Etiological subgroups of term small-for-gestational-age and childhood health outcomes

Fang Fang1,2, Yan Chen3, Qian Chen2

  • 1Developmental and Behavioral Pediatric Department & Child Primary Care Department, Xinhua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, 200092, China.

Pediatric Research
|December 30, 2022
PubMed

Insights

Small-for-gestational-age (SGA) infants have varied causes and health outcomes. Fetal factors increase low IQ risk, while physiological factors raise growth restriction risk in SGA children.

Area of Science:

  • Pediatrics
  • Neonatology
  • Developmental Biology

Background:

  • Small-for-gestational-age (SGA) is a condition with diverse origins.
  • Understanding etiology-specific outcomes is crucial for targeted interventions.

Purpose of the Study:

  • To investigate childhood health outcomes in term SGA infants based on distinct etiological subgroups.
  • To identify specific risks associated with different causes of SGA.

Main Methods:

  • Utilized data from the Collaborative Perinatal Project.
  • Categorized SGA etiological factors into maternal, fetal, placental, environmental, and physiological groups.
  • Analyzed primary child outcomes: low IQ and growth restriction in 8417 term infants.

Main Results:

  • SGA due to fetal factors showed the highest risk for low IQ (aOR=1.94).
  • SGA due to physiological factors presented the highest risk for growth restriction (aOR=6.04).
  • Increased risk for low IQ and growth restriction correlated with the number of SGA risk factors.

Conclusions:

  • Etiology-specific term SGA impacts child health outcomes differently.
  • Findings support individualized management of SGA infants in the era of precision medicine.
Abstract

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