scholarly journals Analysis of longitudinal follow-up data of physical growth in singleton full-term small for gestational age infants

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110606
Author(s):  
Yan Zhao ◽  
Xin Fan ◽  
Jing Wen ◽  
Wenling Gan ◽  
Guiyuan Xiao
Keyword(s):  
Body Length ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Head Circumference ◽  
Age Groups ◽  
Full Term ◽  
Physical Growth ◽  
First Year ◽  
Catch Up

Objective This study aimed to investigate the catch-up growth pattern of singleton full-term small for gestational age (SGA) infants in the first year after birth. Methods A single-center retrospective cohort study was performed to assess singleton full-term SGA infants. Weight, length, and head circumference were measured at birth, and at 1, 3, 6, and 12 months of age. Results Two hundred ten SGA infants were included in this study. Boys (n = 90) and girls (n = 120) showed a similar gestational age, birth weight, and body length. Weight, length, and head circumference in SGA infants in all age groups increased with age, with the fastest growth stage from birth to 3 months. The speed of weight and head circumference catch-up was higher than that of body length. At 12 months, significant associations of height in boys with height of the fathers, mothers, and both parents combined appeared. The height of girls showed associations with the mothers’ and the parents’ height. Conclusions Full-term SGA infants grow rapidly after birth, with the fastest growth rate in the first 3 months, as examined by weight, body length, and head circumference. However, the catch-up speed of weight and body length were not balanced in this study.

scholarly journals Analysis of Longitudinal follow-up Data of Physical Growth in Singleton Full-Term Small for Gestational Age Infants

2021 ◽  
Author(s):  
Yan Zhao ◽  
Xin Fan ◽  
Jing Wen ◽  
Wenling Gan ◽  
Guiyuan Xiao
Keyword(s):  
Body Length ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Head Circumference ◽  
Age Groups ◽  
Full Term ◽  
Physical Growth ◽  
Women And Children ◽  
Catch Up

Abstract Background: The rate of full-term small for gestational age (SGA) infants is rising worldwide. This study aimed to investigate the catch-up growth pattern of singleton full-term SGA infants in the first of the year. Methods A single-center retrospective study assessed singleton full-term SGA infants was admitted to the Department of Child Health Care, Chongqing Health Center for Women and Children from August 2015 to December 2018. Weight, length and head circumference were measured at birth, 1 month, 3 months, 6 months and 12 months of age. The Z-score was evaluated. Results A total 210 SGA infants were included in this study. Boys (n=90) and girls (n=120) showed comparable gestational ages, and birth weights and lengths. Weight, length and head circumference in SGA infants of all age groups were increased, with the fastest growth stage from birth to 3 months. The speeds of weight and head circumference catch-up were higher than that of body length. Birth length was not related to parents' heights in both genders. At 12 months, there were significant associations of body length with father’s height, mother’s height and parents’ heights in boys; in girls, body length showed associations with mother’s height and parents' heights. Conclusions Full-term SGA infants grow rapidly after birth, with the fastest growth rate in the first three months as examined by weight, length and head circumference. Within 12 months after birth, catch-up was better for weight compared with length. Finally, body length in SGA infants was positively correlated with the parents' heights at 12 months.

Physical growth of Jamaican school children who were severely malnourished before 2 years of age

1975 ◽  
Vol 7 (4) ◽  
pp. 445-462 ◽  
Author(s):  
Stephen A. Richardson
Keyword(s):  
School Children ◽  
Head Circumference ◽  
Age Groups ◽  
Physical Growth ◽  
Severe Malnutrition ◽  
Growth Standards ◽  
Catch Up ◽  
Index Cases

SummaryA study is reported of physical growth of Jamaican schoolboys who had been admitted to hospital with severe malnutrition during infancy (index cases). Height, weight and head circumference of the index cases was compared with that of male siblings close in age (siblings), with unrelated classmates or neighbours matched for sex and age (comparisons) and with Jamaican or US growth standards. Index boys were significantly smaller in height and head circumference than comparisons and significantly smaller than sibs only in head circumference. Sibs were intermediate in stature to the index and comparison boys. When the boys were divided into three age groups there was evidence of complete catch-up in height and weight after 7 years of age, but catch-up was incomplete for head circumference in the oldest group. No significant differences in stature at follow-up of the index boys were found in relation to age when admitted to hospital.

scholarly journals Neurodevelopment of small-for-gestational age infants: behavioral aspects in first year

2014 ◽  
Vol 72 (7) ◽  
pp. 517-523 ◽  
Author(s):  
Bernadete Mello ◽  
Heloisa Gagliardo ◽  
Vanda Gonçalves
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Infant Development ◽  
Rating Scale ◽  
Full Term ◽  
First Year ◽  
Behavior Rating Scale ◽  
Appropriate For Gestational Age ◽  
Test Materials ◽  
State Liability

The purpose of this study was to compare the behavior of full-term small-for-gestational age (SGA) with full-term appropriate-for gestational age (AGA) infants in the first year of life. We prospectively evaluated 68 infants in the 2nd month, 67 in the 6th month and 69 in the 12th month. The Bayley Scales of Infant Development-II were used, with emphasis on the Behavior Rating Scale (BRS). The groups were similar concerning the item “interest in test materials and stimuli”; there was a trend toward differences in the items “negative affect”, “hypersensitivity to test materials” and “adaptation to change in test materials”. The mean of Raw Score was significantly lower for the SGA group in the items “predominant state”, “liability of state of arousal”, “positive affect”, “soothability when upset”, “energy”, “exploration of objects and surroundings”, “orientation toward examiner”. A lower BRS score was associated with the SGA group in the 2nd month.

