Objective: To compare bone status of small-for-gestational age (SGA) versus appropriate-for-gestational age (AGA) newborn preterm infants.Study Design: Tibial speed of sound (SOS) was measured in 144 infants categorized as SGA or AGA using the reference tables of Lubchenco et al. and Alexander et al.Result: By the Lubchenco tables, 22% of infants were SGA and 75% were AGA. The mean gestational ages of SGA and AGA were similar (33.3±2.6 and 32.5±2.4 weeks, respectively, P ¼ 0.09); however, SGA infant birth weights were lower (1329±392 and 1829±481 g, respectively, P<0.001). SOS values were higher for SGA versus AGA infants (3098±135 and 3003±122 m/s, respectively. P<0.001). Use of the Alexander tables yielded a twofold increase in the percent of infants categorized as SGA; SOS values remained significantly greater for SGA infants (P<0.001).
Conclusion:Higher tibial SOS values in SGA versus AGA infants indicate greater bone strength.