Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Adiposity Measurements and Related Characteristics of Young Children Born Prematurely

미숙아로 출생한 학령전기 아동의 비만도 측정과 관련 특성

  • Ahn, Youngmee (Department of Nursing, Inha University) ;
  • Sohn, Min (Department of Nursing, Inha University) ;
  • Lee, Sangmi (Department of Nursing, Dongyang University)
  • 안영미 (인하대학교 간호학과) ;
  • 손민 (인하대학교 간호학과) ;
  • 이상미 (동양대학교 간호학과)
  • Received : 2018.03.20
  • Accepted : 2018.04.17
  • Published : 2018.04.30
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Abstract

Purpose: This study was conducted to measure adiposity and to investigate related factors in preschoolers born prematurely. Methods: A longitudinal follow-up study was conducted with 52 preschoolers at 5 years of corrected age among 343 preterm infants. Their adiposity status was evaluated based on measurements of body mass index, subscapular and triceps skin fold thickness (SFT), waist circumference, waist-to-height ratio, and mid-arm circumference at a home visit. Results: The findings showed that SFT measurements, particularly at the triceps, reflected the degree of adiposity more accurately than other conventional measures. A shorter gestation, older maternal age, and the mother having more years of formal education were associated with higher levels of adiposity in the preschoolers. Conclusion: The adiposity of children born prematurely needs to be thoroughly monitored with additional SFT measurements, considering the risk of accelerated growth patterns overriding regular catch-up growth in children born prematurely.

