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ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)

2012, Number 2

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Pediatr Mex 2012; 14 (2)

Infant growth during the first six months, according to nutritional status at birth

Yunes ZJLM, Duarte OA, Posada TI, Cortinas GJL

Language: Spanish
References: 14
Page: 46-52
PDF size: 50.02 Kb.


ABSTRACT

Introduction: The study of body composition is important to know the nutritional status of the newborn and infant, by its impact on adult life. Objective: Assess the pace of growth of the infant during the first six months, according to nutritional status at birth. Material and methods: We evaluated a cohort of patients born at term with monthly anthropometric monitoring and determination of body composition a month and six months of age using bioelectrical impedance analysis (BIA). Allocated under three comparison groups according to their nutritional status at birth: 1) Low weight for gestational age (PBEG); 2) Weight appropriate for gestational age (PAEG); 3) Weight large for gestational age (PGEG). Results: Studied 194 newly born, 167, PAEG (86%), 19 with PGEG (10%) and 8 PBEG (4%). The lower birth weight showed an increase faster than the normal pace, although no significant differences. The porcentilar curve of the weight was different; children with PGEG had a gradually descending course to locate the percentiles between 75-80. The eutrophic, showed a parabolic curve, with initial increase, below the 70-percentile and for six months in the 1950s; 30 six months above the percentile of PBEG with an ascending curve, to stabilize. Body composition, showed higher body fat percentage in PGEG on the eutrophic and even more than PBEG, no statistical differences in the record of the month of age. At six months, the average number of fat was very similar among the three groups. The same happened with the lean mass and total body water. Conclusions: It is possible that close, early and sustained growth, surveillance has influenced the behavior of this cohort.


REFERENCES

  1. Uauy R, Atalah E, Barrera C, Behnke E. Alimentación y nutrición durante el embarazo. En: Guías de alimentación para la mujer. Gobierno de Chile, Universidad de Chile 2001: 41-52.

  2. Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 2004; 350: 236-274.

  3. Verkauskiene R, Beltrand J, Claris O, Chevenne D, Deghmoun S et al. Impact of fetal growth restriction on body composition and hormonal status at birth in infants of small and appropriate weight for gestational age. Eur J Endocrin 2007; 157: 605-612.

  4. Urrutia MT, Mardones F, Salazar R. Asociación entre la composición corporal de la embarazada y la composición corporal del recién nacido. Rev Chil Pediatr 2001; 72: 212-218.

  5. Cárdenas-López C, Haua-Navarro K, Suverza-Fernández A, Perichart-Perera O. Mediciones antropométricas en el neonato. Bol Med Hosp Infant Mex 2005; 62: 214-224.

  6. Lubchenco L, Hansman C, Boyd E. Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics 1966; 37: 403-408.

  7. World Health Organization. Physical status: The use and interpretation of anthropometry. Geneva: Report of a WHO expert committee. 1995; 1: 452.

  8. Mardones F, Bastías G, Farías M, Dinamarca R, Olavarría F y cols. Composición corporal de neonatos con alteraciones en el crecimiento fetal. Rev Chil Pediatr 1999; 70: 1-6.

  9. Ellis KJ. Evaluation of body composition in neonates and infants. Semin in Fet and neonatal. 2007; 12: 87-91.

  10. Gartner A, Maire B, Delpeuch F, Sarda P, Dupuy RP et al. The use of bioelectrical impedance analysis in newborns. The need for standardization. In: Ellis KJ. Human Body composition. In vivo methods, models and assessment. JD Eastman. Plenum Press New York. 1993: 165-168.

  11. Casanova-Bellido M, Casanova-Roman M. Aplicación del BIA al estudio de la composición corporal del recién nacido. Bol Pediatr 2004; 44: 202-204.

  12. Piccoli A, Vasilios F, Peruzzi L, Schena S, Pizzini C. Reference values of the bioelectrical impedance vector in neonates in the first week after birth. Nutrition 2002; 18; 383-387.

  13. Tang W, Ridout D, Modi N. Assessment of total body water using bioelectrical impedance analysis in neonates receiving intensive care. Arch Dis Child 1997; 77: 123-126.

  14. Yunes-Zárraga JLM. Obesidad infantil en Tamaulipas. Evaluación y propuestas de solución. México. 1ª Ed. CONACyT 2010.




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