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| ID | Type | Description | Link |
|---|---|---|---|
| NIH Grant R01NR009070 |
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Non applicable clinical trial
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Briefly our study is looking at the effects of 4 weeks of assisted exercise on the body composition and neurological/behavioral development of healthy growing premature infants enrolled between the ages of 30-33 weeks. It is a blinded study where the active group gets the exercise intervention and the control group is cuddled for the same amount of time -approximately 20 minutes. We get baseline data using muscle ultrasound, bone speed of sound and DEXA. We also get baseline blood samples to look at inflammatory mediators and growth hormone. Video of each subject is recorded an hour at two time points during the study to assess the babies for spontaneous activity. Nutritional intake information is collected daily and in the 4th week of the study assessments made for total energy expenditure using doubly labeled water. At this point in the study we repeat the ultrasounds and DEXA for comparison. Finally in the period just before discharge we do a complex neurological exam using the Brazelton NBAS assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | 4 weeks of assisted exercise using passive range of motion on all major joints |
|
| 2 | Active Comparator | cuddle for 20 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| assisted exercise | Other | 4 weeks of passive range of motion exercise |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Body composition, bone mineralization, muscle mass, anthropometric measurements | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| spontaneous movement | two time points | |
| Neurological/behavioral status | end of 4th week | |
| Blood Sampling to measure IGF-1, GHBP, IL-1ra |
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Inclusion Criteria:
Exclusion Criteria:
central nervous system or other neurological abnormalities chronic lung disease of prematurity requiring chronic use of corticosteroids, musculoskeletal diseases
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| Name | Affiliation | Role |
|---|---|---|
| Dan M Cooper, MD | University of California, Irvine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Irvine | Orange | California | 92865 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19883474 | Background | Gravem D, Lakes KD, Teran L, Rich J, Cooper D, Olshansky E. Maternal perceptions of infant exercise in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2009 Sep-Oct;38(5):527-33. doi: 10.1111/j.1552-6909.2009.01055.x. | |
| 17451077 | Result | Ahmad I, Zaldivar F, Iwanaga K, Koeppel R, Grochow D, Nemet D, Waffarn F, Eliakim A, Leu SY, Cooper DM. Inflammatory and growth mediators in growing preterm infants. J Pediatr Endocrinol Metab. 2007 Mar;20(3):387-96. doi: 10.1515/jpem.2007.20.3.387. |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| cuddle |
| Other |
cuddle infant for 20 minutes |
|
| Baseline, week 2 and week 4 |
| D000091642 | Urogenital Diseases |