AIM: This study aimed to address the critical need for more accurate growth reference charts for preterm infants, with a particular focus on low- and very low-birth-weight infants. METHODS: The subjects were recruited at a single tertiary centre. The cohort comprised singleton and twin infants born before 37 weeks of gestation, with data collected from 2000 to 2016. Standardised measurements of body parameters were recorded in this mixed longitudinal survey. LMS method was utilised for data analysis. Statistical analysis was performed using SPSS Statistics Version 21. The validation with another new cohort was executed. RESULTS: A total of 1781 infants (52.5% boys) met the inclusion criteria. The median gestational age at birth was 30 weeks, with a median birth weight of 1350 grams. The main findings included the construction of ImaGrow charts for low- and very low-birth-weight infants and significant differences in growth trajectories compared to Fenton+WHO charts. CONCLUSION: Our comprehensive growth references, ImaGrow, are based on a long-term auxological assessment of preterm infants and differ from charts derived from size-at-birth standards or charts for term babies. These charts have significant implications for clinical practice in monitoring and assessing the growth of preterm infants.
- MeSH
- kojenec MeSH
- lidé MeSH
- longitudinální studie MeSH
- novorozenec nedonošený * růst a vývoj MeSH
- novorozenec s velmi nízkou porodní hmotností růst a vývoj MeSH
- novorozenec MeSH
- předškolní dítě MeSH
- referenční hodnoty MeSH
- růstové grafy * MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- atopická dermatitida * dietoterapie MeSH
- dieta MeSH
- dietoterapie * MeSH
- dítě MeSH
- fyziologie výživy kojenců MeSH
- lidé MeSH
- potravinová alergie MeSH
- růstové grafy MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
The aim of this study is to evaluate the prevalence of overweight and obesity in a sample of children who were exclusively or predominantly breastfed for at least 6 months compared to Czech references that were constructed based on a representative sample of children, regardless of their mode of feeding. Between 2008 and 2011, a longitudinal study on the growth of breastfed infants was carried out in the Czech Republic. Forty-three GP pediatricians addressed parents at 18-month preventive examinations and collected data on the families' socio-economic conditions and the infants' feeding conditions. The children were measured (length, weight, and head circumference), and anthropometric measurements from 10 previous preventive examinations were obtained from the health records. Out of the collected 1775 questionnaires, 960 children were selected according to the criteria of the WHO Multicentre Growth Reference Study. For the purpose of this study, 799 children who were exclusively or predominantly breastfed for at least 6 months were selected. We found that the proportions of children who were classified as overweight (>90th percentile) or obese (>97th percentile) at 6, 12, and 18-month examinations were far below the proportions of the Czech references. An update of the Czech references and growth charts is highly recommended by GP pediatricians for the valid assessment of growth and nutritional status, including a screening of overweight and obesity in primary preventive health care.
- MeSH
- kojenec MeSH
- kojení * MeSH
- lidé MeSH
- longitudinální studie MeSH
- novorozenec MeSH
- nutriční stav MeSH
- obezita dětí a dospívajících epidemiologie prevence a kontrola MeSH
- ochranné faktory MeSH
- prevalence MeSH
- růstové grafy MeSH
- vývoj dítěte MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- dítě MeSH
- insulinu podobný růstový faktor I MeSH
- lidé MeSH
- lidský růstový hormon nedostatek MeSH
- poruchy růstu * diagnóza patofyziologie terapie MeSH
- růstové grafy MeSH
- růstový hormon terapeutické užití MeSH
- výsledek terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- Klíčová slova
- percentil, konstituční opoždění růstu a puberty,
- MeSH
- diferenciální diagnóza MeSH
- gonadotropiny MeSH
- hormonální substituční terapie MeSH
- klinické rozhodování * MeSH
- kraniofaryngeom diagnóza patologie terapie MeSH
- lidé MeSH
- menarche MeSH
- mladiství MeSH
- opožděná puberta MeSH
- poruchy růstu * diagnóza etiologie patologie MeSH
- růst MeSH
- růstové grafy * MeSH
- růstový hormon terapeutické užití MeSH
- tělesná výška MeSH
- thyreotropin krev MeSH
- Turnerův syndrom diagnóza terapie MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- dítě MeSH
- klinická studie jako téma MeSH
- kojenec * MeSH
- kojení MeSH
- lidé MeSH
- novorozenec MeSH
- referenční hodnoty MeSH
- růstové grafy * MeSH
- Světová zdravotnická organizace MeSH
- tělesné váhy a míry * MeSH
- Check Tag
- dítě MeSH
- kojenec * MeSH
- lidé MeSH
- novorozenec MeSH
- Geografické názvy
- Česká republika MeSH
Growth references are important for paediatric health monitoring. It is critical to understand differences in growth interpretation and potential consequences when using available growth references. This study compares the growth of Czech breastfed children with the current WHO growth standards 2006 and the Czech references 1991, 2001. A total of 960 infant/parent pairs in the Czech Republic were recruited through paediatric practices. Anthropometric data were collected during infants' first 12 months of life and parent questionnaires were gathered during a preventive visit at 18 months. Czech breastfed infants were longer with a greater head circumference at all percentiles compared to the WHO standards and were similar to the national references. The percentile weight-for-age and weight-for-length values of infants (: 6 months) were lower, and higher (6-12 months) compared to the WHO standards. The infant growth in the sample differed from both the WHO standards as well as the national references. Our findings indicate that the growth of Czech breastfed children differs from the current national references. These discrepancies were smaller compared to the WHO standards. The results of the study were used for new growth assessment guidelines to optimize feeding recommendations for Czech infants. The adoption of the WHO standards in the Czech Republic is not recommended.
- MeSH
- antropometrie MeSH
- kojenec MeSH
- kojení * MeSH
- lidé MeSH
- longitudinální studie MeSH
- růst a vývoj fyziologie MeSH
- růstové grafy * MeSH
- Světová zdravotnická organizace MeSH
- vývoj dítěte fyziologie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
- Geografické názvy
- Česká republika MeSH
