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http://dx.doi.org/10.4094/chnr.2021.27.4.317

Growth patterns and nutritional status of small for gestational age infants in Malaysia during the first year of life  

Ahmad, Norain (Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz)
Sutan, Rosnah (Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz)
Tamil, Azmi Mohd (Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz)
Hajib, Noriah (Cheras Health District, Kuala Lumpur Health Department Ministry of Health)
Publication Information
Child Health Nursing Research / v.27, no.4, 2021 , pp. 317-327 More about this Journal
Abstract
Purpose: This study aimed to identify small for gestational age (SGA) infants' growth patterns, nutritional status, and associated factors. Methods: This prospective cohort study was conducted at primary-care child health clinics in Greater Kuala Lumpur, Malaysia. The sample consisted of infants who fulfilled the criteria and were born in 2019. The anthropometric data of infants were assessed at birth and at 1, 3, 6, 9, and 12 months. Results: A total of 328 infants were analysed. In total, 27.7%(n=91) of the subjects were SGA infants, and 237 of them were not. Significant differences in the median weight-for-age and length-for-age z-scores were observed between SGA and non-SGA infants at birth, 1 month, 6 months, and 12 months. There was a significant difference between the growth patterns of SGA and non-SGA infants. Birth weight and sex significantly predicted the nutritional status(stunting and underweight) of SGA infants during their first year of life. Conclusion: SGA infants can catch up to achieve normal growth during their first year of life. Even though the nutritional status of SGA infants trends worse than non-SGA infants, adequate infant birth weight monitoring and an emphasis on nutritional advice are crucial for maintaining well-being.
Keywords
Growth chart; Nutritional status; Gestation; Low birth weight; Child development;
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1 Ferreira PVA, Leal VS, da Silva MMC, de Oliveira Mukai A, de Sa Rodrigues CL, Bertoli CJ, et al. Infant growth during the first year of life. Journal of Human Growth and Development. 2015;25(2): 211-215. https://doi.org/10.7322/JHGD.103017   DOI
2 Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients. 2019;11(5):1106. https://doi.org/10.3390/nu11051106   DOI
3 World Health Organization. WHO Anthro Survey Analyser: Quick guide [Internet]. World Health Organization; 2019 [cited 2021 July 4]. Available from: https://www.who.int/nutgrowthdb/about/anthro-survey-analyser-quickguide.pdf
4 Shi H, Yang X, Wu D, Wang X, Li T, Liu H, et al. Insights into infancy weight gain patterns for term small-for-gestational-age babies. Nutrition Journal. 2018;17(1):97. https://doi.org/10.1186/s12937-018-0397-z   DOI
5 Ministry of Health Malaysia. National plan of action for nutrition Malaysia III 2016-2025 [Internet]. Putrajaya: Ministry of Health Malaysia; 2016 [cited 2021 July 4]. Available from: https://nutrition.moh.gov.my/wp-content/uploads/2016/12/NPANM_III.pdf
6 Stock K, Nagrani R, Gande N, Bernar B, Staudt A, Willeit P, et al. Birth weight and weight changes from infancy to early childhood as predictors of body mass index in adolescence. Journal of Pediatrics. 2020;222:120-126. https://doi.org/10.1016/j.jpeds.2020.03.048   DOI
7 Johnson M, Alur P, Desai J, Harvey M, Humphries J, Presley S, et al. Gender differences in protein and calorie requirements in preterm infants of ≤1kg birth weight. Pediatrics. 2018;142(1):134. https://doi.org/10.1542/peds.142.1_MeetingAbstract.134   DOI
8 Ahn Y, Garruto RM. Weight variation by sex and nature of risk factors in high-risk infants: An evolutionary perspective. Colleqium Antropologicum. 2007;31(4):937-941.
