Variation in term birthweight across European countries affects the prevalence of small for gestational age among very preterm infants

• Type: Article in International Scientific Journal
• Date: 2017

Authors

Zeitlin, J (Author) Other; Bonamy, AKE (Author) Other; Piedvache, A (Author) Other; Cuttini, M (Author) Other; Barros H (Author) FMUP; Van Reempts, P (Author) Other; Mazela, J (Author) Other; Jarreau, PH (Author) Other; Gortner, L (Author) Other; Draper, ES (Author) Other; Maier, RF (Author) Other; Martens, E (Author) Other; Martens, G (Author) Other; Boerch, K (Author) Other; Hasselager, A (Author) Other; Huusom, L (Author) Other; Pryds, O (Author) Other; Weber, T (Author) Other; Toome, L (Author) Other; Varendi, H (Author) Other; Ancel, PY (Author) Other; Blondel, B (Author) Other; Burguet, A (Author) Other; Truffert, P (Author) Other; Misselwitz, B (Author) Other; Schmidt, S (Author) Other; Baronciani, D (Author) Other; Gargano, G (Author) Other; Agostino, R (Author) Other; DiLallo, D (Author) Other; Franco, F (Author) Other; Carnielli, V (Author) Other; Koopman Esseboom, C (Author) Other; Van Heijst, A (Author) Other; Nijman, J (Author) Other; Gadzinowski, J (Author) Other; Graça, LM (Author) Other; Machado, MC (Author) Other; Carrapato, MRG (Author) Other; Rodrigues, T (Author) FMUP; Norman, M (Author) Other; Wilson, E (Author) Other; Boyle, E (Author) Other; Manktelow, BN (Author) Other; Fenton, AC (Author) Other; Milligan, DWA (Author) Other; Bonet, M (Author) Other

Journal

Title: Acta Paediatrica

Vol. 106

Pages: 1447-1455

ISSN: 0803-5253

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 37 Citations

Scopus - 37 Citations

Other information

Authenticus ID: P-00M-ZHT

DOI: 10.1111/apa.13899

Abstract (EN): Aim: This study assessed the prevalence of small for gestational age (SGA) among very preterm (VPT) infants using national and European intrauterine references. Methods: We generated country-specific and common European intrauterine growth references for 11 European countries, according to Gardosi's approach and Hadlock's foetal growth model, using national data on birthweights by sex. These references were applied to the Effective Perinatal Intensive Care in Europe (EPICE) cohort, which comprised 7766 live VPT births without severe congenital anomalies under 32 weeks of gestation in 2011-2012, to estimate the prevalence of infants with SGA birthweights, namely those below the 10th percentile. Results: The SGA prevalence was 31.8% with country-specific references and 34.0% with common European references. The European references yielded a 10-point difference in the SGA prevalence between countries with lower term birthweights (39.9%) - Portugal, Italy and France - and higher term birthweights, namely Denmark, the Netherlands, Sweden (28.9%; p < 0.001). This was not observed with country-specific references, where the respective figures were 32.4% and 33.9% (p = 0.34), respectively. Conclusion: One-third of VPT infants were SGA according to intrauterine references. Common European references showed significant differences in SGA prevalence between countries with high and low-term birthweights.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9