Anthropometric Characterization of Impaired Fetal Growth Risk Factors for and Prognosis of Newborns With Stunting or Wzisting

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorVICTORA, Cesar G.
dc.contributor.authorVILLAR, Jose
dc.contributor.authorBARROS, Fernando C.
dc.contributor.authorISMAIL, Leila Cheikh
dc.contributor.authorCHUMLEA, Cameron
dc.contributor.authorPAPAGEORGHIOU, Aris T.
dc.contributor.authorBERTINO, Enrico
dc.contributor.authorOHUMA, Eric O.
dc.contributor.authorLAMBERT, Ann
dc.contributor.authorCARVALHO, Maria
dc.contributor.authorJAFFER, Yasmin A.
dc.contributor.authorALTMAN, Douglas G.
dc.contributor.authorNOBLE, Julia A.
dc.contributor.authorGRAVETT, Michael G.
dc.contributor.authorPURWAR, Manorama
dc.contributor.authorFREDERICK, Ihunnaya O.
dc.contributor.authorPANG, Ruyan
dc.contributor.authorBHUTTA, Zulfiqar A.
dc.contributor.authorKENNEDY, Stephen H.
dc.contributor.groupauthorInt Fetal Newborn Growth
dc.contributor.groupauthorMATIJASEVICH, A.
dc.date.accessioned2024-02-15T14:52:31Z
dc.date.available2024-02-15T14:52:31Z
dc.date.issued2015
dc.description.abstractIMPORTANCE Stunting (short length for age) and wasting (low body mass index [BMI] for age) are widely used to assess child nutrition. In contrast, newborns tend to be assessed solely based on their weight. OBJECTIVE WE To use recent international standards for newborn size by gestational age to assess how stunted and wasted newborns differ in terms of risk factors and prognoses. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional study with follow-up until hospital discharge was conducted at urban sites in Brazil, China, India, Italy, Kenya, Oman, England, and the United States that are participating in the INTERGROWTH-21' Project. The study was conducted from April 27, 2009, to March 2, 2014, and the final dataset for analyses was locked on March 19, 2014. EXPOSURES Sociodemographic and behavioral maternal risk factors, previous pregnancy history, and maternal and fetal conditions during pregnancy were investigated as risk factors for stunting and wasting. Anthropometry at birth was used to predict for neonatal prognosis. MAIN OUTCOMES AND MEASURES Newborn stunting and wasting were defined as birth length and BlVlItor gestational age below the third centiles of the INTERGROWTH-21' standards. Prognosis was assessed through mortality before hospital discharge, admission to neonatal intensive care units, and newborn complications. RESULTS From the 60 206 singleton live births during the study period, we selected all newborns between 33 weeks' and 42 weeks 6 days' gestation at birth (51200 [85%]) with reliable ultrasound dating. Stunting affected 3.8% and wasting 3.4% of all newborns; both conditions were present in 0.7% of the sample. Of the 26 conditions studied, five were more strongly associated with stunting than with wasting (reported as odds ratios [OR]; 95% CO: short maternal height (6.7; 5.1-9.0), younger maternal age (0.7; 0.5-0.9), smoking (2.8; 2.3-3.3), illicit drug use (2.3; 1.5-3.6), and clinically suspected intrauterine growth restriction (5.2; 4.5-6.0). Wasting was more strongly related than stunting with 4 newborn outcomes (neonatal intensive care stay, 6.7 [5.5-8.1]; respiratory distress syndrome, 4.0 [3.3-4.9]; transient tachypnea, 2.1[1.5-2.9]; and no oral feeding for >24 hours, 5.0 [3.9-6.5]). Maternal