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Weight-for-length reference data for preterm, low-birth-weight infants

S S Guo1, K Wholihan, A F Roche

  • 1Department of Community Health, Wright State University, School of Medicine, Yellow Springs, Ohio, USA.

Archives of Pediatrics & Adolescent Medicine
|September 1, 1996
PubMed
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This study provides essential weight-for-length reference data for preterm infants, aiding in the early detection of growth deviations in both very-low-birth-weight and low-birth-weight infants.

Area of Science:

  • Pediatric Growth Monitoring
  • Neonatal Development Research
  • Infant Health Assessment

Background:

  • Accurate growth monitoring is crucial for preterm infants.
  • Existing reference data may not adequately cover very-low-birth-weight (VLBW) and low-birth-weight (LBW) populations.
  • Standardized weight-for-length data is needed for these vulnerable infants.

Purpose of the Study:

  • To establish comprehensive weight-for-length reference data for preterm infants.
  • To differentiate reference data for very-low-birth-weight (< or = 1500 g) and low-birth-weight (1501-2500 g) infants.
  • To support clinical assessment of infant growth trajectories.

Main Methods:

  • Utilized data from 867 preterm infants (428 male, 439 female) from the Infant Health and Development Program.

Related Experiment Videos

  • Data collection included birth, 40 weeks' postconception, and multiple gestation-adjusted ages up to 36 months.
  • Gestational age adjustment was employed to account for prematurity.

    • Main Results:

    • Weight-for-length percentiles generated for lengths ranging from 48 to 100 cm in 3-cm intervals.
    • Reference data is sex-specific for both very-low-birth-weight and low-birth-weight infant groups.
    • Data provides a detailed distribution of weight relative to length for targeted infant populations.

    Conclusions:

    • The developed reference data can aid in screening for abnormal growth patterns.
    • Facilitates early identification of failure to thrive in infants.
    • Assists in detecting excessive weight gain during infancy.