Document Detail

Catch-up growth of head circumference of very low birth weight, small for gestational age preterm infants and mental development to adulthood.
MedLine Citation:
PMID:  12756374     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the influence of postnatal energy quotient (EQ, energy intake/kg body weight per day) on head circumference (HC) growth and mental development of very low birth weight (VLBW), small for gestational age (SGA, <10th percentile) preterm infants. STUDY DESIGN: SGA VLBW preterm infants (n = 46) with primarily symmetric intrauterine growth restriction were compared with 62 appropriate for gestational age (AGA) VLBW preterm infants and 73 term infants from the Bonn Longitudinal study. RESULTS: Twenty-seven of 46 (59%) of the SGA preterm infants showed complete HC catch-up growth by the age of 12 months, but mostly before 6 months after term (HC catch-up group). These infants had significantly higher mean EQs from day 2 to 10 than the group of 19 infants without HC catch-up (EQ, 95 vs 78). Mean EQs correlated significantly with developmental and intelligence quotients (DQ/IQ) from 18 months to 6 years. As adults, the HC of the HC catch-up group was not significantly different from that of the AGA preterm infants, the term infants, and their parents. The group without HC catch-up had smaller HC as adults. CONCLUSIONS: Our data suggest that early postnatal high-energy nutrient intake for SGA preterm infants is needed to promote HC catch-up growth and to prevent negative consequences of undernutrition.
Ingeborg Brandt; Elisabeth J Sticker; Michael J Lentze
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  142     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-20     Completed Date:  2003-07-07     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-8     Citation Subset:  AIM; IM    
Department of Pediatrics, Children's Hospital, Medical Center, University of Bonn, Germany.
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MeSH Terms
Child Development / physiology*
Child, Preschool
Energy Intake / physiology*
Follow-Up Studies
Gestational Age
Head / anatomy & histology,  growth & development*
Infant Nutritional Physiological Phenomena / physiology*
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age / growth & development*
Infant, Very Low Birth Weight / growth & development*
Intelligence / physiology
Nutrition Disorders / prevention & control
Comment In:
J Pediatr. 2003 May;142(5):459-61   [PMID:  12756372 ]
Erratum In:
J Pediatr. 2004 Mar;144(3):412

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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