미숙아에서 따라 잡기 성장의 예측인자로서 출생 체중 Z-Score의 효용성
The Usefulness of Birth Weight Z-Score as a Predictor of Catch Up Growth in Preterm Infants
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초록
Purpose: The aim of the study was to examine whether the degree of fetal smallness in small for gestational age (SGA) infants would increase the risk of catch-up-growth failure at 12 and 24 months corrected age (CA), and whether the high-calorie nutri- tional support would improve catch-up growth between 12 and 24 months CA. Methods: We conducted a retrospective cohort study on 103 preterm infants born between January 2010 and December 2011. Logistic regression analysis was per- formed to investigate whether the birth weight z-score would be an independent risk factor for catch-up growth failure at 12 or 24 months CA. Among the 46 infants with failed catch-up growth at 12 months CA, 16 infants were provided high-calorie nutri- tional support, including nutritional supplements and medium chain triglyceride (MCT) oil at the pediatric gastroenterology clinic. Results: Of 103 preterm infants, 34 infants (33%) were SGA and 69 infants (67%) were appropriate for gestational age (AGA). One birth weight z-score decrement increased the odds for catch-up growth failure 2.9 times at 12 months CA and 3.0 times at 24 months CA after adjustment for major neonatal morbidities. The increase in z-score between 12 and 24 months CA was significantly greater in the infants provided nutritional support than in the infants who were not provided nutritional support. Conclusion: The birth weight z-score can be used as a predictor of catch-up growth failure. High-calorie nutritional support may improve weight gain during the second year in preterm infants with failed catch-up growth at 12 months CA.
Abstract
Purpose: The aim of the study was to examine whether the degree of fetal smallness in small for gestational age (SGA) infants would increase the risk of catch-up-growth failure at 12 and 24 months corrected age (CA), and whether the high-calorie nutri- tional support would improve catch-up growth between 12 and 24 months CA. Methods: We conducted a retrospective cohort study on 103 preterm infants born between January 2010 and December 2011. Logistic regression analysis was per- formed to investigate whether the birth weight z-score would be an independent risk factor for catch-up growth failure at 12 or 24 months CA. Among the 46 infants with failed catch-up growth at 12 months CA, 16 infants were provided high-calorie nutri- tional support, including nutritional supplements and medium chain triglyceride (MCT) oil at the pediatric gastroenterology clinic. Results: Of 103 preterm infants, 34 infants (33%) were SGA and 69 infants (67%) were appropriate for gestational age (AGA). One birth weight z-score decrement increased the odds for catch-up growth failure 2.9 times at 12 months CA and 3.0 times at 24 months CA after adjustment for major neonatal morbidities. The increase in z-score between 12 and 24 months CA was significantly greater in the infants provided nutritional support than in the infants who were not provided nutritional support. Conclusion: The birth weight z-score can be used as a predictor of catch-up growth failure. High-calorie nutritional support may improve weight gain during the second year in preterm infants with failed catch-up growth at 12 months CA.
참고문헌 (25)
- Lim JW, "Postnatal catch-up growth of very low birth weight infants", J Korean Soc Neonatol, 9, pp.1~11 (2002)
- Qvigstad E, "Prediction of height achievement at five years of age in children born very preterm or with very low birth weight: continuation of catch-up growth after two years of age", Acta Paediatr, 82, pp.444~448 (1993)
- Niklasson A, "Growth in very preterm children: a longitudinal study", Pediatr Res, 54, pp.899~905 (2003)
- Hokken-Koelega AC, "Children born small for gestational age: do they catch up?", Pediatr Res, 38, pp.267~271 (1995)
- Hirata T, "When they grow up: the growth of extremely low birth weight (< or = 1000 gm) infants at adolescence", J Pediatr, 132, pp.1033~1035 (1998)
- Fewtrell MS, "Catch-up growth in small-for-gestational-age term infants: a randomized trial", Am J Clin Nutr, 74, pp.516~523 (2001)
- Darendeliler F, "Catch-up growth in appropriate- or small-for-gestational age preterm infants", Turk J Pediatr, 50, pp.207~213 (2008)
- Casey PH, "Growth status and growth rates of a varied sample of low birth weight, preterm infants: a longitudinal cohort from birth to three years of age", J Pediatr, 119, pp.599~605 (1991)
- Soto N, "Insulin sensitivity and secretion are related to catch-up growth in small-for-gestational-age infants at age 1 year: results from a prospective cohort", J Clin Endocrinol Metab, 88, pp.3645~3650 (2003)
- 정명기, "부당 경량아로 출생한 소아들에서 교정성장곡선을 이용한 따라잡기 성장에 대한 연구", Korean Journal of Pediatrics, 52(9), pp.984~990 (2009), 대한소아과학회
- Knops NB, "Catch-up growth up to ten years of age in children born very preterm or with very low birth weight", BMC Pediatr, 5, pp.26~ (2005)
- Monset-Couchard M, "Catch-up growth in 166small-for- gestational age premature infants weighing less than 1,000 g at birth", Biol Neonate, 78, pp.161~167 (2000)
- Lei X, "The optimal postnatal growth trajectory for term small for gestational age babies: a prospective cohort study", J Pediatr, 166, pp.54~58 (2015)
- Brenseke B, "Current thoughts on maternal nutrition and fetal programming of the metabolic syndrome", J Pregnancy, 2013, pp.368461~ (2013)
- Young T, "Nutritional support and bronchopulmonary dysplasia", J Perinatol, 27, pp.S75~S78 (2007)
- Hintz SR, "Neurodevelopmental and growth outcomes of extremely low birth weight infants after necrotizing enterocolitis", Pediatrics, 115, pp.696~703 (2005)
- Fenton TR, "A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants", BMC Pediatr, 13, pp.59~ (2013)
- Fenton TR, "Using the LMS method to calculate zscores for the Fenton preterm infant growth chart", Eur J Clin Nutr, 61, pp.1380~1385 (2007)
- Grummer-Strawn LM, "Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States", MMWR Recomm Rep, 59, pp.1~15 (2010)
- Ofek Shlomai N, "Population-based study shows improved postnatal growth in preterm very-low-birthweight infants between 1995 and 2010", Acta Paediatr, 103, pp.498~503 (2014)
- Altigani M, "Catch up growth in preterm infants", Acta Paediatr Scand Suppl, 357, pp.3~19 (1989)
- Hack M, "Fanaroff AA. Health of very low birth weight children during their first eight years", J Pediatr, 122, pp.887~892 (1993)
- Dashe JS, "Effects of symmetric and asymmetric fetal growth on pregnancy outcomes", Obstet Gynecol, 96, pp.321~327 (2000)
- Bocca-Tjeertes I, "Symmetrical and asymmetrical growth restriction in pretermborn children", Pediatrics, 133, pp.e650~656 (2014)
- Sulkers EJ, "Comparison of two preterm formulas with or without addition of medium-chain triglycerides (MCTs). II: Effects on mineral balance", J Pediatr Gastroenterol Nutr, 15, pp.42~47 (1992)