, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Perez-Campos, Eduardo:
Faculty of Medicine and Surgery, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Tecnológico Nacional de México, Campus Oaxaca, Oaxaca City, Mexico
Vasquez, Gervacio S.:
Departamento de Anatomía, Faculty of Medicine, Universidad Nacional Autónoma de México, Edificio B 4º Piso, DF, Mexico City, 04510, Mexico
Hospitales “Cruz Azul”, Lagunas, Oaxaca, Mexico
Moguel, Juan M.:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Pediatric Department and Family Medicine, General Hospital of Zone No 1 “Dr. Demetrio Mayoral Pardo” and Health Research Coordination Mexican Institute of Social Security, Oaxaca City, Mexico
Zarate, Romeo:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Garcia, Oscar:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Sanchez, Luisa:
Neonatology Department of the Superior Specialty Medical Unit, Hospital of Gynecology and Obstetrics N° 3. National Medical Center “La Raza”, Mexico City, Mexico
Torres, Fernando:
Pediatric Department and Family Medicine, General Hospital of Zone No 1 “Dr. Demetrio Mayoral Pardo” and Health Research Coordination Mexican Institute of Social Security, Oaxaca City, Mexico
Paz, Alberto:
Pediatric Division of the General Hospital “Dr. Aurelio Valdivieso”, Oaxaca City, Mexico
Elizarraras-Rivas, Jesus:
Faculty of Medicine and Surgery, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Pediatric Department and Family Medicine, General Hospital of Zone No 1 “Dr. Demetrio Mayoral Pardo” and Health Research Coordination Mexican Institute of Social Security, Oaxaca City, Mexico
Hernandez-Huerta, Maria T.:
Faculty of Medicine and Surgery, Universidad Autónoma Benito Juárez de Oaxaca, Oaxaca City, Mexico
Angeles-Castellanos, Manuel:
Departamento de Anatomía, Faculty of Medicine, Universidad Nacional Autónoma de México, Edificio B 4º Piso, DF, Mexico City, 04510, Mexico
Green Published, gold, Gold, Green
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