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Published in: BMC Pediatrics 1/2011

Open Access 01-12-2011 | Research article

Growth of a cohort of very low birth weight infants in Johannesburg, South Africa

Authors: Cheryl A Mackay, Daynia E Ballot, Peter A Cooper

Published in: BMC Pediatrics | Issue 1/2011

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Abstract

Background

Little is known about the growth of VLBW infants in South Africa. The aim of this study was to assess the growth of a cohort of VLBW infants in Johannesburg.

Methods

A secondary analysis of a prospective cohort was conducted on 139 VLBW infants (birth weight ≤1500 g) admitted to Charlotte Maxeke Johannesburg Academic Hospital. Growth measurements were obtained from patient files and compared with the World Health Organization Child Growth Standards (WHO-CGS) and with a previous cohort of South African VLBW infants. The sample size per analysis ranged from 11 to 81 infants.

Results

Comparison with the WHO-CGS showed initial poor growth followed by gradual catch up growth with mean Z scores of 0.0 at 20 months postmenstrual age for weight, -0.8 at 20 months postmenstrual age for length and 0.0 at 3 months postmenstrual age for head circumference. Growth was comparable with that of a previous cohort of South African VLBW infants in all parameters.

Conclusions

Initial poor growth in the study sample was followed by gradual catch up growth but with persistent deficits in length for age at 20 months postmenstrual age relative to healthy term infants.
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Literature
1.
go back to reference Velaphi SC, Mokhachane M, Mphahlele RM, Beckh-Arnold E, Kuwanda ML, Cooper PA: Survival of very-low-birth-weight infants according to birth weight and gestational age in a public hospital. S Afr Med J. 2005, 95 (7): 504-509.PubMed Velaphi SC, Mokhachane M, Mphahlele RM, Beckh-Arnold E, Kuwanda ML, Cooper PA: Survival of very-low-birth-weight infants according to birth weight and gestational age in a public hospital. S Afr Med J. 2005, 95 (7): 504-509.PubMed
2.
go back to reference Iyasu S, Tomashak K, Bayfield W: Infant Mortality and Low Birth Weight among Black and White infants - United States 1980-2000. CDC Morbidity and Mortality Weekly Report. 2002, 51 (27): 589-592. Iyasu S, Tomashak K, Bayfield W: Infant Mortality and Low Birth Weight among Black and White infants - United States 1980-2000. CDC Morbidity and Mortality Weekly Report. 2002, 51 (27): 589-592.
3.
go back to reference Fayter D, Nixon J, Hartley S, Rithalia A, Butler G, Rudolf M, Glasziou P, Bland M, Stirk L, Westwood M: A systematic review of the routine monitoring of growth in children of primary school age to identify growth-related conditions. Health Technol Assess. 2007, 11 (22): iii-xi-xii, 1-163CrossRefPubMed Fayter D, Nixon J, Hartley S, Rithalia A, Butler G, Rudolf M, Glasziou P, Bland M, Stirk L, Westwood M: A systematic review of the routine monitoring of growth in children of primary school age to identify growth-related conditions. Health Technol Assess. 2007, 11 (22): iii-xi-xii, 1-163CrossRefPubMed
5.
go back to reference Niklasson A, Engstrom E, Hard AL, Wikland KA, Hellstrom A: Growth in very preterm children: a longitudinal study. Pediatr Res. 2003, 54 (6): 899-905. 10.1203/01.PDR.0000091287.38691.EF.CrossRefPubMed Niklasson A, Engstrom E, Hard AL, Wikland KA, Hellstrom A: Growth in very preterm children: a longitudinal study. Pediatr Res. 2003, 54 (6): 899-905. 10.1203/01.PDR.0000091287.38691.EF.CrossRefPubMed
6.
