Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/48322 |
Resumo: | Copyright © Ordem dos Médicos 2020 |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newbornsO desempenho das curvas do Intergrowth 21st no diagnóstico de leve e grande para a idade gestacional em recém-nascido de termo e pré-termoAnthropometryBirth weightGestational ageGrowth chartsInfant, newbornInfant, PrematurePortugalCopyright © Ordem dos Médicos 2020Introduction: Birth weight is a major contributor to neonatal morbidity and mortality and is associated with chronic diseases in adulthood. This study aimed to evaluate the use of Intergrowth 21st instead of the Fenton & Kim 2013 growth charts in the diagnosis of small and large for gestational age in a group of Portuguese newborns. Material and Methods: We conducted an analytical and retrospective study to evaluate birth weight of term and preterm newborns using both growth charts. Groups studied: ‘Term-weeks’ and ‘Term-days’ (term newborns with gestational age in weeks and days, respectively), ‘Preterm-weeks’ and ‘Preterm-days’ (preterm newborns with gestational age in weeks and days, respectively). Results: A total of 14 056 newborns were included, 6% preterm. Using the Intergrowth 21st growth charts, the groups ‘Term-weeks’ (n = 12 081), ‘Term-days’ (n = 1118), ‘Preterm-weeks’ (n = 617) and ‘Preterm-days’ (n = 240), classified as small for gestational age according to the Fenton & Kim 2013 growth charts were adequate for gestational age in 52.8%, 57.8%, 37.7% and 9.3% respectively; and 9.2%, 9.2%, 5.9% and 0.6% of adequate for gestational age newborns were large for gestational age, respectively. In the ‘Pretermdays’ group, 7.9% of adequate for gestational age newborns were small for gestational age and 22.2% of large for gestational age newborns were adequate for gestational age, all with gestational age below 231 days. Discussion: The use of the Intergrowth 21st growth charts in this sample resulted in a lower number of newborns being classified as small for gestational age, except in very preterm newborns. Conclusion: Considering the results obtained, we suggest that Portuguese maternity hospitals use the Intergrowth 21st instead of the Fenton & Kim 2013 growth charts. However, more studies are needed to confirm these results.Ordem dos MédicosRepositório da Universidade de LisboaMarques, BárbaraMartins, RosaRodrigues, TeresaOliveira, GraçaAbrantes, Margarida2021-06-04T10:56:58Z2019-06-172019-06-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/48322engActa Med Port 2020 Jan;33(1):15-210870-399X10.20344/amp.109901646-0758info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:51:36Zoai:repositorio.ul.pt:10451/48322Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:00:12.275333Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns O desempenho das curvas do Intergrowth 21st no diagnóstico de leve e grande para a idade gestacional em recém-nascido de termo e pré-termo |
title |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
spellingShingle |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns Marques, Bárbara Anthropometry Birth weight Gestational age Growth charts Infant, newborn Infant, Premature Portugal |
title_short |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
title_full |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
title_fullStr |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
title_full_unstemmed |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
title_sort |
Performance of intergrowth 21st growth charts in the diagnosis of small and large for gestational age in term and preterm newborns |
author |
Marques, Bárbara |
author_facet |
Marques, Bárbara Martins, Rosa Rodrigues, Teresa Oliveira, Graça Abrantes, Margarida |
author_role |
author |
author2 |
Martins, Rosa Rodrigues, Teresa Oliveira, Graça Abrantes, Margarida |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Marques, Bárbara Martins, Rosa Rodrigues, Teresa Oliveira, Graça Abrantes, Margarida |
dc.subject.por.fl_str_mv |
Anthropometry Birth weight Gestational age Growth charts Infant, newborn Infant, Premature Portugal |
topic |
Anthropometry Birth weight Gestational age Growth charts Infant, newborn Infant, Premature Portugal |
description |
Copyright © Ordem dos Médicos 2020 |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-17 2019-06-17T00:00:00Z 2021-06-04T10:56:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/48322 |
url |
http://hdl.handle.net/10451/48322 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Acta Med Port 2020 Jan;33(1):15-21 0870-399X 10.20344/amp.10990 1646-0758 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799134548989050880 |