Anthropometric measurements in a newborn population in West Africa: A reliable and simple tool for the identification of infants at risk for early postnatal morbidity

Gozal, David; Ndombo, Paul Koki; Minkande, Jacqueline Zé; Kago, I.; Ekoe, Tetanye; Mbede, J.

doi:10.1016/s0022-3476(05)80049-6

Cited by 26 publications

(23 citation statements)

References 21 publications

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“…Our fi nding was diff erent from another study 10 where prematurity was observed in 25.5% and SGA in 14.1% of the neonates. The reason for this may be that the adverse intrauterine environment and other risk factors vary in diff erent countries.…”

Section: Discussioncontrasting

confidence: 99%

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Malla

Mall

Rao

et al. 2012

J. Nepal Paedtr. Soc.

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Introduction:There is a wide variation in normal birth weight, length and head circumference of newborns. The standards formulated by Western workers may not be very reliable to this part of world because of wide variations in normal range of length, weight and head circumference in different ethnic groups. This study aims to determine the anthropometric values -birth weight, length and head circumference in Term and Preterm newborns of different ethnic groups in this region of the country and to see if this can be used as a standard for taking the anthropometric measurements. Materials and Methods: A prospective study of 600 newborns born in Manipal Teaching Hospital, Pokhara from July 2009-June 2010. A detailed anthropometric measurement (weight, length, and head circumference) of all newborns was taken on 3 rd day of life. Results: Six major Ethnic groups were noted Brahmin, Gurung, Dalit, Chettri, Magar and Newar. There were 54 % males and 46% females among which 18.16% were preterms, 20.66% small for gestation age, 81.50% term and 0.33% posterm. The mean weight, length and head circumference of term babies were 2.817±0.61 gms, 47.68±2.48 cm, 33.56±2.02 cm and for preterm babies it was 2.215± 0.41 gms, 46.36±2.39 cm, 32.23±2.03 cm respectively. There were 25% low birth weight (n=151, highest number in Brahmins-27%), 74.16% normal weight (n=445) and 0.66% over weight (n=4, all were gurungs) babies. In Term newborns weight, length and head circumference was noted to be highest in Gurungs (3.3004gms, 49.35cm, 34.72cm) and was statistically significant (p<0.000). Weight and length of Brahmins was lowest (2.578 gms, 45.49cm) and head circumference was lowest in Dalits (30.88cm, statistically significant<0.000). In case of preterms highest weight and length was seen in Magars (2.387gms, 47.90cm) but head circumference was highest in Gurungs (34.18cm) whereas weight was lowest in chettri (2.1609gms), length in Brahmin (44.61cm) and OFC in Dalits (29.92cm). These parameters were directly proportion with gestation age and was statistically significant (p<0.000). Conclusion: The present study highlights the mean weight, length and head circumference of term and preterm newborns in different ethnic groups and gestation age. These parameters were directly proportion to gestation age but were variable in different Ethnic groups. Therefore a study in larger population could give us a different standard for anthropometric measurements in Nepalese newborns.

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Section: Discussioncontrasting

confidence: 99%

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Malla

Mall

Rao

et al. 2012

J. Nepal Paedtr. Soc.

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“…Furthermore, during periods of marginal malnutrition there is muscle and fat wasting, while head growth and length are relatively spared (21). In line with our results, previous researchers found that the PI is of poor discriminative value compared with MAC (4, 8). However, further analysis of the predictive value of PI revealed that it is an unreliable index since about 50% of the symptomatic neonates had a PI within normal limits (2.2-2.9) and the rate of accurate predictions was about 50%, as has also been reported by Georgieff et al (6).…”

Section: Discussionsupporting

confidence: 91%

Accuracy of anthropometric measurements in predicting symptomatic SGA and LGA neonates

et al. 1995

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Mid-arm circumference, mid-arm circumference/head circumference ratio, ponderal index and skinfold thickness at five sites (biceps, triceps, quadriceps, subscapular and flank) were measured in 91 small-for-gestational-age (SGA) and 101 large-for-gestational-age (LGA) neonates to investigate their accuracy in identifying neonates at high risk of complications resulting from disturbed intrauterine growth. Thirty-one of 91 SGA and 19 of 101 LGA neonates who developed hypoglycaemia and/or polycythaemia were regarded as symptomatic. Mean values of all of the anthropometric parameters differed significantly between symptomatic and asymptomatic SGA or LGA neonates. The quadriceps skinfold thickness was the most sensitive index in predicting symptomatic SGA and LGA neonates (sensitivity 0.93 and 0.95, respectively). The mid-arm circumference was also a very sensitive index in predicting symptomatic SGA neonates (sensitivity 0.94) but its specificity was extremely low (0.20). The rest of the parameters showed lower sensitivity than quadriceps skinfold thickness associated with similarly low specificity and validity. The findings of this study indicate that the quadriceps skinfold thickness is the most reliable index for use as a screening test for clinical evaluation of SGA and LGA neonates who are likely to develop complications as a result of disturbed intrauterine nutrition.

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“…[11] In contrast to our studies, many authors have found that mid arm circumference correlates better with the birth weight than chest circumference. [8][9] [10] We feel that head circumference measurement in detecting Low birth weight babies is not a useful parameter because it is affected by moulding and caput succedaneum as has been said in the literature [10] and it is to be noted that estimation of body length and head circumference is particularly prone to error because standard methods and precision instruments are not always used in the routine measurement of these variables.…”

Section: Discussionmentioning

confidence: 99%

Neonatal screening by chest circumference and a study of relationship between birthweight and other anthropometric parameters

Shastry¹,

Bhat²

2015

Int Jour of Biomed Res

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Aims and objectives of the study: To record the chest circumference of the newborns as well as to find out the relationship between birth weight and other anthropometric parameters like head circumference, mid arm circumference and chest circumference. Methods: This observational study includes a total no. of 2050 consecutive live singleton infants born between 28 to 42 weeks gestation in a 1 year period. Anthropometric parameters such as birth weight, crown heel length, mid arm circumference, head circumference and chest circumference were recorded. Results: A mid arm circumference of 9cms can be used to detect low birth weight babies and chest circumference of 30cms has maximum sensitivity and specificity to detect low birth weight babies compared to other parameters. Conclusion: Chest circumference and mid arm circumference are alternate parameters to identify low birth weight babies.

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Anthropometric measurements in a newborn population in West Africa: A reliable and simple tool for the identification of infants at risk for early postnatal morbidity

Cited by 26 publications

References 21 publications

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Accuracy of anthropometric measurements in predicting symptomatic SGA and LGA neonates

Neonatal screening by chest circumference and a study of relationship between birthweight and other anthropometric parameters

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