Background: Early nutritional learning, including the development of appetite and satiety behaviour, relates to the long-term risk of obesity. Premature infants have an increased body fat content at term-corrected and a long-term risk of cardiovascular disease. This may be attributed to suboptimal nutrition, however, specific feeding behaviour learned in the Neonatal Intensive Care Unit (NICU) environment may contribute. This study assesses eating behaviour, reported by parents, of very preterm infants at discharge and correlates these results to weight and age characteristics. Methods: Parents of infants with a gestational age (GA) of <29 weeks and/or <1250 grams completed the Baby Eating Behaviour Questionnaire (BEBQ) at discharge home. Anthropometric and clinical data were collected from bedside charts. Results: Thirty infants with a GA at birth of 27.4 ± 2.12 weeks (mean ± SD) were assessed at a GA of 40.7 ± 3.7 weeks. BEBQ values were (mean ± SD): enjoyment of food: 4.38 ± 0.54; food responsiveness: 2.13 ± 0.63; general appetite: 3.76 ± 1.02; slowness in eating: 2.92 ± 0.76; and satiety responsiveness: 2.54 ± 0.73. There was a negative correlation between general appetite scores and change in weight z-scores from birth to discharge. Conclusion: This is the first study to date that applies the BEBQ to preterm infants and in real time. Results are in line with previously published results. Correlation analysis shows higher general appetite scores in infants with slower weight gain. A longitudinal follow up of growth parameters and the BEBQ is planned at 2 years.
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