Growth of very low birth weight infants at 12 months corrected age in southern Brazil

J Trop Pediatr. 2008 Feb;54(1):36-42. doi: 10.1093/tropej/fmm103. Epub 2007 Dec 21.

Abstract

The objective of this article is to describe growth of very low birth weight infants born in southern Brazil. All infants weighing < or =1500 g were followed up until 12 months corrected age (CA). Growth was recorded at 40 weeks, 6 and 12 months CA. Catch up was considered if the measures were > or =-2 SD of World Health Organization growth charts for weight and length; and of National Center for Health Statistics for head circumference. One hundred and ninety three infants born were followed up for the study. At 40 weeks CA, 57.8% patients achieved catch-up in weight and 50.9% in length. At 6 months CA, 82.2% achieved catch-up for weight and length and at 1 year CA, 92% achieved catch-up in weight and 86.9% in length. Catch-up in head circumference was achieved for 93.4%, 85.9% and 85% patients at 40 weeks, 6 months and 12 months CA, respectively. At 12 months CA, no catch-up in weight, length and head circumference was related to higher SNAPPE-II (P = 0.046) and periventricular leukomalacia (PVL) (P = 0.003); longer time to achieve full enteral nutrition at the neonatal intensive care unit (NICU) (P = 0.037), lower maternal education (P = 0.018) and PVL (P = 0,003); higher SNAPPE-II (P = 0,004), PVL (P = 0.005) and longer time to achieve full enteral nutrition at the NICU (P = 0.044), respectively. In conclusion, PVL and higher SNAPPE-II were important factors to catch-up delay. Catch-up growth was high at 12 months CA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Birth Weight
  • Body Height
  • Brazil
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant Formula / administration & dosage
  • Infant Mortality
  • Infant, Newborn
  • Infant, Very Low Birth Weight / growth & development*
  • Intensive Care Units, Neonatal / statistics & numerical data
  • Male
  • Milk, Human
  • Parenteral Nutrition, Total
  • Weight Gain*