Lower leg length measurements in 19 healthy preterm infants were obtai
ned by knemometry to assess short term growth. Eight infants received
fortified human milk and 11 infants commercially available preterm for
mulas. Two independent observers measured lower leg length in each inf
ant daily during the study period, weight was measured daily with a ne
onatal scale. While weight gain showed linearity in all infants, lower
leg length growth showed mini growth spurts of 5 +/- 1.7 days, growth
periods of 20 +/- 11 days or both types of short term growth. The ove
rall weight gain was 35 +/- 5.6 g/day in infants fed human milk and 33
+/- 7 g/day in infants fed preterm formula. The overall lower leg len
gth growth velocity was 0.51 +/- 0.04 mm/day versus 0.54 +/- 0.09 mm/d
ay, respectively. Both groups had comparable weight and length increme
nts. No correlation existed between the type of nonlinear lower leg le
ngth growth (mini growth spurts versus growth periods) and the feeding
s received by the infants.