Frequency and risk factors of fetal malnutrition among liveborn singleton term neonates using a computerised perinatal database, 2000–2006

Salihoğlu, Özgül; Karatekın, Güner; Baksu, Başak; Uslu, Sinan; Baksu, Alparslan; Can, Günay; Nuhoğlu, Asiye

doi:10.1111/j.1440-1754.2012.02520.x

Cited by 4 publications

(5 citation statements)

References 26 publications

(96 reference statements)

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“…In our study, a comparison of the mother's skin type between the study group and the control group showed that more mothers with dark skin or lower weight gain (≤9 kg) during pregnancy had newborns with FM. So far, there has been no study in the literature on the relationship between FM and the mother's skin color, although a study by Salihoğlu et al showed a significant relationship between low gestational weight gain of the mother and the frequency of FM, similarly supporting our study results (8).…”

Section: Resultssupporting

confidence: 91%

“…On the basis of previous findings, that birth weight, birth height, and head circumference of FM neonates are lower than that of well-nourished neonates, we hypothesized that 25(OH)Vit D levels are lower in FM infants and may be the cause of the lack of growth in these neonates (8). We calculated that a sample size of 60 neonates with malnourished neonates (α=0.05, power=80%).…”

Section: Methodsmentioning

confidence: 99%

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The Association Between 25-Hydroxyvitamin D Levels and Fetal Malnutrition in Term Neonates

Eraslan¹,

Salihoğlu²,

Can³

et al. 2018

BTDMJB

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Bu çalışmanın amacı gebelik haftasına göre uygun [average for gestational age (AGA)] yenidoğanlarda fetal malnütrisyon ile D vitamini eksikliği arasındaki ilişkiyi saptamaktır. Gereç ve Yöntemler: Çalışma, 1 Mart-30 Nisan 2012 tarihleri arasında tek dönem bebeklerde yapıldı. Yenidoğanların tümünün kordon kanı D vitamini düzeyleri ölçüldü ve fetal malnütrisyonu bulunan bebekler çalışma grubuna alındı. İyi beslenen term yenidoğanların kord bebek D vitamini seviyeleri kontrol grubunu oluşturdu. Fetal malnütrisyon, Clinical Assessment of Nutritional Status Score (CANSCORE) yöntemiyle tespit edildi. Kord bebek D vitamini seviyeleri (ng/mL ünite) yenidoğanlar ölçülmüş ve antropometrik sonuçlar kaydedilmiştir. Bulgular: Toplam 110 term yenidoğan çalışmaya alındı. Bunların 44'ü (%40) iyi beslenen beslenme grubunun bir parçasıydı ve malnütrisyon grubunda 66 (%60) idi. Doğum ağırlığı, doğum yüksekliği, baş çevresi, gebelik sırasında kilo alımı, CANSCORE ve 25-hidroksivitamin D [25(OH)Vit D] ortalamalarının fetal malnütrisyonlu grupta iyi beslenen gruba kıyasla daha düşük olduğu bulundu (p=0,0001). Fetal malnütrisyon grubunun maternal deri rengi ve maternal vücut kitle indeksi, iyi beslenen gruba göre anlamlı olarak farklı bulundu. Fetal malnütrisyon varlığını etkileyen faktörlerin düşük kord kanında 25(OH)Vit D düzeylerinin p=0,002 ve düşük baş çevresinin p=0,002 olduğu bulundu. Sonuç: Fetal malnütrisyonlu AGA yenidoğanlarda 25(OH)Vit D düzeyleri iyi beslenen AGA yenidoğanlar ile karşılaştırıldığında daha düşüktür. Anahtar kelimeler: Beslenme değerlendirmesi, kordon kanı, D vitamini seviyeleri, fetal malnütrisyon ÖZ Objective: The aim of this study is to determine the association between vitamin D deficiency in fetal malnutrition average for gestational age (AGA) neonates. Materials and Methods: The study was conducted on singleton term infants between March 1 and April 30, 2012. All of the neonates' cord-blood vitamin D levels were measured, and those identified as suffering from fetal malnutrition were placed into the study group, while the cord-blood vitamin D levels of well-nourished term newborns comprised the control group. Fetal malnutrition was detected using the Clinical Assessment of Nutritional Status Score (CANSCORE) method. Cord-blood vitamin D levels (ng/mL units) of newborns were measured and anthropometric results were recorded. Results: Total 110 term newborns were included in the study. Of these, 44 (40%) were part of the well-nourished nutrition group, with 66 (60%) in the malnutrition group. Birth weight, birth height, head circumference, weight gain during pregnancy, CANSCORE, and 25-hydroxyvitamin D [25(OH)Vit D] mean levels of the fetal malnourished group were found to be lower compared with the well-nourished group (p=0.0001). The maternal skin color and the maternal body mass index of the fetal malnourished group were found to differ significantly compared with the well-nourished group. Low cord-blood 25(OH)Vit D levels (p=0.002) and low head circumference (p=0.002) were found to be the factors tha...