Keywords

References

  1. Korean Statistical Information Service. Birth according to cities and provinces/pregnancy period [Internet]. Seoul: Statistics Korea; 2017 [cited 2018 January 5]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B81A15&conn_path=I2.
  2. Bae CW. The history of neonatology in Korea. Journal of the Korean Medical Association. 2016;59(7):490-497. https://doi.org/10.5124/jkma.2016.59.7.490
  3. Mathai S, Derraik JG, Cutfield WS, Dalziel SR, Harding JE, Biggs J, et al. Increased adiposity in adults born preterm and their children. PLoS One. 2013;8(11):e81840. https://doi.org/10.1371/journal.pone.0081840
  4. Rolland-Cachera MF, Deheeger M, Maillot M, Bellisle F. Early adiposity rebound: Causes and consequences for obesity in children and adults. International Journal of Obesity. 2006;30:S11-S17. https://doi.org/10.1038/sj.ijo.0803514
  5. Daly-Wolfe KM, Jordan KC, Slater H, Beachy JC, Moyer-Mileur LJ. Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants. Pediatric Research. 2015;78(3):336-341. https://doi.org/10.1038/pr.2015.103
  6. Hales CN, Barker DJ. The thrifty phenotype hyphothesis. British Medical Bulletin. 2001;60:5-20. https://doi.org/10.1093/bmb/60.1.5
  7. Griffin IJ, Cooke RJ. Development of whole body adiposity in preterm infants. Early Human Development. 2012;88(Suppl 1):S19-S24. https://doi.org/10.1016/j.earlhumdev.2011.12.023
  8. Dulloo AG, Jacquet J, Seydoux J, Montani JP. The thrifty 'catch-up fat' phenotype: Its impact on insulin sensitivity during growth trajectories to obesity and metabolic syndrome. International Journal of Obesity. 2006;30(Suppl 4):S23-S35. https://doi.org/10.1038/sj.ijo.0803516
  9. Johnson MJ, Wootton SA, Leaf AA, Jackson AA. Preterm birth and body composition at term equivalent age: A systematic review and meta-analysis. Pediatrics. 2012;130(3):e640-e649. https://doi.org/10.1542/peds.2011-3379
  10. Giannì ML, Roggero P, Piemontese P, Morlacchi L, Bracco B, Taroni F, et al. Boys who are born preterm show a relative lack of fatfree mass at 5 years of age compared to their peers. Acta Paediatrica. 2015;104(3):e119-e123. https://doi.org/10.1111/apa.12856
  11. Hui LL, Lam HS, Leung GM, Schooling CM. Late prematurity and adiposity in adolescents: Evidence from "children of 1997" birth cohort. Obesity. 2015;23(11):2309-2314. https://doi.org/10.1002/oby.21267
  12. Huke V, Rudloff S, Brugger M, Strauch K, Berthold LD, Landmann E. Prematurity is not associated with intra-abdominal adiposity in 5- to 7-year-old children. Journal of Pediatrics. 2013;163(5):1301-1306. https://doi.org/10.1016/j.jpeds.2013.06.035
  13. Ahn Y, Sohn M, Jun Y, Lee S. Growth patterns and their implications for preterm infants in a culture of rapid modernization. Journal of Child Health Care. 2013;17(3):242-252. https://doi.org/10.1177/1367493512456114
  14. Ahn Y, Sohn M, Lee S. Growth patterns of premature infants up to 40th term week of corrected age. Journal of Korean Academy of Nursing. 2011;41(5):613-622. https://doi.org/10.4040/jkan.2011.41.5.613
  15. Cape Town Metropole Paediatric Interest Group. Anthropometry guideline: Paediatrics [Internet]. Cape Town: Association for Dietetics in South Africa; 2007 [cited 2018 January 11]. Available from: http://www.adsa.org.za/Portals/14/Documents/Clinical20Guideline20Anthropometry.pdf.
  16. Choi DH, Hur YI, Kang JH, Kim K, Cho YG, Hong SM, et al. Usefulness of the waist circumference-to-height ratio in screening for obesity and metabolic syndrome among Korean children and adolescents: Korea national health and nutrition examination survey, 2010-2014. Nutrients. 2017;9(3):256. https://doi.org/10.3390/nu9030256
  17. Lee S, Sohn M, Kim S, Choi S, Jun Y, Ahn Y. Health in optimal fitness and its related factors in young Korean children born prematurely. Child Health Nursing Research. 2016;22(4):336-345. https://doi.org/10.4094/chnr.2016.22.4.336
  18. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC growth charts for the United States: Methods and development. Vital and Health Statistics. 2002;11(246):1-190.
  19. Ahn Y, Sohn M, Lee S. Growth of Korean preterm infants in a family-centered tradition during early infancy: The influence of health risks, maternal employment, and the sex of infants. Japan Journal of Nursing Science. 2014;11(4):281-289. https://doi.org/10.1111/jjns.12033
  20. Hales CN, Ozanne SE. The dangerous road of catch-up growth. The Journal of Physiology. 2003;547(Pt 1):5-10. https://doi.org/10.1113/jphysiol.2002.024406
  21. Jain V, Singhal A. Catch up growth in low birth weight infants: Striking a healthy balance. Reviews in Endocrine and Metabolic Disorders. 2012;13(2):141-147. https://doi.org/10.1007/s11154-012-9216-6
  22. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: Part of a bigger picture. Lancet. 2015;385(9986):2510-2520. https://doi.org/10.1016/S0140-6736(14)61746-3
  23. Vilchis-Gil J, Galván-Portillo M, Klünder-Klünder M, Cruz M, Flores-Huerta S. Food habits, physical activities and sedentary lifestyles of eutrophic and obese school children: A case-control study. BMC Public Health. 2015;15:124. https://doi.org/10.1186/s12889-015-1491-1
  24. Fuchs F, Monet B, Ducruet T, Chaillet N, Audibert F. Effect of maternal age on the risk of preterm birth: A large cohort study. PloS One. 2018;13(1):e0191002. https://doi.org/10.1371/journal.pone.0191002
  25. Moon JS. Application of 2007 Korean national growth charts: Growth curves and tables. The Korean Journal of Pediatric Gastroenterology and Nutrition. 2009;12(Suppl 1):1-5.