Weight-for-length relationship at birth to predict neonatal diseases

Bertagnon, José Ricardo Dias; Segre, Conceição Aparecida de Mattos; Colletto, Gloria Maria Dall

doi:10.1590/s1516-31802003000400002

Cited by 11 publications

(21 citation statements)

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“…Although age and gender are the primary criteria used to assess the anthropometric measurements of particular children, evaluation of weight with reference to LH (WLH), instead of age (weight for age) is proposed to make a significant contribution in diagnosing FTT in infancy and early childhood (2,3,4,5). …”

Section: Discussionmentioning

confidence: 99%

“…In spite of the fact that LH is a denominator in the calculation of BMI, age-adjusted BMI calculation may not be specific for the discrimination of lean or body fat mass (2,3,4,5). Stature-dependent BMI in different periods has the potential for variation by the relative leg length and sitting height to different directions (4,12).…”

Section: Discussionmentioning

confidence: 99%

“…The use of weight for LH (WLH) percentiles in the diagnosis of failure to thrive (FTT) has already been reported (1). In the assessment of nutritional status, it should be remembered that LH loss is significantly less than weight loss (6% vs. 31%, respectively) particularly in the early stages of undernutrition (2,3). WLH provides the weight spectrum for a specific length segment (4,5).…”

Section: Introductionmentioning

confidence: 99%

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Weight for Length/Height Percentiles in Infants and Young Children in Kayseri/Turkey

Mazıcıoğlu¹,

Demirtaş²,

Çcek³

et al. 2013

JCRPE

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Objective: To produce weight for length/height (WLH) percentiles to be used for the screening of growth and assessment of failure to thrive in infancy and early childhood.Methods: The data (2009-2010) of the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study were used. A cross-sectional study was designed to calculate the WLH references. Reference weight values for each 5-cm LH intervals were determined using the LMS Chart Maker Pro version 2.3 software program (The Institute of Child Health, London).Results: A total of 3123 children (1573 female, 1550 male) aged 0-6 years were included in the calculation of the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th WLH percentiles. The difference between the 3rd and the 97th percentiles for males was 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH ranges. In the girls, the differences between the 3rd-97th percentiles ranged from 2.02 cm to 12.64 cm in the 50-54.99 cm and 125-130 cm LH groups. The maximum difference between the 3rd and 97th percentiles was about half the variation of mean WLH throughout the first six years of life. The most rapid change in WLH was observed in the 0-2-year period. Turkish references for WLH were not different from the World Health Organization standards.Conclusions: This is the first study in Turkey presenting WLH references in 0-6 year old children. We suggest that the use of WLH in the first two years of life may be more useful than age-adjusted references in assessment of nutritional status and diagnosis of failure to thrive. Conflict of interest:None declared.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Weight for Length/Height Percentiles in Infants and Young Children in Kayseri/Turkey

Mazıcıoğlu¹,

Demirtaş²,

Çcek³

et al. 2013

JCRPE

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“…Newborns with indices below the 10 th percentile have a greater frequency of diseases, such as neonatal asphyxia, respiratory distress syndrome, metabolic disorders, severe hyperbilirubinemia, sepsis, congenital pneumonia, among other perinatal disorders (1) . In spite of the fact that the calculation of the index does not consider the gestational age (GA) but only the weight and length at birth, it is noted that those NB identified as having a low index present a greater frequency of diseases specific of preterm (PT) infants and of small-for-gestational-age (SGA) infants, and the NB with high indices have a greater frequency of diseases that affect large-for-gestational-age (LGA) neonates (1) . The association between birth length and GA is more intense and shows less variation than the relation between birth weight and GA (1)(2)(3)(4) .…”