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Section: Resultssupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

The Association Between 25-Hydroxyvitamin D Levels and Fetal Malnutrition in Term Neonates

Eraslan¹,

Salihoğlu²,

Can³

et al. 2018

BTDMJB

Self Cite

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show abstract

“…The present study using Olsen chart observed that 27% had birth weight less than 10th centile indicating SGA. 21 23,24,25,26 When compared to weight centiles the percentage of babies with length less than 10th centile were 10.6% and in majority it was less than 3rd centile. This again suggested that BMI would be more reliable as an indicator of fetal nutritional status than birth weight alone.…”

Section: Discussionmentioning

confidence: 99%

“…Kamath et al 27 30,28,24,31,32 However a lower incidence of malnourishment was observed by CAN score reported by Singhal et al accounting for 17.5%. 25 CAN score help to identify nourished and malnourished infants among the SGA and AGA infants respectively. Singhal et al in his study observed that 76.8% of the SGA were nourished according to CAN score and 18% of the AGA infants were malnourished.…”

Section: Discussionmentioning

confidence: 99%

“…Singhal et al in his study observed that 76.8% of the SGA were nourished according to CAN score and 18% of the AGA infants were malnourished. 25 Corresponding values noted in others studies include: 40.1% SGA were nourished and 8.3% of AGA were malnourished according to Kashyap et al, 42.9% of SGA were nourished and 3.8% of AGA were malnourished by Sankyan et al and 12.5% of SGA were nourished and 10.8% of AGA were malnourished by Adebami et al 14,24,33 Thus the estimated malnutrition in this study by weight less than 10th centile, BMI less than 10th centile and CAN were 27%, 25.9% and 31.9% respectively. When CAN score was compared with BMI 224(63.5%) of the babies diagnosed as FM had BMI more than 10th centile.…”

Section: Discussionmentioning

confidence: 99%

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Clinical assessment of nutrition status score and body mass index in newborns

Thomas¹,

Kamath²,

Raj³

et al. 2022

ijhs

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Background: Fetal growth restriction can occur at any gestational period and is affected by maternal, placental and environmental factors. These factors can cause neonatal mortality or morbidity and long term sequalae. Thereby it is important to assess the nutritional status at birth. Clinical assessment of nutrition status score (CAN) assessment based on birth centile became important. Objectives: Aim was to compare CAN score and BMI birth centiles using pre-designated cut offs for assessing fetal nutrition. Materials and Methods: 1000 newborns cross-Sectional descriptive study. Department of Paediatrics, K.S. Hegde Medical Academy, Mangalore. Nov-2015 to June-2017. Inclusion criteria included term neonates with gestational age >37 completed weeks of gestation by dates or ultra-sonogram. Neonates with major congenital malformation or syndromes were excluded. Results: Out of 1000 newborns, 259 newborns (25.9%) had BMI below 10th centile out of which 99(9.9%) had BMI less than 3rd centile suggesting severe malnutrition. Malnutrition as per CAN Score was seen in 319(31.9%) infants. When CAN score and BMI was compared, among the 353 babies who had CAN score less than 25 indicating FM, only 129(36.5%) had BMI less than 10th centile. In 130 of the 259 infants with BMI less than 10th centile, CAN score was normal.

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The value of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) parameters in analysis with fetal malnutrition neonates

Can

2019

Journal of Perinatal Medicine

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Objective To assess the association between fetal malnutrition (FM) and the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) in singleton term appropriate for gestational age (AGA) neonates. Methods This cross-sectional observational study was performed with 4340 singleton, term AGA neonates without perinatal disease over a two-year period. Results A total of 4320 neonates were evaluated in this study. Those diagnosed with fetal malnutrition, 284 (6%) neonates, were compared with 150 healthy term AGA neonates. Gestational week, birth weight, birth height, head circumference, maternal age, last pregnancy weight, and status of income of the FM group were found to be lower when compared to the control group (P = 0.011). Low last pregnancy weight (P = 0.017) and low level of income (P = 0.042) were found to be factors that affect the presence of FM. The NLR and PLR were found to be significantly higher in the FM group compared with term AGA healthy controls. In correlation analyses, there was a negative correlation between the NLR and PLR with fetal nutritional status (P = 0.011 and P < 0.001, respectively). When the NLR level was taken as 4.51, the sensitivity and specificity of the test for FM were calculated as 81.2% and 80.8%, respectively [area under the receiver-operating characteristic curve (AUROC): 0.81]; when the PLR level was taken as 155.4, the sensitivity and specificity of the test for FM were calculated as 87.0% and 85.4%, respectively (AUROC: 0.94). Conclusion Cord-blood NLR and PLR negatively correlate with term FM AGA neonates.

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Frequency and risk factors of fetal malnutrition among liveborn singleton term neonates using a computerised perinatal database, 2000–2006

Cited by 4 publications

References 26 publications

The Association Between 25-Hydroxyvitamin D Levels and Fetal Malnutrition in Term Neonates

The Association Between 25-Hydroxyvitamin D Levels and Fetal Malnutrition in Term Neonates

Clinical assessment of nutrition status score and body mass index in newborns

The value of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) parameters in analysis with fetal malnutrition neonates

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