A longer body length and larger head circumference at term significantly influences a better subsequent psychomotor development in very-low-birth-weight infants

Egashira, Tomoko; Hashimoto, M.; Shiraishi, Tada-aki; Shichijo, Akinori; Egashira, Masayuki; Mizukami, Tomoko; Takayanagi, Tetsuya

doi:10.1016/j.braindev.2018.11.012

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…These data emphasized the importance of assessing head circumference as an indicator of brain development in ELBW infants. (31,32) Limitations of the study include the small sample size, single-centre design, and potential confounding factors not accounted for in the analysis. Future research should aim to replicate these findings in larger and more diverse populations and explore the potential impact of various nutritional interventions and additional factors that may influence growth patterns in ELBW infants.…”

Section: Discussionmentioning

confidence: 99%

Growth of Extremely Low Birth Weight Infants (ELBW) born at a Tertiary Hospital: Statural catch-up growth continues during the 3rd year of life

Fawzia Alyafei,

Ashraf Soliman,

Vincenzo De Sanctis

et al. 2023

World J. Adv. Res. Rev.

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Background: Extremely low birth weight (ELBW) infants, with birth weights less than 1000 g, often experience challenges in postnatal growth. This study aimed to assess the growth patterns of ELBW infants over a 3-year period, focusing on statural catch-up growth. Methods: Anthropometric measures (z-scores) were obtained at birth, 2, 4, 6, 12, 18, 24, and 36 months for 87 ELBW infants born between September 2016 and September 2018. Their growth data was compared to WHO growth standards without adjusting for gestational age. All preterm infants received preterm formula for an average of 4-6 months. Results: ELBW infants showed significant catch-up growth in weight-for-age (WAZ) and length-for-age (LAZ) during the first two years of life, while weight-for-length (WLZ) showed an initial increase followed by a mild decline. By age 3, a substantial proportion of infants achieved normal growth parameters. Specifically, 78% had normal WAZ, 90% had normal LAZ, 87% had normal WLZ, and 91.5% had normal head circumference z-scores (HCZ). Overweight was observed in 7.4% of ELBW infants at age 3. Conclusion: ELBW infants fed preterm formula for 4-6 months demonstrated significant catch-up growth during the first 12-18 months of life, with continued catch-up in LAZ during the third year. A high percentage of these infants achieved normal growth parameters by age 3, emphasizing the effectiveness of early interventions in improving postnatal growth in ELBW infants.

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Section: Discussionmentioning

confidence: 99%

Growth of Extremely Low Birth Weight Infants (ELBW) born at a Tertiary Hospital: Statural catch-up growth continues during the 3rd year of life

Fawzia Alyafei,

Ashraf Soliman,

Vincenzo De Sanctis

et al. 2023

World J. Adv. Res. Rev.

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“…La nutrición óptima, intensiva y oportuna, es un factor crítico y debe ser un objetivo importante en el período intrahospitalario ya que es determinante en el crecimiento posterior [5][6][7][8][9] . En nuestro estudio se destaca que el crecimiento precoz está asociado a la evolución antropométrica posterior.…”

Section: Grupounclassified

“…Numerosos estudios muestran la importancia de una buena evolución nutricional en el neurodesarrollo desde las primeras semanas de vida [5][6][7][8][9] . Lograr un crecimiento cercano al crecimiento fetal es una de las tareas importantes en Neonatología.…”

Section: Introductionunclassified

Crecimiento a 24 meses de prematuros menores de 32 semanas, con o sin restricción de crecimiento intrauterino o postnatal

