Effect of body massage on increase of low birth weight neonates growth parameters: A randomized clinical trial

Sedighah Akhavan Karbasi, Motahhareh Golestan, Razieh Fallah, Mohammad Golshan, Zinabossadat Dehghan, Sedighah Akhavan Karbasi, Motahhareh Golestan, Razieh Fallah, Mohammad Golshan, Zinabossadat Dehghan

Abstract

Background: Admission of low birth-weight (LBW) neonates in neonatal intensive care unit (NICU) causes their deprivation of tactile and sensory stimulation.

Objective: The purpose of this study was to evaluate efficacy of body massage on growth parameters (weight, height and head circumference) gain velocity of LBW in Yazd, Iran.

Materials and methods: A randomized clinical trial study was conducted on LBW neonates whom were admitted to NICU of Shahid Sadoughi Hospital, Yazd, Iran from March to December 2011. Neonates were randomly assigned to two groups. In group one, 20 neonates were received massage three times in a day for consecutive 14 days by their mothers. In group two, intervention consisted of standard and routine care as control group. The primary endpoints were efficacy in increase of mean of weight, height and head circumference that were evaluated 14 days after intervention, at ages one and two months. Secondary outcome was clinical side effects.

Results: 17 girls and 23 boys with mean gestational age of 34.4±1.22 weeks were evaluated. In the body massage group, only weight at the age of two months was significantly higher than the control group (mean±SD: 3250±305 vs. 2948±121 gr, p=0.005). No adverse events were seen in the two groups.

Conclusion: Body massage might be used as an effective and safe non-medical intervention for increasing of weight gain velocity in LBW preterm neonates.

Keywords: Head Circumference; Height; Low birth weight; Massage; Weight.

Figures

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Figure 1
Consort flow diagram

References

    1. Islami Z, Fallah R, Mosavian T, Pahlavanzadeh MR. Growth parameters of NICU admitted low birth weight preterm neonates at corrected ages of 6 and 12 month. Iran J Reprod Med . 2012;10:459–464.
    1. Waldemar A Carlo. Philadelphia: Saunders; 2011. The high-risk infant; pp. 698–711.
    1. Bellamy C UNICEF, authors. The state of the world's children, 2000. Progress since the World Summit for Children: A statistical review. 2001. Available at: .
    1. Golestan M, Fallah R, Akhavan Karbasi S. Neonatal mortality of low birth weight infants in Yazd, Iran. Iran J Reprod Med . 2008;6:205–208.
    1. Vickers A, Ohlsson A, Lacy JB, Horsley A. Massage for promoting growth and development of preterm and/or low birth-weight infants. Cochrane Database Syst Rev . 2004;2
    1. Field T, Diego M, Hernandez-Reif M. Preterm infant massage therapy research: a review. Infant Behav Dev . 2010;33:115–124.
    1. Kulkarni A, Kaushik JS, Gupta P, Sharma H, Agrawal RK. Massage and touch therapy in neonates: the current evidence. Indian Pediatr . 2010;47:771–776.
    1. Diego MA, Field T, Hernandez-ReifM Vagal activity, gastric motility, and weight gain in massaged preterm neonates. J Pediatr . 2005;147:50–55.
    1. Lahat S, Mimouni FB, Ashbel G, Dollberg S. Energy expenditure in growing preterm infants receiving massage therapy. J Am Coll Nutr . 2007;26:356–359.
    1. Samsamshariat S, Pourmorshed P. [Massage therapy by mother or nurse: effect on weight gain in premature infants] Badiee Z. 2011;29:804–810.
    1. Hosseinzadeh Kh, Azima S, Keshavarz T, Karamizadeh Z, Zare N. The effects of massage on the process of physical growth among low-weight neonates. J Isfahan Med School . 2012;29:1–8.
    1. Javadifar N, Faal siahkal SH, Tadayon M, Dehdashtian M, Latifi M. [The effect of massage with coconut oil on weight gain in preterm neonate] Jundishapur Sci Med J. 2009;2:247–254. (In Persian)
    1. Golchin M, Rafati P, Taheri P, Nahavandinezhad S. [Effect of deep massage on increasing body weight in low birth weight infants] Feyz . 2010;14:46–50. (In Persian)
    1. Narenji F, Rouzbahani N. The effects of massage therapy on weight gain and sleep behaviors in infants. Koomesh . 2008;9:279–284. (In Persian)
    1. Arora J, Kumar A, Ramji S. Effect of oil massage on growth and neurobehavior in very low birth weight preterm neonates. Indian Pediatr . 2005;42:1092–1100.
    1. Sankaranarayanan K, Mondkar JA, Chauhan MM, Mascarenhas BM, Mainkar AR, Salvi RY. Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil. Indian Pediatr . 2005;42:877–884.
    1. Fucile S, Gisel EG. Sensorimotor interventions improve growth and motor function in preterm infants. Neonatal Netw . 2010;29:359–366.
    1. Massaro AN, Hammad TA, Jazzo B, Aly H. Massage with kinesthetic stimulation improves weight gain in preterm infants. J Perinatol . 2009;29:352–357.
    1. Saeedi R, Gholami M, Dinparvar Sh, Kabirian M. Short communication: transcutaneous feeding: the effect of massage with coconut oil on weight gaining in preterm newborns. Iran Red Crescent Med J. 2011;13:666–669.
    1. Field T, Diego M, Hernandez-Reif M. Potential underlying mechanisms for greater weight gain in massaged preterm infants. Infant Behav Dev . 2011;34:383–389.
    1. Schulzke SM, Trachsel D, PatoleSK Physical activity programs for promoting bone mineralization and growth in preterm infants. Cochrane Database Syst Rev . 2007;18
    1. Mendes EW, Procianoy RS. Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates. J Perinatol . 2008;28:815–820.
    1. Soriano CR, Martinez FE, Jorge SM. Cutaneous application of vegetable oil as a coadjutant in the nutritional management of preterm infants. J Pediatr Gastroenterol Nutr . 2000;31:387–390.

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