Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns

Bibliographic Details
Main Author: Marques, Bárbara
Publication Date: 2019
Other Authors: Martins, Rosa, Rodrigues, Teresa, Oliveira, Graça, Abrantes, Margarida
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/48322
Summary: Copyright © Ordem dos Médicos 2020
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spelling Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newbornsO desempenho das curvas do Intergrowth 21st no diagnóstico de leve e grande para a idade gestacional em recém-nascido de termo e pré-termoAnthropometryBirth weightGestational ageGrowth chartsInfant, newbornInfant, PrematurePortugalCopyright © Ordem dos Médicos 2020Introduction: Birth weight is a major contributor to neonatal morbidity and mortality and is associated with chronic diseases in adulthood. This study aimed to evaluate the use of Intergrowth 21st instead of the Fenton & Kim 2013 growth charts in the diagnosis of small and large for gestational age in a group of Portuguese newborns. Material and Methods: We conducted an analytical and retrospective study to evaluate birth weight of term and preterm newborns using both growth charts. Groups studied: ‘Term-weeks’ and ‘Term-days’ (term newborns with gestational age in weeks and days, respectively), ‘Preterm-weeks’ and ‘Preterm-days’ (preterm newborns with gestational age in weeks and days, respectively). Results: A total of 14 056 newborns were included, 6% preterm. Using the Intergrowth 21st growth charts, the groups ‘Term-weeks’ (n = 12 081), ‘Term-days’ (n = 1118), ‘Preterm-weeks’ (n = 617) and ‘Preterm-days’ (n = 240), classified as small for gestational age according to the Fenton & Kim 2013 growth charts were adequate for gestational age in 52.8%, 57.8%, 37.7% and 9.3% respectively; and 9.2%, 9.2%, 5.9% and 0.6% of adequate for gestational age newborns were large for gestational age, respectively. In the ‘Pretermdays’ group, 7.9% of adequate for gestational age newborns were small for gestational age and 22.2% of large for gestational age newborns were adequate for gestational age, all with gestational age below 231 days. Discussion: The use of the Intergrowth 21st growth charts in this sample resulted in a lower number of newborns being classified as small for gestational age, except in very preterm newborns. Conclusion: Considering the results obtained, we suggest that Portuguese maternity hospitals use the Intergrowth 21st instead of the Fenton & Kim 2013 growth charts. However, more studies are needed to confirm these results.Ordem dos MédicosRepositório da Universidade de LisboaMarques, BárbaraMartins, RosaRodrigues, TeresaOliveira, GraçaAbrantes, Margarida2021-06-04T10:56:58Z2019-06-172019-06-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/48322engActa Med Port 2020 Jan;33(1):15-210870-399X10.20344/amp.109901646-0758info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:34:29Zoai:repositorio.ulisboa.pt:10451/48322Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:15:46.873892Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
O desempenho das curvas do Intergrowth 21st no diagnóstico de leve e grande para a idade gestacional em recém-nascido de termo e pré-termo
title Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
spellingShingle Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
Marques, Bárbara
Anthropometry
Birth weight
Gestational age
Growth charts
Infant, newborn
Infant, Premature
Portugal
title_short Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
title_full Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
title_fullStr Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
title_full_unstemmed Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
title_sort Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
author Marques, Bárbara
author_facet Marques, Bárbara
Martins, Rosa
Rodrigues, Teresa
Oliveira, Graça
Abrantes, Margarida
author_role author
author2 Martins, Rosa
Rodrigues, Teresa
Oliveira, Graça
Abrantes, Margarida
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Marques, Bárbara
Martins, Rosa
Rodrigues, Teresa
Oliveira, Graça
Abrantes, Margarida
dc.subject.por.fl_str_mv Anthropometry
Birth weight
Gestational age
Growth charts
Infant, newborn
Infant, Premature
Portugal
topic Anthropometry
Birth weight
Gestational age
Growth charts
Infant, newborn
Infant, Premature
Portugal
description Copyright © Ordem dos Médicos 2020
publishDate 2019
dc.date.none.fl_str_mv 2019-06-17
2019-06-17T00:00:00Z
2021-06-04T10:56:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/48322
url http://hdl.handle.net/10451/48322
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Acta Med Port 2020 Jan;33(1):15-21
0870-399X
10.20344/amp.10990
1646-0758
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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