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Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up

OBJECTIVE: To investigate foot length (FL), chest circumference (CHC) and mid-upper arm circumference (MUAC) as predictors of low birth weight (LBW) or prematurity, and to describe the agreement between the gestational age (GA) assessments ascertained by the New Ballard Score (NBS) and the Eregie mo...

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Autores principales: Gidi, Netsanet Workneh, Berhane, Melkamu, Girma, Tsinuel, Abdissa, Alemseged, Lim, Ruth, Lee, Katherine, Nguyen, Cattram, Russell, Fiona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146923/
https://www.ncbi.nlm.nih.gov/pubmed/31676553
http://dx.doi.org/10.1136/archdischild-2019-317490
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author Gidi, Netsanet Workneh
Berhane, Melkamu
Girma, Tsinuel
Abdissa, Alemseged
Lim, Ruth
Lee, Katherine
Nguyen, Cattram
Russell, Fiona
author_facet Gidi, Netsanet Workneh
Berhane, Melkamu
Girma, Tsinuel
Abdissa, Alemseged
Lim, Ruth
Lee, Katherine
Nguyen, Cattram
Russell, Fiona
author_sort Gidi, Netsanet Workneh
collection PubMed
description OBJECTIVE: To investigate foot length (FL), chest circumference (CHC) and mid-upper arm circumference (MUAC) as predictors of low birth weight (LBW) or prematurity, and to describe the agreement between the gestational age (GA) assessments ascertained by the New Ballard Score (NBS) and the Eregie model. METHODS: A hospital-based cross-sectional study with community follow-up in a subset was conducted in Jimma University Medical Center, Ethiopia. GA (NBS and Eregie model), weight, FL, CHC and MUAC were measured at birth. Anthropometrics were repeated at 5 days of age. RESULTS: The optimal cut-offs indicative of LBW were ≤7.7 cm for FL; ≤31.2 cm for CHC and ≤9.8 cm for MUAC. CHC, MUAC and FL identified LBW with sensitivities (95% CI) of 91.6 (86.9 to 95), 83.7 (77.8 to 88.5) and 84.2 (78.4 to 88.9), and specificities (95% CI) of 85.4 (83.3 to 87.4), 90.2 (88.4 to 91.9) and 73.9 (71.3 to 76.4), respectively. CHC, MUAC and FL identified prematurity with sensitivities of 83.8 (76.7 to 89.4), 83.1 (75.9 to 88.9) and 81.7 (74.3 to 87.7), and specificities of 81.1 (78.9 to 83.3), 63.4 (60.7 to 66.1) and 77.0 (74.6 to 79.3), respectively. The cut-offs identified have comparable diagnostic ability for LBW and prematurity when measurements are repeated on day 5 of age. The GA assessment by the NBS and the Eregie model gave similar results, with the mean difference of 1.2 weeks. CONCLUSION: CHC, MUAC and FL taken on day 1 and 5 after birth could be used as diagnostic tools for LBW or prematurity. The Eregie model for GA estimation gives similar results to the NBS.
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spelling pubmed-71469232020-04-15 Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up Gidi, Netsanet Workneh Berhane, Melkamu Girma, Tsinuel Abdissa, Alemseged Lim, Ruth Lee, Katherine Nguyen, Cattram Russell, Fiona Arch Dis Child Global Child Health OBJECTIVE: To investigate foot length (FL), chest circumference (CHC) and mid-upper arm circumference (MUAC) as predictors of low birth weight (LBW) or prematurity, and to describe the agreement between the gestational age (GA) assessments ascertained by the New Ballard Score (NBS) and the Eregie model. METHODS: A hospital-based cross-sectional study with community follow-up in a subset was conducted in Jimma University Medical Center, Ethiopia. GA (NBS and Eregie model), weight, FL, CHC and MUAC were measured at birth. Anthropometrics were repeated at 5 days of age. RESULTS: The optimal cut-offs indicative of LBW were ≤7.7 cm for FL; ≤31.2 cm for CHC and ≤9.8 cm for MUAC. CHC, MUAC and FL identified LBW with sensitivities (95% CI) of 91.6 (86.9 to 95), 83.7 (77.8 to 88.5) and 84.2 (78.4 to 88.9), and specificities (95% CI) of 85.4 (83.3 to 87.4), 90.2 (88.4 to 91.9) and 73.9 (71.3 to 76.4), respectively. CHC, MUAC and FL identified prematurity with sensitivities of 83.8 (76.7 to 89.4), 83.1 (75.9 to 88.9) and 81.7 (74.3 to 87.7), and specificities of 81.1 (78.9 to 83.3), 63.4 (60.7 to 66.1) and 77.0 (74.6 to 79.3), respectively. The cut-offs identified have comparable diagnostic ability for LBW and prematurity when measurements are repeated on day 5 of age. The GA assessment by the NBS and the Eregie model gave similar results, with the mean difference of 1.2 weeks. CONCLUSION: CHC, MUAC and FL taken on day 1 and 5 after birth could be used as diagnostic tools for LBW or prematurity. The Eregie model for GA estimation gives similar results to the NBS. BMJ Publishing Group 2020-04 2019-11-01 /pmc/articles/PMC7146923/ /pubmed/31676553 http://dx.doi.org/10.1136/archdischild-2019-317490 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Global Child Health
Gidi, Netsanet Workneh
Berhane, Melkamu
Girma, Tsinuel
Abdissa, Alemseged
Lim, Ruth
Lee, Katherine
Nguyen, Cattram
Russell, Fiona
Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title_full Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title_fullStr Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title_full_unstemmed Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title_short Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up
title_sort anthropometric measures that identify premature and low birth weight newborns in ethiopia: a cross-sectional study with community follow-up
topic Global Child Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146923/
https://www.ncbi.nlm.nih.gov/pubmed/31676553
http://dx.doi.org/10.1136/archdischild-2019-317490
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