Variables associated with extra uterine growth restriction in very low birth weight infants

Lima, Paola Azara Tabicas; Carvalho, Manoel de; Costa, Ana Carolina Carioca da; Moreira, Maria Elisabeth Lopes

doi:10.1016/j.jped.2013.05.007

Cited by 69 publications

(58 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lima et al 15 also found similar results for weight Z-scores. Embleton et al 48 reinforce the multiplicity of factors involved in the development of EUGR and associate the accumulation of nutritional deficits in the first weeks after birth to nutritional practices, resulting in EUGR.…”

Section: Discussionsupporting

confidence: 53%

“…Although the American Academy of Pediatrics recommends that extrauterine growth rate should aim to equal intrauterine growth rate of a premature infant with same gestational age 2,29 , the postnatal growth curves seem more appropriate to follow their growth 37 , and currently, the Fenton & Kim 9 and Fenton et al 10 curves approach the standard for classifying and following newborns until the corrected age of 50 weeks 11 . Lima et al 15 also disagree with the American Academy of Pediatrics recommendations.…”

Section: Discussionmentioning

confidence: 97%

“…Extrauterine grown restriction prevalence in the sample was 24.0%, and being small for gestational age at birth increased the likelihood of EUGR by 6.14 times, while each day without enteral diet increased its likelihood by 8.0%. In a Brazilian study, de Lima et al 15 found that EUGR affects 26.0% of premature infants, and small for gestational age at birth has more impact than any other variable. Gianini et al 28 also associated small for gestational age at birth with EUGR.…”

Section: Discussionmentioning

confidence: 97%

See 2 more Smart Citations

Extrauterine growth restriction: Universal problem among premature infants

et al. 2016

View full text Add to dashboard Cite

Objective: To analyze the growth rate of premature infants in the first weeks of life and factors associated with extrauterine growth restriction. Methods: This is a cross-sectional study of 254 premature infants in a neonatal intensive care unit conducted from January 1, 2008 to December 31, 2010. Infants who died or had malformations incompatible with life were excluded. Median weight curves according to gestational age were constructed for the first four weeks of life. The Fenton growth chart calculations provided the weight Z-scores. Extrauterine growth restriction was defined as corrected weight-for-age Z-score ≤-2. Perinatal, morbidity, and health care variables were analyzed. The Poisson regression model yielded the prevalenceratios . Associations between extrauterine growth restriction and the perinatal, morbidity, and care variables were investigated. Poisson regression controlled possible confounding factors. Results: The frequency of extrauterine growth restriction was 24.0%. Most (85.0%) small-for-gestational-age infants developed extrauterine growth restriction; 55.3% of extrauterine growth restriction cases involved small-for-gestational-age infants. Premature infants with gestational age >32 weeks did not recover the median birth weight until the third week of life and had a higher frequency of small-for-gestational-age. The Z-scores of non-small-for-gestational-age infants decreased more after birth than those of small-for-gestational-age infants. extrauterine growth restriction was associated with small-for-gestational-age (PR=6.14; 95%CI=3.33-11.33;p <0.001) and time without enteral diet (PR=1.08; 95%CI=1.04-1.13; p =0.010). Conclusion: Extrauterine growth restriction occurs in premature infants of all gestational age. The participation of small-for-gestational-age and nutritional practices in its genesis is noteworthy. We suggest prospective studies of all premature infants. The implementation of best care practices, individualized for small-for-gestational-age infants, to improve nutrient supply can minimize the problem.

show abstract

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Extrauterine growth restriction: Universal problem among premature infants

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The characterization of the sample in relation to weight, gestational age (GA), IG/weight ratio and length of stay identified that most of the results to the very low Weight premature infants (VLWPT) were similar to VLWPT in other national and international studies 14,15 . The EGR, shown by the important fall on average of the Z score of three anthropometric variables of birth until hospital discharge, presented averages of Z score lower when compared to similar study 16 carried out in four neonatal units of Rio de Janeiro, Brazil, where 570 premature were analyzed using the same assessment of the growth curve, and there were 39.1% high EGR, in relation to weight.…”