go back to reference Knops NB, Sneeuw KC, Brand R, Hille ET, den Ouden AL, Wit JM, Verloove-Vanhorick SP: Catch-up growth up to ten years of age in children born very preterm or with very low birth weight. BMC Pediatr. 2005, 5: 26-10.1186/1471-2431-5-26.CrossRefPubMedPubMedCentral Knops NB, Sneeuw KC, Brand R, Hille ET, den Ouden AL, Wit JM, Verloove-Vanhorick SP: Catch-up growth up to ten years of age in children born very preterm or with very low birth weight. BMC Pediatr. 2005, 5: 26-10.1186/1471-2431-5-26.CrossRefPubMedPubMedCentral
7.
go back to reference Guo SS, Roche AF, Chumlea WC, Casey PH, Moore WM: Growth in weight, recumbent length, and head circumference for preterm low-birthweight infants during the first three years of life using gestation-adjusted ages. Early Hum Dev. 1997, 47 (3): 305-325. 10.1016/S0378-3782(96)01793-8.CrossRefPubMed Guo SS, Roche AF, Chumlea WC, Casey PH, Moore WM: Growth in weight, recumbent length, and head circumference for preterm low-birthweight infants during the first three years of life using gestation-adjusted ages. Early Hum Dev. 1997, 47 (3): 305-325. 10.1016/S0378-3782(96)01793-8.CrossRefPubMed
8.
go back to reference Bertino E, Coscia A, Boni L, Rossi C, Martano C, Giuliani F, Fabris C, Spada E, Zolin A, Milani S: Weight growth velocity of very low birth weight infants: role of gender, gestational age and major morbidities. Early Hum Dev. 2009, 85 (6): 339-47. 10.1016/j.earlhumdev.2008.12.014.CrossRefPubMed Bertino E, Coscia A, Boni L, Rossi C, Martano C, Giuliani F, Fabris C, Spada E, Zolin A, Milani S: Weight growth velocity of very low birth weight infants: role of gender, gestational age and major morbidities. Early Hum Dev. 2009, 85 (6): 339-47. 10.1016/j.earlhumdev.2008.12.014.CrossRefPubMed
9.
go back to reference Hack M, Schluchter M, Cartar L, Rahman M, Cuttler L, Borawski E: Growth of very low birth weight infants to age 20 years. Pediatrics. 2003, 112 (1 Pt 1): e30-8.CrossRefPubMed Hack M, Schluchter M, Cartar L, Rahman M, Cuttler L, Borawski E: Growth of very low birth weight infants to age 20 years. Pediatrics. 2003, 112 (1 Pt 1): e30-8.CrossRefPubMed
10.
go back to reference Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman BL, Lipp R: New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991, 119 (3): 417-423. 10.1016/S0022-3476(05)82056-6.CrossRefPubMed Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman BL, Lipp R: New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991, 119 (3): 417-423. 10.1016/S0022-3476(05)82056-6.CrossRefPubMed
11.
go back to reference De Onis M, Garza C, Onyango AW, Martorell R: WHO Child Growth Standards. Acta Paediatrica. 2006, 95 (Supplement 450): De Onis M, Garza C, Onyango AW, Martorell R: WHO Child Growth Standards. Acta Paediatrica. 2006, 95 (Supplement 450):
12.
go back to reference WHO: WHO Anthro for personal computers: Software for assessing growth and development of the world's children. 2007, 2- WHO: WHO Anthro for personal computers: Software for assessing growth and development of the world's children. 2007, 2-
13.
go back to reference Cooper PA, Sandler DL: Outcome of very low birth weight infants at 12 to 18 months of age in Soweto, South Africa. Pediatrics. 1997, 99 (4): 537-544. 10.1542/peds.99.4.537.CrossRefPubMed Cooper PA, Sandler DL: Outcome of very low birth weight infants at 12 to 18 months of age in Soweto, South Africa. Pediatrics. 1997, 99 (4): 537-544. 10.1542/peds.99.4.537.CrossRefPubMed
14.
go back to reference Fenton TR: A new growth chart for preterm babies: Babson and Benda's chart updated with recent data and a new format. BMC Pediatr. 2003, 3: 13-10.1186/1471-2431-3-13.CrossRefPubMedPubMedCentral Fenton TR: A new growth chart for preterm babies: Babson and Benda's chart updated with recent data and a new format. BMC Pediatr. 2003, 3: 13-10.1186/1471-2431-3-13.CrossRefPubMedPubMedCentral
15.