et al. 2022

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El crecimiento de recién nacidos prematuros puede afectarse durante período fetal, la hospitalización y post alta. Objetivo: describir el crecimiento de prematuros, con o sin restricción de crecimiento intrauterino y postnatal, y con o sin recuperación a las 40 semanas desde el nacimiento hasta los 24 meses de vida. Pacientes y Método:Estudio descriptivo retrospectivo de crecimiento en puntaje Z (según Fenton y OMS) de peso, longitud, perímetro craneano y peso/talla de prematuros < 32 semanas al nacer, hasta los 2 años de edad corregida. Se definieron cuatro grupos según crecimiento prenatal, postnatal y postalta. Grupo AAA: lactantes nacidos AEG, sin restricción postnatal; Grupo APA: lactantes nacidos AEG con restricción postnatal, con peso al alta < p10, y a las 40 semanas con peso > p10; Grupo APP: lactantes nacidos AEG, con restricción postnatal, con peso al alta < p10, que se mantienen bajo percentil 10 a las 40 semanas, y Grupo PPP: lactantes nacidos con restricción intrauterina y que mantuvieron restricción postnatal (al nacer, al alta y 40 semanas con peso < p10). Se utilizó estadística descriptiva, ANOVA y Chi cuadrado, y análisis de Modelos Lineales Mixtos. Resultados: Se incluyeron 721 prematuros, peso de 1272 g. (DE 360) y edad gestacional 29 (DE 1,9) semanas al nacer. El grupo AAA mantiene puntaje Z de peso, longitud y perímetro craneano alrededor de la mediana, hasta los 2 años. Los prematuros adecuados al nacer y restricción postnatal, pueden tener dos trayectorias: un grupo presenta recuperación a las 40 semanas (Grupo APA) y otro grupo presenta puntaje Z peso < -1 hasta los 6 meses (Grupo APP). El grupo PPP (con restricción intrauterina y postnatal) presenta lenta recuperación de puntaje Z de peso y longitud con Z de peso alta de -2,3 y lenta mejoría hasta < -1 a los 2 años. Todos los grupos presentaron Z peso/talla sobre la mediana en los primeros 2 meses corregidos. Conclusión: Los prematuros con buen crecimiento intrauterino en peso, pero deterioro postnatal, pueden recuperarse a las 40 semanas, con evolución normal posterior o recuperarse a los 6 meses. El grupo de prematuros con restricción de crecimiento pre y post natal (PPP) mantiene el compromiso nutricional en los 2 primeros años de vida.

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Growth at 2 years corrected age in preterm infants discharged on two different breast milk enhancements: An observational study

Gehl,

Feinn,

Haines

et al. 2024

J. pediatr. gastroenterol. nutr.

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ObjectiveBreast milk (BM) enhancement is often used to meet the nutritional needs of preterm infants after hospital discharge to achieve optimal growth. This study compared growth at 18–28 months corrected age (CA) among very preterm (VP) and very low birth weight (VLBW) infants discharged from the neonatal intensive care units (NICUs) on two BM enhancements.MethodsWe conducted a retrospective chart review study of infants born between January 1, 2013 and December 31, 2017, with gestational age < 32 weeks or birthweight < 1500 g, discharged from the NICU on BM enhancements; fortification of BM with infant formula additives (BM‐F) or unfortified BM supplemented with bottle feeds of infant formula (BM‐S). BM enhancements were nonrandomized and determined by the medical team. A linear mixed model regression analysis with propensity score matching was used to estimate the adjusted associations between the nutrition plan at discharge and growth outcomes at 18–28 months CA follow‐up.ResultsTwo hundred and fifty‐one VLBW/VP infants were included. Compared with BM‐S, infants discharged on BM‐F were more likely to continue receiving BM at 8–12 months CA, and had lower head circumference, weight‐for‐length z scores, and higher incidence of moderate malnutrition (p ≤ 0.01). After adjusting for confounders, discharge on BM‐F was associated with a lower incidence of overweight/obesity at 18–28 months CA (odds interval: 0.45; confidence interval: 0.21–0.96; p = 0.04).ConclusionsThis retrospective study suggests that VLBW/VP infants discharged on BM‐F received BM longer, had lower growth parameter and were less likely to be overweight/obese at 18–28 months CA. Further studies are needed to evaluate the role of postdischarge nutrition on preterm born children's growth, metabolic disease, and neurodevelopmental outcomes.

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A longer body length and larger head circumference at term significantly influences a better subsequent psychomotor development in very-low-birth-weight infants

Cited by 8 publications

References 19 publications

Growth of Extremely Low Birth Weight Infants (ELBW) born at a Tertiary Hospital: Statural catch-up growth continues during the 3rd year of life

Growth of Extremely Low Birth Weight Infants (ELBW) born at a Tertiary Hospital: Statural catch-up growth continues during the 3rd year of life

Crecimiento a 24 meses de prematuros menores de 32 semanas, con o sin restricción de crecimiento intrauterino o postnatal

Growth at 2 years corrected age in preterm infants discharged on two different breast milk enhancements: An observational study

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