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Monthy growth increments from a longitudinal study of Canadian infants
Alex F Roche1, Shumei Guo1, David L Yeung2
1The Division of Human Biology, Department of Pediatrics, Wright State University, Yellow Springs, Ohio 45387-1695.
Insights
New reference data shows infant growth rates in weight, length, and head circumference from 1 to 12 months. These findings help identify deviations in infant growth for Canadian and US populations.
Area of Science:
- Pediatrics
- Human Growth and Development
- Biostatistics
Background:
- Accurate growth assessment is crucial for monitoring infant health.
- Existing growth charts may not fully capture the nuances of early infant development.
- Canadian infants provide a relevant population for establishing growth benchmarks.
Purpose of the Study:
- To derive reference data for 1-month increments in infant weight, recumbent length, and head circumference.
- To establish growth rate percentiles for infants aged 1 to 12 months.
- To provide tools for assessing infant growth trajectories and identifying deviations.
Main Methods:
- Utilized serial data from 351 full-term Canadian infants.
- Employed a three-parameter mathematical model to estimate infant measurements at 1-month intervals.
- Calculated and analyzed 1-month increments, generating percentile distributions.
Main Results:
- 1-month increments in weight, length, and head circumference decrease with age throughout infancy.
- Growth increments were generally more rapid in male infants compared to female infants.
- Reference data presented in tables and figures illustrate these growth patterns.
Conclusions:
- The derived reference data are suitable for assessing growth rates in term infants in Canada and the United States.
- These data can aid in the early identification of individual growth deviations.
- The data facilitate comparisons between different infant population samples.
Abstract:
Reference data for 1 month increments in weight, recumbent length, and head circumference, at ages 1 to 12 months, have been derived from serial data for 351 full-term Canadian infants. This derivation was achieved by (1) fitting a family of three parameter mathematical models to the data for each infant, (2) using these models to estimate values 1 month apart (3) calculating 1 month increments from the status values of 1 month intervals, (4) obtaining the distributions of these increments, and (5) presenting the percentiles of these increments in tables and in figures. The 1 month increments decreased with age during infancy in each sex, and these increments tended to be more rapid for boys than for girls. It is suggested that these reference data are suitable for the assessment of growth rates in infants born at term in Canada or in the United States. They can be used to assist the early identification of deviations from expected growth rates for individuals and to compare population samples.
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