Longitudinal follow-up of height up to five years of age in infants born preterm small for gestational age; comparison to full-term small for gestational age infants

2007 ◽  
Vol 83 (5) ◽  
pp. 327-333 ◽  
Author(s):  
Kazuo Itabashi ◽  
Jun Mishina ◽  
Hiroshi Tada ◽  
Motoichiro Sakurai ◽  
Yuko Nanri ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Full Term

scholarly journals Catch-Up Growth in Full-Term Small for Gestational Age Infants: A Systematic Review

2019 ◽  
Vol 10 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Susan C Campisi ◽  
Sarah E Carbone ◽  
Stanley Zlotkin
Keyword(s):  
Systematic Review ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Full Term ◽  
Catch Up

scholarly journals GROWTH, NEURODEVELOPMENT IN EXTREMELY LOWBIRTH BABIES AT TWO YEAR OF CORRECTED AGE

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Ashok Kumar ◽  
Dr. Kanya Mukhopadhyay ◽  
Dr. Prabhjot Malhi ◽  
Dr. Anil Kumar Bhalla
Keyword(s):  
Birth Weight ◽  
Neurological Examination ◽  
Gestational Age ◽  
Head Circumference ◽  
Control Group ◽  
Case Group ◽  
Significant Difference ◽  
Catch Up

According to national neonatal perinatal data (NNPD) the survival of ELBW babies has improved from 37% in 2000 to 45% in 2002-3 reports. In our neonatal unit in PGIMER the survival of ELBW babies has been 54-56% in last 5 years, however unfortunately there is very scanty reports of long term outcome of ELBW babies from India. There is very scanty report of long term growth outcome of VLBW and ELBW Babies in our country, we reported VLBW and ELBW babies in our follow up had poor catch up growth, though some catch-up was observed at 6 month but subsequent lag in growth probably reflects poor weaning at 1 year.  Infants with extremely low birth weights (ELBWs) are more susceptible to all of the possible complications of premature birth, both in the immediate neonatal period and after discharge from the nursery. These babies are at risk of poor growth and developmental. in the present study a total of 39 cases of ELBW Babies were enrolled during one year study period from July 2011- June2012 attending the neonatal follow up clinic attained 2year±3month of corrected age. Their detail birth data and postnatal illnesses retrieved from their initial hospital files and unit discharge record. A similar number of babies enrolled at 2yrs±3months of age in the control group. In the presence study, we assessed the growth, and neurological out come in extremely low birth baby attained 2yrs±3 months of corrected age. The study population consisted of 39 children of ELBW baby born during 2009 -10 at PGIMER & same number of normal birth weight children at 2yr±3 months of corrected age who satisfied the inclusion and exclusion criteria. These children were enrolled from neonatal follow up clinic who were already undergoing long term follow up. For growth outcome, we used weight, height & head circumference measurement of child, for neurological and developmental outcome used clinical neurological examination and DP-III .Base line demographic characteristics of our ELBW babies (Cases) where as follows.   Mean (S.D) gestational age of  ELBW babies was 29.87±2.3 week. Mean (S.D) birth weight 867±71.1 grams, Mean (S.D) lenght35±2.1cm & head circumference was 25.76±1.9 cm. Mean hospital stay in the ELBW babies was 48.6±19.9 days. Mean birth weight and gestational age of control group where 2684±166.2grm and 39.03±0.9 weeks. At 2year of corrected age we found  - Weight was similar in both in case group & control group. (10.04±1.4 Vs 10.75±1.1). Height and head circumference were smaller in cases than control group. (81.4±4.3 Vs 84.4±3.3 and 45.9±1.6 Vs 46.8±1.5. 5% Babies had cerebral palsy in case group (N=2/39) and none in control group. Gross development score(GDS) in Development profile-III in both study group (cases & controls) was  similar  (72.49±8.08 Vs 73.54±9.3,p=0.596). Significant difference in domains physical (84.5±7.8 Vs.90±3.5, p=0.000) and domains adaptive (81±6.7 Vs. 85.3±5.4,p= 0.003) in cases as compared to controls. There was no difference between SGA and AGA among cases in growth and neurological development. There was no difference between male and female in case group in any parameter .There is very scanty data from our country on longterm follow up of ELBW babies. Our data shows that our ELBW cohort remained small in height and had smaller head circumference though weight was similar as compared to normal control babies.  Key words: ELBW, VLBW, birth weight, neurological examination.

