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Preterm infant massage elicits consistent increases in vagal activity and gastric motility that are associated with greater weight gain
Diego MA, Field T, Hernandez-Reif M, Deeds O, Ascencio A, Begert G
Acta Paediatrica 2007 Nov;96(11):1588-1591
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To determine whether preterm infant massage leads to consistent increases in vagal activity and gastric motility and whether these increases are associated with greater weight gain. METHODS: EKG and EGG were recorded in 80 preterm infants randomly assigned to a moderate pressure massage therapy group or to a standard care control group to assess vagal activity and gastric motility responses to massage therapy. RESULTS: Massaged infants exhibited consistent short-term increases in vagal activity and gastric motility on both the first and the last days of the 5-day study that were associated with weight gain during the 5-day treatment period. No changes in basal vagal activity or gastric motility were noted across the 5-day treatment period. CONCLUSION: Preterm infant massage is consistently associated with increases in vagal activity and gastric motility that may underlie the effects of massage therapy on preterm infant weight gain.

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