Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

Mei, Zuguo; Grummer‐Strawn, Laurence M.; Thompson, Donovan J.; Dietz, William H.

doi:10.1542/peds.113.6.e617

Cited by 153 publications

(99 citation statements)

References 18 publications

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“…O crescimento físico é reconhecido internacionalmente como indicador do estado nutricional, pois a nutrição adequada permite atingir o crescimento normal 18,19 . Assim, a avaliação antropométrica facilita a identificação e a intervenção precoces dos problemas nutricionais e de saúde emergentes, minimizando as suas conseqüên-cias 17 .…”

Section: Discussionunclassified

Does birth weight affect nutritional status at the end of first year of life?

Motta¹,

Silva²,

Araújo³

et al. 2005

J Pediatr (Rio J)

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Objective: To evaluate the association between low birth weight and nutritional status at the end of the first year of life.Methods: This was a nested case-control study within a cohort. The study was carried out at maternity hospitals in four cities in the Zona da Mata Meridional in Pernambuco state, Brazil. Newborn infants were recruited during the first 24 hours of life. Their weights were measured at birth and at the end of the first year of life. Household visits were made twice weekly during the first year of life to collect data on breastfeeding and occurrence of diarrhea. In the case-control study, each case (child at nutritional risk) was a child with weight-for-age index < the 10th percentile (n = 117) and each control was a child with weight-for-age index > the 10th percentile (n = 411). Hierarchical logistic regression analysis was used to investigate risk factors for nutritional status at 12 months.Results: Low birth weight and living in a household with no latrine were significantly associated with nutritional risk at the end of the first year of life. Children born weighing 1,500 g to 2,499 g had 29 times (95% CI = 9.77-87.49) the chance of being at nutritional risk at 12 months of life than those whose birth weights had been > 3,500 g (p < 0.001). Children living in households without a flush toilet had three times (95% CI = 1.54-6.22) the chance of nutritional risk at 12 months of life in relation to those that had a latrine with a septic tank at home (p = 0.01).Conclusion: Low birth weight is an important risk factor of nutritional risk at the end of the first year of life. It is important to adopt strategies for its reduction and prevention.J Pediatr (Rio J). 2005;81(5):377-82: Nutrition assessment, low birth weight infant, weight age, case-control study. ResumoObjetivo: Analisar a associação entre o baixo peso ao nascer e o estado nutricional ao final do primeiro ano de vida.Métodos: Foi realizado estudo caso-controle aninhado a uma coorte em quatro municípios da Zona da Mata Meridional de Pernambuco. Os recém-nascidos foram recrutados para a coorte nas primeiras 24 horas de vida, sendo o peso aferido ao nascimento e ao final do primeiro ano de vida. Durante o primeiro ano de vida, foram realizadas duas visitas domiciliares semanais para confirmar aleitamento materno predominante e ocorrência de episódios diarréicos. Considerou-se caso (risco nutricional) a criança com índice peso/idade abaixo do percentil 10 (n = 117); e controle aquela com percentil igual ou maior que 10 (n = 411). Realizou-se análise de regressão logística hierarquizada para detectar os fatores determinantes do estado nutricional no primeiro ano de vida.Resultados: Os fatores que explicaram o risco nutricional ao final do primeiro ano de vida foram peso ao nascer e ausência de sanitário no domicílio. As crianças que nasceram com peso entre 1.500 g e 2.499 g tiveram uma chance 29 vezes maior (IC 95% = 9,77-87,49) de apresentar risco nutricional aos 12 meses de idade em relação àquelas com peso de nascimento maior qu...

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Section: Discussionunclassified

Does birth weight affect nutritional status at the end of first year of life?

Motta¹,

Silva²,

Araújo³

et al. 2005

J Pediatr (Rio J)

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show abstract

“…2,3 Despite these accepted definitions, caution must be applied when diagnosing FTT on the basis of percentile shifts, because growth variants are common. 4 Actual weight Ͻ70% of predicted weightfor-length requires urgent attention. It is recognized now that earlier distinctions between organic and nonorganic FTT are overly simplistic and not clinically appropriate, 5 because many patients exhibit components of both.…”

Section: Definition Of Fttmentioning

confidence: 99%

Failure to Thrive as a Manifestation of Child Neglect

Block¹,

Krebs²,

Hibbard³

et al. 2005

Pediatrics

125

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ABSTRACT. Failure to thrive is a common problem in infancy and childhood. It is most often multifactorial in origin. Inadequate nutrition and disturbed social interactions contribute to poor weight gain, delayed development, and abnormal behavior. The syndrome develops in a significant number of children as a consequence of child neglect. This clinical report is intended to focus the pediatrician on the consideration, evaluation, and

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“…21 One study found that 32% of children 0-6 months old, up to 15% of children 6-24 months old, and nearly 10% of children 24-60 months old will cross 2 major height-for-age percentiles (defined as the 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles) during the course of normal growth. 23 Alternatively, it is possible that younger patients do not demonstrate height percentile gains after detethering surgery because a tethered spinal cord may not lead to as much growth restriction in children younger than 5 years. It is also possible that their measurements are inherently imprecise because of the inability of infants to stand, and the inability of toddlers to stand still with good posture to allow accurate measurement.…”

Section: Discussionmentioning

confidence: 99%

Putative height acceleration following tethered cord release in children

Foster

Lam

Lin

et al. 2014

PED

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Object Tethered cord (TC) is a neurological disorder caused by tissue attachments that limit the normal movement of the spinal cord. A TC can be unmasked by a cutaneous abnormality or manifest clinically in myriad neurological, urological, and orthopedic symptoms. The relationship between TC and height is previously unknown. This study investigates the association between TC release and changes in height profiles in the pediatric population. Methods Fifty-two children undergoing first-time TC release at a single institution were examined retrospectively. Clinical symptoms, radiographic findings, pre- and postoperative height, and height-for-age percentiles were recorded and analyzed. Results Children with TC experienced a statistically significant increase in age-adjusted height percentiles after TC release (p = 0.0028), with a mean increase of 7 percentile points (from 48.1st to 54.9th percentile). When stratified by age, children 5 years or older (5–18 years) demonstrated a mean percentile increase of 10 percentile points (from 46.7th to 56.4th percentile) (p = 0.0001). Among the same age group, this effect scaled significantly with age (p = 0.02, beta coefficient −1.3). There was no significant difference in height-for-age after detethering surgery in children younger than 5 years. There was no significant association between the presence of clinical symptoms or specific radiographic findings and height outcomes after surgery. Overall, 56% of TC-related clinical symptoms improved after detethering (mean follow-up 4.6 months). Among children younger than 5 years, 82% of TC-related clinical symptoms improved after detethering (average follow-up 4.5 months); in children 5–18 years, 47% of symptoms improved after detethering (average follow-up 4.8 months). Conclusions The authors observed a statistically significant gain in height-for-age percentiles in children undergoing surgical release of TC. The authors' data suggest that such gains may be more significant in older children (≥ 5 years) and the increase appears to scale positively with youth in the older cohort. In this study, postoperative height gains did not appear to correlate with the presence of TC-related clinical symptoms or radiographic findings. Further investigation is necessary to elucidate any potential correlation between release of TC and height changes in children postoperatively.

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Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

Cited by 153 publications

References 18 publications

Does birth weight affect nutritional status at the end of first year of life?

Does birth weight affect nutritional status at the end of first year of life?

Failure to Thrive as a Manifestation of Child Neglect

Putative height acceleration following tethered cord release in children

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