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Early Elevation in Interleukin-6 is Associated with Reduced Growth in Extremely Low Birth Weight Infants
Journal article   Open access   Peer reviewed

Early Elevation in Interleukin-6 is Associated with Reduced Growth in Extremely Low Birth Weight Infants

Lee A. Denson, Scott A. McDonald, Abhik Das, Diana E. Schendel, Kristin Skogstrand, David M. Hougaard, Seetha Shankaran, Rosemary D. Higgins, Waldemar A. Carlo, Richard A. Ehrenkranz, …
American journal of perinatology, v 34(3), 240
01 Feb 2017
PMID: 27455401
url
https://europepmc.org/articles/pmc5296404View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Pediatrics Science & Technology
Objective To determine whether reduced growth velocity (GV) in extremely low birth weight infants is preceded by elevated inflammatory cytokines. Study Design GV was determined at 36 weeks' postrnenstrual age (PMA) in 768 infants 401 to 1,000 g birth weight (BW). Association between blood cytokines measured through day of life 21 and GV was explored using linear regression models that adjusted for late-onset sepsis (LOS), BW, small for gestational age (SGA), gender, race, energy intake, and center. Results Serum interleukin-6 (IL-6) was increased at days 14 and 21 in LOS infants. LOS was associated with reduced energy intake and GV for weight (weight-GV) at 36 weeks' PMA. Linear regression analysis controlling for LOS and energy intake showed significant relationships between increased IL-6 at days 14 and 21 with reduced weight-GV at 36 weeks' PMA (p < 0.0001). The relationship between day 21 IL-6 and weight-GV was not associated with LOS (p = 0.12) when controlling for BW and energy intake. Both BW (p = 0.02) and energy intake (p = 0.003) influenced the relationship between day 14 IL-6 and weight-GV. Conclusion IL-6 elevation during the first month of life is associated with lower weight-GV at 36 weeks' PMA and may have a direct effect upon energy balance and postnatal growth.

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10 citations in Scopus

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#5 Gender Equality
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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Obstetrics & Gynecology
Pediatrics
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