Section: Discussionmentioning

confidence: 81%

Growth of Very Low Birth Weight Preterm Until 12 Months of Corrected Age

Rover

Viera

Toso

et al. 2015

J. Hum. Growth Dev.

View full text Add to dashboard Cite

Introduction: facing the progressive increase in the survival of premature ta infants, a concern for health professionals would be related to the possible consequences arising from prematurity, among them the growth changes. Objectives: to describe the anthropometric variables of newborns Premature Very Low Birth Weight in the follow-up monitoring. Methods: observational, longitudinal and retrospective study, involving 71 children who left Neonatal Intensive Care Unit (NICU), with a weight lower than 1500 g who were treated between 2006 and 2013. They should have at least three outpatient visits within twelve months of corrected age after NCAU discharge, in the following periods: period I up to 3 months of corrected age; period II between 4-6 months of corrected age and period III between 7-12 months of corrected age. Results: the mean Gestational Age (GA) was 29.4 weeks, 51% male, birth weight 1073.2 g, 70% with appropriate GA. The hospitalization stay was 68.73 days. Weight Z score at birth -0.95; at discharge -3.05; in period I -2.4; period II -1.8; period III -1.2. Height at birth -1.21, at discharge -2.23; -2.5; -1.8 and -1.1 for the periods I, II and III , respectively. Regarding the PT Z score at birth -0.71; at discharge -1.5; and monitoring -1.1; -0.8 and -0.5 respectively in the periods I, II and III. Conclusions: despite of the great Z score reduction in NICU, there was a progressive improvement during follow-up in the Z score in the three anthropometric variables.

show abstract

“…Este estudo observou que a restrição do crescimento pós-natal ocorreu em 71% dos RNPT que apresentaram muito baixo peso ao nascer, enquanto ocorreu em 63 e 39% nos estudos de Gianini et al 34 e de Lima et al 35,36 . Embleton et al 37 demonstraram que a restrição do crescimento pós-natal está relacionada com a deficiência cumulativa da ingestão proteica e calórica observada até a quinta semana de vida.…”

Section: I S C U S S ã Ounclassified

Antropometria e composição corporal de recém-nascidos pré-termo na idade gestacional e no peso equivalente ao termo

et al. 2015

Self Cite

View full text Add to dashboard Cite

Antropometria e composição corporal de recém-nascidos pré-termo na idade gestacional e no peso equivalente ao termo Anthropometry and body composition of preemies at term age and term age weight R E S U M O ObjetivoAnalisar o crescimento e a composição corporal de recém-nascidos pré-termo na idade gestacional corrigida de termo e ao alcançarem um peso entre 3,0 e 3,5 kg. MétodosEstudo longitudinal, realizado no Instituto Fernandes Figueira, Rio de Janeiro, com 39 recém-nascidos pré-termo e que apresentaram muito baixo peso ao nascer. Medidas antropométricas e água corporal total foram avaliadas no primeiro, no sétimo e no dia da recuperação do peso de nascimento, na idade gestacional corrigida do termo e em torno de três semanas de idade gestacional corrigida (correspondente ao tempo de vida para alcançar um peso entre 3,0 e 3,5 kg). O grupo de referência foi constituído por 32 recém-nascidos a termo, adequados para a idade gestacional, avaliados no segundo dia de vida. Considerou-se restrição de crescimento o escore-Z menor do que -2 para peso, comprimento e perímetro cefálico. ResultadosNa idade de termo, 71,8% dos recém-nascidos pré-termo apresentaram restrição do crescimento para peso, 61,5% para comprimento e 25,6% para perímetro cefálico. Com três semanas de idade gestacional corrigida, esses recém-nascidos apresentaram a prega cutânea tricipital e a circunferência abdominal estatisticamente maiores que o grupo de referência enquanto o comprimento e a porcentagem de água corporal total foram menores. ConclusãoOs recém-nascidos pré-termo apresentaram perfil antropométrico e de água corporal diferente dos recém--nascidos a termo, sugerindo acúmulo de gordura. Houve recuperação do crescimento entre a idade de termo e três semanas de idade corrigida, sendo mais evidente esse crescimento em relação ao perímetro cefálico e peso.Palavras-chave: Antropometria. Composição corporal. Prematuro. Recém-nascido. A B S T R A C T ObjectiveTo analyze growth and body composition of preemies at term gestational age and when they reach a weight of 3.0 to 3.5 kg. Methods This longitudinal study was conducted at ConclusionThe anthropometric profile and total body water of preemies were different from those of term newborns, suggesting fat deposition. There was catch up growth between term age and three weeks of corrected gestational age, which was more evident for head circumference and weight.

show abstract

Variables associated with extra uterine growth restriction in very low birth weight infants

Abstract: extrauterine growth restriction was high in the population, especially for SGA newborns and those with neonatal morbidities.

Cited by 69 publications

References 21 publications

Extrauterine growth restriction: Universal problem among premature infants

Extrauterine growth restriction: Universal problem among premature infants

Growth of Very Low Birth Weight Preterm Until 12 Months of Corrected Age

Antropometria e composição corporal de recém-nascidos pré-termo na idade gestacional e no peso equivalente ao termo

Contact Info

Product

Resources

About