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Low birthweight and impaired growth to 5 years in Australian aborigines

M Gracey1, C M Anderson, B Brooks

  • 1Department of Paediatrics, University of Western Australia, Princess Margaret Hospital for Children, Perth.

Australian Paediatric Journal
|October 1, 1989
PubMed

Insights

Aboriginal infants in Western Australia had a high rate of low birthweight (12%) and significant growth faltering after six months. Low birthweight babies experienced more severe growth retardation without substantial catch-up growth in early childhood.

Area of Science:

  • Pediatrics
  • Public Health
  • Indigenous Health

Background:

  • Low birthweight is a significant concern in Aboriginal infant populations.
  • The Kimberley region has a disproportionately high incidence of low birthweight among Aboriginal infants compared to non-Aboriginal infants in Western Australia.

Purpose of the Study:

  • To investigate the incidence of low birthweight in Aboriginal infants in Western Australia.
  • To examine growth patterns (weight and height) in Aboriginal children from birth to five years, differentiating between normal and low birthweight infants.

Main Methods:

  • Retrospective analysis of birthweight data for Aboriginal infants born in the Kimberley region in 1980.
  • Longitudinal monitoring of growth parameters (weight and height) in Aboriginal children up to five years of age.

Main Results:

  • Twelve percent of Aboriginal infants in the Kimberley region were identified as low birthweight, more than double the rate in the non-Aboriginal Western Australian population.
  • Widespread faltering of growth in weight and height was observed in Aboriginal children after six months of age, irrespective of birthweight.
  • Growth retardation was more pronounced in low birthweight Aboriginal infants, with minimal evidence of catch-up growth during the first five years of life.

Conclusions:

  • Aboriginal infants in the Kimberley region face a high risk of low birthweight and subsequent impaired growth.
  • Early childhood growth faltering is a significant issue for Aboriginal children, particularly those born with low birthweight, highlighting the need for targeted interventions.

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