Document Detail


Rate of weight gain in very-low birth weight Puerto Rican neonates.
MedLine Citation:
PMID:  18616042     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Small for gestational age neonates have a higher risk of growth delay. The purpose of the study is to determine if there are differences in their early weight gain patterns that persist after adjusting for confounding variables. METHODS: Two-hundred sixteen neonates born between 1999 and 2003 were included. The group for analysis was derived by matching all the SGA infants with AGA infants by sex, year of birth, and birth weight. The period of observation was from birth to date of discharge. Weight gain rate was defined as grams gained per kilogram of birth weight per day. Two sample T-test was used to determine the difference in growth rate between the groups. Simple regression was used to establish the effect of morbidities on weight gain rate. RESULTS: The total mean birth weight was 1105 g (+/- 223 g), the mean gestational age was 30 weeks (+/- 2.7 weeks), and the mean weight gain rate was 13.4 g/kg/d (+/- 6.8 g/kg/d). The mean weight gain rate for the adequate for gestational age group was lower (11.9 g/kg/d +/- 7.6g versus 14.9 g/kg/d +/- 5.5 g) (P < 0.001). When all variables were analyzed using the lineal regression model, only having a low APGAR score (P = 0.02) and being small for gestational age (P = 0.0004) were significant. CONCLUSIONS: We conclude that the growth patterns of very low birth weight neonates are different based on the adequacy of their birth weight, and that the disparity in growth rate is not explained by the differences in the incidence of morbidities that affect growth.
Authors:
Maribel Campos; Lourdes García; Inés E García; Cynthia Rivera; Marta I Valcárcel
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Puerto Rico health sciences journal     Volume:  27     ISSN:  0738-0658     ISO Abbreviation:  P R Health Sci J     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-07-11     Completed Date:  2008-10-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8303541     Medline TA:  P R Health Sci J     Country:  Puerto Rico    
Other Details:
Languages:  eng     Pagination:  141-5     Citation Subset:  IM    
Affiliation:
University of Puerto Rico School of Medicine, Department of Pediatrics, Neonatology Section. mcampos@rcm.upr.edu
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MeSH Terms
Descriptor/Qualifier:
Cohort Studies
Female
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight / physiology*
Male
Puerto Rico
Retrospective Studies
Weight Gain*
Grant Support
ID/Acronym/Agency:
1P20 RR11126/RR/NCRR NIH HHS; R25 RR017589-03/RR/NCRR NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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