Novel noninvasive anthropometric measure in preterm and full-term infants: normative values for waist circumference:length ratio at birth
Background: Waist circumference:length ratio (WLR) and ponderal index (PI) appear to be useful markers of visceral and total adiposity, respectively. However, there are no normative birth data across the full range of gestational ages. Methods: In this retrospective cohort study of 500 preterm and 1...
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Veröffentlicht in: | Pediatric research 2013-09, Vol.74 (3), p.299-306 |
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creator | Holston, Alexander Stokes, Theophil Olsen, Cara Choi, Y. Sammy Curtis, Jerri Higginson, Jason Adimora, Chinenye Hunt, Carl E. |
description | Background:
Waist circumference:length ratio (WLR) and ponderal index (PI) appear to be useful markers of visceral and total adiposity, respectively. However, there are no normative birth data across the full range of gestational ages.
Methods:
In this retrospective cohort study of 500 preterm and 1,426 full-term infants, born in 1998 and 2008 at three military hospitals, the percentile growth curves for WLR and PI were calculated. There were no sex differences, and results were combined to obtain values from 26 to 42 wk gestation.
Results:
Between 26 and 42 wk gestation, median birth WLR increased from 0.55 to 0.62, and median PI increased from 21.1 to 25.6. The adjusted mean WLR at birth among infants born |
doi_str_mv | 10.1038/pr.2013.109 |
format | Article |
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Waist circumference:length ratio (WLR) and ponderal index (PI) appear to be useful markers of visceral and total adiposity, respectively. However, there are no normative birth data across the full range of gestational ages.
Methods:
In this retrospective cohort study of 500 preterm and 1,426 full-term infants, born in 1998 and 2008 at three military hospitals, the percentile growth curves for WLR and PI were calculated. There were no sex differences, and results were combined to obtain values from 26 to 42 wk gestation.
Results:
Between 26 and 42 wk gestation, median birth WLR increased from 0.55 to 0.62, and median PI increased from 21.1 to 25.6. The adjusted mean WLR at birth among infants born <34 wk increased from 0.55 in 1998 to 0.58 in 2008 (
P
= 0.048), suggesting that early-preterm infants born in 2008 had greater abdominal adiposity than those born in 1998.
Conclusion:
We report normative birth data for WLR and PI in preterm and full-term infants by gestational age and sex. WLR and PI may be useful as clinical markers of visceral and overall adiposity. In conjunction with other anthropometric measures, WLR and PI may be useful to monitor postnatal nutrition and growth and assess risk for later obesity and cardiometabolic disorders.</description><identifier>ISSN: 0031-3998</identifier><identifier>EISSN: 1530-0447</identifier><identifier>DOI: 10.1038/pr.2013.109</identifier><identifier>PMID: 23797534</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/139/1735 ; 692/700/1720 ; Adiposity - physiology ; Analysis of Variance ; Anthropometry - methods ; Biomarkers ; Body Size - physiology ; clinical-investigation ; Cohort Studies ; Female ; Humans ; Infant, Newborn ; Infant, Premature - growth & development ; Medicine ; Medicine & Public Health ; Pediatric Surgery ; Pediatrics ; Pregnancy ; Retrospective Studies ; Term Birth - physiology ; Waist Circumference - physiology</subject><ispartof>Pediatric research, 2013-09, Vol.74 (3), p.299-306</ispartof><rights>International Pediatric Research Foundation, Inc. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-e3ac1df555683dee691cca2a9887260eed729dc14a4b41759d3a1f76b5202e763</citedby><cites>FETCH-LOGICAL-c363t-e3ac1df555683dee691cca2a9887260eed729dc14a4b41759d3a1f76b5202e763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23797534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holston, Alexander</creatorcontrib><creatorcontrib>Stokes, Theophil</creatorcontrib><creatorcontrib>Olsen, Cara</creatorcontrib><creatorcontrib>Choi, Y. Sammy</creatorcontrib><creatorcontrib>Curtis, Jerri</creatorcontrib><creatorcontrib>Higginson, Jason</creatorcontrib><creatorcontrib>Adimora, Chinenye</creatorcontrib><creatorcontrib>Hunt, Carl E.</creatorcontrib><title>Novel noninvasive anthropometric measure in preterm and full-term infants: normative values for waist circumference:length ratio at birth</title><title>Pediatric research</title><addtitle>Pediatr Res</addtitle><addtitle>Pediatr Res</addtitle><description>Background:
Waist circumference:length ratio (WLR) and ponderal index (PI) appear to be useful markers of visceral and total adiposity, respectively. However, there are no normative birth data across the full range of gestational ages.
Methods:
In this retrospective cohort study of 500 preterm and 1,426 full-term infants, born in 1998 and 2008 at three military hospitals, the percentile growth curves for WLR and PI were calculated. There were no sex differences, and results were combined to obtain values from 26 to 42 wk gestation.
Results:
Between 26 and 42 wk gestation, median birth WLR increased from 0.55 to 0.62, and median PI increased from 21.1 to 25.6. The adjusted mean WLR at birth among infants born <34 wk increased from 0.55 in 1998 to 0.58 in 2008 (
P
= 0.048), suggesting that early-preterm infants born in 2008 had greater abdominal adiposity than those born in 1998.
