Body size and neonatal hypoglycemia in intrauterine growth retardation
The relationship between blood glucose and body physique of 233 (42 hypo and 191 normoglycemic) intrauterine growth-retarded neonates was analyzed using different body measurements and indices of body proportions. Classification by combination of weight and length deficit for fetal age revealed that...
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| Veröffentlicht in: | Early human development 1977-10, Vol.1 (1), p.25-38 |
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| creator | Járai, István Mestyán, Julius Schultz, Károly Lázár, Anna Halász, Margit Krassy, Ilona |
| description | The relationship between blood glucose and body physique of 233 (42 hypo and 191 normoglycemic) intrauterine growth-retarded neonates was analyzed using different body measurements and indices of body proportions. Classification by combination of weight and length deficit for fetal age revealed that the disproportionately retarded infants (deficit in weight for age >30%; deficit in length for age 30%; length deficit for age >15%). Among the indices of body proportions ponderal index (W/L
3), and percentage deviation from the expected weight for length turned out to be a sensitive predictor of the risk of hypoglycemia. The majority of hypoglycemia neonates were underweight for length and a considerable number of normoglycemic infants were overweight for length. These findings point to the significance of soft tissue wasting rather than low birth weight for gestational age itself, in the development and diagnosis of neonatal hypoglycemia. The significance of anthropometry in the classification of different types of intrauterine growth impairment, as well as in predicting specific hazards after birth is discussed. |
| doi_str_mv | 10.1016/0378-3782(77)90027-5 |
| format | Article |
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3), and percentage deviation from the expected weight for length turned out to be a sensitive predictor of the risk of hypoglycemia. The majority of hypoglycemia neonates were underweight for length and a considerable number of normoglycemic infants were overweight for length. These findings point to the significance of soft tissue wasting rather than low birth weight for gestational age itself, in the development and diagnosis of neonatal hypoglycemia. The significance of anthropometry in the classification of different types of intrauterine growth impairment, as well as in predicting specific hazards after birth is discussed.</description><identifier>ISSN: 0378-3782</identifier><identifier>EISSN: 1872-6232</identifier><identifier>DOI: 10.1016/0378-3782(77)90027-5</identifier><identifier>PMID: 575930</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Anthropometry ; Birth Weight ; Body Height ; body proportions ; Female ; Fetal Growth Retardation - complications ; Gestational Age ; Humans ; hypoglycemia ; Hypoglycemia - diagnosis ; Hypoglycemia - etiology ; Infant, Newborn ; Infant, Newborn, Diseases - etiology ; intrauterine growth retardation ; newborn ; ponderal index ; Pregnancy ; Risk ; weight for length</subject><ispartof>Early human development, 1977-10, Vol.1 (1), p.25-38</ispartof><rights>1977</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-c93720163627e0d2744ec971c019f0da75b6c2adc1f1b166374551082355e363</citedby><cites>FETCH-LOGICAL-c356t-c93720163627e0d2744ec971c019f0da75b6c2adc1f1b166374551082355e363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0378-3782(77)90027-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/575930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Járai, István</creatorcontrib><creatorcontrib>Mestyán, Julius</creatorcontrib><creatorcontrib>Schultz, Károly</creatorcontrib><creatorcontrib>Lázár, Anna</creatorcontrib><creatorcontrib>Halász, Margit</creatorcontrib><creatorcontrib>Krassy, Ilona</creatorcontrib><title>Body size and neonatal hypoglycemia in intrauterine growth retardation</title><title>Early human development</title><addtitle>Early Hum Dev</addtitle><description>The relationship between blood glucose and body physique of 233 (42 hypo and 191 normoglycemic) intrauterine growth-retarded neonates was analyzed using different body measurements and indices of body proportions. Classification by combination of weight and length deficit for fetal age revealed that the disproportionately retarded infants (deficit in weight for age >30%; deficit in length for age <15%) were particularly prone to hypoglycemia. The lowest incidence of hypoglycemia was observed in the group with severe proportionate retardation (weight deficit for age >30%; length deficit for age >15%). Among the indices of body proportions ponderal index (W/L