go back to reference Embleton NE, Pang N, Cooke RJ: Postnatal malnutrition and growth retardation: an inevitable consequence of current recommendations in preterm infants?. Pediatrics. 2001, 107 (2): 270-273. 10.1542/peds.107.2.270.CrossRefPubMed Embleton NE, Pang N, Cooke RJ: Postnatal malnutrition and growth retardation: an inevitable consequence of current recommendations in preterm infants?. Pediatrics. 2001, 107 (2): 270-273. 10.1542/peds.107.2.270.CrossRefPubMed
16.
go back to reference Bauer K, Bovermann G, Roithmaier A, Gotz M, Proiss A, Versmold HT: Body composition, nutrition, and fluid balance during the first two weeks of life in preterm neonates weighing less than 1500 grams. J Pediatr. 1991, 118 (4 (Pt 1)): 615-620.CrossRefPubMed Bauer K, Bovermann G, Roithmaier A, Gotz M, Proiss A, Versmold HT: Body composition, nutrition, and fluid balance during the first two weeks of life in preterm neonates weighing less than 1500 grams. J Pediatr. 1991, 118 (4 (Pt 1)): 615-620.CrossRefPubMed
17.
go back to reference Soranzo N, Rivadeneira F, Chinappen-Horsley U, Malkina I, Richards JB, Hammond N, et al: Meta-analysis of genome-wide scans for human adult stature identifies novel Loci and associations with measures of skeletal frame size. PLoS Genet. 2009, 5 (4): e1000445-10.1371/journal.pgen.1000445.CrossRefPubMedPubMedCentral Soranzo N, Rivadeneira F, Chinappen-Horsley U, Malkina I, Richards JB, Hammond N, et al: Meta-analysis of genome-wide scans for human adult stature identifies novel Loci and associations with measures of skeletal frame size. PLoS Genet. 2009, 5 (4): e1000445-10.1371/journal.pgen.1000445.CrossRefPubMedPubMedCentral
18.
go back to reference Ong KK, Ahmed ML, Emmett PM, Preece MA, Dunger DB: Association between postnatal catch-up growth and obesity in childhood: prospective cohort study. BMJ. 2000, 320 (7240): 967-971. 10.1136/bmj.320.7240.967.CrossRefPubMedPubMedCentral Ong KK, Ahmed ML, Emmett PM, Preece MA, Dunger DB: Association between postnatal catch-up growth and obesity in childhood: prospective cohort study. BMJ. 2000, 320 (7240): 967-971. 10.1136/bmj.320.7240.967.CrossRefPubMedPubMedCentral
19.
go back to reference Uthaya S, Thomas EL, Hamilton G, Dore CJ, Bell J, Modi N: Altered adiposity after extremely preterm birth. Pediatr Res. 2005, 57 (2): 211-215. 10.1203/01.PDR.0000148284.58934.1C.CrossRefPubMed Uthaya S, Thomas EL, Hamilton G, Dore CJ, Bell J, Modi N: Altered adiposity after extremely preterm birth. Pediatr Res. 2005, 57 (2): 211-215. 10.1203/01.PDR.0000148284.58934.1C.CrossRefPubMed
20.
go back to reference Cooke RW, Foulder-Hughes L: Growth impairment in the very preterm and cognitive and motor performance at 7 years. Arch Dis Child. 2003, 88 (6): 482-487. 10.1136/adc.88.6.482.CrossRefPubMedPubMedCentral Cooke RW, Foulder-Hughes L: Growth impairment in the very preterm and cognitive and motor performance at 7 years. Arch Dis Child. 2003, 88 (6): 482-487. 10.1136/adc.88.6.482.CrossRefPubMedPubMedCentral
21.
go back to reference Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ: Weight in infancy and death from ischaemic heart disease. Lancet. 1989, 2 (8663): 577-580.CrossRefPubMed Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ: Weight in infancy and death from ischaemic heart disease. Lancet. 1989, 2 (8663): 577-580.CrossRefPubMed
22.
go back to reference Stettler N, Zemel BS, Kumanyika S, Stallings VA: Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics. 2002, 109 (2): 194-199. 10.1542/peds.109.2.194.CrossRefPubMed Stettler N, Zemel BS, Kumanyika S, Stallings VA: Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics. 2002, 109 (2): 194-199. 10.1542/peds.109.2.194.CrossRefPubMed
Metadata
Title
Growth of a cohort of very low birth weight infants in Johannesburg, South Africa
Authors
Cheryl A Mackay
Daynia E Ballot
Peter A Cooper
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2011
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-11-50

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