What Is Normal Growth? Principles, Practicalities and Pitfalls of Growth Assessments in Infants and Children DOI
Tanis R. Fenton, Nicole Gilbert, Seham Elmrayed

et al.

Annals of Nutrition and Metabolism, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 11

Published: Nov. 27, 2024

Background:: Growth assessments are a pillar of public health surveillance, individual screening, and clinical care. Normal growth is defined differently for individuals versus populations. The World Health Organization (WHO) standards were developed to describe the pattern in healthy children without socioeconomic limitations whose mothers planned breastfeed. standards’ cut-off points ±2 standard deviations (z-scores) population assessments, based on attained size, stunting wasting at lower end overweight higher end. In population, one would expect 2.3% be above below these cut-points. Higher child mortality rates associated with noted observational studies validated WHO cut-offs. There knowledge gaps influencing accuracy effectiveness children, posing challenges care providers. Summary:: principles assessing normal preterm infants reviewed, along pitfalls avoided. determined by genetics modified interplay nutritional, environmental, socioeconomic, possibly intergenerational factors. This complexity reflected both level. However, an has unique-specific factors so requires comprehensive assessment. could as progression changes anthropometric measurements achieve individual’s genetic potential. A misdiagnosis faltering can occur if asses one-time rather than serial measures, age not corrected prematurity. provider sensitivity cognizance when communicating about child’s size important parental reassurance avoiding stigma unnecessary pressures or restrictions around feeding.

Language: Английский

Expected and Desirable Preterm and Small Infant Growth Patterns DOI Creative Commons
Tanis R. Fenton, Stephanie Merlino Barr, Seham Elmrayed

et al.

Advances in Nutrition, Journal Year: 2024, Volume and Issue: 15(6), P. 100220 - 100220

Published: April 24, 2024

Adequate nutrition is necessary for achieving optimal growth and neurodevelopment. Growth a natural expected process that happens concomitantly with rapid advancements in Serial weight, length, head circumference measures are essential monitoring development, although identifying pathological deviations from normal can pose challenges. Appropriate assessments require considerations range of sizes circumference, weight appropriate. Because genetic differences morbidities, there considerable overlap between the healthy infants those alterations. Parents tend to be over-concerned about children who plot low on charts often need reassurance. Thus, use terms such as "poor" or "failure" discouraged when approximately parallel chart curves even if their size smaller than specific percentiles. No percentile should set goal; individual variability expected. An infant's at birth important information goes beyond common prognostic predictions appropriate compared small large gestational age. The lower birthweight, nutrient stores more support. Compared term infants, preterm term-equivalent age have higher percentage body fat, but this diminishes over next months. Current research findings support expert recommendations grow, after early postnatal loss, similar fetus then term-born which translates curves. There no trade-off optimum cognition future health. Each high-risk infant needs individualized assessments. This review aims examine expectations messaging parents within broader causal framework.

Language: Английский

Citations

11
Widely targeted plasma lipidomic analysis of Term Low Birth Weight Infants: unraveling signatures and implications for early growth patterns DOI Creative Commons
Jing Liu, Qi Sun,

Lijuan Tang

et al.

Journal of Pharmaceutical and Biomedical Analysis, Journal Year: 2025, Volume and Issue: 258, P. 116732 - 116732

Published: Feb. 6, 2025

Low birth weight is recognized as a risk factor for adult metabolic and cardiovascular diseases. This study investigates whether term low (TLBW) neonates, who have been exposed to unfavorable settings, demonstrate compromised lipid metabolism. A widely targeted lipidomic analysis was conducted using ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) on 59 plasma samples (28 TLBW 31 normal (TNBW) neonates. We univariate multivariate analyses identify differential lipids. Spearman's correlation coefficient assessed the association between content at Z-scores subsequent physical growth of enrolled children. total 1523 lipids in 36 subcategories across 6 major categories were detected. 269 discerned, with 114 up-regulated 155 down-regulated. In group, we observed higher levels sphingomyelins (including SM(d18:1/16:1), SM(d18:2/23:1), SM(d18:1/22:0), SM(d18:2/24:1)), Hex3Cer(d18:1/16:0), well phosphatidylcholines (PC(O-14:0_20:4) PC(O-16:0_20:4)), cholesterol esters (CE (20:4)). contrast, phosphatidylethanolamines (PE) such PE (18:2_22:1), (18:1_22:1), triglyceride (TG(10:0_16:2_18:2)) lower. The KEGG enrichment revealed consistent alteration both sphingolipid metabolism steroid biosynthesis. Moreover, PC(O-16:0_20:4), CE(20:4) exhibited positive correlations Z-score height-for-age follow-up, while PE(O-18:1_24:4) PS(20:2_22:4) showed negative weight-for-age. Our findings reveal novel differences TNBW variations birth, including glycerophospholipids, could affect growth. Further studies are needed validate these diverse populations, address confounding factors, investigate underlying mechanisms.

