Physical activity programs for promoting bone mineralization and growth in preterm infants Updated

Back­ground: 

Lack of phys­i­cal stim­u­la­tion may con­tribute to meta­bol­ic bone dis­ease of preterm infants, result­ing in poor bone min­er­al­iza­tion and growth. Phys­i­cal activ­i­ty pro­grams com­bined with ade­quate nutri­tion might help to pro­mote bone min­er­al­iza­tion and growth.

Authors’ con­clu­sions: 

Some evi­dence sug­gests that phys­i­cal activ­i­ty pro­grams might pro­mote short-term weight gain and bone min­er­al­iza­tion in preterm infants. Data are inad­e­quate to allow assess­ment of harm or long-term effects. Cur­rent evi­dence does not sup­port the rou­tine use of phys­i­cal activ­i­ty pro­grams in preterm infants. Fur­ther tri­als incor­po­rat­ing infants with a high base­line risk of osteope­nia are required. These tri­als should address adverse events, long-term out­comes, and the effects of nutri­tion­al intake (calo­ries, pro­tein, cal­ci­um, phos­pho­rus).