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
Keywords
Related Articles
- EP ID EP523526
- DOI 10.1016/j.jped.2015.09.006
- Views 88
- Downloads 0
Ultra-processed food consumption among infants in primary health care in a city of the metropolitan region of São Paulo, Brazil
Objective To analyze the prevalence of ultra-processed food intake among children under one year of age and to identify associated factors. Methods A cross-sectional design was employed. We interviewed 198 mothers of ch...
Maternal restrictive feeding practices for child weight control and associated characteristics
Objective To identify associations between maternal restrictive feeding practices for child weight control and sociodemographic, behavioral, dietetic, and anthropometric characteristics. Methods Cross-sectional study wi...
Cerebrospinal fluid lactate: a differential biomarker for bacterial and viral meningitis in children
Objective To assess the performance of cerebrospinal fluid (CSF) lactate as a biomarker to differentiate bacterial meningitis from viral meningitis in children, and to define an optimal CSF lactate concentration that can...
The pertussis problem: classical epidemiology and strain characterization should go hand in hand
In this issue of Jornal de Pediatria, Torres et al.1 present a study on the incidence, clinical features, mortality, and vaccination status of patients with whooping cough in the state of Paraná, in the period of 2007 to...
Health self-perception and its association with physical activity and nutritional status in adolescents
Objective To evaluate the association between total physical activities, physical activity in free time and nutritional status with self-perceived health in adolescents of both genders. Methods This is a quantitative st...