Identification of growth patterns of preterm and small-for-gestational age children from birth to 4 years – do they catch up?

2019 ◽  
Vol 47 (4) ◽  
pp. 448-454
Author(s):  
Dirk Manfred Olbertz ◽  
Rebekka Mumm ◽  
Ursula Wittwer-Backofen ◽  
Susanne Fricke-Otto ◽  
Anke Pyper ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Growth Patterns ◽  
Full Term ◽  
The European Union ◽  
Gh Therapy ◽  
Gh Treatment ◽  
Appropriate For Gestational Age ◽  
Catch Up

Abstract Background A legitimate indication for growth hormone (GH) therapy in children born too light or short at birth [small-for-gestational age (SGA)] exists in Germany and the European Union only if special criteria are met. Methods We conducted a longitudinal, multi-centered study on full-term appropriate-for-gestational age (AGA, n=1496) and pre-term born SGA (n=173) and full-term SGA children (n=891) in Germany from 2006 to 2010. We analyzed height, weight, body mass index (BMI) and head circumference. Results Pre-term or full-term born SGA children were shorter, lighter and had a lower BMI from birth until 3 years of age than full-term AGA children. The growth velocity of the analyzed anthropometric measurements was significantly higher in pre-term and full-term SGA children exclusively in the first 2 years of life than in AGA children. The criteria for GH treatment were fulfilled by 12.1% of pre-term SGA children compared to only 1.3% of full-term SGA children. Conclusion For children that do not catch up growth within the first 2 years of life, an earlier start of GH treatment should be considered, because a catch-up growth later than 2 years of life does not exist. Pre-term SGA-born children more frequently fulfill the criteria for GH treatment than full-term SGA children.

Feeding Regimens and Catch-Up Growth in Premature and Full-Term Small for Gestational Age Infants

2009 ◽  
Vol 1 (2) ◽  
pp. 66-72
Author(s):  
Eva-Lotta Funkquist ◽  
Torsten Tuvemo ◽  
Björn Jonsson ◽  
Fredrik Serenius ◽  
Kerstin Hedberg Nyqvist
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Full Term ◽  
Catch Up

scholarly journals Kangaroo Mother Care –Differences and Quantitative Benefits in Different Subgroups of Low Birth Weight Babies

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Head Circumference ◽  
Cost Effective ◽  
Kangaroo Mother Care ◽  
Daily Weight Gain ◽  
At Home

Objectives: To determine the effectiveness of Kangaroo Mother Care in subgroups of LBW babies-Preterm AGA, Preterm SGA and Term SGA, To assess any differences in benefits of KMC in relation to duration in the subgroups, To assess weight gain difference in NICU and at home at first follow up visit and up to 40 weeks of follow up to Preterm AGA, Preterm SGA and till gain of 2500g in Term SGA babies. Study design: Prospective observational study. Setting: NICU in a large teaching institute, department of pediatrics, Mahatma Gandhi Memorial Hospital, North Telangana. Subjects and Methods: 240 neonates with birth weight <2500g, hemodynamically stable. Intervention: The subjects are classified into three subgroups-based on gestational age (by new Ballard’s score) and by weight (Lubchenco’ s charts) into Preterm Appropriate for gestational age (PT AGA) (102), Preterm Small for Gestational Age (PT SGA) (88) and Term Small for Gestational age (T SGA) (50). Further categorized into <=32 wks,33-34wks,35- 36wks,>=37wks.KMC was given to all subgroups at hospital and home with mean duration of 9+2hrs at hospital and 5+2hrs at home. Outcome Measures: Growth measured by average daily weight gain, mean weight gain, (weight was measured by electronic weighing scale (seca), head circumference (measured by non-stretchable and non-metallic tape) and total length (measured by infant meter) in follow up to 40 weeks of corrected gestational age in Preterm and up to gain of 2500g in Term SGA were assessed with KMC. Results: Better weight gain was noticed in all the 3 subgroups of LBW neonates with KMC at hospital and home. In spite of lower duration of KMC at home PT AGA (33-34 weeks) subgroup has the highest weight gain (24.5+5.5g/day, p=0.003), highest head circumference gain (0.70+0.5cm/week, p=0.002), highest length gain (0.90+0.6cm/week, p <0.008). The time taken to reach full feeds and the time to reach initiation of direct breastfeeds were comparable in all subgroups but attained much earlier in PT AGA (33-34wks) and PT AGA (35-36wks). Duration of hospital stay is least in PT AGA with mean of 12.68 ± 6.37 days.KMC significantly reduced the incidence of apnea in all subgroups of LBW babies. All babies were on exclusive breastfeeds at the end of the study (98%). Conclusion: We conclude by this present study that KMC improves growth in all sub groups of LBW infants. KMC has significantly reduced the incidence of co mortifies like apnea, hypothermia, hypoglycemia in all the subgroups of LBW babies. KMC is cost effective, easily accessible and acceptable not only to mothers but also by majority of the family members

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