• Title/Summary/Keyword: Birth Height

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Comparison of postnatal catch-up growth according to definitions of small for gestational age infants

  • Huh, Jisun;Kwon, Ji Yoon;Kim, Hye Ryun;Lee, Eun Hee;Rhie, Young-Jun;Choi, Byung Min;Lee, Kee-Hyoung
    • Clinical and Experimental Pediatrics
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    • v.61 no.3
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    • pp.71-77
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    • 2018
  • Purpose: Small for gestational age (SGA) is confusingly defined as birth weight (BW) either below 3rd percentile or 10th percentile for infants. This study aimed to compare postnatal catch-up growth between SGA groups according to different definitions. Methods: Data of 129 infants born with BW below the 10th percentile and admitted to Korea University Anam Hospital and Ansan Hospital were retrospectively reviewed. Height and weight were measured at 6, 12, and 24 months. Results were compared between group A (BW: <3rd percentile) and group B (BW: 3rd-10th percentile). Results: Group A included 66 infants and group B included 63. At age 6 months (n=122), 62.9% of group A and 71.7% (P=0.303) of group B showed catch-up growth in weight. At 6 months (n=69), 55.9% of group A and 80.0% of group B (P<0.05) showed catch-up growth in height. At 12 months (n=106), 58.5% of group A, and 75.5% (P=0.062) of group B showed catch-up growth in weight. At 12 months (n=75), 52.8% of group A and 64.1% of group B (P=0.320) showed catch-up growth in height. Up to age 24 months, 66.7%/80.0% in group A and 63.6%/80.0% in group B showed catch-up growth in weight/height. Conclusion: Despite different definitions, there were no significant differences between the two SGA groups in postnatal catch-up growth up to age 24 months, except for height at 6 months. Compared to infants with appropriate catch-up growth, low gestational age and BW were risk factors for failed catch-up growth at 6 months.

A System Dynamics Model for Growth Prediction of Low Birth Weight Infants (시스템다이내믹스를 이용한 저출생체중아의 성장예측모형)

  • Yi, Young-Hee
    • Korean System Dynamics Review
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    • v.11 no.3
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    • pp.5-31
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    • 2010
  • The purpose of this study is to develop a system dynamics model for growth prediction of low birth weight infants(LBWIs) based on nutrition. This growth prediction model consists of 9 modules; body weight, height, carbohydrate, protein, lipid, micronutrient, water, activity and energy module. The results of the model simulation match well with the percentiles of weights and heights of the Korean infants, also with the growth records of 55 LBWIs, under 37 weeks of gestational age, whose weights are appropriate for their gestational age. This model can be used to understand the current growth mode of LBWIs, predict the future growth of LBWIs, and be utilized as a tool for controlling the nutrient intake for the optimal growth of LBWIs in actual practice.

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Prediction of Newborn Birthweight by the Measurement of Fundal Height and Gestational Period (임신기간 및 자궁저높이를 이용한 신생아 체중 예측)

  • Cho, Moon-Suk;Park, Young-Sook
    • 모자간호학회지
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    • v.1
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    • pp.34-44
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    • 1991
  • The purposes of this study were to predict newborn birthweight by use of gestational period and fundal height and to identify growth curve of fundal height according to gestational period and growth curve of newborn birthweight according to fundal height. The subjects for the study were 802 women who delivered the normal newborn babies at Seoul National University Hospital from Sep. 1, 1981 to Aug.31, 1986. The data were collected bit chart review and analyzed nth SPSS program. The results of study were as follows : 1. The multiple regression equation ($R^2$=0.416) used for the prediction of newborn birthweight was y=(newborn birthweight, kg)=-4.421+0.075$x_1$(fundal height, cm)+0.053$x_2$(gestational period, weeks)+0.016$x_3$(abdominal girth, cm)+0.010$x_4$(maternal height, cm) 2. The growth curve of fundal height according to gestational period was obtained by polynomial regression. The regression equation was Y(fundal height, cm)=-36.78+18.58$log_ex$(gestational period, weeks) The growth curve of newborn birth weight according to fundal height was obtained by polynomial regression. The regression equation was Y(newborn birthweight, kg)=-8.09+3.27$log_ex$ (Fundal Height, cm) 3. In the following subgroups no significant difference was found in fundal height : engaged vs. nonengaged presentation, and nulliparous vs. multiparous women.

