Defining Body Mass Index Using Weight and Length for Gestational Age in the Growth Assessment of Preterm Infants at Birth.

التفاصيل البيبلوغرافية
العنوان:	Defining Body Mass Index Using Weight and Length for Gestational Age in the Growth Assessment of Preterm Infants at Birth.
المؤلفون:	Olsen IE; Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania., Granger M; School of Data Science and Analytics, Kennesaw State University, Kennesaw, Georgia., Masoud W; School of Data Science and Analytics, Kennesaw State University, Kennesaw, Georgia., Clark RH; The Pediatrix Center for Research, Education, Quality, and Safety (CREQS), Pediatrix Medical Group, Inc., Sunrise, Florida., Ferguson AN; School of Data Science and Analytics, Kennesaw State University, Kennesaw, Georgia.
المصدر:	American journal of perinatology [Am J Perinatol] 2024 May; Vol. 41 (S 01), pp. e2735-e2743. Date of Electronic Publication: 2023 Sep 08.
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: Thieme-Stratton Country of Publication: United States NLM ID: 8405212 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-8785 (Electronic) Linking ISSN: 07351631 NLM ISO Abbreviation: Am J Perinatol Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: New York, NY : Thieme-Stratton, 1983-
مواضيع طبية MeSH:	Body Mass Index* , Gestational Age* , Birth Weight* , Infant, Premature/growth & development , Infant, Small for Gestational Age , Body Height*, Humans ; Infant, Newborn ; Female ; Male ; Intensive Care Units, Neonatal ; United States
مستخلص:	Objective: The objectives of this study were to describe (1) body mass indexes (BMIs) using weight and length for gestational age (GA) classifications, and (2) the additional information BMI, as a measure of body proportionality, provides for preterm infant growth assessment and care plans at birth. Study Design: Birth weight, length, and BMI of 188,646 preterm infants (24-36 weeks gestation) admitted to U.S. neonatal intensive care units (Pediatrix Clinical Data Warehouse, 2013-2018) were classified (Olsen curves) as small, appropriate, or large for GA (SGA < 10th, AGA 10-90th, LGA > 90th percentile for GA, respectively). The distribution for the 27 weight-length-BMI combinations was described. Results: At birth, most infants were appropriate for weight (80.0%), length (82.2%), head circumference (82.9%), and BMI (79.9%) for GA. Birth weight for GA identified approximately 20% of infants as SGA or LGA. Infants born SGA (or LGA) for both weight and length ("proportionate" in size) were usually appropriate for BMI (59.0% and 75.6%). BMI distinguished disproportionate weight for length in infants with SGA or LGA weight at birth (58.3%, 49.9%). BMI also identified 11.4% of AGA weight infants as small or large for BMI ("disproportionate" in size) at birth; only using weight for GA missed these underweight/overweight for length infants. Conclusion: The unique, additional information provided by birth BMI further informs individualized preterm infant growth assessment by providing an assessment of an infant's body proportionality (weight relative to its length) in addition to the routine assessment of weight, length, and head circumference for GA and may better inform care plans and impact outcomes. Key Points: · Most preterm infants were born AGA for all growth measures.. · AGA weight infants may be under- or overweight for length.. · BMI distinguished body disproportionality in SGA/LGA infants.. · Recommend BMI assessed along with weight, length and head.. · Further research on BMI in preterm infants is needed.. Competing Interests: None declared. (Thieme. All rights reserved.)
معلومات مُعتمدة:	7247 United States Gerber The Gerber Foundation
تواريخ الأحداث:	Date Created: 20230908 Date Completed: 20240605 Latest Revision: 20240730
رمز التحديث:	20240730
DOI:	10.1055/s-0043-1774316
PMID:	37683671
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1098-8785
DOI:	10.1055/s-0043-1774316