Kristin Elgersma, PhD
@k_elgersma
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Assistant Prof @UMNews, CHD #humanmilk #growth #neurodevelopment | 22–23 #F31 fellow | 24-27 K12 Scholar | Dr of Music @NorthwesternU | #CHD parent | she/her
Joined August 2022
I'm thrilled to share that I have been selected as a UMN CTSI K12 Scholar! This will fund my next 3 years of research, focused on nutrition (#humanmilk), growth quality, and #neurodevelopment for infants with critical congenital heart disease #chd 💜👶🧠
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Looking forward to presenting with an excellent slate of speakers at #neoheart2024 this afternoon – please stop by and say hi if you are here! #chd #humanmilk #breastfeeding
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I'm so grateful to receive a new @NIH_LRP award through @nih_nhlbi! This is a life changing honor, and I am so thankful for the mentors and letter writers who continually support my research at @UMNews. Yay!!!
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Fantastic!
Single ventricle patients can be safely weaned from tube feeds. Few failures with "structured" programs. Even those with syndromes and ventricular dysfunction safely and successfully weaned! #pedsicu #pedscards #pediatrics #chd #cardiology #neotwitter
https://t.co/QOIO27vaFc
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1-year-old Shakopee girl is first in country to receive a heart device that fills a hole. "It can be a minimally invasive solution for many children nowadays," said Dr. Varun Aggarwal from @UMNpeds and @MHealthFairview. Read more: https://t.co/CKEQKC02z6.
#Cardiology
kare11.com
The medical device is half the size of a pencil eraser.
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Sharing a new paper on associations between human milk, #breastfeeding, and #neurodevelopment for infants with #CHD. In a small, limited, sample, we found interesting differences in cognition, language, and motor scores related to #nutrition. https://t.co/IG3wFmnb97
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Is #breastfeeding after #dysphagia safe? A recent study by Duncan et al. tries to answer this question. Unfortunately, the study has many issues and high risk for bias. #chd #feeding #nutrition
https://t.co/9x4tbtnwt1
linkedin.com
In a meeting with some fabulous pediatric CVICU feeding specialists last week, I learned about a recent paper by Duncan et al. titled Breastfeeding in infants who aspirate may increase risk of...
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Imo, nutrition type is the most clinically modifiable in this list!
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The model that most accurately predicted NEC included preop formula feeding, intrauterine growth restriction, ischemia-modified albumin, hypoxemia, P(va)CO2/C(av)O2 ratio, flow resistance index in the superior mesenteric artery, and thickening of the intestinal wall.
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Only the abstract is available in English so it's difficult to evaluate study quality, and it's not clear whether "formula feeding" meant exclusive or any formula.
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New study🚨: Predictive modeling finds that infants with critical #CHD fed formula preop had 12.6x greater odds (p=0.002) of postop #NEC. This is the 4th study since 2019 demonstrating that #humanmilk protects against NEC for infants with critical CHD. https://t.co/JYBnA26ghi
nogr.org
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Hoping we can continue to learn and grow as a CHD nutrition research community!
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❓Baseline differences between groups ❓Missing data ❓Comparing Apples and Oranges ❓Lack of statistical rigor + Overstating results
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Briefly: ✅ I like that this study is exploring the long-term implications of nutrition practices for these infants But there are issues with...
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I wrote another mini-review of a new paper by Murray et al., focusing on some common issues in #CHD #nutrition research. Check it out: ⬇️ https://t.co/90IrhQfpl4
linkedin.com
Today I came across a new study by Murray et al. focused on nutrition for infants with congenital heart disease (CHD).
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Check out our FIRST EVER podcast! "CNOC Talk" featuring @knegrin1 & Caroline Lee as your hosts chatting w/@DrSarahKelly @DrKellyWolfe @ShabPeyvandi about the origin of CNOC, #neurodevelopment in #CHD & next steps for the field! Listen here https://t.co/wRMGTfFvns ❤️🧠
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Overall, I want to say congratulations 🎉 to the authors on the publication, and I'm very glad to see that nutrition-focused CHD research is on the rise!
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It seems likely that all infants in that study (from 2014) were receiving some type of formula, but Iannucci et al. do not provide these data so it’s impossible to know. I point this out, because I have concern that this misinterpretation could be cited by future studies.
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This is not accurate – Iannucci et al. mention that they found no difference in their groups of interest between formula types, but don't make any comparisons with breast milk. In fact, “breast milk” is only mentioned once in that paper.
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❓ Finally, I feel that it’s important to mention a misinterpretation: The authors write: ”One study by Iannucci et al. ... found no statistical difference in feeding practices between the two groups, including the use of formula versus breast milk.”
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This also probably extends to other results in the paper, but since my interest is in human milk I focused on those numbers.
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