gestational diabetes mellitus was protective against wasting (0.6; 0.5-0.8) but not against stunting (0.9; 0.7-1.1). CONCLUSIONS AND RELEVANCE Although newborn stunting and wasting share some common determinants, they are distinct phenotypes with their own risk factors and neonatal prognoses. To be consistent with the literature on infant and child nutrition, newborns should be classified using the 2 phenotypes of stunting and wasting. The distinction will help to prioritize preventive interventions and focus the management of fetal undernutrition.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipBill AMP
dc.description.sponsorshipMelinda Gates Foundation [49038]
dc.identifier.citationJAMA PEDIATRICS, v.169, n.7, article ID e151431, 10p, 2015
dc.identifier.doi10.1001/jamapediatrics.2015.1431
dc.identifier.eissn2168-6211
dc.identifier.issn2168-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58001
dc.language.isoeng
dc.publisherAMER MEDICAL ASSOCeng
dc.relation.ispartofJama Pediatrics
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright AMER MEDICAL ASSOCeng
dc.subject.otherinternational standardseng
dc.subject.otherintrauterine growtheng
dc.subject.otherintergrowth-21steng
dc.subject.otherweighteng
dc.subject.otherlengtheng
dc.subject.otherheadeng
dc.subject.wosPediatricseng
dc.titleAnthropometric Characterization of Impaired Fetal Growth Risk Factors for and Prognosis of Newborns With Stunting or Wzistingeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryQuênia
hcfmusp.affiliation.countryOmã
hcfmusp.affiliation.countryÍndia
hcfmusp.affiliation.countryChina
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisoke
hcfmusp.affiliation.countryisoom
hcfmusp.affiliation.countryisoin
hcfmusp.affiliation.countryisocn
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalVICTORA, Cesar G.:Univ Fed Pelotas, Programa Posgrad Epidemiol, Pelotas, Brazil
hcfmusp.author.externalVILLAR, Jose:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England
hcfmusp.author.externalBARROS, Fernando C.:Univ Fed Pelotas, Programa Posgrad Epidemiol, Pelotas, Brazil; Univ Catolica Pelotas, Programa Posgrad Saude & Comportamento, Pelotas, Brazil
hcfmusp.author.externalISMAIL, Leila Cheikh:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England
hcfmusp.author.externalCHUMLEA, Cameron:Wright State Univ, Boonshoft Sch Med, Dept Pediat, Dayton, OH 45435 USA
hcfmusp.author.externalPAPAGEORGHIOU, Aris T.:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England
hcfmusp.author.externalBERTINO, Enrico:Univ Turin, Struttura Complessa Neonatol Univ, Dipartimento Sci Sanita Pubbl & Pediat, Turin, Italy
hcfmusp.author.externalOHUMA, Eric O.:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England; Univ Oxford, Botnar Res Ctr, Ctr Stat Med, Oxford, England
hcfmusp.author.externalLAMBERT, Ann:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England
hcfmusp.author.externalCARVALHO, Maria:Aga Khan Univ, Fac Hlth Sci, Nairobi, Kenya
hcfmusp.author.externalJAFFER, Yasmin A.:Minist Hlth, Dept Family & Community Hlth, Muscat, Oman
hcfmusp.author.externalALTMAN, Douglas G.:Univ Oxford, Botnar Res Ctr, Ctr Stat Med, Oxford, England
hcfmusp.author.externalNOBLE, Julia A.:Univ Oxford, Dept Engn Sci, Oxford OX1 3PJ, England
hcfmusp.author.externalGRAVETT, Michael G.:Seattle Childrens Hosp, Global Alliance Prevent Prematur & Stillbirth, Seattle, WA USA
