Parental and perinatal factors affecting childhood anthropometry of very-low-birth-weight premature infants: a population-based survey
| Autor: | Tatiana Smolkin, Ada Tamir, David Bader, Polo Sujov, Eman Awad, Zalman Weintraub, Shmuel Yurman, Avi Rotschild, Yoram Bental, I R Makhoul, Dan Reich, Zeev Hochberg, Jeryes Jammalieh |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Parents Pediatrics medicine.medical_specialty Neonatal intensive care unit Birth weight Gestational Age Surfactant therapy Body Mass Index Risk Factors medicine Humans Infant Very Low Birth Weight Longitudinal Studies Israel Child Growth Disorders Anthropometry business.industry Body Weight Infant Newborn General Medicine medicine.disease Body Height Low birth weight El Niño Population Surveillance Infant Small for Gestational Age Pediatrics Perinatology and Child Health Small for gestational age Female Morbidity medicine.symptom business Body mass index |
| Zdroj: | Acta Paediatrica. 98:963-969 |
| ISSN: | 1651-2227 0803-5253 |
| DOI: | 10.1111/j.1651-2227.2009.01242.x |
| Popis: | Background: The perinatal-neonatal course of very-low-birth-weight (VLBW) infants might affect their childhood growth. We evaluated the effect of parental anthropometry and perinatal and neonatal morbidity of VLBW neonates on their childhood growth. Methods: We obtained parental anthropometry, height and weight at age 6-10.5 years of 334 children born as VLBW infants. Parental, perinatal and neonatal data of these children were tested for association with childhood anthropometry. Results: (1) Maternal and paternal weight standard deviation score (SDS) and discharge weight (DW) SDS were associated with childhood weight SDS (R 2 = 0.111, p < 0.00001); (2) Maternal and paternal height SDS, corrected gestational age (GA) at discharge, maternal assisted reproduction and SGA status were associated with childhood height SDS (R 2 = 0.208, p < 0.00001); (3) paternal weight SDS, DW SDS and surfactant therapy were associated with childhood body mass index (BMI) SDS (R 2 = 0.096, p < 0.00001). 31.1% of VLBW infants had DW SDS < -1.88, and are to be considered small for gestational age ('SGA'). One quarter of these infants did not catch up by age 6-10.5 years. Conclusion: Childhood anthropometry of VLBW infants depends on parental anthropometry, postnatal respiratory morbidity and growth parameters at birth and at discharge. Almost one-third of VLBW premature infants had growth restriction at discharge from neonatal intensive care unit (NICU), a quarter of whom did not catch up by age 6-10.5 years. |
| Databáze: | OpenAIRE |
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