ABSTRAa. Follow-up from birth to age 12 months was obtained in 21 infants born with intrauterine growth retardation. Serum insulin-like growth factor 1 was measured by radioimmunoassay. The bioassayable growth-promoting activity of the serum was measured as the "thymidine activity" on lectin-activated lymphocytes at 5 days and 1, 3, 6, 9, and 12 months, and was compared with control values. Depending on their length at age 12 months, the intrauterine growth retardation infants were divided into three groups: at or above the average (n = 8, group A), between the mean and -2 SD (n = 7, group B), or less than -2 SD (n = 6, group C). No differences in nutritional indexes or in head circumference were found between the three groups. Insulin-like growth factor 1 was significantly lower at age 5 days in intrauterine growth retardation than in control infants. It increased slowly in groups A and B to reach the control values at age 9 and 12 months. In group C it remained significantly subnormal at 1 yr of age. Thymidine activity was also significantly lower at age 5 days in intrauterine growth retardation compared with control infants. It increased sharply at age 1-3 months in groups A and B but remained significantly lower in group C up to 1 yr of age. Although individual values of insulinlike growth factor 1 and thymidine activity were closely correlated, the increase of length during the first postnatal year correlated significantly with the thymidine activity levels at 1 and 3 months but not with the insulin-like growth factor 1 levels at 1, 3, and 6 months. These data may be of some physiological significance for understanding the postnatal catch-up growth occurring after intrauterine growth retardation. (Pediatr Res 24: 380-383, 1988) Abbreviations IGF 1, insulin-like growth factor 1 TA, thymidine activity of serum IUGR, intra-uterine growth retardation SFD, small-for-dates newborns SGA, small for gestational age newborns AGA, appropriate for gestational age newborns that occurs in most but not all IUGR infants, usually in early postnatal life. The predictive value of various prenatal and neonatal parameters has been extensively discussed. However, although several studies have shown that somatomedin C/IGF l levels are lower in SFD than in normal-for-dates newborns (10-13), no longitudinal data on serum IGF 1 values in IUGR infants have been reported. The aim of this study was to follow the evolution of serum IGF 1 measured by radioimmunoassay and of the serum growth-promoting activity measured using a previously published bioassay (1 4) over a I -yr period in a group of IUGR infants compared to normal age-matched controls.
PATIENTS AND METHODSA total of 21 infants (I 1 males and 10 females) with birth weight less than -2 SD according to Usher and McLean (15) was followed, up to the age of 12 months, with measurements of IGF 1 and TA at ages 5 days and 1, 3,6,9, and 12 months. The gestational age, birth weight, and birth length of the 21 IUGR infants are shown in Figure 1. The gestational age was between 37 an...