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SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study

Background: Epidemiologic evidences suggest a strong association between low birth weight and some diseases in adult life ( hypertension, diabetes, cardiovascular diseases).Aim of this study was to evaluate the obesity/overweight prevalence in a population of children born small for gestation age, S...

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Autores principales: Gallo, Patrizia, Cioffi, Luigi, Limauro, Raffaele, Farris, Evelina, Bianco, Vincenzo, Sassi, Roberto, De Giovanni, Maria, Gallo, Valeria, D’Onofrio, Antonietta, Di Maio, Salvatore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995669/
https://www.ncbi.nlm.nih.gov/pubmed/27583297
http://dx.doi.org/10.1177/2333794X16659993
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author Gallo, Patrizia
Cioffi, Luigi
Limauro, Raffaele
Farris, Evelina
Bianco, Vincenzo
Sassi, Roberto
De Giovanni, Maria
Gallo, Valeria
D’Onofrio, Antonietta
Di Maio, Salvatore
author_facet Gallo, Patrizia
Cioffi, Luigi
Limauro, Raffaele
Farris, Evelina
Bianco, Vincenzo
Sassi, Roberto
De Giovanni, Maria
Gallo, Valeria
D’Onofrio, Antonietta
Di Maio, Salvatore
author_sort Gallo, Patrizia
collection PubMed
description Background: Epidemiologic evidences suggest a strong association between low birth weight and some diseases in adult life ( hypertension, diabetes, cardiovascular diseases).Aim of this study was to evaluate the obesity/overweight prevalence in a population of children born small for gestation age, SGA children 400, 208 males and 192 females compared to a population of children born appropriate for gestational age 6818 AGA children, 3502 males and 3316 females, during childhood. Our intention was also to build the natural history of weight gain during prepubertal age in children born SGA and AGA. Design and Methods: Observational prospective longitudinal study. We followed our patients from January2001 up to December 2010; weight, height and body mass index (BMI) were evaluated in all the SGA and AGA children. BMI z-score range for defining overweight and obesity was, respectively, 1.13 to 1.7 and >1.7 according to CDC growth charts. Results: In transversal evaluation, we prove that 10-year-old SGA females are twice obese and more overweight compared to equal age AGA females. In longitudinal evaluation, we highlight different observations: SGA children obese at 2 years are still obese at 10 years; the number of obese SGA children increases gradually until the age of 10; AGA children, appear to be less obese than SGA children at 10 years. Conclusion: SGA males and females are more obese at 5 and 10 years compared to the AGA population. Primary care pediatricians, through early detection of the children at risk, can carry out an effective obesity prevention project in SGA children.
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spelling pubmed-49956692016-08-31 SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study Gallo, Patrizia Cioffi, Luigi Limauro, Raffaele Farris, Evelina Bianco, Vincenzo Sassi, Roberto De Giovanni, Maria Gallo, Valeria D’Onofrio, Antonietta Di Maio, Salvatore Glob Pediatr Health Original Article Background: Epidemiologic evidences suggest a strong association between low birth weight and some diseases in adult life ( hypertension, diabetes, cardiovascular diseases).Aim of this study was to evaluate the obesity/overweight prevalence in a population of children born small for gestation age, SGA children 400, 208 males and 192 females compared to a population of children born appropriate for gestational age 6818 AGA children, 3502 males and 3316 females, during childhood. Our intention was also to build the natural history of weight gain during prepubertal age in children born SGA and AGA. Design and Methods: Observational prospective longitudinal study. We followed our patients from January2001 up to December 2010; weight, height and body mass index (BMI) were evaluated in all the SGA and AGA children. BMI z-score range for defining overweight and obesity was, respectively, 1.13 to 1.7 and >1.7 according to CDC growth charts. Results: In transversal evaluation, we prove that 10-year-old SGA females are twice obese and more overweight compared to equal age AGA females. In longitudinal evaluation, we highlight different observations: SGA children obese at 2 years are still obese at 10 years; the number of obese SGA children increases gradually until the age of 10; AGA children, appear to be less obese than SGA children at 10 years. Conclusion: SGA males and females are more obese at 5 and 10 years compared to the AGA population. Primary care pediatricians, through early detection of the children at risk, can carry out an effective obesity prevention project in SGA children. SAGE Publications 2016-08-22 /pmc/articles/PMC4995669/ /pubmed/27583297 http://dx.doi.org/10.1177/2333794X16659993 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Gallo, Patrizia
Cioffi, Luigi
Limauro, Raffaele
Farris, Evelina
Bianco, Vincenzo
Sassi, Roberto
De Giovanni, Maria
Gallo, Valeria
D’Onofrio, Antonietta
Di Maio, Salvatore
SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title_full SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title_fullStr SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title_full_unstemmed SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title_short SGA Children in Pediatric Primary Care: What Is the Best Choice, Large or Small? A 10-Year Prospective Longitudinal Study
title_sort sga children in pediatric primary care: what is the best choice, large or small? a 10-year prospective longitudinal study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995669/
https://www.ncbi.nlm.nih.gov/pubmed/27583297
http://dx.doi.org/10.1177/2333794X16659993
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