Yang Qin,Zhang Xuan,Cheng Qian.Cohort study of physical growth differences between preterm and full-term small for gestational age infants in the first year[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(14):1664-1668.
Yang Qin,Zhang Xuan,Cheng Qian.Cohort study of physical growth differences between preterm and full-term small for gestational age infants in the first year[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(14):1664-1668.DOI:
Cohort study of physical growth differences between preterm and full-term small for gestational age infants in the first year
Objective To explore the differences of physical growth trends between preterm and full-term small for gestational age (SGA) infants in the first year. Methods Prospective cohort study was adopted to collect 54 preterm SGA infants and 181 full-term SGA infants
who were followed-up at health care department of children's hospital of Chongqing medical university from September 2013 to June 2015. The weight
length
head circumference and growth rate were measured by using Z scores at the ages of 1 month
3 months
6 months and 12 months
and the preterm SGA infants were measured at the corrected gestational ages of 1 month
3 months
6 months and 12 months. Results Preterm SGA began rapid catch-up growth after corrected age of 1 month
while full-term SGA began after birth. The catch-up growth rates of preterm and full-term SGA reached to 63% in the first 6 months. There were no significant differences in the weight Z score at the not-corrected gestational age of 6 months and 12 months (t=-1.189
-0.911
P=0.236
0.363)
length (t=-0.855
P=0.394) and head circumference Z score in 12 months (t=-1.078
P=0.282) between the preterm SGA infants and full-term SGA infants. The chasing speed of weight (t=4.685
3.787
P0.01) of preterm SGA was obviously faster than that of full-term SGA during 1~3 months and 3~6 months
and the chasing speeds of length (t=3.487
3.626
4.179
P0.01) and head circumference (t=5.158
3.001
4.641
P0.01) in preterm SGA were obviously faster than those of full-term SGA during 1~3 months
3~6 months and 6~12 months. But the chasing speeds of weight and length of preterm SGA were obviously slower than those of full-term SGA within 1 month (t=-6.384
-4.821
P0.01)
even below the Z score at birth (ΔZ0). Conclusion The starting point of catch-up growth of preterm SGA is latter than that of full-term SGA. The physical growth levels of preterm SGA can catch up with full-term SGA at the age of 1 year old. The growth potential of preterm SGA is greater than that of full-term SGA. Extrauterine growth retardation is easier to happen in preterm SGA infants at the corrected age of 1 month.