小于胎龄儿生长发育的研究进展

兰红艳, 陈津津

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (4) : 405-408.

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中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (4) : 405-408. DOI: 10.11852/zgetbjzz2020-0381
综述

小于胎龄儿生长发育的研究进展

  • 兰红艳, 陈津津
作者信息 +

Research progress on the growth and development of small for gestational age children

  • LAN Hong-yan, CHEN Jin-jin
Author information +
文章历史 +

摘要

近年来,随着“二胎”政策的全面开放以及高危新生儿救治水平的不断提高,我国高龄孕妇及缺陷胎儿比例逐年增加,小于胎龄儿(SGA)所面临的生长发育问题也逐渐显露。SGA是指出生体重低于同胎龄儿平均体重的第10百分位(P10)或低于相同胎龄儿平均体重2个标准差者。研究表明,SGA在体格生长及神经行为发育上与适于胎龄儿(AGA)存在诸多差异。本综述旨在总结近几年关于SGA最新研究进展,为其生长发育评价及临床早期干预提供参考。

Abstract

In recent years, with the full opening of the “second child” policy and the continuous improvement of treatment level for high-risk newborns, the proportion of pregnant women of advanced reproductive age and defective fetuses in China has increased year by year, and the increasing growth and development problems faced by gestational age children are gradually revealed. Small for gestational age (SGA) infants usually have birth weight below the 10th percentile for infants of the same gestational age, or 2 standard deviations below the average body weight of the same gestational age. Studies have shown that there are many differences in physical growth and neurodevelopment between the SGA and appropriate for gestational age (AGA) infants. So this review aims to summarize the recent research progress in the growth and development patterns of SGA in recent years, thus to provide a reference for the assessment of growth and development and early clinical intervention of SGA children.

关键词

小于胎龄儿 / 体格生长 / 神经行为发育

Key words

small for gestational age / physical growth / neurobehavioral development

引用本文

导出引用
兰红艳, 陈津津. 小于胎龄儿生长发育的研究进展[J]. 中国儿童保健杂志. 2021, 29(4): 405-408 https://doi.org/10.11852/zgetbjzz2020-0381
LAN Hong-yan, CHEN Jin-jin. Research progress on the growth and development of small for gestational age children[J]. Chinese Journal of Child Health Care. 2021, 29(4): 405-408 https://doi.org/10.11852/zgetbjzz2020-0381
中图分类号: R174   

