Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort

Objectives: The objective was to calculate weight/length (W/L) ratio values and percentiles by sex and gestational age (GA) to estimate fat mass (FM), fat-free mass (FFM) and body fat percentage (BF%) as well as to compare these indices in preterm, small (SGA), and large (LGA) for GA, stunted and wa...

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Autores principales: Carlos Grandi, Livia dos S. Rodrigues, Davi C. Aragon, Fabio Carmona, Viviane C. Cardoso
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/c1786d1c1eca4c769134092021d28815
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spelling oai:doaj.org-article:c1786d1c1eca4c769134092021d288152021-11-06T04:12:35ZWeight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort0021-755710.1016/j.jped.2020.12.004https://doaj.org/article/c1786d1c1eca4c769134092021d288152021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0021755721000279https://doaj.org/toc/0021-7557Objectives: The objective was to calculate weight/length (W/L) ratio values and percentiles by sex and gestational age (GA) to estimate fat mass (FM), fat-free mass (FFM) and body fat percentage (BF%) as well as to compare these indices in preterm, small (SGA), and large (LGA) for GA, stunted and wasted infants from a Brazilian cohort of newborns, comparing with the INTERGROWTH-21st. Methods: Secondary, cross-sectional analysis of data obtained of 7427 live-born infants from the BRISA Cohort Study in the city of Ribeirão Preto, SP, Brazil in 2010. For body composition estimation, W/L ratio was used in multiple regression models. The 3rd, 50th, and 97th percentiles for W/L ratio and body composition measures (FM, FFM, and BF%) were calculated using fractional polynomial regression models. Results: Average W/L ratio was 6.50 kg/m (SD 0.87), while for FM, BF%, and FFM the corresponding values were 359.64 g (145.76), 10.90% (3.05) and 2798.84 g (414.84), respectively. SGA (< 3rd percentile), and wasted infants showed the lowest W/L ratios and measures of body composition. The 3rd, 50th, and 97th percentiles charts of W/L, FM, BF%, and FFM by GA and sex are presented. Conclusions: W/L ratio values of the RP-BRISA Cohort are higher than IG-21st. SGA (< 3rd) and wasted infants showed the lowest W/L ratio and measures of body composition. The body composition references presented here could be used to refine the nutritional assessment of Brazilian newborns and to facilitate comparisons across populations.Carlos GrandiLivia dos S. RodriguesDavi C. AragonFabio CarmonaViviane C. CardosoElsevierarticleAnthropometryBody compositionNutrition assessmentWeight/length ratioFat massPediatricsRJ1-570ENJornal de Pediatria, Vol 97, Iss 6, Pp 610-616 (2021)
institution DOAJ
collection DOAJ
language EN
topic Anthropometry
Body composition
Nutrition assessment
Weight/length ratio
Fat mass
Pediatrics
RJ1-570
spellingShingle Anthropometry
Body composition
Nutrition assessment
Weight/length ratio
Fat mass
Pediatrics
RJ1-570
Carlos Grandi
Livia dos S. Rodrigues
Davi C. Aragon
Fabio Carmona
Viviane C. Cardoso
Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
description Objectives: The objective was to calculate weight/length (W/L) ratio values and percentiles by sex and gestational age (GA) to estimate fat mass (FM), fat-free mass (FFM) and body fat percentage (BF%) as well as to compare these indices in preterm, small (SGA), and large (LGA) for GA, stunted and wasted infants from a Brazilian cohort of newborns, comparing with the INTERGROWTH-21st. Methods: Secondary, cross-sectional analysis of data obtained of 7427 live-born infants from the BRISA Cohort Study in the city of Ribeirão Preto, SP, Brazil in 2010. For body composition estimation, W/L ratio was used in multiple regression models. The 3rd, 50th, and 97th percentiles for W/L ratio and body composition measures (FM, FFM, and BF%) were calculated using fractional polynomial regression models. Results: Average W/L ratio was 6.50 kg/m (SD 0.87), while for FM, BF%, and FFM the corresponding values were 359.64 g (145.76), 10.90% (3.05) and 2798.84 g (414.84), respectively. SGA (< 3rd percentile), and wasted infants showed the lowest W/L ratios and measures of body composition. The 3rd, 50th, and 97th percentiles charts of W/L, FM, BF%, and FFM by GA and sex are presented. Conclusions: W/L ratio values of the RP-BRISA Cohort are higher than IG-21st. SGA (< 3rd) and wasted infants showed the lowest W/L ratio and measures of body composition. The body composition references presented here could be used to refine the nutritional assessment of Brazilian newborns and to facilitate comparisons across populations.
format article
author Carlos Grandi
Livia dos S. Rodrigues
Davi C. Aragon
Fabio Carmona
Viviane C. Cardoso
author_facet Carlos Grandi
Livia dos S. Rodrigues
Davi C. Aragon
Fabio Carmona
Viviane C. Cardoso
author_sort Carlos Grandi
title Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
title_short Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
title_full Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
title_fullStr Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
title_full_unstemmed Weight/length ratio references and newborn body composition estimation at birth from a Brazilian cohort
title_sort weight/length ratio references and newborn body composition estimation at birth from a brazilian cohort
publisher Elsevier
publishDate 2021
url https://doaj.org/article/c1786d1c1eca4c769134092021d28815
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AT fabiocarmona weightlengthratioreferencesandnewbornbodycompositionestimationatbirthfromabraziliancohort
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