Abstract
Monitoring growth is important in preterm infants as they are at a high risk for postnatal growth restriction which can lead to impaired long term growth and neurodevelopment. In the absence of better charts, intrauterine growth charts are recommended by leading professional paediatric organisations for monitoring the growth of preterm infants. The aim when caring for preterm infants is to at least match the growth velocity from published best postnatal growth charts and strive towards reaching ideal growth velocities from intrauterine growth charts. The Fenton chart appears to be suitable for monitoring growth of preterm infants during their stay in the neonatal intensive care unit (NICU). Recently, Fenton charts have been updated using the WHO 2006 charts for the 40–50 weeks’ post conception age group. Once a post-conception age of 40 weeks is reached, the WHO 2006 growth charts can be used for monitoring ongoing growth. The ongoing “Intergrowth-21st study” has the potential to overcome the deficiencies of all current growth charts. It will enable the establishment of prescriptive growth charts for monitoring the growth of preterm infants during and beyond their NICU stay into early childhood. Care should be taken to avoid excessive catch up growth which is associated with increased risk of diabetes, hypertension, and obesity in later life.
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References
de Onis M, Habicht JP (1996) Anthropometric reference data for international use: recommendations from a World Health Organization Expert Committee. Am J Clin Nutr 64(4):650–658
Secker D (2010) Promoting optimal monitoring of child growth in Canada: using the new WHO growth charts. Can J Diet Pract Res 71(1):e1–e3
Garner P, Panpanich R, Logan S (2000) Is routine growth monitoring effective? A systematic review of trials. Arch dis child 82(3):197–201
Horemuzova E, Soder O, Hagenas L (2012) Growth charts for monitoring postnatal growth at NICU of extreme preterm-born infants. Acta paediatrica 101(3):292–299 (Research Support, Non-U.S. Gov’t)
Claas MJ, de Vries LS, Koopman C, Uniken Venema MM, Eijsermans MJ, Bruinse HW et al (2011) Postnatal growth of preterm born children ≤ 750 g at birth. Early Hum Dev 87(7):495–507
Ehrenkranz RA, Dusick AM, Vohr BR, Wright LL, Wrage LA, Poole WK (2006) Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics 117(4):1253–1261
Franz AR, Pohlandt F, Bode H, Mihatsch WA, Sander S, Kron M et al (2009) Intrauterine, early neonatal, and postdischarge growth and neurodevelopmental outcome at 5.4 years in extremely preterm infants after intensive neonatal nutritional support. Pediatrics 123(1):e101–e109
Shah PS, Wong KY, Merko S, Bishara R, Dunn M, Asztalos E et al (2006) Postnatal growth failure in preterm infants: ascertainment and relation to long-term outcome. J Perinat Med 34(6):484–489
Ramel SE, Demerath EW, Gray HL, Younge N, Boys C, Georgieff MK (2012) The relationship of poor linear growth velocity with neonatal illness and two-year neurodevelopment in preterm infants. Neonatology 102(1):19–24
Ghods E, Kreissl A, Brandstetter S, Fuiko R, Widhalm K (2011) Head circumference catch-up growth among preterm very low birth weight infants: effect on neurodevelopmental outcome. J Perinat Med 39(5):579–586
Powers GC, Ramamurthy R, Schoolfield J, Matula K (2008) Postdischarge growth and development in a predominantly Hispanic, very low birth weight population. Pediatrics 122(6):1258–1265
Kan E, Roberts G, Anderson PJ, Doyle LW (2008) Victorian infant collaborative study G. The association of growth impairment with neurodevelopmental outcome at 8 years of age in very preterm children. Early Hum Dev 84(6):409–416 (Research Support, Non-U.S. Gov’t)
Cole TJ, Freeman JV, Preece MA (1998) British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Stat Med 17(4):407–429
Latal-Hajnal B, von Siebenthal K, Kovari H, Bucher HU, Largo RH (2003) Postnatal growth in VLBW infants: significant association with neurodevelopmental outcome. J Pediatr 143(2):163–170
