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- W2055557484 abstract "Twenty appropriate (mean ±S.D., gestational age (AGA): 29.9 ±1.5 weeks) and 15 small (GA: 34.6 ± 2.4 weeks) for gestational age (SGA) very low birth weight infants fed banked mature human milk were studied until term for anthropometric parameters: midarm (MAC), chest (CC), head (HC) circumferences, triceps (TSKF) and subscapular (SSKF) skinfold thickness recorded at 15 and 60 s, dynamic skinfold (Δ%SKF), muscle (AMA) and fat (AFA) areas, weight and length. In AGA infants, all the parameters at term were significantly lower in extrauterine (EUL) that in intrauterine life (IUL). At term the relative proportion of AFA to total arm area was increased in EUL compared to IUL both in AGA (25.87 ±3.8 vs. 23.26 ±1.27% respectively, P < 0.01) and in SGA infants (21.89 ±4.63 vs. 18.81±3.9 respectively, P <0.05). SGA, infants showed a similar growth in EUL compared to IUL, and a significantly lower AMA and AFA than in AGA infants in EUL. Although HC was in both infants below the 10th centile at term, the ratio weight/HC 2 suggests a relative preservation of head growth in EUL compared to IUL (AGA: 20.72< 0.87 vs. 22.65 ±1.46 respectively, P < 0.001; SGA; 20.82 ±1.16 vs. 21.62 ±1.86 respectively, NS). Δ%SKF were negatively correlated with post-conceptional age suggesting a loss of extracellular water in AGA (Δ%TSKF: r = -0.287, P < 0.02) and in SGA infants (ΔA%TSKF: r = -0.301, P < 0.02; Δ%SSKF: r = -0.316, P < 0.02). An intrauterine model of discrimination between AGA and SGA infants does not apply to EUL. An equation was established in SGA infants with the best discriminant parameters giving a predictive post-conceptional age: post-conceptual age (PCA) (weeks) = 0.276 HC (cm) + 0.723 CC (cm) -0.122 MAC (cm) + 0.5 TSKF (mm) + 10.173, ( r = 0.867, P < 0.001) allowing a clear discrimination between AGA and SGA infants. These results suggest that infants show quite different growth patterns between IUL and EUL both for AGA and SGA infants." @default.
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- W2055557484 date "1987-09-01" @default.
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- W2055557484 title "Assessment of proportional growth of very low birth weight infants fed banked human milk" @default.
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- W2055557484 doi "https://doi.org/10.1016/0378-3782(87)90051-x" @default.
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