9 Family Health Development Division. Implementation guideline for child health services at the primary health care [Internet]. Putrajaya: Family Health Development Division, Ministry of Health; 2013 [cited 2021 July 4]. Available from: https://fh.moh.gov.my/v3/index.php/component/jdownloads/send/20-sektor-kesihatan-kanak-kanak/466-gp-pelaksanaan-perkhidmatan?option=com_jdownloads
10 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   DOI
11 Chen Y, Li G, Ruan Y, Zou L, Wang X, Zhang W. An epidemiological survey on low birth weight infants in China and analysis of outcomes of full-term low birth weight infants. BMC Pregnancy and Childbirth. 2013;13:242. https://doi.org/10.1186/1471-2393-13-242   DOI
12 Sharma D, Shastri S, Sharma P. Intrauterine growth restriction: Antenatal and postnatal aspects. Clinical Medicine Insights: Pediatrics. 2016;10:67-83. https://doi.org/10.4137/CMPed.S40070   DOI
13 Black RE. Global prevalence of small for gestational age births. Nestle Nutrition Institute Workshop Series. 2015;81:1-7. https://doi.org/10.1159/000365790   DOI
14 Krishnan KK, Karalasingam SD, Jeganathan R, Sa'at N. Small-forgestational-age babies from Malaysian tertiary hospitals: A 5 year cohort study from the National Obstetric Registry, Malaysia. BJOG: An International Journal of Obstetrics and Gynaecology. 2016;123(S2):90-91. https://doi.org/10.1111/1471-0528.14099   DOI
15 De Onis M, Onyango A, Borghi E, Siyam A, Blossner M, Lutter C, et al. Worldwide implementation of the WHO Child Growth Standards. Public Health Nutrition. 2012;15(9):1603-1610. https://doi.org/10.1017/S136898001200105X   DOI
16 Cheng TS, Loy SL, Cheung YB, Kok J, Chan JK, Pang WW, et al. Sexually dimorphic response to feeding mode in the growth of infants. American Journal of Clinical Nutrition. 2016;103(2):398-405. https://doi.org/10.3945/ajcn.115.115493   DOI
17 National Institutes of Health. National health and morbidity survey 2016: Maternal and child health(MCH) [Internet]. Setia Alam: Ministry of Health Malaysia; 2016 [cited 2021 July 4]. Available from: http://www.iku.gov.my/images/IKU/Document/REPORT/2016/NHMS2016ReportVolumeII-MaternalChildHealthFindingsv2.pdf
18 Pickerel KK, Waldrop J, Freeman E, Haushalter J, D'Auria J. Improving the accuracy of newborn weight classification. Journal of Pediatric Nursing. 2020;50:54-58. https://doi.org/10.1016/j.pedn.2019.11.008   DOI
19 Bursac Z, Gauss CH, Williams DK, Hosmer DW. Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine. 2008;3:17. https://doi.org/10.1186/1751-0473-3-17   DOI
20 Pangestuti DR. Nutritional status of exclusive compared to non exclusive breastfeeding mother. Indonesian Journal of Nutrition and Food. 2018;13(1):11-16. https://doi.org/10.25182/jgp.2018.13.1.11-16   DOI
21 Campisi SC, Carbone SE, Zlotkin S. Catch-up growth in full-term small for gestational age infants: A systematic review. Advances in Nutrition. 2019;10(1):104-111. https://doi.org/10.1093/advances/nmy091   DOI
22 Cho WK, Suh B. Catch-up growth and catch-up fat in children born small for gestational age. Korean Journal of Pediatrics. 2016;59(1): 1-7. https://doi.org/10.3345/kjp.2016.59.1.1   DOI
23 Pirhadi M, Dehnavi Z, Torabi F. The relationship between small for gestational age (SGA) at birth and developmental delay in children aged 4 to 60 months. International Journal of Pediatrics. 2018;6(11): 8595-9603. https://doi.org/10.22038/IJP.2018.29650.2603   DOI
24 World Health Organization. WHO recommendations on interventions to improve preterm birth outcomes [Internet]. World Health Organization; 2015 [cited 2021 July 4]. Available from: www.who.int/reproductivehealth
25 Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children < 5 years of age: Evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019;19(358):1-15. https://doi.org/10.1186/s12889-019-6688-2.   DOI
26 Oldereid NB, Wennerholm UB, Pinborg A, Loft A, Laivuori H, Petzold M, et al. The effect of paternal factors on perinatal and paediatric outcomes: A systematic review and meta-analysis. Human Reproduction Update. 2018;24(3):320-389. https://doi.org/10.1093/humupd/dmy005   DOI
27 United Nations International Children's Emergency Fund (UNICEF). Malnutrition [Internet]. New york, NY: UNICEF; 2021 [cited 2021 July 4]. Available from: https://data.unicef.org/topic/nutrition/malnutrition/
28 United Nations Childrens' Fund. Children without: A study of urban child poverty and deprivation in low-cost flats in Kuala Lumpur [Internet]. New york, NY: United Nations Childrens' Fund; 2018 [cited 2021 July 4]. Available from: https://unicef.org/malaysia/sites/unicef.org.malaysia/files/2019-04/UNICEF-ChildrenWithout-EnglishVersion-Final%2026.2.18_0.pdf
29 Zeve D, Regelmann MO, Holzman IR, Rapaport R. Small at birth, but how small? The definition of SGA revisited. Hormone Research in Paediatrics. 2016;86(5):357-360. https://doi.org/10.1159/000449275   DOI
30 Broere-Brown ZA, Baan E, Schalekamp-Timmermans S, Verburg BO, Jaddoe VW, Steegers EA. Sex-specific differences in fetal and infant growth patterns: A prospective population-based cohort study. Biology of Sex Differences. 2016;7(1):65. https://doi.org/10.1186/s13293-016-0119-1   DOI