Document Detail

Size and morbidity in Malawian twins.
MedLine Citation:
PMID:  16391590     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Twins in developing countries may be disadvantaged due to their small size at birth, compromised nutrition and high infection risk. Although twinning is common in Africa, there are few longitudinal studies of growth and morbidity in this high-risk group. The aim of the present paper was to describe growth and morbidity of Malawian twins compared to singletons. METHODS: Morbidity episodes were recorded at 4 weekly intervals and at extra visits made to health centres for illness. Weight, length, head and arm circumference were recorded at birth and weight, length and MUAC at 4 weekly intervals to 52 weeks of age. RESULTS: Twins showed reduced fetal growth compared to singletons, with increasing fall-off in percentiles from 33 weeks gestation. Infant growth percentiles for twins were below those for singletons at all ages, but showed no fall-off from singleton percentile values. There were no differences in morbidity incidence during infancy between twins and singletons. CONCLUSION: Malawian twins showed no catch-up growth during infancy, their smaller size was not associated with higher morbidity incidence compared to singletons.
B F Kalanda; F H Verhoeff; B J Brabin
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of clinical nutrition     Volume:  60     ISSN:  0954-3007     ISO Abbreviation:  Eur J Clin Nutr     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-06-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804070     Medline TA:  Eur J Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  598-604     Citation Subset:  IM    
Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.
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MeSH Terms
Birth Weight
Fetal Development
Gestational Age*
Infant Mortality*
Infant, Low Birth Weight
Infant, Newborn
Pregnancy Outcome*
Pregnancy, Multiple

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