Document Detail


International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-Sectional Study of the INTERGROWTH-21st Project.
MedLine Citation:
PMID:  25209487     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: In 2006, WHO published international growth standards for children younger than 5 years, which are now accepted worldwide. In the INTERGROWTH-21(st) Project, our aim was to complement them by developing international standards for fetuses, newborn infants, and the postnatal growth period of preterm infants.
METHODS: INTERGROWTH-21(st) is a population-based project that assessed fetal growth and newborn size in eight geographically defined urban populations. These groups were selected because most of the health and nutrition needs of mothers were met, adequate antenatal care was provided, and there were no major environmental constraints on growth. As part of the Newborn Cross-Sectional Study (NCSS), a component of INTERGROWTH-21(st) Project, we measured weight, length, and head circumference in all newborn infants, in addition to collecting data prospectively for pregnancy and the perinatal period. To construct the newborn standards, we selected all pregnancies in women meeting (in addition to the underlying population characteristics) strict individual eligibility criteria for a population at low risk of impaired fetal growth (labelled the NCSS prescriptive subpopulation). Women had a reliable ultrasound estimate of gestational age using crown-rump length before 14 weeks of gestation or biparietal diameter if antenatal care started between 14 weeks and 24 weeks or less of gestation. Newborn anthropometric measures were obtained within 12 h of birth by identically trained anthropometric teams using the same equipment at all sites. Fractional polynomials assuming a skewed t distribution were used to estimate the fitted centiles.
FINDINGS: We identified 20,486 (35%) eligible women from the 59,137 pregnant women enrolled in NCSS between May 14, 2009, and Aug 2, 2013. We calculated sex-specific observed and smoothed centiles for weight, length, and head circumference for gestational age at birth. The observed and smoothed centiles were almost identical. We present the 3rd, 10th, 50th, 90th, and 97th centile curves according to gestational age and sex.
INTERPRETATION: We have developed, for routine clinical practice, international anthropometric standards to assess newborn size that are intended to complement the WHO Child Growth Standards and allow comparisons across multiethnic populations.
FUNDING: Bill & Melinda Gates Foundation.
Authors:
José Villar; Leila Cheikh Ismail; Cesar G Victora; Eric O Ohuma; Enrico Bertino; Doug G Altman; Ann Lambert; Aris T Papageorghiou; Maria Carvalho; Yasmin A Jaffer; Michael G Gravett; Manorama Purwar; Ihunnaya O Frederick; Alison J Noble; Ruyan Pang; Fernando C Barros; Cameron Chumlea; Zulfiqar A Bhutta; Stephen H Kennedy;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  384     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-09-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  857-68     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2014 Elsevier Ltd. All rights reserved.
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Investigator
Investigator/Affiliation:
