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Cohort study showed that growth rate increment has not been enough to prevent growth retardation of preterm infants and raised concerns about unbalanced growth

Acta Pediatrica May 26, 2019

Zozaya C, et al. - The postnatal weight gain, linear and head growth trends of surviving preterm infants between 2005 and 2017 were described by researchers in this analysis. Participants in the study were surviving preterm infants <32 weeks (n = 21 084) with no major congenital malformations who were less than 50 weeks postmenstrual age at discharge. In 2015–2017, weight gain, linear growth and head growth were slightly higher than in 2005–2008: 12.2 ± 2.6 to 13.1 ± 2.5 g/kg/day, 0.98 ± 0.6 to 1.03 ± 0.6 cm/week and 0.76 ± 0.2 to 0.77 ± 0.3 cm/week. It was associated with a decrease from birth to discharge in weight, length and head circumference z-scores. Despite some increase over the past few years, postnatal growth restriction remained a common complication of prematurity. The disproportionality of growth seemed to deteriorate as weight gain increased more than linear growth.
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