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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Postnatal growth in very low birth weight infants: assessment with a new somatometric index]
F Domínguez Ortega1, M Cidras Pidre, G González Azpeitia
1Servicio de Neonatología, Hospital Materno-Infantil, Las Palmas.
Insights
Postnatal growth in very low birth weight infants shows a decline in weight and height differential indices from birth to discharge. Early discharge programs may be associated with poorer growth outcomes.
Area of Science:
- Neonatalogy
- Pediatric Growth and Development
Context:
- Very low birth weight (VLBW) infants face unique challenges in postnatal growth.
- Intrauterine growth references are crucial for assessing VLBW infant development.
Purpose:
- To evaluate the postnatal growth trajectory of VLBW infants using a differential index.
- To compare growth parameters against intrauterine growth standards (Lubchenko and Usher graphs).
Summary:
- A study of 194 VLBW infants revealed significant decreases in weight and height differential indices between birth and hospital discharge.
- Cephalic growth remained unchanged, while early discharge programs showed poorer final growth indices compared to later discharge.
- Height and cephalic growth were notably better at final hospital discharge.
Impact:
- This research highlights critical changes in VLBW infant growth during hospitalization.
- Findings underscore the importance of standardized growth monitoring and may inform discharge planning for VLBW infants.
Objective:
We have studied the postnatal growth of very low birth weight infants by using a differential index in reference to intrauterine growth evaluated by means of Lubchenko and Usher graphs.
Patients And Methods:
We analyzed the postnatal growth between birth and hospital discharge of 194 infants with birth weights less than 1500 g. No selection was made according to pathology and those newborns who died are treated as missing values. The differential index was calculated as the percentage deviation of the studied parameter and its 10th percentile and the range between the 10th and 90th percentiles.
Results:
The weight differential index decreased between birth and hospital discharge (20.8 +/- 33.3 versus -10.03 +/- 30.6, t = 16.97, p < 0.001), as well as that of the height differential index (30.9 +/- 39.1 versus -10.05 +/- 44.35, t = 5.65, p < 0.001), with that of cephalic growth being unchanged (23.2 +/- 43.2 versus 40.4 +/- 35.4, t = -2.29, p = NS). Newborns included in the early discharge program had a worse differential index at the final discharge than at early discharge (-19.1 +/- 27.9 versus -9.8 +/- 22.2, t = -6.1, p < 0.001). Height and cephalic growth was better at the final hospital discharge (-6.6 +/- 46.1 versus 22.7 +/- 26.1, t = -2.8, p < 0.05; 28.8 +/- 37.7 versus 50.1 +/- 27.5, t = -3.48, p < 0.01).
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