Pediatric endocrinology

Growth Trajectories of Children Born Preterm and Full-Term With Low Birth Weight to Preschool Ages: A Nationwide Study

J Clin Endocrinol MetabPublished Nationwide cohort study

Authors' conclusion

The FT-LBW group was consistently shorter and lighter throughout the preschool period than the PT group, highlighting the significance of growth monitoring in high-risk populations.

Study context

Population
Infants who underwent the first 3 rounds (4–6, 9–12, and 18–24 months) of the National Health Screening Program for Infants and Children (NHSPIC); growth followed from birth to preschool ages
Participants
1,150,508 infants
Exposure
Preterm (PT) and full-term with low birth weight (FT-LBW) vs FT children
  • PTn = 41,454
  • FT-LBWn = 38,250
Outcome
Growth outcomes (Z-scores): short stature (height Z-score < −2 SDS) and FTT (body mass index (BMI) Z-score < −2 SDS)
Follow-up
Ages 2, 4, and 6 years
Methodological detailsNational Health Screening Program for Infants and Children (NHSPIC) database, Generalized estimating equation and Cox proportional-hazards regression analysis
  • National Health Screening Program for Infants and Children (NHSPIC) database
  • Generalized estimating equation and Cox proportional-hazards regression analysis

Main finding

As reported in the abstract

Short stature (height Z-score < −2 SDS) incidence · age 4 years

Observational data: associations, not effects.

Further findings

FTT (BMI Z-score < −2 SDS) incidence · age 4 years

Median birth weight

Outcomeβ estimate (SDS)
Height outcome (β estimate)PT vs FT−0.326
Height outcome (β estimate)FT-LBW vs FT−0.456

Original publication

Growth Trajectories of Children Born Preterm and Full-Term With Low Birth Weight to Preschool Ages: A Nationwide Study. J Clin Endocrinol Metab. Published 2 April 2024. doi:10.1210/clinem/dgae208

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