M Katz / ; M K Bhan / ; C Garza / ; S Zaidi / ; A Langer / ; P M Rothwell / ; D Weatherall / ; Z A Bhutta / ; J Villar / ; S Kennedy / ; D G Altman / ; F C Barros / ; E Bertino / ; F Burton / ; M Carvalho / ; L Cheikh Ismail / ; W C Chumlea / ; M G Gravett / ; Y A Jaffer / ; A Lambert / ; P Lumbiganon / ; J A Noble / ; R Y Pang / ; A T Papageorghiou / ; M Purwar / ; J Rivera / ; C G Victora / ; J Villar / ; D G Altman / ; Z A Bhutta / ; L Cheikh Ismail / ; S Kennedy / ; A Lambert / ; J A Noble / ; A T Papageorghiou / ; J Villar / ; S Kennedy / ; L Cheikh Ismail / ; A Lambert / ; A T Papageorghiou / ; M Shorten / ; L Hoch / ; H E Knight / ; E O Ohuma / ; C Cosgrove / ; I Blakey / ; D G Altman / ; E O Ohuma / ; J Villar / ; D G Altman / ; F Roseman / ; N Kunnawar / ; S H Gu / ; J H Wang / ; M H Wu / ; M Domingues / ; P Gilli / ; L Juodvirsiene / ; L Hoch / ; N Musee / ; H Al-Jabri / ; S Waller / ; C Cosgrove / ; D Muninzwa / ; E O Ohuma / ; D Yellappan / ; A Carter / ; D Reade / ; R Miller / ; A T Papageorghiou / ; L Salomon / ; A Leston / ; A Mitidieri / ; F Al-Aamri / ; W Paulsene / ; J Sande / ; W K S Al-Zadjali / ; C Batiuk / ; S Bornemeier / ; M Carvalho / ; M Dighe / ; P Gaglioti / ; N Jacinta / ; S Jaiswal / ; J A Noble / ; K Oas / ; M Oberto / ; E Olearo / ; M G Owende / ; J Shah / ; S Sohoni / ; T Todros / ; M Venkataraman / ; S Vinayak / ; L Wang / ; D Wilson / ; Q Q Wu / ; S Zaidi / ; Y Zhang / ; P Chamberlain / ; D Danelon / ; I Sarris / ; J Dhami / ; C Ioannou / ; C L Knight / ; R Napolitano / ; S Wanyonyi / ; C Pace / ; V Mkrtychyan / ; L Cheikh Ismail / ; W C Chumlea / ; F Al-Habsi / ; Z A Bhutta / ; A Carter / ; M Alija / ; J M Jimenez-Bustos / ; J Kizidio / ; F Puglia / ; N Kunnawar / ; H Liu / ; S Lloyd / ; D Mota / ; R Ochieng / ; C Rossi / ; M Sanchez Luna / ; Y J Shen / ; H E Knight / ; D A Rocco / ; I O Frederick / ; Z A Bhutta / ; E Albernaz / ; M Batra / ; B A Bhat / ; E Bertino / ; P Di Nicola / ; F Giuliani / ; I Rovelli / ; K McCormick / ; R Ochieng / ; R Y Pang / ; V Paul / ; V Rajan / ; A Wilkinson / ; A Varalda / ; B Eskenazi / ; L A Corra / ; H Dolk / ; J Golding / ; A Matijasevich / ; T de Wet / ; J J Zhang / ; A Bradman / ; D Finkton / ; O Burnham / ; F Farhi / ; F C Barros / ; M Domingues / ; S Fonseca / ; A Leston / ; A Mitidieri / ; D Mota / ; I K Sclowitz / ; M F da Silveira / ; R Y Pang / ; Y P He / ; Y Pan / ; Y J Shen / ; M H Wu / ; Q Q Wu / ; J H Wang / ; Y Yuan / ; Y Zhang / ; M Purwar / ; A Choudhary / ; S Choudhary / ; S Deshmukh / ; D Dongaonkar / ; M Ketkar / ; V Khedikar / ; N Kunnawar / ; C Mahorkar / ; I Mulik / ; K Saboo / ; C Shembekar / ; A Singh / ; V Taori / ; K Tayade / ; A Somani / ; E Bertino / ; P Di Nicola / ; M Frigerio / ; G Gilli / ; P Gilli / ; M Giolito / ; F Giuliani / ; M Oberto / ; L Occhi / ; C Rossi / ; I Rovelli / ; F Signorile / ; T Todros / ; W Stones / ; M Carvalho / ; J Kizidio / ; R Ochieng / ; J Shah / ; S Vinayak / ; N Musee / ; C Kisiang'ani / ; D Muninzwa / ; Y A Jaffer / ; J Al-Abri / ; J Al-Abduwani / ; F M Al-Habsi / ; H Al-Lawatiya / ; B Al-Rashidiya / ; W K S Al-Zadjali / ; F R Juangco / ; M Venkataraman / ; H Al-Jabri / ; D Yellappan / ; S Kennedy / ; L Cheikh Ismail / ; A T Papageorghiou / ; F Roseman / ; A Lambert / ; E O Ohuma / ; S Lloyd / ; R Napolitano / ; C Ioannou / ; I Sarris / ; M G Gravett / ; C Batiuk / ; M Batra / ; S Bornemeier / ; M Dighe / ; K Oas / ; W Paulsene / ; D Wilson / ; I O Frederick / ; H F Andersen / ; S E Abbott / ; A A Carter / ; H Algren / ; D A Rocco / ; T K Sorensen / ; D Enquobahrie / ; S Waller /
Comments/Corrections
Comment In:
Lancet. 2014 Sep 6;384(9946):833-5   [PMID:  25209472 ]

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