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Published on: June 29, 2013
Fetal growth restriction: relation to growth and obesity at the age of 9 years
Supratik Chakraborty1, Desaline Veronica Joseph, Michael John Gordon Bankart
1Robert Kilpatrick Clinical Sciences Building, University of Leicester, PO Box: 65, Leicester LE2 7LX, UK.
Insights
Children with intrauterine growth restriction (IUGR) exhibit faster growth but remain smaller by age 9. These IUGR infants do not fully catch up in size compared to normal children.
Area of Science:
- Pediatric Growth and Development
- Neonatal Medicine
Background:
- Intrauterine growth restriction (IUGR) affects fetal development, potentially impacting long-term growth trajectories.
- Understanding post-natal growth patterns in children born with IUGR is crucial for identifying potential health disparities.
Purpose of the Study:
- To evaluate and compare the growth patterns of 9-year-old children, specifically examining differences between those with and without a history of intrauterine growth restriction (IUGR).
Main Methods:
- Longitudinal study tracking 75 children at ages 9 (41 with IUGR history).
- Measurements included weight and height at birth, 1, 2, and 9 years.
- General linear models analyzed changes in weight z-scores to quantify growth rates.
Main Results:
- IUGR children were significantly smaller at birth (weight z-score -2.1 vs. 0.2).
- IUGR children showed a greater increase in weight z-scores between birth and 9 years (1.5 vs. 0.4).
- At age 9, IUGR children had lower weight, height, and BMI z-scores compared to controls.
Conclusions:
- Infants born with IUGR experience accelerated post-natal growth but do not fully compensate for early size deficits by age 9.
- IUGR, birth weight, and parental heights are significant predictors of growth differences observed at age 9.
Objective:
To assess growth patterns of 9-year-old children, some of whom had intrauterine growth restriction (IUGR).
Method:
75 9-year-old children (41 were IUGR infants) were weighed and measured at birth, at 1 year, at 2 years and at 9 years of age. Using general linear models for continuous data, changes in weight z scores were used to quantify growth rate between birth and 9 years of age.
Results:
IUGR children were smaller at birth (weight z score -2.1 v 0.2 in normal children; p<0.001) but showed a greater increase in their weight between birth and 9 years (change of weight z score 1.5 v 0.4 in normal children; p = 0.001). At the age of 9 years the weight, height and body mass index (BMI) z scores were lower in IUGR children than the control children (weight z score -0.4 v 0.6, respectively; p<0.001, height z score -0.5 v 0, respectively; p = 0.002, BMI z score -0.2 v 0.7, respectively; p = 0.002). The predictors of these differences were IUGR, birth weight and maternal and paternal heights.
Conclusion:
IUGR infants grow faster but remain shorter and lighter than their normal counterparts-that is, they fail to fully catch up by 9 years of age.
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