Casey PH, Whiteside-Mansell L, Barrett K, Bradley RH, Gargus R (2006) Impact of prenatal and/or postnatal growth problems in low birth weight preterm infants on school-age outcomes: an 8-year longitudinal evaluation. Pediatrics 118(3):1078–1086
Sices L, Wilson-Costello D, Minich N, Friedman H, Hack M (2007) Postdischarge growth failure among extremely low birth weight infants: correlates and consequences. Paediatr Child Health 12(1):22–28
American Academy of Pediatrics Committee on Nutrition (1985) Nutritional needs of low-birth-weight infants. Pediatrics 75(5):976–986
Nutrient needs and feeding of premature infants (1995) Nutrition Committee, Canadian Paediatric Society. CMAJ 152(11):1765–1785
Karna P, Brooks K, Muttineni J, Karmaus W (2005) Anthropometric measurements for neonates, 23–29 weeks gestation, in the 1990s. Paediatr Perinat Epidemiol 19(3):215–226
Lubchenco LO, Hansman C, Dressler M, Boyd E (1963) Intrauterine growth as estimated from liveborn birth-weight data at 24–42 weeks of gestation. Pediatrics 32:793–800
Babson SG, Benda GI (1976) Growth graphs for the clinical assessment of infants of varying gestational age. J Pediatr 89(5):814–820
Fenton TR (2003) A new growth chart for preterm babies: babson and benda’s chart updated with recent data and a new format. BMC Pediatr 16(3):13
Kramer MS, Platt RW, Wen SW, Joseph KS, Allen A, Abrahamowicz M et al (2001) A new and improved population-based Canadian reference for birth weight for gestational age. Pediatrics 108(2):E35
Niklasson A, Ericson A, Fryer JG, Karlberg J, Lawrence C, Karlberg P (1991) An update of the Swedish reference standards for weight, length and head circumference at birth for given gestational age (1977–1981). Acta Paediatr Scand 80(8–9):756–762
Beeby PJ, Bhutap T, Taylor LK (1996) New South Wales population-based birthweight percentile charts. J Paediatr Child Health 32(6):512–518
Olsen IE, Groveman SA, Lawson ML, Clark RH, Zemel BS (2010) New intrauterine growth curves based on United States data. Pediatrics 125(2):e214–e224
Bertino E, Milani S, Fabris C, De Curtis M (2007) Neonatal anthropometric charts: what they are, what they are not. Arch Dis Child Fetal Neonatal Ed 92(1):F7–F10
Johnsen SL, Rasmussen S, Wilsgaard T, Sollien R, Kiserud T (2006) Longitudinal reference ranges for estimated fetal weight. Acta Obstet Gynecol Scand 85(3):286–297
Chauhan SP, Hendrix NW, Magann EF, Morrison JC, Scardo JA, Berghella V (2005) A review of sonographic estimate of fetal weight: vagaries of accuracy. J Matern Fetal Neonatal Med 18(4):211–220
Dudley NJ (2005) A systematic review of the ultrasound estimation of fetal weight. Ultrasound Obstet Gynecol 25(1):80–89
Chan LW, Fung TY, Leung TY, Sahota DS, Lau TK (2009) Volumetric (3D) imaging reduces inter- and intraobserver variation of fetal biometry measurements. Ultrasound Obstet Gynecol 33(4):447–452
Schild RL, Maringa M, Siemer J, Meurer B, Hart N, Goecke TW et al (2008) Weight estimation by three-dimensional ultrasound imaging in the small fetus. Ultrasound Obstet Gynecol 32(2):168–175
Diekmann M, Genzel-Boroviczeny O, Zoppelli L, von Poblotzki M (2005) Postnatal growth curves for extremely low birth weight infants with early enteral nutrition. Eur J Pediatr 164(12):714–723
Bertino E, Coscia A, Mombro M, Boni L, Rossetti G, Fabris C et al (2006) Postnatal weight increase and growth velocity of very low birthweight infants. Arch Dis Child Fetal Neonatal Ed 91(5):F349–F356
Berseth CL, Bisquera JA, Paje VU (2003) Prolonging small feeding volumes early in life decreases the incidence of necrotizing enterocolitis in very low birth weight infants. Pediatrics 111(3):529–534
Oh W, Poindexter BB, Perritt R, Lemons JA, Bauer CR, Ehrenkranz RA et al (2005) Association between fluid intake and weight loss during the first 10 days of life and risk of bronchopulmonary dysplasia in extremely low birth weight infants. J Pediatr 147(6):786–790
