Mechanism

 

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Why do massaged infants gain more weight?

The mediating mechanism for greater weight gain in the massaged newborns cannot be determined from these studies.

  • One proposed mechanism is that the massaged infants may by stimulated to eat more.  However, in the studies sited this was NOT a factor.

    The massaged and control groups had, on average:

    • the same caloric consumption
    • the same amount of regurgitation
    • the same amount of stools

     

  • Another hypothesis was that massaged neonates were less active and slept more, thus conserving calories.  However, studies show that massaged neonates actually spent more time in active awake states

    (Note that in most studies, only exclusively bottle fed infants were included  so that food intake cold be more precisely measured.)

Other possible mechanisms for weight gain in massaged infants:

  • Increased basal metabolic function
  • Increased weight gain efficiency from increased activity
  • Increased vagal tone, enhancing gastric motility and release of food absorption hormones.
    • A study by Miguel Diego et al. published 2005 in the Journal of Pediatics indicated an increase in vagal tone and gastric motility during and immediately after massage treatment.  These factors were significantly related to weight gain.

Conclusion: 

Although massaged infants do not eat more, they are better able to use what they eat and therefore grow faster than those without massage.  The exact mechanism for this is not entirely understood but studies so far indicate that increased vagal tone may contribute.

 

 

 

            

 

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