"Extrauterine growth restriction" and "postnatal growth failure" are misnomers for preterm infants.

Autor: Fenton TR; Community Health Sciences, Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. tfenton@ucalgary.ca.; Nutrition Services, Alberta Health Services, Calgary, AB, Canada. tfenton@ucalgary.ca., Cormack B; Liggins Institute, University of Auckland, Auckland, New Zealand., Goldberg D; Carilion Clinic, Roanoke, VA, USA., Nasser R; Saskatchewan Health Authority, Nutrition and Food Services, Regina, SK, Canada., Alshaikh B; Community Health Sciences, Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.; Pediatrics, University of Calgary, Calgary, AB, Canada., Eliasziw M; Public Health and Community Medicine, Tufts University, Boston, MA, USA., Hay WW; University of Colorado, Denver, CO, USA., Hoyos A; Clínica del Country, Universidad el Bosque, Bogotá, Colombia., Anderson D; Pediatrics, Baylor College of Medicine, Houston, TX, USA., Bloomfield F; Liggins Institute, University of Auckland, Auckland, New Zealand., Griffin I; Clinical and Translational Research, Biomedical research Institute of New Jersey, Cedar Knolls, NJ, USA., Embleton N; Newcastle Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne, UK., Rochow N; Pediatrics, McMaster University, Hamilton, ON, Canada., Taylor S; Pediatrics, Yale School of Medicine, New Haven, CT, USA., Senterre T; Neonatology, University of Liege, CHU de Liege, Liege, Belgium., Schanler RJ; Neonatal Services, Cohen Children's Medical Center, Northwell Health, Zucker School of Medicine at Hofstra, New York, NY, USA., Elmrayed S; Community Health Sciences, Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada., Groh-Wargo S; Pediatrics and Nutrition, Case Western Reserve University, Cleveland, OH, USA., Adamkin D; Pediatrics, University of Louisville, Louisville, KY, USA., Shah PS; Paediatrics and Institute of HPME, University of Toronto, Mount Sinai Hospital, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2020 May; Vol. 40 (5), pp. 704-714. Date of Electronic Publication: 2020 Mar 25.
DOI: 10.1038/s41372-020-0658-5
Abstrakt: Preterm infants are increasingly diagnosed as having "extrauterine growth restriction" (EUGR) or "postnatal growth failure" (PGF). Usually EUGR/PGF is diagnosed when weight is <10th percentile at either discharge or 36-40 weeks postmenstrual age. The reasons why the phrases EUGR/PGF are unhelpful include, they: (i) are not predictive of adverse outcome; (ii) are based only on weight without any consideration of head or length growth, proportionality, body composition, or genetic potential; (iii) ignore normal postnatal weight loss; (iv) are usually assessed prior to growth slowing of the reference fetus, around 36-40 weeks, and (v) are usually based on an arbitrary statistical growth percentile cut-off. Focus on EUGR/PGF prevalence may benefit with better attention to nutrition but may also harm with nutrition delivery above infants' actual needs. In this paper, we highlight challenges associated with such arbitrary cut-offs and opportunities for further refinement of understanding growth and nutritional needs of preterm neonates.
Databáze: MEDLINE
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