Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?

Introduction: The exact definition of small-for-gestational-age (SGA) infant is still controversial among clinicians. In this study, we aimed to understand which definition is better in terms of establishing both early postnatal problems and growth. In this way, we compared early neonatal problems a...

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Autores principales: Saygin Abali, Serdar Beken, Eda Albayrak, Aysegul Inamlik, Burcu Bulum, Ezgi Bulbul, Gulten Zeynep Eksi, Zeynep Alize Ay, Melis Karabay, Didem Kaya, Muge Halici, Serap Semiz, Ayse Korkmaz
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:c680eb03eb0b40c9a9b32694588186b22021-11-12T06:09:07ZNeonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?2296-236010.3389/fped.2021.660111https://doaj.org/article/c680eb03eb0b40c9a9b32694588186b22021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.660111/fullhttps://doaj.org/toc/2296-2360Introduction: The exact definition of small-for-gestational-age (SGA) infant is still controversial among clinicians. In this study, we aimed to understand which definition is better in terms of establishing both early postnatal problems and growth. In this way, we compared early neonatal problems and infancy growth of term infants with birth weight (BW) < -2 SDS and with BW between 10th percentile (−1.28 SDS) and −2 SDS.Methods: A single center retrospective cohort study was conducted. Preterm infants, multiple gestations and newborns with any congenital anomalies were excluded from the study. Study group was defined as Group 1 (n = 37), infants BW < −2.00 SDS; Group 2 (n = 129), between −1.28 and −2.00 SDS; and Group 3 (n = 137), randomly selected newborns with optimal-for-gestational-age (BW between −0.67 and +0.67 SDS) as a control group.Results: The incidence of severe hypoglycemia was highest in Group 1 (%10.8) and Group 2 and 3 had similar rates of severe hypoglycemia (0.8 and 0.7%, respectively). The incidence of polycythemia was 5.4% in Group 1 and was significantly higher than Group 3 (0.0%) while it was 2.3% in Group 2. Short stature (length < −2 SDS) ratio at the age of 1 and 2 years were similar in each group. Overweight/obesity ratio at the age of 1 were 9.5, 20.8 and 16.7% in each group, respectively (p = 0.509).Conclusion: This study was planned as a pilot study to determine potential differences in the problems of hypoglycemia, polycythemia, and growth according to the differences in definition. Short term disturbances such as hypoglycemia and polycythemia are found to be higher in infants with a BW SDS below −2. From this point of view, of course, it will not be possible to change the routine applications immediately, however this study will be an initiative for discussions by making long-term studies.Saygin AbaliSerdar BekenEda AlbayrakAysegul InamlikBurcu BulumEzgi BulbulGulten Zeynep EksiZeynep Alize AyMelis KarabayDidem KayaMuge HaliciSerap SemizAyse KorkmazFrontiers Media S.A.articlesmall for gestational agehypoglycemiashort statureoverweightobesityPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic small for gestational age
hypoglycemia
short stature
overweight
obesity
Pediatrics
RJ1-570
spellingShingle small for gestational age
hypoglycemia
short stature
overweight
obesity
Pediatrics
RJ1-570
Saygin Abali
Serdar Beken
Eda Albayrak
Aysegul Inamlik
Burcu Bulum
Ezgi Bulbul
Gulten Zeynep Eksi
Zeynep Alize Ay
Melis Karabay
Didem Kaya
Muge Halici
Serap Semiz
Ayse Korkmaz
Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
description Introduction: The exact definition of small-for-gestational-age (SGA) infant is still controversial among clinicians. In this study, we aimed to understand which definition is better in terms of establishing both early postnatal problems and growth. In this way, we compared early neonatal problems and infancy growth of term infants with birth weight (BW) < -2 SDS and with BW between 10th percentile (−1.28 SDS) and −2 SDS.Methods: A single center retrospective cohort study was conducted. Preterm infants, multiple gestations and newborns with any congenital anomalies were excluded from the study. Study group was defined as Group 1 (n = 37), infants BW < −2.00 SDS; Group 2 (n = 129), between −1.28 and −2.00 SDS; and Group 3 (n = 137), randomly selected newborns with optimal-for-gestational-age (BW between −0.67 and +0.67 SDS) as a control group.Results: The incidence of severe hypoglycemia was highest in Group 1 (%10.8) and Group 2 and 3 had similar rates of severe hypoglycemia (0.8 and 0.7%, respectively). The incidence of polycythemia was 5.4% in Group 1 and was significantly higher than Group 3 (0.0%) while it was 2.3% in Group 2. Short stature (length < −2 SDS) ratio at the age of 1 and 2 years were similar in each group. Overweight/obesity ratio at the age of 1 were 9.5, 20.8 and 16.7% in each group, respectively (p = 0.509).Conclusion: This study was planned as a pilot study to determine potential differences in the problems of hypoglycemia, polycythemia, and growth according to the differences in definition. Short term disturbances such as hypoglycemia and polycythemia are found to be higher in infants with a BW SDS below −2. From this point of view, of course, it will not be possible to change the routine applications immediately, however this study will be an initiative for discussions by making long-term studies.
format article
author Saygin Abali
Serdar Beken
Eda Albayrak
Aysegul Inamlik
Burcu Bulum
Ezgi Bulbul
Gulten Zeynep Eksi
Zeynep Alize Ay
Melis Karabay
Didem Kaya
Muge Halici
Serap Semiz
Ayse Korkmaz
author_facet Saygin Abali
Serdar Beken
Eda Albayrak
Aysegul Inamlik
Burcu Bulum
Ezgi Bulbul
Gulten Zeynep Eksi
Zeynep Alize Ay
Melis Karabay
Didem Kaya
Muge Halici
Serap Semiz
Ayse Korkmaz
author_sort Saygin Abali
title Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
title_short Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
title_full Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
title_fullStr Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
title_full_unstemmed Neonatal Problems and Infancy Growth of Term SGA Infants: Does “SGA” Definition Need to Be Re-evaluated?
title_sort neonatal problems and infancy growth of term sga infants: does “sga” definition need to be re-evaluated?
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/c680eb03eb0b40c9a9b32694588186b2
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