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Growth Assessment in Preterm Children from Birth to Preschool Age
- Source :
- Nutrients, Vol 12, Iss 1941, p 1941 (2020), Nutrients, Volume 12, Issue 7
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Preterm infant growth is a major health indicator and needs to be monitored with an appropriate growth curve to achieve the best developmental and growth potential while avoiding excessive caloric intake that is linked to metabolic syndrome and hypertension later in life. New international standards for size at birth and postnatal growth for preterm infants are available and need implementation in clinical practice. A prospective, single center observational study was conducted to evaluate the in-hospital and long-term growth of 80 preterm infants with a mean gestational age of 33.3 &plusmn<br />2.2 weeks, 57% males. Size at birth and at discharge were assessed using the INTERGROWTH-21ST standards, at preschool age with World Health Organization (WHO) child growth standards. The employment of INTERGROWTH-21ST Preterm Postnatal longitudinal standards during the in-hospital follow-up significantly reduced the diagnosis of short term extrauterine growth restriction when compared to commonly used cross sectional neonatal charts, with significant lower loss of percentiles between birth and term corrected age (p &lt<br />0.0001). The implementation of a package of standards at birth, preterm postnatal growth standards and WHO child growth standards proved to be consistent, with correlation between centile at birth and at follow-up, and therefore effective in monitoring growth in a moderate and late preterm infant cohort without chronic or major morbidities. Infants identified as small for gestational age at birth showed significantly more frequently a need for auxological referral.
- Subjects :
- Male
Pediatrics
postnatal growth
0302 clinical medicine
Reference Values
Birth Weight
Longitudinal Studies
Prospective Studies
030212 general & internal medicine
Growth Charts
Child
Prospective cohort study
Nutrition and Dietetics
Extrauterine growth restriction
Growth curves
INTERGROWTH-21st
Postnatal growth
Preterm infants
SGA
Child, Preschool
Female
Gestational Age
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Body-Weight Trajectory
Gestational age
extrauterine growth restriction
Cohort
lcsh:Nutrition. Foods and food supply
medicine.medical_specialty
Late preterm infant
Referral
Birth weight
lcsh:TX341-641
growth curves
Article
03 medical and health sciences
030225 pediatrics
medicine
preterm infants
Preschool
Premature
business.industry
Newborn
medicine.disease
Small for Gestational Age
Small for gestational age
Observational study
business
Food Science
Subjects
Details
- ISSN :
- 20726643
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....1daaad9799616764b0ac62b6a212a4d3