3), and percentage deviation from the expected weight for length turned out to be a sensitive predictor of the risk of hypoglycemia. The majority of hypoglycemia neonates were underweight for length and a considerable number of normoglycemic infants were overweight for length. These findings point to the significance of soft tissue wasting rather than low birth weight for gestational age itself, in the development and diagnosis of neonatal hypoglycemia. The significance of anthropometry in the classification of different types of intrauterine growth impairment, as well as in predicting specific hazards after birth is discussed.</description><subject>Anthropometry</subject><subject>Birth Weight</subject><subject>Body Height</subject><subject>body proportions</subject><subject>Female</subject><subject>Fetal Growth Retardation - complications</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>hypoglycemia</subject><subject>Hypoglycemia - diagnosis</subject><subject>Hypoglycemia - etiology</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - etiology</subject><subject>intrauterine growth retardation</subject><subject>newborn</subject><subject>ponderal index</subject><subject>Pregnancy</subject><subject>Risk</subject><subject>weight for length</subject><issn>0378-3782</issn><issn>1872-6232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS3EqxT-oIusECwCfsR2skGCigJSJTbdW649aY3yKLYLCl9PSqoukWY0i7lzdecgNCH4jmAi7jGTedo3vZHytsCYypQfoRHJJU0FZfQYjQ6Sc3QRwgfGmOcFPkOnXPKC4RGaPbW2S4L7gUQ3NmmgbXTUVbLuNu2q6gzUTieu6St6vY3gXQPJyrffcZ14iNpbHV3bXKKTUlcBrvZzjBaz58X0NZ2_v7xNH-epYVzE1BRM0j46E1QCtlRmGZhCEoNJUWKrJV8KQ7U1pCRLIgSTGecE55RxDkywMboebDe-_dxCiKp2wUBV6T74Nqic5ZwKIXthNgiNb0PwUKqNd7X2nSJY7eCpHRm1I6OkVH_wFO_PJnv_7bIGezgaaPXrh2EN_YtfDrwKxkFjwDoPJirbuv_9fwHMB31J</recordid><startdate>197710</startdate><enddate>197710</enddate><creator>Járai, István</creator><creator>Mestyán, Julius</creator><creator>Schultz, Károly</creator><creator>Lázár, Anna</creator><creator>Halász, Margit</creator><creator>Krassy, Ilona</creator><general>Elsevier Ireland Ltd</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>197710</creationdate><title>Body size and neonatal hypoglycemia in intrauterine growth retardation</title><author>Járai, István ; Mestyán, Julius ; Schultz, Károly ; Lázár, Anna ; Halász, Margit ; Krassy, Ilona</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-c93720163627e0d2744ec971c019f0da75b6c2adc1f1b166374551082355e363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Anthropometry</topic><topic>Birth Weight</topic><topic>Body Height</topic><topic>body proportions</topic><topic>Female</topic><topic>Fetal Growth Retardation - complications</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>hypoglycemia</topic><topic>Hypoglycemia - diagnosis</topic><topic>Hypoglycemia - etiology</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - etiology</topic><topic>intrauterine growth retardation</topic><topic>newborn</topic><topic>ponderal index</topic><topic>Pregnancy</topic><topic>Risk</topic><topic>weight for length</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Járai, István</creatorcontrib><creatorcontrib>Mestyán, Julius</creatorcontrib><creatorcontrib>Schultz, Károly</creatorcontrib><creatorcontrib>Lázár, Anna</creatorcontrib><creatorcontrib>Halász, Margit</creatorcontrib><creatorcontrib>Krassy, Ilona</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>Early human development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Járai, István</au><au>Mestyán, Julius</au><au>Schultz, Károly</au><au>Lázár, Anna</au><au>Halász, Margit</au><au>Krassy, Ilona</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body size and neonatal hypoglycemia in intrauterine growth retardation</atitle><jtitle>Early human development</jtitle><addtitle>Early Hum Dev</addtitle><date>1977-10</date><risdate>1977</risdate><volume>1</volume><issue>1</issue><spage>25</spage><epage>38</epage><pages>25-38</pages><issn>0378-3782</issn><eissn>1872-6232</eissn><abstract>The relationship between blood glucose and body physique of 233 (42 hypo and 191 normoglycemic) intrauterine growth-retarded neonates was analyzed using different body measurements and indices of body proportions. Classification by combination of weight and length deficit for fetal age revealed that the disproportionately retarded infants (deficit in weight for age >30%; deficit in length for age <15%) were particularly prone to hypoglycemia. The lowest incidence of hypoglycemia was observed in the group with severe proportionate retardation (weight deficit for age >30%; length deficit for age >15%). Among the indices of body proportions ponderal index (W/L
3), and percentage deviation from the expected weight for length turned out to be a sensitive predictor of the risk of hypoglycemia. The majority of hypoglycemia neonates were underweight for length and a considerable number of normoglycemic infants were overweight for length. These findings point to the significance of soft tissue wasting rather than low birth weight for gestational age itself, in the development and diagnosis of neonatal hypoglycemia. The significance of anthropometry in the classification of different types of intrauterine growth impairment, as well as in predicting specific hazards after birth is discussed.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>575930</pmid><doi>10.1016/0378-3782(77)90027-5</doi><tpages>14</tpages></addata></record> |
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| ispartof | Early human development, 1977-10, Vol.1 (1), p.25-38 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Anthropometry Birth Weight Body Height body proportions Female Fetal Growth Retardation - complications Gestational Age Humans hypoglycemia Hypoglycemia - diagnosis Hypoglycemia - etiology Infant, Newborn Infant, Newborn, Diseases - etiology intrauterine growth retardation newborn ponderal index Pregnancy Risk weight for length |
| title | Body size and neonatal hypoglycemia in intrauterine growth retardation |
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