Affiliation:
1. Department of Human Nutrition, KP Agricultural University, Peshawar, Pakistan; and
2. Centre for Child and Adolescent Health, University of Bristol, Bristol, United Kingdom
Abstract
OBJECTIVE:
The goal of this study was to investigate growth outcomes in term infants with weight faltering.
METHODS:
Conditional weight gain was calculated on term infants from the Avon Longitudinal Study of Parents and Children. Cases of weight faltering were infants with a conditional weight gain below the fifth centile. Outcome growth measurements included weight and length/height (from 9 months to 13 years), BMI, mid-arm circumference, and waist circumference (at 7, 10, and 13 years).
RESULTS:
Weight data were available on 11 499 infants; 507 had “early” weight faltering (before 8 weeks), and 480 had “late” weight faltering (between 8 weeks and 9 months). The early group showed enhanced weight gain from 8 weeks until 2 years, then gained weight at the same rate as the controls. Gain in height was proportionally slower than gain in weight through childhood. By 13 years, they had BMI, mid-arm circumference, and waist circumference similar to the controls. The late group showed steady weight gain throughout childhood; enhanced weight gain compared with the controls only occurred between 7 and 10 years. Gain in height was proportional to gain in weight. This group remained considerably lighter and shorter than the controls up to the age of 13 years.
CONCLUSIONS:
Children with weight faltering before 8 weeks showed a different pattern of “catch-up” to those with weight faltering later in infancy. By 13 years, the anthropometric profile of the 2 groups was within population norms.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Cited by
22 articles.
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