Randomized controlled study of the effects of different durations of light exposure on weight gain by preterm infants in a neonatal intensive care unit
Open accessAbstract
A randomized controlled study was carried out on 96 preterm infants (>37 wk) with birthweight less than 2000 g admitted to a neonatal intensive care unit. The aim was to compare the weight gain between preterm infants exposed to 12 h cyclical lighting (intensity of light: 78.4 ± 24.7 lux, mean ± SD) and those exposed to a continuously dim environment (5.9 ± 1.9 lux). The exclusion criteria were infants with major congenital malformations or who needed continuous lighting for treatment procedure and care. From day 7 of life until discharge, 50 infants were randomized to receive 12 h cyclical lighting and 46 infants to a continuously dim environment. There was no significant difference in the mean birthweight (12 h lighting vs continuously dim: 1482 vs 1465 g, p= 0.8), mean gestational age (31.6 vs 31.4 wk, p= 0.6), median duration of hospital stay (28.5 vs 28.5 d, p= 0.8), mean age to regain birthweight (13.0 vs 12.9 d, p= 0.3), mean weight gained by day 14 (27.6 vs 36.2 g, p= 1.0), median weight gain per day (11.9 vs 12.2 g, p= 0.9) or median body weight on discharge (1800 vs 1800g, p= 0.4) between the two groups of infants. Conclusion: Exposing preterm infants to either 12 h cyclical lighting or continuously dim environment did not have any significant effect on their weight gain during the neonatal period.
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Premature infants kept in regular light-dark conditions also fed orally sooner and spent fewer days on ventilator assistance, but had similar motor coordination compared with infants under continuous near darkness in the NICU (28-32 weeks of gestation).
“Premature infants kept in regular light–dark conditions also fed orally sooner and spent fewer days on ventilator assistance, but had similar motor coordination compared with infants under continuous near darkness in the NICU (28–32 weeks of gestation)79–85.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [79]
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Rhythms of life: circadian disruption and brain disorders across the lifespan
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- Authors
- Boo, N., Chee, S., & Rohana, J.
- Affiliations
- University Kebangsaan Malaysia Medical Centre (MY)
- Corresponding author
- Boo, N‐Y
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2002-06
- Volume
- 91
- Issue
- 6
- Pages
- 674-679
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- OpenAlex
- W4240297446
- Cited by
- 36
- References
- 19
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal Health and Biochemistry
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- preterm infants, light exposure, dim lighting, neonatal intensive care, weight gain, neonatal phototherapy
- MeSH terms
- Apgar Score, Birth Weight, Circadian Rhythm, Female, Follow-Up Studies, Humans, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Lighting, Male, Phototherapy, Probability, Reference Values, Respiratory Distress Syndrome, Newborn, Time Factors, Weight Gain, Treatment Outcome, Statistics, Nonparametric
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