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
Hauptverfasser: Holston, Alexander, Stokes, Theophil, Olsen, Cara, Choi, Y. Sammy, Curtis, Jerri, Higginson, Jason, Adimora, Chinenye, Hunt, Carl E.
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container_end_page 306
container_issue 3
container_start_page 299
container_title Pediatric research
container_volume 74
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
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Sammy ; Curtis, Jerri ; Higginson, Jason ; Adimora, Chinenye ; Hunt, Carl E.</creator><creatorcontrib>Holston, Alexander ; Stokes, Theophil ; Olsen, Cara ; Choi, Y. Sammy ; Curtis, Jerri ; Higginson, Jason ; Adimora, Chinenye ; Hunt, Carl E.</creatorcontrib><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 &lt;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 &amp; development ; Medicine ; Medicine &amp; 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. 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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 &lt;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. 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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. 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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. 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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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