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Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study

This study aimed to investigate the nationwide growth pattern of infants in Korea according to the birth-weight group and to analyze the effect of growth on development. A total of 430,541 infants, born in 2013 and who received the infant health check-up regularly from 6 months to 60 months of age,...

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Autores principales: Yoon, So Jin, Lim, Joohee, Han, Jung Ho, Shin, Jeong Eun, Lee, Soon Min, Eun, Ho Seon, Park, Min Soo, Park, Kook In
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908118/
https://www.ncbi.nlm.nih.gov/pubmed/33572910
http://dx.doi.org/10.3390/ijerph18031206
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author Yoon, So Jin
Lim, Joohee
Han, Jung Ho
Shin, Jeong Eun
Lee, Soon Min
Eun, Ho Seon
Park, Min Soo
Park, Kook In
author_facet Yoon, So Jin
Lim, Joohee
Han, Jung Ho
Shin, Jeong Eun
Lee, Soon Min
Eun, Ho Seon
Park, Min Soo
Park, Kook In
author_sort Yoon, So Jin
collection PubMed
description This study aimed to investigate the nationwide growth pattern of infants in Korea according to the birth-weight group and to analyze the effect of growth on development. A total of 430,541 infants, born in 2013 and who received the infant health check-up regularly from 6 months to 60 months of age, were included. The weight, height, head circumferences percentiles, and neurodevelopment using screening tests results were compared among the birth-weight groups. Using longitudinal analysis, the study found a significant difference in height, weight, and head circumference, respectively, according to age at health check-up, birth weight group, and combination of age and birth weight (p < 0.001). The growth parameters at 60 months of age showed a significant correlation with those at 6 months of age especially in extremely low birth weight infants. The incidence of suspected developmental delay was significantly higher in infants with growth below the 10th percentiles than in those with growth above the 10th percentiles. Among 4571 (1.6%) infants with suspected developmental delay results at 60 months of age, birth weight, sex, and poor growth parameters were confirmed as associated factors. This nationwide Korean study shows that poor growth and neurodevelopment outcomes persisted among low-birth-weight infants at 60 months of age. Our findings provide guidance for developing a nationwide follow-up program for infants with perinatal risk factors in Korea.
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spelling pubmed-79081182021-02-27 Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study Yoon, So Jin Lim, Joohee Han, Jung Ho Shin, Jeong Eun Lee, Soon Min Eun, Ho Seon Park, Min Soo Park, Kook In Int J Environ Res Public Health Article This study aimed to investigate the nationwide growth pattern of infants in Korea according to the birth-weight group and to analyze the effect of growth on development. A total of 430,541 infants, born in 2013 and who received the infant health check-up regularly from 6 months to 60 months of age, were included. The weight, height, head circumferences percentiles, and neurodevelopment using screening tests results were compared among the birth-weight groups. Using longitudinal analysis, the study found a significant difference in height, weight, and head circumference, respectively, according to age at health check-up, birth weight group, and combination of age and birth weight (p < 0.001). The growth parameters at 60 months of age showed a significant correlation with those at 6 months of age especially in extremely low birth weight infants. The incidence of suspected developmental delay was significantly higher in infants with growth below the 10th percentiles than in those with growth above the 10th percentiles. Among 4571 (1.6%) infants with suspected developmental delay results at 60 months of age, birth weight, sex, and poor growth parameters were confirmed as associated factors. This nationwide Korean study shows that poor growth and neurodevelopment outcomes persisted among low-birth-weight infants at 60 months of age. Our findings provide guidance for developing a nationwide follow-up program for infants with perinatal risk factors in Korea. MDPI 2021-01-29 2021-02 /pmc/articles/PMC7908118/ /pubmed/33572910 http://dx.doi.org/10.3390/ijerph18031206 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yoon, So Jin
Lim, Joohee
Han, Jung Ho
Shin, Jeong Eun
Lee, Soon Min
Eun, Ho Seon
Park, Min Soo
Park, Kook In
Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title_full Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title_fullStr Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title_full_unstemmed Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title_short Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study
title_sort identification of growth patterns in low birth weight infants from birth to 5 years of age: nationwide korean cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908118/
https://www.ncbi.nlm.nih.gov/pubmed/33572910
http://dx.doi.org/10.3390/ijerph18031206
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