Predictive factors of catch-up growth in term, small for gestational age infants : a two-year prospective observational study in Algeria
© 2023 Walter de Gruyter GmbH, Berlin/Boston..
OBJECTIVES: Most small for gestational age (SGA) infants show catch-up growth but the minority who do not may benefit from growth-promoting treatment. We determined the prevalence of, and risk factors for, failure to show catch-up growth in term SGA infants.
METHODS: Prospective observational study of infants born at 37-42 weeks gestation between December 2012 and March 2014 with birth weight <10th percentile. Length, weight and head circumference were measured from birth to 2 years.
RESULTS: Of 457 (3.9 %) term infants with SGA, 446 (97.6 %) were followed up until 2 years. At 24 months, supine length, weight and head circumference were ≥-2 standard deviation score (SDS) in 87.9 , 96.4 and 97.1 % subjects, with persistent short stature in 12.1 %. In a multivariate analysis, the independent predictors of failure to show catch-up growth at 24 months were: maternal height <150 cm, difference between mid-parental height and birth length of ≥2.2 SDS, height at 24 months <-2 SDS below mid-parental height SDS, history of SGA, ponderal index <3rd centile and duration of breast feeding <3 months.
CONCLUSIONS: This study provides data concerning the epidemiology of SGA in Algeria and the factors associated with post-natal growth. Establishing which children remain short at 2 years has identified a cohort of patients requiring continuing follow up, with a view to instituting growth hormone therapy in selected cases. These results favour the setting up of an integrated national program to register SGA infants at birth, with re-evaluation at 2 years. (250 words).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
Journal of pediatric endocrinology & metabolism : JPEM - 36(2023), 9 vom: 26. Sept., Seite 842-850 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bouferoua, Fadila [VerfasserIn] |
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| Links: |
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| Themen: |
Catch-up growth |
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| Anmerkungen: |
Date Completed 06.09.2023 Date Revised 06.09.2023 published: Electronic-Print Citation Status MEDLINE |
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| doi: |
10.1515/jpem-2023-0043 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359977790 |
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| 100 | 1 | |a Bouferoua, Fadila |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Predictive factors of catch-up growth in term, small for gestational age infants |b a two-year prospective observational study in Algeria |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 06.09.2023 | ||
| 500 | |a published: Electronic-Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 Walter de Gruyter GmbH, Berlin/Boston. | ||
| 520 | |a OBJECTIVES: Most small for gestational age (SGA) infants show catch-up growth but the minority who do not may benefit from growth-promoting treatment. We determined the prevalence of, and risk factors for, failure to show catch-up growth in term SGA infants | ||
| 520 | |a METHODS: Prospective observational study of infants born at 37-42 weeks gestation between December 2012 and March 2014 with birth weight <10th percentile. Length, weight and head circumference were measured from birth to 2 years | ||
| 520 | |a RESULTS: Of 457 (3.9 %) term infants with SGA, 446 (97.6 %) were followed up until 2 years. At 24 months, supine length, weight and head circumference were ≥-2 standard deviation score (SDS) in 87.9 , 96.4 and 97.1 % subjects, with persistent short stature in 12.1 %. In a multivariate analysis, the independent predictors of failure to show catch-up growth at 24 months were: maternal height <150 cm, difference between mid-parental height and birth length of ≥2.2 SDS, height at 24 months <-2 SDS below mid-parental height SDS, history of SGA, ponderal index <3rd centile and duration of breast feeding <3 months | ||
| 520 | |a CONCLUSIONS: This study provides data concerning the epidemiology of SGA in Algeria and the factors associated with post-natal growth. Establishing which children remain short at 2 years has identified a cohort of patients requiring continuing follow up, with a view to instituting growth hormone therapy in selected cases. These results favour the setting up of an integrated national program to register SGA infants at birth, with re-evaluation at 2 years. (250 words) | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a catch-up growth | |
| 650 | 4 | |a intra-uterine growth restriction | |
| 650 | 4 | |a postnatal growth | |
| 650 | 4 | |a short stature | |
| 650 | 4 | |a small for gestational age | |
| 700 | 1 | |a El Mokhtar Khiari, Mohamed |e verfasserin |4 aut | |
| 700 | 1 | |a Benhalla, Nafissa |e verfasserin |4 aut | |
| 700 | 1 | |a Donaldson, Malcolm |e verfasserin |4 aut | |
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