Poster Abstract Abstract
Growth Pattern Of Term Small For Gestational Age Babies
Muhammad Afiq Johari, University Kebangsaan Malaysia Medical Centre, UKMMC; Joyce Hong Soo Synn, University Kebangsaan Malaysia Medical Centre, UKMMC
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Catchup growth is important as to bring the child back to pre-retardation growth. Term small for gestational age (SGA) children with a lack of catchup growth are at risk of short stature, growth retardation and impaired cognitive function. Early recognition of those who failed to achieve catchup growth is important as they could benefit from early follow up and nutritional assessment, also keeping in mind the option of growth hormone therapy. This study aimed to determine the proportion of term SGA infants born in University Kebangsaan Malaysia Medical Centre, UKMMC who achieved catchup growth with regards to height velocity, and to determine the associated factors for catchup growth.
This retrospective longitudinal cohort study was conducted in UKMMC. Sample consisted of term SGA children delivered in UKMMC from January 2016 to March 2017. Their anthropometric data were assessed at birth, 3 months, 6 months, 9 months, 1 year, 1.5 years, 2 years and 5 years old.
Total of 128 term SGA children were enrolled. Catchup growth was seen as early as 3 months old and 88.3% achieved catchup growth by 2 years old. Despite good catchup rate however, the rate of wasting and severe wasting, in terms of BMI, is high from 1.5 years onwards indicating that weight is not proportionate to the height. We found no associated factors related to catch up growth besides mixed feeding that was associated with higher catchup rate.
More than 85% of term SGA eventually catch up by 2 years old. Rate of wasting is high in term SGA population. It is important for early identification and early referral to optimise the outcome.