Growth and Neurosensory Outcomes of Preterm Very Low Birth Weight Infants at 18 Months of Corrected Age

Sharma, Pradeep; Sankar, Mari Jeeva; Sapra, Savita; Saxena, Rohit; Venkatakarthikeyan, C; Deorari, Ashok K.; Agarwal, Ramesh; Paul, Vinod K.

doi:10.1007/s12098-011-0442-9

Cited by 33 publications

(38 citation statements)

References 7 publications

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“…The same results were shown by Sharma et al. in their ELBW cohort at 18 months CA. They found that Z scores for weight, length and head circumference were significantly lower in neonates ≤1000 g and half were undernourished and had microcephaly and two‐thirds were stunted; rates much higher than remaining VLBW cohort.…”

Section: Discussionsupporting

confidence: 88%

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Longitudinal growth of very low birth weight neonates during first year of life and risk factors for malnutrition in a developing country

et al. 2013

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Section: Discussionsupporting

confidence: 88%

“…Our AGA and SGA neonates did not show any difference in growth at 1 year CA, but Sharma et al. observed lower weight for age and length for age Z scores in their SGA cohort at 18 months. Westerberg also observed SGA babies having poorer Z scores than AGA babies, but Z‐score for head circumference was less different.…”

Section: Discussioncontrasting

confidence: 76%

Longitudinal growth of very low birth weight neonates during first year of life and risk factors for malnutrition in a developing country

et al. 2013

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“…6,[15][16][17][18][19][20] There are no published data on the performance of VPT children in community-based tests of school readiness, although some research has shown the usefulness of screening questionnaires administered by trained health-care workers in identifying developmental problems in VPT children. Most reports on school readiness in VPT children come from research studies using highly specialised neuropsychological assessments, not readily available in clinical practice.…”

mentioning

confidence: 99%

Community‐based screening to detect school readiness problems in very preterm children

Rajput

McKinlay

Purdie

et al. 2017

J Paediatrics Child Health

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“…We based our sample size estimates on the data on WAZ 12 for infants less than 34 weeks of gestation from a birth cohort study of preterm infants from our own unit, which measured growth outcomes using WHO-MGRS growth standards, 16 prospectively at 3 monthly intervals from birth till 18 months of age (WAZ 12 : 1·7 ± 1·5, n=15; personal communication, Sharma P) 17 . Assuming an effect size of 0·5 SDS, β of 0·9, and a two-sided α of 0·05, the sample size was 190 in each group.…”

Section: Methodsmentioning

confidence: 99%

Complementary feeding at 4 versus 6 months of age for preterm infants born at less than 34 weeks of gestation: a randomised, open-label, multicentre trial

Gupta

Agarwal

Aggarwal

et al. 2017

The Lancet Global Health

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SummaryBackgroundEvidence on the optimal time to initiation of complementary feeding in preterm infants is scarce. We examined the effect of initiation of complementary feeding at 4 months versus 6 months of corrected age on weight for age at 12 months corrected age in preterm infants less than 34 weeks of gestation.MethodsIn this open-label, randomised trial, we enrolled infants born at less than 34 weeks of gestation with no major malformation from three public health facilities in India. Eligible infants were tracked from birth and randomly assigned (1:1) at 4 months corrected age to receive complementary feeding at 4 months corrected age (4 month group), or continuation of milk feeding and initiation of complementary feeding at 6 months corrected age (6 month group), using computer generated randomisation schedule of variable block size, stratified by gestation (30 weeks or less, and 31–33 weeks). Iron supplementation was provided as standard. Participants and the implementation team could not be masked to group assignment, but outcome assessors were masked. Primary outcome was weight for age Z-score at 12 months corrected age (WAZ12) based on WHO Multicentre Growth Reference Study growth standards. Analyses were by intention to treat. The trial is registered with Clinical Trials Registry of India, number CTRI/2012/11/003149.FindingsBetween March 20, 2013, and April 24, 2015, 403 infants were randomly assigned: 206 to receive complementary feeding from 4 months and 197 to receive complementary feeding from 6 months. 22 infants in the 4 month group (four deaths, two withdrawals, 16 lost to follow-up) and eight infants in the 6 month group (two deaths, six lost to follow-up) were excluded from analysis of primary outcome. There was no difference in WAZ12 between two groups: −1·6 (SD 1·2) in the 4 month group versus −1·6 (SD 1·3) in the 6 month group (mean difference 0·005, 95% CI −0·24 to 0·25; p=0·965). There were more hospital admissions in the 4 month group compared with the 6 month group: 2·5 episodes per 100 infant-months in the 4 month group versus 1·4 episodes per 100 infant-months in the 6 month group (incidence rate ratio 1·8, 95% CI 1·0–3·1, p=0·03). 34 (18%) of 188 infants in the 4 month group required hospital admission, compared with 18 (9%) of 192 infants in the 6 month group.InterpretationAlthough there was no evidence of effect for the primary endpoint of WAZ12, the higher rate of hospital admission in the 4 month group suggests a recommendation to initiate complementary feeding at 6 months over 4 months of corrected age in infants less than 34 weeks of gestation.FundingIndian Council of Medical Research supported the study until Nov 14, 2015. Subsequently, Shuchita Gupta's salary was supported for 2 months by an institute fellowship from All India Institute Of Medical Sciences, and a grant by Wellcome Trust thereafter.

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Growth and Neurosensory Outcomes of Preterm Very Low Birth Weight Infants at 18 Months of Corrected Age

Abstract: Very low birth weight infants are at a high risk of neurosensory disability and growth failure. There is a need to create a nation-wide database of these infants for neurodevelopment and growth outcomes.

Cited by 33 publications

References 7 publications

Longitudinal growth of very low birth weight neonates during first year of life and risk factors for malnutrition in a developing country

Longitudinal growth of very low birth weight neonates during first year of life and risk factors for malnutrition in a developing country

Community‐based screening to detect school readiness problems in very preterm children

Complementary feeding at 4 versus 6 months of age for preterm infants born at less than 34 weeks of gestation: a randomised, open-label, multicentre trial

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