Risk factors associated with growth failure in the follow-up of very low birth weight newborns
Journal Title: Jornal de Pediatria - Year 2016, Vol 92, Issue 3
Abstract
Objective To determine risk factors during neonatal hospital stay and follow-up associated with failure to thrive in the first year of life of very low birth weight newborns. Methods Study of preterm very low birth weight newborns followed from 2006 to 2013 in a public institutional hospital program. The study included newborns that attended at least one appointment in each of the three periods: Period I, up to 3 months of corrected age (CA); Period II, 4–6 months of CA; and Period III, 7–12 months of CA. The variables were analyzed by logistic regression with XLSTAT 2014 software (Microsoft®, WA, USA). Failure to thrive (Z-score below −2 SD) was classified as a dichotomous dependent variable (0 – failure/1 – success), while the other variables were classified as explanatory variables for the hospitalization periods and for each of the follow-up periods (I, II, and III). Results Children born adequate for gestational age increased the chance of Z-score for weight at discharge>−2 SD (OR=10.217; 95% CI: 1.117–93.436). Metabolic bone disease and retinopathy of prematurity in Period I, as well as hospital readmissions in Periods II and III during follow-up increased the chance of Z-score<−2 SD. Conclusion Failure to thrive is influenced by intrauterine factors and, subsequently, by several morbidities, both in the birth and hospitalization period, as well as in the post-discharge period and thus, such variables should be prioritized in the follow-up.
Authors and Affiliations
Milene Rover
Adolescents’ physical activity is associated with previous and current physical activity practice by their parents
Objective The purpose of this study was to determine whether parents’ current and previous physical activity practice is associated with adolescents’ physical activity. Methods The sample was composed of 1231 adolescent...
Lysosomal acid lipase deficiency in Brazilian children: a case series
Objective To describe the demographic, clinical, laboratory and molecular characteristics of patients with lysosomal acid lipase deficiency. Methods A retrospective review of the medical records of children with the dis...
A higher number of school meals is associated with a less-processed diet
Objective To compare the participation of food groups – fresh and minimally processed, processed, and ultra-processed – in the diet of students (n=1357) from Belo Horizonte, MG, Brazil, in accordance with the number of s...
Erratum on “Association between physical activity, participation in Physical Education classes, and social isolation in adolescents”
In the list of authors of the original article, where it reads Carolina da F.B.F. Santos, it should read Carolina da Franca Bandeira Ferreira Santos. In the sentence “Please cite this article as:” where it reads Santos...
Prevalence and factors associated with stunting and excess weight in children aged 0-5 years from the Brazilian semi-arid region
Objective To analyze the prevalence of excess weight and low height, and identify associated factors among children younger than five years. Methods Cross-census study. A total of 1,640 children from two municipalities...