Conclusion:
We report normative birth data for WLR and PI in preterm and full-term infants by gestational age and sex. WLR and PI may be useful as clinical markers of visceral and overall adiposity. In conjunction with other anthropometric measures, WLR and PI may be useful to monitor postnatal nutrition and growth and assess risk for later obesity and cardiometabolic disorders.</description><subject>692/700/139/1735</subject><subject>692/700/1720</subject><subject>Adiposity - physiology</subject><subject>Analysis of Variance</subject><subject>Anthropometry - methods</subject><subject>Biomarkers</subject><subject>Body Size - physiology</subject><subject>clinical-investigation</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - growth & development</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Term Birth - physiology</subject><subject>Waist Circumference - physiology</subject><issn>0031-3998</issn><issn>1530-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkMtOHDEQRa0oCIbHKvvIy0hJE7_6YXYIJYA0Ipuwbnnc1TMeddudsnsiPoG_xpMhrFhZVz51VHUJ-cTZJWey-T7hpWBc5qA_kAUvJSuYUvVHsmBM8kJq3ZyQ0xi3jHFVNuqYnAhZ67qUakGeH8IOBuqDd35notsBNT5tMExhhITO0hFMnBGo83RCSIBjJjraz8NQ_EvO93kkXmUJjibtFTszzBBpH5D-NS4mah3aeewBwVu4GsCv04ZihgM1ia4cps05OerNEOHi9T0jjz9__L65K5a_bu9vrpeFlZVMBUhjedeXZVk1sgOoNLfWCKObphYVA-hqoTvLlVErxetSd9Lwvq5WpWAC6kqekS8H74ThT94ytaOLFobBeAhzbLmSouJVw0RGvx5QiyFGhL6d0I0Gn1rO2n33Obf77nPQmf78Kp5XI3Rv7P-yM_DtAMT85deA7TbM6POx7_peABrVkS4</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Holston, Alexander</creator><creator>Stokes, Theophil</creator><creator>Olsen, Cara</creator><creator>Choi, Y. Sammy</creator><creator>Curtis, Jerri</creator><creator>Higginson, Jason</creator><creator>Adimora, Chinenye</creator><creator>Hunt, Carl E.</creator><general>Nature Publishing Group US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Novel noninvasive anthropometric measure in preterm and full-term infants: normative values for waist circumference:length ratio at birth</title><author>Holston, Alexander ; Stokes, Theophil ; Olsen, Cara ; Choi, Y. Sammy ; Curtis, Jerri ; Higginson, Jason ; Adimora, Chinenye ; Hunt, Carl E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-e3ac1df555683dee691cca2a9887260eed729dc14a4b41759d3a1f76b5202e763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/700/139/1735</topic><topic>692/700/1720</topic><topic>Adiposity - physiology</topic><topic>Analysis of Variance</topic><topic>Anthropometry - methods</topic><topic>Biomarkers</topic><topic>Body Size - physiology</topic><topic>clinical-investigation</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - growth & development</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Term Birth - physiology</topic><topic>Waist Circumference - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holston, Alexander</creatorcontrib><creatorcontrib>Stokes, Theophil</creatorcontrib><creatorcontrib>Olsen, Cara</creatorcontrib><creatorcontrib>Choi, Y. Sammy</creatorcontrib><creatorcontrib>Curtis, Jerri</creatorcontrib><creatorcontrib>Higginson, Jason</creatorcontrib><creatorcontrib>Adimora, Chinenye</creatorcontrib><creatorcontrib>Hunt, Carl E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holston, Alexander</au><au>Stokes, Theophil</au><au>Olsen, Cara</au><au>Choi, Y. Sammy</au><au>Curtis, Jerri</au><au>Higginson, Jason</au><au>Adimora, Chinenye</au><au>Hunt, Carl E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel noninvasive anthropometric measure in preterm and full-term infants: normative values for waist circumference:length ratio at birth</atitle><jtitle>Pediatric research</jtitle><stitle>Pediatr Res</stitle><addtitle>Pediatr Res</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>74</volume><issue>3</issue><spage>299</spage><epage>306</epage><pages>299-306</pages><issn>0031-3998</issn><eissn>1530-0447</eissn><abstract>Background:
Waist circumference:length ratio (WLR) and ponderal index (PI) appear to be useful markers of visceral and total adiposity, respectively. However, there are no normative birth data across the full range of gestational ages.
Methods:
In this retrospective cohort study of 500 preterm and 1,426 full-term infants, born in 1998 and 2008 at three military hospitals, the percentile growth curves for WLR and PI were calculated. There were no sex differences, and results were combined to obtain values from 26 to 42 wk gestation.
Results:
Between 26 and 42 wk gestation, median birth WLR increased from 0.55 to 0.62, and median PI increased from 21.1 to 25.6. The adjusted mean WLR at birth among infants born <34 wk increased from 0.55 in 1998 to 0.58 in 2008 (
P
= 0.048), suggesting that early-preterm infants born in 2008 had greater abdominal adiposity than those born in 1998.
Conclusion:
We report normative birth data for WLR and PI in preterm and full-term infants by gestational age and sex. WLR and PI may be useful as clinical markers of visceral and overall adiposity. In conjunction with other anthropometric measures, WLR and PI may be useful to monitor postnatal nutrition and growth and assess risk for later obesity and cardiometabolic disorders.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>23797534</pmid><doi>10.1038/pr.2013.109</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | 692/700/139/1735 692/700/1720 Adiposity - physiology Analysis of Variance Anthropometry - methods Biomarkers Body Size - physiology clinical-investigation Cohort Studies Female Humans Infant, Newborn Infant, Premature - growth & development Medicine Medicine & Public Health Pediatric Surgery Pediatrics Pregnancy Retrospective Studies Term Birth - physiology Waist Circumference - physiology |
title | Novel noninvasive anthropometric measure in preterm and full-term infants: normative values for waist circumference:length ratio at birth |
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