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. 2021 Feb;41(2):247-254.
doi: 10.1038/s41372-020-00799-5. Epub 2020 Sep 15.

Blood myo-inositol concentrations in preterm and term infants

Collaborators, Affiliations

Blood myo-inositol concentrations in preterm and term infants

Luc P Brion et al. J Perinatol. 2021 Feb.

Abstract

Objective: To describe relationship between cord blood (representing fetal) myo-inositol concentrations and gestational age (GA) and to determine trends of blood concentrations in enterally and parenterally fed infants from birth to 70 days of age.

Design/methods: Samples were collected in 281 fed or unfed infants born in 2005 and 2006. Myo-inositol concentrations were displayed in scatter plots and analyzed with linear regression models of natural log-transformed values.

Results: In 441 samples obtained from 281 infants, myo-inositol concentrations varied from nondetectable to 1494 μmol/L. Cord myo-inositol concentrations decreased an estimated 11.9% per week increase in GA. Postnatal myo-inositol concentrations decreased an estimated 14.3% per week increase in postmenstrual age (PMA) and were higher for enterally fed infants compared to unfed infants (51% increase for fed vs. unfed infants).

Conclusions: Fetal myo-inositol concentrations decreased with increasing GA. Postnatal concentrations decreased with increasing PMA and were higher among enterally fed than unfed infants.

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Conflict of interest statement

Conflict of interest The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1. Cord myo-inositol concentration with prediction curves resulting linear regression models of natural log-transformed myoinositol concentration with left censoring by gestational age at birth (weeks).
Left-censored includes BQL, below quantifiable limit (<100 μmol/L), and not detected, 0–50 μmol/L.
Fig. 2
Fig. 2. Serial myo-inositol concentration with prediction curves resulting linear regression models of natural log-transformed myoinositol concentration with left censoring by PMA (weeks) and feeding category (enterally fed, upper panel; NPO, lower panel).
Left-censored includes BQL, below quantifiable limit (<100 μmol/L), and not detected, 0–50 μmol/L. For the linear model, a random effect for infant was included to account for correlation between observations within infant.

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