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马来西亚小于胎龄儿出生后第一年的生长模式和营养状况。

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

作者信息

Ahmad Norain, Sutan Rosnah, Tamil Azmi Mohd, Hajib Noriah

机构信息

Medical Doctor, Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia.

Associate Professor, Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia.

出版信息

Child Health Nurs Res. 2021 Oct;27(4):317-327. doi: 10.4094/chnr.2021.27.4.317. Epub 2021 Oct 31.

DOI:10.4094/chnr.2021.27.4.317
PMID:35004520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8650951/
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.

摘要

目的

本研究旨在确定小于胎龄（SGA）婴儿的生长模式、营养状况及相关因素。

方法

这项前瞻性队列研究在马来西亚吉隆坡大都市区的基层儿童保健诊所进行。样本包括符合标准且于2019年出生的婴儿。在婴儿出生时以及1、3、6、9和12个月时评估其人体测量数据。

结果

共分析了328名婴儿。其中，27.7%（n = 91）的受试者为SGA婴儿，其余237名不是。在出生时、1个月、6个月和12个月时，SGA婴儿与非SGA婴儿在年龄别体重和年龄别身长Z评分的中位数上存在显著差异。SGA婴儿与非SGA婴儿的生长模式存在显著差异。出生体重和性别显著预测了SGA婴儿出生后第一年的营养状况（发育迟缓与体重不足）。

结论

SGA婴儿在出生后第一年能够追赶生长至正常水平。尽管SGA婴儿的营养状况趋势比非SGA婴儿更差，但对婴儿出生体重进行充分监测并重视营养建议对于维持健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/8650951/4f7cbce7a06d/chnr-27-4-317f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/8650951/d799a7a7ea4b/chnr-27-4-317f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/8650951/4f7cbce7a06d/chnr-27-4-317f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/8650951/d799a7a7ea4b/chnr-27-4-317f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/8650951/4f7cbce7a06d/chnr-27-4-317f2.jpg

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J Pediatr. 2020 Jul;222:120-126.e3. doi: 10.1016/j.jpeds.2020.03.048. Epub 2020 May 15.
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Improving the Accuracy of Newborn Weight Classification.提高新生儿体重分类的准确性。
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Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey.
期刊统计、发展方向及对审稿人的感谢
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