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A Study of the Relationship between the Nutritional Quality of Life and Stature Sexual Dimorphism (영양 수준의 향상에 따른 신장 성적이형성의 변화: 탈북자 자료를 이용한 남북한 비교연구)

  • Pak, Sun-Young
    • Journal of Nutrition and Health
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    • v.44 no.2
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    • pp.162-170
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    • 2011
  • We tested the hypothesis that an improved nutritional environment increases the size of stature sexual dimorphism (SSD) by comparing mean height changes in North and South Korean adults. For the first round of sampling, those North Korean refugees who had reached the age of 20 years before leaving North Korea were selected for the study. Then, two birth-year cohorts born between 1955 and 1959 and between 1980 and 1984 were finally selected for the analysis (383 males and 529 females). North Korean refugee mean height data were compared to the mean height of the comparable South Korean population derived from 2004 Korean size results (373 males and 429 females). The results of the analysis showed that there was no increase in mean height among the refugees, either in males or females, between the two birth-year cohorts. As a result, no change in SSD was observed between the two birth-year cohorts. In contrast, South Koreans showed a remarkable increase in height, with males having a greater increase during the corresponding 25 years. Consequently, South Korean SSD increased significantly with time. These results support the hypothesis that improved nutritional quality increases SSD.

Risk Factors for Preterm Birth and Low Birth Weight Among Pregnant Indian Women: A Hospital-based Prospective Study

  • Tellapragada, Chaitanya;Eshwara, Vandana Kalwaje;Bhat, Parvati;Acharya, Shashidhar;Kamath, Asha;Bhat, Shashikala;Rao, Chythra;Nayak, Sathisha;Mukhopadhyay, Chiranjay
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.3
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    • pp.165-175
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    • 2016
  • Objectives: The present study was undertaken to study the maternal risk factors for preterm birth (PTB) and low birth weight (LBW) with a special emphasis on assessing the proportions of maternal genitourinary and periodontal infections among Indian women and their association with adverse pregnancy outcomes. Methods: A hospital-based prospective study comprising 790 pregnant women visiting the obstetrics clinic for a routine antenatal check-up was undertaken. Once recruited, all study participants underwent clinical and microbiological investigations for genitourinary infections followed by a dental check-up for the presence of periodontitis. The study participants were followed up until their delivery to record the pregnancy outcomes. Infectious and non-infectious risk factors for PTB and LBW were assessed using univariate and multivariate Cox regression analysis. Independent risk factors for PTB and LBW were reported in terms of adjusted relative risk (ARR) with the 95% confidence interval (CI). Results: Rates of PTB and LBW in the study population were 7.6% and 11.4%, respectively. Previous preterm delivery (ARR, 5.37; 95% CI, 1.5 to 19.1), periodontitis (ARR, 2.39; 95% CI, 1.1 to 4.9), Oligohydramnios (ARR, 5.23; 95% CI, 2.4 to 11.5), presence of Nugent's intermediate vaginal flora (ARR, 2.75; 95% CI, 1.4 to 5.1), gestational diabetes mellitus (ARR, 2.91; 95% CI, 1.0 to 8.3), and maternal height <1.50 m (ARR, 2.21; 95% CI, 1.1 to 4.1) were risk factors for PTB, while periodontitis (ARR, 3.38; 95% CI, 1.6 to 6.9), gestational hypertension (ARR, 3.70; 95% CI, 1.3 to 10.8), maternal height <1.50 m (ARR, 2.66; 95% CI, 1.3 to 5.1) and genital infection during later stages of pregnancy (ARR, 2.79; 95% CI, 1.2 to 6.1) were independent risk factors for LBW. Conclusions: Our study findings underscore the need to consider screening for potential genitourinary and periodontal infections during routine antenatal care in developing countries.

