One-year anthropometric follow-up of South African preterm infants in kangaroo mother care: Which early-life factors predict malnutrition?

被引：0
|
作者：
Nel, Sanja [1 ,2 ,3 ]
Wenhold, Friede [1 ,2 ,3 ]
Botha, Tanita [2 ,3 ,4 ]
Feucht, Ute [2 ,3 ,5 ,6 ]
机构：
[1] Univ Pretoria, Dept Human Nutr, Pretoria, South Africa
[2] Univ Pretoria, Res Ctr Maternal, Fetal Newborn & Child Hlth Care Strategies, Kalafong Hosp, Atteridgeville, South Africa
[3] Kalafong Hosp, South African Med Res Council SA MRC, Maternal & Infant Hlth Care Strategies Unit, Atteridgeville, South Africa
[4] Univ Pretoria, Dept Stat, Pretoria, South Africa
[5] Univ Pretoria, Dept Paediat, Pretoria, South Africa
[6] Gauteng Dept Hlth, Tshwane Dist Hlth Serv, Pretoria, South Africa
来源：
TROPICAL MEDICINE & INTERNATIONAL HEALTH | 2024年 / 29卷 / 04期
关键词：
child growth; malnutrition; preterm infants; small-for-gestational age (SGA); stunting; FOR-GESTATIONAL-AGE; SMALL VULNERABLE NEWBORNS; LOW-BIRTH-WEIGHT; POSTNATAL-GROWTH; CHILDREN BORN; HEALTH; OUTCOMES; RISK; CONSEQUENCES; STANDARDS;
D O I：
10.1111/tmi.13973
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Background: Preterm infants often have poor short- and long-term growth. Kangaroo mother care supports short-term growth, but longer-term outcomes are unclear. Methods: This study analysed longitudinally collected routine clinical data from a South African cohort of preterm infants (born <37 weeks gestation) attending the outpatient follow-up clinic of a tertiary-level hospital (Tshwane District, South Africa) for 1 year between 2012 and 2019. At 1 year, small-for-gestational age (SGA) and appropriate-for-gestational age (AGA) infants were compared with regard to age-corrected anthropometric z-scores (weight-for-age [WAZ], length-for-age [LAZ], weight-for-length [WLZ] and BMI-for-age [BMIZ]) and rates of underweight (WAZ < -2), stunting (LAZ < -2), wasting (WLZ < -2) and overweight (BMIZ> + 2). Multiple regression analysis was used to investigate associations between maternal/infant characteristics and rates of underweight, stunting, wasting and overweight. Results: At 1 year, compared with AGA infants (n = 210), SGA infants (n = 111) had lower WAZ (-1.26 +/- 1.32 vs. -0.22 +/- 1.24, p < 0.001), LAZ (-1.50 +/- 1.11 vs. -0.60 +/- 1.06, p < 0.001), WLZ (-0.66 +/- 1.31 vs. 0.11 +/- 1.24, p < 0.001) and BMIZ (-0.55 +/- 1.31 vs. 1.06 +/- 1.23, p < 0.001), despite larger WAZ gains from birth (+0.70 +/- 1.30 vs. +0.05 +/- 1.30, p < 0.001). SGA infants had significantly more stunting (34.2% vs. 9.1%; p < 0.001), underweight (31.2% vs. 7.2%; p < 0.001) and wasting (12.6% vs. 4.3%, p = 0.012), with no difference in overweight (4.5% vs. 7.7%, p = 0.397). In multiple regression analysis, birth weight-for-GA z-score more consistently predicted 1-year malnutrition than SGA. Conclusion: Preterm-born SGA infants remain more underweight, stunted and wasted than their preterm-born AGA peers at 1 year, despite greater WAZ gains. Interventions for appropriate catch-up growth especially for SGA preterm infants are needed.
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页码：292 / 302
页数：11
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