Section: Discussionmentioning

confidence: 99%

“…In spite of the fact that the calculation of the index does not consider the gestational age (GA) but only the weight and length at birth, it is noted that those NB identified as having a low index present a greater frequency of diseases specific of preterm (PT) infants and of small-for-gestational-age (SGA) infants, and the NB with high indices have a greater frequency of diseases that affect large-for-gestational-age (LGA) neonates (1) . The association between birth length and GA is more intense and shows less variation than the relation between birth weight and GA (1)(2)(3)(4) . On the other hand, neonates with lower weight/length ratio indices reflect NB with smaller fat deposits, and can be considered thin NB (1,(5)(6)(7) .…”

Section: Discussionmentioning

confidence: 99%

Association of newborn diseases with weight/length ratio and the adequacy of weight for gestational age

Bertagnon

Rocha²,

Kuraim³

et al. 2011

Einstein (São Paulo)

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Objective: To compare the frequencies of newborn diseases in those newborns classified according to a weight/length rate and those classified by the adequacy weight for gestational age. Methods: A retrospective cross-sectional study by record assessment was carried out enclosing all the live newborns at Hospital Geral do Grajaú, from September to December, 2009 (n =577) classified according to the rate weight/length and also to the adequacy weight for gestational age. The 10 and 90 percentiles of the weight/length distribution, now designated as "indices" were calculated leading to the following classification: low index, for newborns below 54.8 g/cm; high index, for those over 75.8 g/cm; and average index, for the remaining newborns. According to the adequacy weight for gestational age the newborns were designated as pre-term for gestational age; term small for gestational age; appropriate term and large term. In this sample there were no small and large pre-term or post-term newborns. Major diseases were related to the index and adequacy extracts by the χ 2 test for a contingency table. results: A significant association was found among low index, pre-term for gestational age newborns and term small for gestational age; between average index and appropriate for gestational age term newborns; and high index with large term appropriate for gestational age newborns (p< 0.001). Hypoglycemia (3.4%) was associated to both low and high indices, to appropriate for gestational age preterm newborns and to small for gestational age term newborns. Sepsis (3.1%) was associated to both low index and pre-term appropriate for gestational age newborns. The respiratory distress syndrome (1.3%) was associated to low index and pre-term appropriate for gestational age newborns. Other respiratory distress syndromes (3.8%) were associated to low and high indices but not to the adequacy for gestational age classification. Jaundice (14.9%) was not associated to the studied classifications. Perinatal asphyxia (12.6%) was associated to low index and pre-term newborns. conclusion:The weight/length index may represent a contribution to the newborn risk classification being similar to that of the weight for gestational age adequacy, for the studied diseases.Keywords: Gestational age; Infant, newborn; Fetal weight; Birthweight reSUMO Objetivo: Verificar qual a frequência de afecções em cada extrato de recém-nascidos classificados segundo relação peso/comprimento e comparar com essas frequências nos extratos da classificação segundo a adequação do peso para a idade gestacional. Métodos: Estudo retrospectivo transversal por avaliação de prontuário de todos os recém-nascidos vivos no Hospital Geral do Grajaú, de Setembro a Dezembro de 2009 (n =577),classificados segundo a relação peso/comprimento e também pela adequação peso para idade gestacional. Foram calculados os percentis 10 e 90 da distribuição da relação peso/comprimento, denominada "índice", definindo-se como índice pequeno os recém-nascidos abaixo de 54,8 g/cm, índice grande ...

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Birth weight and birth length affect future fracture risk differently in men and women

Moberg,

Jehpsson,

Nilsson

et al. 2024

Osteoporos Int

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Weight-for-length relationship at birth to predict neonatal diseases

Abstract: Weight-for-length adequacy and weight/length index alone, without the knowledge of gestational age, were able to identify newborns at risk for some selected neonatal diseases.

Cited by 11 publications

References 10 publications

Weight for Length/Height Percentiles in Infants and Young Children in Kayseri/Turkey

Weight for Length/Height Percentiles in Infants and Young Children in Kayseri/Turkey

Association of newborn diseases with weight/length ratio and the adequacy of weight for gestational age

Birth weight and birth length affect future fracture risk differently in men and women

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