Document Detail


Innate Small Babies Are Metabolically Healthy Children.
MedLine Citation:
PMID:  22990095     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background:Being born small for gestational age (SGA) is regarded as a risk factor for later metabolic complications. The SGA is defined as a birth weight below -2 sd of the distribution for sex and gestational age. However, the definition of SGA does not distinguish between those born after fetal growth restriction and innate SGA (iSGA).Objective:Our objective was to test whether innate SGA infants show any metabolic complications at the age of 2 yr in comparison with infants born appropriate for gestational age (AGA).Methods:Fifty-eight infants with family SGA risk factors (SGA in a previous pregnancy or among parents, maternal height less than -2 sd for adult height in French women, and small fetal size at second-trimester ultrasound examination) were prospectively followed from midgestation to 2 yr of age. Fetal growth velocity was measured from ultrasound measurements. Body composition and hormonal profile were measured at birth and 1 and 2 yr.Results:Fetal growth velocity was not significantly different between iSGA and AGA (-0.17 ± 0.2 vs. -0.17 ± 0.3 percentiles/d of gestation; P = 0.96). iSGA infants were significantly lighter at birth (-1.7 ± 0.45 vs. 0.46 ± 0.77 sd; P < 0.0001) and at 4 months of age (-0.85 ± 0.88 vs. 0.29 ± 1 sd; P < 0.0001), and they remain so over follow-up (-0.73 ± 1.08 vs. 0.2 ± 1.02 sd; P = 0.0014 at 2 yr). Height z-scores and percent fat time courses followed a similar pattern. No differences in any of the metabolic and hormonal parameters were observed between iSGA and AGA up to 2 yr (insulin at birth, 5.1 ± 6.8 vs. 5.2 ± 4.6 mIU/liter, P = 0.2; at 2 yr, 2 ± 1.6 vs. 2 ± 1.5 mIU/liter, P = 0.66).Conclusion:Infants born iSGA do not experience severe fetal growth restriction and do not show any evidence of metabolic risk either at birth or in the first 2 yr of life.
Authors:
Ivana Milovanovic; Falucar Njuieyon; Samia Deghmoun; Didier Chevenne; Claire Levy-Marchal; Jacques Beltrand
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-18
Journal Detail:
Title:  The Journal of clinical endocrinology and metabolism     Volume:  -     ISSN:  1945-7197     ISO Abbreviation:  J. Clin. Endocrinol. Metab.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375362     Medline TA:  J Clin Endocrinol Metab     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Institut National de la Santé et de la Recherche Médicale Centre d'Investigation Clinique-Epidémiologie Clinique 05-Unité d'épidémiologie clinique(I.M., F.N., S.D., C.L.-M.), and Service de biochimie et hormonologie (D.C.), Hôpital Robert Debré, F-75019 Paris, France; Endocrinologie et diabétologie pédiatrique (J.B.), Hôpital Necker, F-75015 Paris, France; and Université Paris 5, René Descartes, F-75006 Paris, France.
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