Effect of Massage on treatment of preterm feeding intolerance: Study protocol for a randomized controlled trial

Nursing Open · 5 authors, 5 centres

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TL;DR

The central goal is to measure if massage shortens the time to achieve full enteral nutrition.

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This is a study protocol for a randomized controlled trial involving 104 preterm infants with feeding intolerance, stratified by birth weight and randomized to a 7-day massage intervention or control group. The primary outcome is the time to achieve full enteral nutrition, with secondary outcomes including duration of feeding intolerance symptoms, growth metrics, and hospital stay length. The protocol describes massage as a combination of abdominal massage and skin stroking, theorized to stimulate gastrointestinal peristalsis. The authors note limitations including a sample limited to low birth weight infants, lack of blinding, and no long-term follow-up. As a protocol, the paper does not report results, so its value is in describing the planned methodology for a trial intended to fill a gap in evidence for treating feeding intolerance.

STUDY TYPE

RCT

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10277443

Effect of Massage on treatment of preterm feeding intolerance: Study protocol for a randomized controlled trial

Nursing Open

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ABSTRACT

Abstract Aim To evaluate the effectiveness of massage on treating feeding intolerance (FI). Design A randomized, controlled, prospective clinical trial. Methods A total of 104 preterm infants whose gestational age between 28 and 34 weeks and birth weight between 1000 and 2000 g with diagnosis of FI were recruited. Participants were stratified by birth weight (1000–1499 g or 1500–2000 g) and randomized to either the intervention group, who will receive 7 days of massage, or the control group. The primary outcome is the time to reach full enteral nutrition. Secondary outcomes include duration of FI, change of body index, length of hospitalization, change of gastric residual volume, abdomen circumference and defecation measurement before and after 7 days of intervention. Results Results of this study, which includes index on FI and physical development, have the potential to provide evidence that massage will alleviate symptoms of FI, and contribute to the long‐term positive outcome of preterm infants. Keywords: feeding intolerance, massage, preterm infants

CITATION EXPORT

Nan Peng, Lizhen Fu, Rui Li et al.. Effect of Massage on treatment of preterm feeding intolerance: Study protocol for a randomized controlled trial. Nursing Open. (2023). https://doi.org/10.1002/nop2.1733

AUTHORS

5 · 5 CENTRES

Nan Peng, Lizhen Fu, Rui Li, Xiaohua Liang, Qi Lu

1 Department of Neonatology, Children’s Hospital of Chongqing Medical University, Chongqing, China
2 National Clinical Research Center for Child Health and Disorders, Chongqing, China
3 Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China
4 Department of Traditional Chinese Medicine, Children's Hospital of Chongqing Medical University, Chongqing, China
5 Department of Clinical Epidemiology and Bioinformatics, Children's Hospital of Chongqing Medical University, Chongqing, China