Language: Английский

Citations

0
Short- and longer-term growth and development of fat mass in preterm infants DOI
Shipra Jain, Belal Alshaikh, Seham Elmrayed

et al.

Seminars in Fetal and Neonatal Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 101636 - 101636

Published: April 1, 2025

Language: Английский

Citations

0
Ensuring Fetal Well-being in Oman: Advocating Optimal Fetal Monitoring for Sustainable Maternal and Child Health DOI Creative Commons

Asma Al Alawi,

Nihal Al Riyami, Samir Al‐Adawi

et al.

Published: April 8, 2024

Regular foetal monitoring during pregnancy is essential to assess the well‐being of foetus and, where necessary, take steps protect health mother and foetus. We summarise best practices in with emphasis on cardiotocography (CTG) explain how optimal use CTG aligns subgoal ‘good well-being’ (SDG 3) 2030 Sustainable Development Goals United Nations (SDG). Prioritising child maternal countries global south such as Oman necessary due relatively high birth rates. Inadequate pregnancy, especially labour delivery, puts many newborns at avoidable risks. The home message for present discourse that demographic trend South its aspiration achieve goal SDG, CTG, have potential emerge a critical tool promoting well-being emerging generation, thus contributing significantly overarching objective SDG fostering good all.

Language: Английский

Citations

0
Placentation abnormalities related to the assisted reproductive technologies DOI Creative Commons
Aliya R. Iskandarova,

А.G. Yashchuk,

И. И. Мусин

et al.

Obstetrics Gynecology and Reproduction, Journal Year: 2024, Volume and Issue: 18(4), P. 540 - 546

Published: Sept. 12, 2024

Placentation abnormalities resulting from using assisted reproductive technologies (ART) is a pressing global obstetrical issue due to complications associated with the pathology: bleeding during pregnancy, postpartum hemorrhage, higher number of cesarean sections, perinatal and maternal morbidity mortality. This pathology rate tends increase also pregnancies achieved via in vitro fertilization (IVF). In this regard, we decided find out key risk factors for developing pathology, identify new international data on placentation abnormalities, ART impact disease, since have been increasingly used achieve pregnancy women, both Russia abroad. Recent studies proven unique morphological structure placental hematopoietic barrier post-IVF women as well an increased incidence placenta accreta premature abruption comparison spontaneous pregnancy.

Language: Английский

Citations

0
Ensuring Foetal Well-Being in Oman: Advocating Optimal Foetal Monitoring for Sustainable Maternal and Child Health DOI

Dr Asma Al Alawi,

Dr Nihal Al Riyami,

Samir Al‐Adawi

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

0
What Is Normal Growth? Principles, Practicalities and Pitfalls of Growth Assessments in Infants and Children DOI
Tanis R. Fenton, Nicole Gilbert, Seham Elmrayed

et al.

Annals of Nutrition and Metabolism, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 11

Published: Nov. 27, 2024

Background:: Growth assessments are a pillar of public health surveillance, individual screening, and clinical care. Normal growth is defined differently for individuals versus populations. The World Health Organization (WHO) standards were developed to describe the pattern in healthy children without socioeconomic limitations whose mothers planned breastfeed. standards’ cut-off points ±2 standard deviations (z-scores) population assessments, based on attained size, stunting wasting at lower end overweight higher end. In population, one would expect 2.3% be above below these cut-points. Higher child mortality rates associated with noted observational studies validated WHO cut-offs. There knowledge gaps influencing accuracy effectiveness children, posing challenges care providers. Summary:: principles assessing normal preterm infants reviewed, along pitfalls avoided. determined by genetics modified interplay nutritional, environmental, socioeconomic, possibly intergenerational factors. This complexity reflected both level. However, an has unique-specific factors so requires comprehensive assessment. could as progression changes anthropometric measurements achieve individual’s genetic potential. A misdiagnosis faltering can occur if asses one-time rather than serial measures, age not corrected prematurity. provider sensitivity cognizance when communicating about child’s size important parental reassurance avoiding stigma unnecessary pressures or restrictions around feeding.

Language: Английский

Citations

0