Tolerability and Effect of Early High-Dose Amino Acid Administration in Extremely Low Birth Weight Infants

  • Choi, Jin Wha;Kim, Jisook;Ahn, So Yoon;Chang, Yun Sil;Park, Won Soon;Sung, Se In
    • Neonatal Medicine
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    • v.25 no.4
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    • pp.153-160
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    • 2018
  • Purpose: The aim of this study is to examine the tolerability and effect of early high-dose amino acid administration in extremely low birth weight infants (ELBWIs). Methods: This retrospective cohort study included ELBWI (birth weight <1,000 g, n=142). Biochemical, nutritional, and neurodevelopmental data were compared between infants who received conventional low amino acid (LAA; 1.5 g/kg/day) and those who received high amino acid (HAA; 3 g/kg/day) within the first 48 hours after birth. Neurodevelopmental data included weight, height, and head circumference at discharge, 12 to 14 and 18 to 24 months of corrected age and the Korean Bayley Scale of Infant Development II (K-BSID-II) score at 18 to 24 months of corrected age. Results: The HAA group demonstrated higher peak plasma albumin ($3.0{\pm}0.4$ vs. $3.2{\pm}0.5$, P<0.05) and lower serum creatinine ($1.7{\pm}0.9$ vs. $1.4{\pm}0.8$, P<0.05) during the first 14 days than the LAA group. Full enteral feeding was achieved significantly earlier in infants in the HAA group than in infants in the LAA group ($46.2{\pm}23.0days$ vs. $34.3{\pm}21days$, P<0.01). There was no difference between the two groups in the z score changes in all growth indicators from birth to discharge and at 12 to 14 and 18 to 24 months of corrected age, as well as in the K-BSID-II score at 18 to 24 months of corrected age. Conclusion: Aggressive administration of amino acids during the first 2 days of life in ELBWI was well tolerated and correlated with earlier full enteral feeding, but did not improve growth and neurodevelopment.

Maternal caffeine consumption has irreversible effects on reproductive parameters and fertility in male offspring rats

  • Dorostghoal, Mehran;Majd, Naeem Erfani;Nooraei, Parvaneh
    • Clinical and Experimental Reproductive Medicine
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    • v.39 no.4
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    • pp.144-152
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    • 2012
  • Objective: Concerns are growing about the decrease in male reproductive health. Caffeine is one of the popular nutrients that has been implicated as a risk factor for infertility. In the present study, we examined whether in utero and lactational exposure to caffeine affects the reproductive function of the offspring of rats. Methods: Pregnant rats received caffeine via drinking water during gestation (26 and 45 mg/kg) and lactation (25 and 35 mg/kg). Body and reproductive organ weight, seminiferous tubule diameter, germinal epithelium height, sperm parameters, fertility rate, number of implantations, and testosterone level of the offspring were assessed from birth to adulthood. Results: Significant dose-related decreases were observed in the body and reproductive organ weight, seminiferous tubule diameter, and germinal epithelium height of the offspring. Sperm density had declined significantly in offspring of the low-dose and high-dose groups, by 8.81% and 19.97%, respectively, by postnatal day 150. The number of viable fetuses had decreased significantly in females mated with male offspring of the high-dose group at postnatal days 60, 90, 120, and 150. There were also significant reductions in testosterone levels of high-dose group offspring from birth to postnatal day 150. Conclusion: It is concluded that maternal caffeine consumption impairs gonadal development and has long-term adverse effects on the reproductive efficiency of male offspring rats.

The Reproductive Characteristics of the Mare in Subtropical Taiwan

  • Ju, Jyh-Cherng;Peh, Huo-Cheng;Hsu, Jenn-Chung;Cheng, San-Pao;Chiu, Shaw-Ching;Fan, Yang-Kwang
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.4
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    • pp.494-499
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    • 2002
  • The objectives of this study were to document the reproductive traits of mares as influenced by the month of the year in Taiwan. Reproductive records, lactation traits, foal birth weight (FBW) and foal height (FBH) were collected from Holi Equine Station of Taiwan. The effects of month on these parameters were analyzed. The length of estrus (LE) was shortest in December each year. The increasing trend was recorded from January to September with a significantly (p<0.05) longer period of $12.4{\pm}0.4$ days in September than in January and February. A gradual shortening in LE was observed from September to December ($10.1{\pm}0.6$ days, p<0.05), when the shortest period of the year was observed. Mares showed signs of estrus throughout the year, but more than 80% were found in estrus during March through October. The FBW was significantly (p<0.05) affected by the breeding month of the year. The lowest foal weights were recorded in both September ($36.7{\pm}0.7$ kg) and December ($36.8{\pm}0.9$ kg), which were also significantly lower than those in other months except in March, August, and November. A trend of lower FBH from September to December (93.5-93.8 cm) than those from January to August was observed. The greatest FBH was in June (96.2 cm). Breeding months and onset of estrus of the mares exerted a significant effect on the incidence of agalactia during the lactation period. These analyses provide fundamental information on adaptive processes in respect to reproductive characteristics of mares, which indicated an extent of acclimation by these animals in subtropical Taiwan.

