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45 - Growth outcomes of preterm and very low birth weight infants

Published online by Cambridge University Press:  10 December 2009

Patti J. Thureen
By
Maureen Hack  and
Lydia Cartar
Edited by
William W. Hay
Patti J. Thureen
Affiliation:
University of Colorado at Denver and Health Sciences Center
Maureen Hack
Affiliation:
Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH
Lydia Cartar
Affiliation:
Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH
William W. Hay
Affiliation:
University of Colorado at Denver and Health Sciences Center
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Summary

Despite advances in perinatal care and nutrition, growth failure remains a major problem for preterm infants who require neonatal intensive care. This growth failure which occurs during the critical period of perinatal development has long-term implications for later growth attainment and for other aspects of health and development.

Reports of perinatal growth failure and the potential for catch-up growth prior to the era of neonatal intensive care pertained mainly to low birth weight (LBW) infants, those weighing less than 2.5 kg. More recent follow-up studies of children who experience intrauterine and/or neonatal growth failure pertain to preterm infants with very low birth weight (VLBW, less than 1500 g) or extremely low birth weight (ELBW, less than 1000 g). Initial reports following the introduction of neonatal intensive care in the 1970s described growth during infancy and childhood. As the children have reached adolescence and young adulthood, information has been gained concerning final height attainment and other aspects of body growth.

This chapter will review the current knowledge concerning the growth outcomes of preterm infants and the correlates of these outcomes, and also summarize the results of a longitudinal study of the growth of a cohort of VLBW children born in Cleveland, Ohio and followed to 20 years of age.

Definitions and review of methodology in studies of growth of preterm infants

The methodology used in the majority of studies has been to compare the mean growth measures of preterm infants, or rates of subnormal growth, to those of a term-born normal-birth-weight control population, or to national growth norms.

Type
Chapter
Information
Neonatal Nutrition and Metabolism , pp. 640 - 653
Publisher: Cambridge University Press
Print publication year: 2006

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  • Growth outcomes of preterm and very low birth weight infants
    • By Maureen Hack, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH, Lydia Cartar, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH
  • Patti J. Thureen, University of Colorado at Denver and Health Sciences Center
  • Edited by William W. Hay, University of Colorado at Denver and Health Sciences Center
  • Book: Neonatal Nutrition and Metabolism
  • Online publication: 10 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544712.046
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  • Growth outcomes of preterm and very low birth weight infants
    • By Maureen Hack, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH, Lydia Cartar, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH
  • Patti J. Thureen, University of Colorado at Denver and Health Sciences Center
  • Edited by William W. Hay, University of Colorado at Denver and Health Sciences Center
  • Book: Neonatal Nutrition and Metabolism
  • Online publication: 10 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544712.046
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Growth outcomes of preterm and very low birth weight infants
    • By Maureen Hack, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH, Lydia Cartar, Department of Pediatrics, Case Western Reserve University, and Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Cleveland, OH
  • Patti J. Thureen, University of Colorado at Denver and Health Sciences Center
  • Edited by William W. Hay, University of Colorado at Denver and Health Sciences Center
  • Book: Neonatal Nutrition and Metabolism
  • Online publication: 10 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544712.046
Available formats
×