Somatic growth from birth to 6 months in low birth weight, in Bukavu, South Kivu, Democratic Republic of the Congo

Mbusa-Kambale, R.; Mihigo-Akonkwa, M.; Francisca-Isia, N.; Zigabe-Mushamuka, S.; Bwija-Kasengi, J.; Nyakasane-Muhimuzi, A.; Battisti, Oreste; Mungo-Masumbuko, B.

doi:10.1016/j.respe.2017.11.011

Cited by 1 publication

(1 citation statement)

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“…These results are consistent with findings in the existing literature showing that infants born LBW in sub-Saharan Africa are at high risk of ongoing growth impairment, and also reveal that pronounced initial weight loss may be a factor contributing to long-term outcomes for these children. [17][18][19] Importantly, our results also showed that many infants did not receive either breast milk or artificial milk on the day after birth. Taken together, these findings suggest that improved strategies for infant feeding early in the newborn period might have important potential to improve and reduce the risk of growth impairment in this population.…”

Section: Discussionmentioning

confidence: 84%

Weight change in the first 30 days among infants born less than 2000 grams in Guinea-Bissau and Uganda

Co,

Nankabirwa,

Bale

et al. 2024

Sci Rep

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Despite the high prevalence of low birth weight infants in sub-Saharan Africa and the associated poor outcomes, weight change during the newborn period has not been well characterized for this population. We prospectively assessed growth over the first 30 days among 120 infants born < 2000 g (g) in Guinea‐Bissau and Uganda, and compared it to a similar cohort of 420 infants born ≥ 2000 g. Among those born < 2000 g, mean birth weight was 1747 ± 164 g, and initial weight loss was 8.25 ± 4.40% of birth weight prior to the initiation of weight gain at a median of 3 (interquartile range 2, 4) days of age. This initial weight loss was more pronounced (8.25 vs 6.06%; p < 0.001) and lasted longer (median 3 vs 2 days; p < 0.001) than for infants born ≥ 2000 g. The initial period of weight loss was an important predictor of growth at 30 days in both cohorts. Infants born < 2000 g on average grew proportionately to their size at birth but did not experience catch-up growth; their weights at 30 days remained much lower than that of infants born ≥ 2000 g and most remained severely underweight. Targeted interventions to optimize early growth should be investigated.

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Section: Discussionmentioning

confidence: 84%