Single center retrospective study:0~2 years old physical growth trend change research about small for gestational age infant from 2000-2009.
- XIONG Fei1,HUO Ting-zhu1,YANG Fan1,YANG Su-fei1,MAO Meng1,2.
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Abstract
Objective To explore the 0~2 years old physical growth trend change of small for gestational age infant (SGA) from 2000 to 2009. Methods The SGA from 2000 to 2009 in child health care of West China Second University Hospital were reviewed retrospectively.The physical growth were measured at 3,6,12,18,24 months.The velocity of growth was measured by Z score,and the deviation of growth were analyzed. Results There were 240 male SGA cases and 352 female SGA cases whose birth data were complete and accurate.The incidence of growth retardation of male at 3,12,18 months were significantly higher than those of female,but the incidence of overweight of female at 3 months were significantly higher than that of male(P<0.05),No matter male SGA,female SGA,the length and growth rates of SGA born in 2000-2004 at 3,6,12,18 months old were significantly less than those born in 2005-2009(P<0.05),moreover,the incidence of catch-up in length at different age were significantly less than those born in 2005-2009 in male(P<0.05).The incidence of catch-up in length at 3,6,12 months old were significantly less than those born in 2005-2009 in female(P<0.05).The level,growth rate,incidence of catch-up of weight had no differences among different groups. Conclusions The SGA was retarded in its growth and development influenced by unhealthy factors during fetal life.SGA usually catched up in growth at 3~6 months.The child health care workers should pay attention to the key of health care according to the different age.
Key words
small for gestational age infant / catch-up growth / growth deviation
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References
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[2] Yanney M,Marlow N.Paediatric consequences of fetal growth restriction[J].Semin Fetal Neonatal Med,2004,9(5):411-418.
[3] Hernández MI,Mericq V.Metabolic syndrome in children born small-for-gestational age[J].Arq Bras Endocrinol Metabol,2011,55(8):583-589.
[4] Halliday HL.Neonatal management and long-term sequelae[J].Best Pract Res Clin Obstet Gynaecol,2009,23(6):871-880.
[5] Soto N,Bazaes RA,Pena V,et al.Insulin sensitivity and secretion are related to catch-up growth in small-for-gestational-age infants at age 1 year:results from a prospective cohort[J].J Clin Endocrinal Metab,2003,88(8):3645-3650.
[6] Hack M,Schluchter M,Cartar L,et al.Growth of very low birth weight infants to age 20 years[J].Pediatrics,2003,112(1 Pt 1):e30-38.
[7] Karlberg J,Albertsson-Wikland K.Growth in full-term small-for-gestational-age infants:from birth to final height[J].Pediatr Res,1995,38(5):733-739.
[8] Seminara S,Rapisardi G,La Cauza F,et al.Catch-up growth in short-at-birth NICU graduates[J].Horm Res,2000,53(3):139-143.
[9] Gutbrod T,Wolke D,Soehne B,et al.Effects of gestation and birth weight on the growth and development of very low birth weight small for gestational age infants:a matched group comparison[J].Arch Dis Child Fetal Neonatal Ed,2000,82(3):208-214.
[10] Biosca M,Rodríguez G,Ventura P,et al.Central adiposity in children born small and large for gestational age[J].Nutr Hosp,2011,26(5):971-976.
[11] Ibáez L,Lopez-Bermejo A,Diaz M,et al.Catch-up growth in girls born small for gestational age precedes childhood progression to high adiposity[J].Fertil Steril,2011,96(1):220-223.
[12] Ibanez L,Ong K,Dunger DB,et al.Early development of adiposity and insulin resistance after catch-up weight gain in small-for-gestational-age children[J].J of Clinical Endocrin & Metabol,2007,91(6):2153-2158.
[13] Eriksson JG,Forsen T,Tuomilehto J,et al.Early growth and coronary heart disease in later life:a longitudinal study[J].BMJ,2001,322(7292):949-953.
