scholarly journals Polish growth charts for preterm infants — comparison with reference Fenton charts

2021 ◽  
Author(s):  
Izabela Mikulak ◽  
Maria Borszewska-Kornacka ◽  
Joanna Puskarz-Gasowska ◽  
Renata Bokiniec
Keyword(s):  
Preterm Infants ◽  
Growth Charts

scholarly journals Generating longitudinal growth charts from preterm infants fed to current recommendations

2020 ◽  
Vol 105 (6) ◽  
pp. 646-651
Author(s):  
Aneurin Young ◽  
Edward T Andrews ◽  
James John Ashton ◽  
Freya Pearson ◽  
R Mark Beattie ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Real World ◽  
Head Circumference ◽  
Web Application ◽  
Care Pathway ◽  
Repeated Measurements ◽  
Growth Charts ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Integrated Care Pathway

ObjectiveTo use repeated measurements of weight, length and head circumference to generate growth centile charts reflecting real-world growth of a population of very preterm infants with a well-described nutritional intake close to current recommendations.DesignInfants born before 30 weeks gestational age (GA) were recruited. Infants received nutrition according to an integrated care pathway, with nutrient intake recorded daily, weight recorded twice-weekly and length and head circumference weekly. The LMS method was used to construct growth centile charts between 24 and 36 weeks corrected GA for each parameter.SettingA single tertiary neonatal unit in England.Patients212 infants (124 male) (median GA at birth: 27.3 weeks, median birth weight: 900 g).ResultsMedian daily energy, protein, carbohydrate and fat intake were within 3% of published recommendations. The total number of measurements recorded was 5944 (3431 for weight, 1227 for length and 1286 for head circumference). Centile charts were formed for each parameter. Data for male and female infants demonstrated similar patterns of growth and were pooled for LMS analysis. A web application was created and published (bit.ly/sotongrowth) to allow infants to be plotted on these charts with changes in SD score of measurements reported and graphically illustrated.ConclusionsThese charts reflect growth in a real-world cohort of preterm infants whose nutrient intakes are close to current recommendations. This work demonstrates the feasibility of forming growth charts from serial measurements of growing preterm infants fed according to current recommendations which will aid clinicians in setting a benchmark for achievable early growth.

Neonatal and fetal growth charts to identify preterm infants <30 weeks gestation at risk of adverse outcomes

2018 ◽  
Vol 219 (2) ◽  
pp. 195.e1-195.e14 ◽  
Author(s):  
Nansi S. Boghossian ◽  
Marco Geraci ◽  
Erika M. Edwards ◽  
Jeffrey D. Horbar
Keyword(s):  
At Risk ◽  
Preterm Infants ◽  
Fetal Growth ◽  
Adverse Outcomes ◽  
Growth Charts

Comparing growth charts demonstrated significant deviations between the interpretation of postnatal growth patterns in very preterm infants

2015 ◽  
Vol 105 (3) ◽  
pp. 268-273 ◽  
Author(s):  
Vera Neubauer ◽  
Teresa Fuchs ◽  
Elke Griesmaier ◽  
Ulrike Pupp‐Peglow ◽  
Ursula Kiechl‐Kohlendorfer
Keyword(s):  
Preterm Infants ◽  
Postnatal Growth ◽  
Growth Patterns ◽  
Growth Charts ◽  
Very Preterm Infants ◽  
Very Preterm

scholarly journals Comparison of Postnatal Growth Charts of Singleton Preterm and Term Infants Using World Health Organization Standards at 40–160 Weeks Postmenstrual Age: A Chinese Single-Center Retrospective Cohort Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Li Zhang ◽  
Jian-Gong Lin ◽  
Shuang Liang ◽  
Jin Sun ◽  
Nan-Nan Gao ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Retrospective Cohort ◽  
Postnatal Growth ◽  
World Health ◽  
Growth Charts ◽  
Term Infants ◽  
Who Standards ◽  
Postmenstrual Age ◽  
Z Scores ◽  
Health Organization

There remains controversy regarding whether the growth charts constructed from data of term infants, such as those produced by the World Health Organization (WHO) standards, can appropriately evaluate the postnatal growth of preterm infants. This retrospective cohort study, conducted in the First Affiliated Hospital of Shandong First Medical University in Jinan China, aimed to compare the postnatal growth charts of singleton preterm and term infants using WHO standards at 40–160 weeks postmenstrual age (PMA). A total of 5,459 and 15,185 sets of longitudinal measurements [length/height, weight, head circumference (HC), and body mass index (BMI)] from birth to 160 weeks PMA were used to construct growth charts for 559 singleton preterm (mean PMA at birth, 33.84 weeks) and 1,596 singleton term infants (born at 40 weeks PMA), respectively, using the Generalized Additive Models for Location, Scale, and Shape (GAMLSS) method. Z-scores (prematurity corrected) were calculated using WHO Anthro software. Compared to WHO standards, all parameters of preterm infants were increased, especially in terms of length/height and weight; the gap between the two almost spanned two adjacent centile curves. Compared to term controls, the length/height, weight, and BMI of preterm infants were higher at 40 weeks PMA, surpassed by term infants at 52–64 weeks PMA, and quite consistent thereafter. The HC of preterm infants at 40–160 weeks PMA was quite consistent with both term controls and the WHO standards. The Z-scores for length/height, weight, and BMI of preterm infants relative to the WHO standards gradually decreased from 1.20, 1.13, and 0.74 at 40–44 weeks PMA to 0.67, 0.42, and 0.03 at 132–160 weeks PMA, respectively; Z-scores for HC of preterm infants rapidly decreased from 0.73 to 0.29 at 40–50 weeks PMA, and then fluctuated in the range of 0.08–0.23 at 50–160 weeks PMA. Preterm infants had higher growth trajectories than the WHO standards and similar but not identical trajectories to term infants during the first 2 years of life. These findings reemphasize the necessity of constructing local growth charts for Chinese singleton preterm infants.

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