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J Pediatr. 2009 Apr;154(4):486-91. doi: 10.1016/j.jpeds.2008.10.012. Epub 2008 Nov 28.

Use of a body proportionality index for growth assessment of preterm infants.

Author information

1
Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. irene.olsen@drexel.edu

Abstract

OBJECTIVE:

To evaluate the utility of weight-for-length (defined as gm/cm(3), known as the "ponderal index") as a complementary measure of growth in infants in neonatal intensive care units (NICUs).

STUDY DESIGN:

This was a secondary analysis of infants (n=1214) of gestational age 26 to 29 weeks at birth, included in a registry database (1991-2003), who had growth data at birth and discharge. Weight-for-age and weight-for-length were categorized as small (<10th percentile), appropriate, or large (>90th percentile).

RESULTS:

Statistical agreement between the weight-for-age and weight-for-length measures was poor (kappa=0.02 at birth, 0.10 at discharge; Bowker test for symmetry, P< .0001). From birth to discharge, the percentage of small-for-age infants increased from 12% to 21%, the percentage of small-for-length infants decreased from 10% to 4%, the percentage of large-for-age infants remained similar (<1%), and the percentage of large-for-length infants increased from 5% to 17%. At discharge, 92% of the small-for-age infants were appropriate or large-for-length, and 19% of the appropriate-for-age infants were large-for-length.

CONCLUSIONS:

Weight-for-age and weight-for-length are complementary measures. Weight-for-length or other measures of body proportionality should be considered for inclusion in routine growth monitoring of infants in the NICU.

PMID:
19041096
PMCID:
PMC2745983
DOI:
10.1016/j.jpeds.2008.10.012
[Indexed for MEDLINE]
Free PMC Article

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