Body Weight at Birth and at Age Three and Respiratory Illness in Preschool Children

  • Jeong, Yool-Won;Jung-Choi, Kyung-Hee;Lee, Jin-Hwa;Lee, Hwa-Young;Park, Eun-Ae;Kim, Young-Ju;Ha, Eun-Hee;Oh, Se-Young;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.369-376
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    • 2010
  • Objectives: The purpose of this study was to examine the associations of current body weight and body mass index (BMI) at age three and birth weight in developing chronic respiratory illness in childhood and identify possible interaction underlying its mechanism. Methods: The study was carried out with 422 children who were enrolled in a hospital-based birth cohort. Birth related anthropometric data were collected at birth. At age 3 years, the presence of respiratory symptoms was evaluated by using the Korean version of core questionnaire for wheezing and asthma from the International Study of Asthma and Allergies in Childhood (ISAAC). Physical examination was carried out to measure the child's weight and height. Results: Children in the lowest birth weight tertile (aOR = 3.97, 95% CI = 0.94-16.68) or highest BMI tertile (aOR = 3.68, 95% CI = 1.24-10.95) at three years of age were at an increased risk of chronic respiratory illness. Children who were initially in the lowest birth weight tertile but now belong in the highest weight tertile had higher risk of chronic respiratory illness compared to those who had remained in the middle tertile (OR=16.35, 95% CI=1.66-160.57). Conclusions: Children with lower birth weight or higher BMI were at an increased risk of chronic respiratory illness. In addition, children who were initially in the lowest birth weight tertile but are now in the highest weight tertile had higher risk of chronic respiratory illness compared to those who remained in the middle tertile.

A Study on the Perceived Stress of Mothers in Neonatal Intensive Care Unit (신생아 중환자실에 입원한 환아 어머니의 스트레스)

  • Choi Sung Hee
    • Child Health Nursing Research
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    • v.4 no.1
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    • pp.60-75
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    • 1998
  • The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', and the degree which is consulted with the husband about the baby is 55% in 'very frequently' and the visiting number per week is 4.59(±1.63) in average and the accompanying person in the time of visiting is which the number of husband is 56.3% and thus is the highest. The characteristics of baby is which the age is 21.88days(±16.47) after the birth in average, the sex to be 50 person in the female 52.1% and the order of birth to be 54.2% in the first chid, and the weight in the birth to be 2770gm(±610) and the height in the birth to be 46.26cm(±7.62) in aver age. The medical diagnosis is 37.5% in the premature infant, the career of hospitalization is 96.9% in 'None', and the operation plan is 90.6% in 'None' and the execution of operation is 88% in 'None' and the nursing of incubator is 55.2% in 'Yes', and the method of feeding is 50.5% in 'Oral' and the contents of feeding is 46.9% in the 'Milk'. 2. The total stress degree of subject is almost highly shown to be as 3.36(±0.86). If it is compared upon each cause, 'stress on disease status & prognosis' is highest 3.79(±1.28), and it is in the order of 'stress on medical treatment & nursing procedures' 3.70(±0.93), 'stress on hospital environment' 3.14(±0.86), 'stress on role of parents' 3.18(±0.92) and 'stress on communication & inter personal relationship' 2.62(± 0.77) 3. As the results of checking the notworthiness of stress degree upon each variable of subject, the variable showing the noted difference was the birth weight(γ=-0.16, P=0.04), birth height(γ=-0.23, P=0.03), nursing in the incubator(F=8.93, P=0.04), feed method(F=2.94, P=0.04). That is to say, it is shown which the smaller the birth weight is, the higher the stress degree of mother is noteworthily. Also, the smaller the birth height baby is, the higher the stress of mother is. In the incubator, it os shown which the mother whose baby is nursing in the incubator is higher in the stress degree than other mothers. Upon the feeding method of baby, that is to say, TPNis the highest, and it is shown in the order of NPO, Tube feeding, and P.O. feeding. When we review the above-mentioned results, as the status is serious, it is thought which we include the supporting nursing for coping with the stress of parents in the setting-up od nursing plan for the baby in the NICU.

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