Wadhawan R, Oh W, Perritt R, Laptook AR, Poole K, Wright LL et al (2007) Association between early postnatal weight loss and death or BPD in small and appropriate for gestational age extremely low-birth-weight infants. J Perinatol 27(6):359–364
Finken MJ, Keijzer-Veen MG, Dekker FW, Frolich M, Hille ET, Romijn JA et al (2006) Preterm birth and later insulin resistance: effects of birth weight and postnatal growth in a population based longitudinal study from birth into adult life. Diabetologia 49(3):478–485
Euser AM, Finken MJ, Keijzer-Veen MG, Hille ET, Wit JM, Dekker FW (2005) Associations between prenatal and infancy weight gain and BMI, fat mass, and fat distribution in young adulthood: a prospective cohort study in males and females born very preterm. Am J Clin Nutr 81(2):480–487
Ekelund U, Ong K, Linne Y, Neovius M, Brage S, Dunger DB et al (2006) Upward weight percentile crossing in infancy and early childhood independently predicts fat mass in young adults: the Stockholm Weight Development Study (SWEDES). Am J Clin Nutr 83(2):324–330
Singhal A, Cole TJ, Fewtrell M, Kennedy K, Stephenson T, Elias-Jones A et al (2007) Promotion of faster weight gain in infants born small for gestational age: is there an adverse effect on later blood pressure? Circulation 115(2):213–220
Khadilkar VV, Khadilkar AV, Cole TJ, Sayyad MG (2009) Crosssectional growth curves for height, weight and body mass index for affluent Indian children, 2007. Indian pediatrics 46(6):477–489 (Research Support, Non-U.S. Gov’t)
de Onis M, Lobstein T (2010) Defining obesity risk status in the general childhood population: which cut-offs should we use? Int J Pediatr Obesity (Editorial) 5(6):458–460. (IJPO: an official journal of the International Association for the Study of Obesity)
Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z et al (2002) 2000 CDC growth Charts for the United States. Methods Dev (Comparative Study) 246:1–190. (Vital and health statistics Series 11, Data from the national health survey)
Promoting optimal monitoring of child growth in Canada (2010) Using the new World Health Organization growth charts—Executive Summary. Paediatr Child Health 15(2):77–83
WHO (2006) WHO multicentre growth reference study. Acta paediatr 450:5–101
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organiz 85(9):660–667
de Onis M, Onyango A, Borghi E, Siyam A, Blossner M, Lutter C (2012) Worldwide implementation of the WHO Child Growth Standards. Public Health Nutr 12:1–8
de Onis M, Martinez-Costa C, Nunez F, Nguefack-Tsague G, Montal A, Brines J (2012) Association between WHO cut-offs for childhood overweight and obesity and cardiometabolic risk. Public Health Nutr 31:1–6
Shields M, Tremblay MS (2010) Canadian childhood obesity estimates based on WHO, IOTF and CDC cut-points. Int J Pediatr Obesity 5(3):265–273. (IJPO: an official journal of the International Association for the Study of Obesity)
Nash A, Dunn M, Asztalos E, Corey M, Mulvihill-Jory B, O’Connor DL (2011) Pattern of growth of very low birth weight preterm infants, assessed using the WHO Growth Standards, is associated with neurodevelopment. Appl Physiol Nutr Metab 36(4):562–569
Belfort MB, Rifas-Shiman SL, Sullivan T, Collins CT, McPhee AJ, Ryan P et al (2011) Infant growth before and after term: effects on neurodevelopment in preterm infants. Pediatrics 128(4):e899–e906
The International Fetal and Newborn Growth Consortuim (2011) http://www.intergrowth21.org.uk/. Accessed 18 Sept 2011 (updated 18 Sept 2011; cited 2011 18 Sept)
Villar J, Knight HE, de Onis M, Bertino E, Gilli G, Papageorghiou AT et al (2010) Conceptual issues related to the construction of prescriptive standards for the evaluation of postnatal growth of preterm infants. Arch Dis Child 95(12):1034–1038 (Research Support, Non-U.S. Gov’t Review)
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Rao, S. (2013). Growth Monitoring of Preterm Infants During Stay in the Neonatal Unit and into Early Childhood. In: Patole, S. (eds) Nutrition for the Preterm Neonate. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6812-3_15
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