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Published on: January 12, 2018
Environmental and birth characteristics as predictors of short stature in early childhood
Ladan Davallow Ghajar1, Mark D DeBoer1
1Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
Insights
Lower birthweight, preterm birth, female sex, and lower income predict short stature in children. African American children showed a reduced risk compared to white children, highlighting socioeconomic and racial influences on child height.
Area of Science:
- Pediatrics
- Public Health
- Human Growth and Development
Background:
- Short stature in children is a significant concern with multifactorial origins.
- Understanding predictors is crucial for early identification and intervention.
Purpose of the Study:
- To identify environmental and birth characteristic predictors of short stature.
- To analyze these factors in a large, nationally representative sample of children.
Main Methods:
- Utilized data from 10,127 children in the Early Childhood Longitudinal Study-Kindergarten 2011 cohort.
- Employed univariate and multivariable linear and logistic regression analyses.
- Assessed predictors including birthweight, preterm status, sex, parental education, income, and race/ethnicity.
Main Results:
- Lower birthweight was significantly associated with short stature (aOR 2.45 per kg decrease for term children).
- Preterm birth increased the odds of short stature (aOR 2.23).
- Female sex, lower parental income, and being African American (aOR 0.34 vs. white children) were also significant predictors.
Conclusions:
- Key predictors of short stature identified are low birthweight, preterm birth, female sex, and low parental income.
- Socioeconomic disparities and race/ethnicity play a role in height outcomes.
- Findings can aid pediatricians in assessing early school-age children's stature development.
Aim:
To evaluate for environmental and birth characteristic predictors of short stature in a large nationally representative sample.
Methods:
We evaluated 10 127 children from the Early Childhood Longitudinal Study-Kindergarten 2011 cohort, using univariate and multivariable linear and logistic regression to evaluate factors associated with short stature (height <3rd percentile) at kindergarten through second grade. Predictors included birthweight, preterm status, sex, parental education, parental income and race/ethnicity.
Results:
Lower birthweight was associated with short stature, with each decreasing kilogram having a 2.45 adjusted odds ratio (aOR; 95% confidence interval [CI] 1.81, 3.33) of short stature for term children in second grade. Preterm children (compared to term children) had an aOR of 2.23 (CI 1.32, 3.78) for short stature. Other predictors of short stature included female sex and lower parental income. African American children had a lower risk of short stature (aOR 0.34, CI 0.14, 0.82) compared to white children.
Conclusion:
Predictors of short stature include lower birthweight, preterm status, female sex and parental income. Socio-economic disparities and race/ethnicity further influenced height. These data may assist paediatricians in considering contributors to stature outcomes by early school age.
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