Wang Xiulian, Zhu Jianzhen, Guo Chong, Shi Huiqing, Wu Dan, Sun Fanfan, Shen Li, Ge Pin, Wang Jian, Hu Xiangying, Chen Jinjin, Yu Guangjun
1 Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
2 China hospital development Institute, Shanghai Jiao Tong University, Shanghai, China.
J Int Med Res. 2018 Sep;46(9):3765-3777. doi: 10.1177/0300060518779305. Epub 2018 Jul 15.
Objectives To compare growth profiles of children born small for gestational age (SGA) with those born the appropriate size for gestational age (AGA), and examine expected growth patterns for SGA in early childhood. Methods A survey on 23,871 SGA children was conducted in Shanghai. Data were collected at 1, 2, 4, 6, 8, 10, 12, 18, 24, 36, 48, and 60 months of age (+30 days). A check-up included assessments of weight, height, and head circumference. Results At 5 years old, weight, height, and head circumference were lower in SGA children compared with AGA children. The proportions of overweight and obesity of SGA children at 4 to 18 months after birth were significantly higher than those in AGA children, with higher proportions in boys than in girls. There was no correlation between overweight at 5 years old and overweight before 2 years old in SGA children. Conclusions Children born SGA remain shorter and lighter, with a smaller head circumference at 5 years old compared with AGA children. At 4 to 18 months after birth, there is a high incidence of overweight and obesity in SGA children. Overweight and obesity in SGA boys are more serious than those in SGA girls.
目的 比较小于胎龄儿（SGA）与适于胎龄儿（AGA）出生后儿童的生长情况，并研究SGA儿童在幼儿期的预期生长模式。方法 在上海对23,871名SGA儿童进行了一项调查。在1、2、4、6、8、10、12、18、24、36、48和60月龄（±30天）时收集数据。检查包括对体重、身高和头围的评估。结果 5岁时，SGA儿童的体重、身高和头围低于AGA儿童。SGA儿童出生后4至18个月超重和肥胖的比例显著高于AGA儿童，男孩的比例高于女孩。SGA儿童5岁时的超重与2岁前的超重之间无相关性。结论 与AGA儿童相比，SGA儿童5岁时仍更矮、更轻，头围更小。SGA儿童出生后4至18个月超重和肥胖的发生率较高。SGA男孩的超重和肥胖比SGA女孩更严重。