hcfmusp.author.externalPURWAR, Manorama:Ketkar Hosp, Nagpur INTERGROWTH 21 Res Ctr, Nagpur, Maharashtra, India
hcfmusp.author.externalFREDERICK, Ihunnaya O.:Swedish Med Ctr, Ctr Perinatal Studies, Seattle, WA USA
hcfmusp.author.externalPANG, Ruyan:Peking Univ, Sch Publ Hlth, Beijing 100871, Peoples R China
hcfmusp.author.externalBHUTTA, Zulfiqar A.:Aga Khan Univ, Ctr Excellence Women & Child Hlth, Karachi, Pakistan; Hosp Sick Children, Ctr Global Child Hlth, Toronto, ON M5G 1X8, Canada
hcfmusp.author.externalKENNEDY, Stephen H.:Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England; Univ Oxford, Green Templeton Coll, Oxford Maternal & Perinatal Hlth Inst, Oxford, England
hcfmusp.citation.scopus50
hcfmusp.description.articlenumbere151431
hcfmusp.description.issue7
hcfmusp.description.volume169
hcfmusp.origemWOS
hcfmusp.origem.pubmed26147058
hcfmusp.origem.scopus2-s2.0-84937459824
hcfmusp.origem.wosWOS:000360982500001
hcfmusp.publisher.cityCHICAGOeng
hcfmusp.publisher.countryUSAeng
hcfmusp.relation.reference[Anonymous], PHYS STAT UINT ANTeng
hcfmusp.relation.referenceBarker DJP, 2004, ACTA PAEDIATR, V93, P26, DOI 10.1080/08035320410022730eng
hcfmusp.relation.referenceBarros FC, 2015, JAMA PEDIATR, V169, P220, DOI 10.1001/jamapediatrics.2014.3040eng
hcfmusp.relation.referenceBhutta ZA, 2013, BJOG-INT J OBSTET GY, V120, P56, DOI 10.1111/1471-0528.12312eng
hcfmusp.relation.referenceCosteloe KL, 2012, BMJ-BRIT MED J, V345, DOI 10.1136/bmj.e7976eng
hcfmusp.relation.referencede Onis Mercedes, 2004, Food Nutr Bull, V25, pS27eng
hcfmusp.relation.referencede Onis Mercedes, 2004, Food Nutr Bull, V25, pS15eng
hcfmusp.relation.referenceIsmail LC, 2013, BJOG-INT J OBSTET GY, V120, P42, DOI 10.1111/1471-0528.12125eng
hcfmusp.relation.referenceIsmail LC, 2013, BJOG-INT J OBSTET GY, V120, P48, DOI 10.1111/1471-0528.12127eng
hcfmusp.relation.referenceKramer M. S., 2001, Nutrition and health in developing countries, P57eng
hcfmusp.relation.referenceKRAMER MS, 1989, PEDIATRICS, V84, P717eng
hcfmusp.relation.referenceLUBCHENCO LO, 1963, PEDIATRICS, V32, P793eng
hcfmusp.relation.referenceOhuma EO, 2013, BJOG-INT J OBSTET GY, V120, P64, DOI 10.1111/1471-0528.12080eng
hcfmusp.relation.referenceOlofin I, 2013, PLOS ONE, V8, DOI 10.1371/journal.pone.0064636eng
hcfmusp.relation.referencePapageorghiou AT, 2014, LANCET, V384, P869, DOI 10.1016/S0140-6736(14)61490-2eng
hcfmusp.relation.referenceRestrepo-Méndez MC, 2011, BMC PUBLIC HEALTH, V11, DOI 10.1186/1471-2458-11-781eng
hcfmusp.relation.referenceRohrer F, 1921, MUNCHEN MED WOCHEN, V68, P580eng
hcfmusp.relation.referenceVictora CG, 2008, LANCET, V371, P340, DOI 10.1016/S0140-6736(07)61692-4eng
hcfmusp.relation.referenceVictora CG, 2010, PEDIATRICS, V125, pE473, DOI 10.1542/peds.2009-1519eng
hcfmusp.relation.referenceVictora CG, 1997, INT J EPIDEMIOL, V26, P224, DOI 10.1093/ije/26.1.224eng
hcfmusp.relation.referenceVillar J, 1982, Obstet Gynecol Surv, V37, P499, DOI 10.1097/00006254-198208000-00001eng
hcfmusp.relation.referenceVillar J, 2013, BJOG-INT J OBSTET GY, V120, P9, DOI 10.1111/1471-0528.12047eng
hcfmusp.relation.referenceVILLAR J, 1984, PEDIATRICS, V74, P783eng
hcfmusp.relation.referenceVillar J, 2013, BJOG S, V120, pveng
hcfmusp.relation.referenceVillar J, 2014, LANCET, V384, P857, DOI 10.1016/S0140-6736(14)60932-6eng
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