参考文献

[1] Fujita K, Nagasaka M, Iwatani S, et al. Prevalence of small for gestational age (SGA) and short stature in children born SGA who qualify for growth hormone treatment at 3 years of age:Population-based study[J]. Pediatr Int. 2016,58(5):372-376.
[2] 王庆红,杨于嘉.我国小于胎龄儿现状分析[J].中国实用儿科杂志,2009,24(3):177-180.
[3] Ray JG, Park AL, Fell DB.Mortality in infants affected by preterm birth and severe small-for-gestational age birth weight[J].Pediatrics, 2017, 140(6):e20171881.
[4] Li S, Wang H, Hu H, et al. Effect of ambient air pollution on premature SGA in Changzhou city, 2013-2016:a retrospective study[J]. BMC Public Health, 2019,19(1):705.
[5] Ozdemir OM, Ergin H, Sahiner T. Electrophysiological assessment of the brain function in term SGA infants[J]. Brain Res, 2009,1270:33-38.
[6] Chawla D. Small for gestation age neonates:Unmet clinical care and research need[J].Indian J Pediatr, 2019, 86(7):572-573.
[7] 祝捷,马军.小于胎龄儿的研究现况[J].中国新生儿科杂志,2012,27(1):68-70.
[8] Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants[J]. BMC Pediatr, 2013,13:59.
[9] Beger C, Merker A, Mumm R, et al. Growth prediction of small for gestational age infants within the first weeks after birth[J]. Anthropol Anz, 2018,74(5):377-382.
[10] 李婷婷,陈津津.上海市0~6岁小于胎龄儿健康及生长发育状况普查[J].中国儿童保健杂志,2013,21(11):1169-1172.
[11] 袁仙仙,潘慧,陈适,等.小于胎龄儿追赶生长特点及影响因素分析[J].基础医学与临床,2019,39(9):1325-1329.
[12] Gallo P, Cioffi L, Limauro R, et al. SGA children in pediatric primary care:What is the best choice, large or small? a 10-year prospective longitudinal study[J].Glob Pediatr Health, 2016,3:2333794X16659993.
[13] Kapral N, Miller SE, Scharf RJ,et al . Associations between birthweight and overweight and obesity in school-age children[J]. Pediatr Obes, 2018,13(6):333-341.
[14] Yu B, Garcy AM. A longitudinal study of cognitive and educational outcomes of those born small for gestational age[J].Acta Paediatr, 2018,107(1):86-94.
[15] Sanz-Cortes M, Egaa-Ugrinovic G, Zupan R, et al. Brainstem and cerebellar differences and their association with neurobehavior in term small-for-gestational-age fetuses assessed by fetal MRI[J]. Am J Obstet Gynecol, 2014,210(5):452.
[16] Freire G, Shevell M, Oskoui M. Cerebral palsy:phenotypes and risk factors in term singletons born small for gestational age[J]. Eur J Paediatr Neurol, 2015,19(2):218-225.
[17] Sania A, Sudfeld CR, Danaei G, et al. Early life risk factors of motor, cognitive and language development:a pooled analysis of studies from low/middle-income countries[J]. BMJ Open, 2019,9(10):e026449.
[18] Jensen RB, Juul A, Larsen T, et al. Cognitive ability in adolescents born small for gestational age:Associations with fetal growth velocity, head circumference and postnatal growth[J]. Early Hum Dev, 2015,91(12):755-760.
[19] Shariat M, Gharaee J, Dalili H,et al. Association between small for gestational age and low birth weight with attention deficit and impaired executive functions in 3-6 years old children[J].J Matern Fetal Neonatal Med, 2019,32(9):1474-1477.
[20] Yang S, Platt RW, Kramer MS. Variation in child cognitive ability by week of gestation among healthy term births[J]. Am J Epidemiol, 2010,171(4):399-406.
[21] Varella MH, Moss WJ. Early growth patterns are associated with intelligence quotient scores in children born small-for-gestational age[J].Early Hum Dev, 2015,91(8):491-497.
[22] Garay SM, Savory KA, Sumption L, et al.The Grown in Wales Study:Examining dietary patterns, custom birthweight centiles and the risk of delivering a small-for-gestational age(SGA) infant[J].PLoS One, 2019,14(3):e0213412.
[24] Murthy K, Karbownik K, Garfield CF,et al . Small-for-gestational age birth confers similar educational performance through middle school[J].J Pediatr, 2019,212:159-165.
[25] Jensen RB, Juul A, Larsen T, et al. Cognitive ability in adolescents born small for gestational age:Associations with fetal growth velocity, head circumference and postnatal growth[J].Early Hum Dev, 2015,91(12):755-760.
[26] Pylipow M, Spector LG, Puumala SE, et al .Early postnatal weight gain, intellectual performance, and body mass index at 7 years of age in term infants with intrauterine growth restriction[J]. J Pediatr, 2009,154(2):201-206.
[27] Díaz M, Bassols J, Sebastiani G, et al. Circulating GLP-1 in infants born small-for-gestational-age:breast-feeding versus formula-feeding[J]. Int J Obes (Lond), 2015,39(10):1501-1503.
[28] Renes JS, van Doorn J, Hokken-Koelega ACS. Current insights into the role of the growth hormone-insulin-like growth factor system in short children born small for gestational age[J]. Horm Res Paediatr, 2019,92(1):15-27.
[29] Aurensanz Clemente E, Samper Villagrasa P, Ayerza Casas A, et al. Effects of growth hormone treatment on anthropometrics, metabolic risk, and body composition variables in small for gestational age patients[J]. An Pediatr (Barc), 2017,86(5):240-248.
[30] Kajdy A, Modzelewski J, Filipecka-Tyczka D, et al. Development of birth weight for gestational age charts and comparison with currently used charts:defining growth in the Polish population[J].J Matern Fetal Neonatal Med, 2019:1-8.doi:10.1080/14767058.2019.1676412.
[31] Sharp A, Duong C, Agarwal U, et al .Screening and management of the small for gestational age fetus in the UK:A survey of practice[J]. Eur J Obstet Gynecol Reprod Biol, 2018,231:220-224.

基金

国家自然科学基金(81670810);上海市科学技术委员会医学引导类项目(18411967700);上海市教育委员会高峰高原学科建设计划(20161432);上海市儿童健康服务能力建设专项规划高端儿科海外研修团队培养计划(GDEK201710);上海申康医院发展中心常见疾病适宜技术研发与推广应用项目(16CR4016A)

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