title: Choosing the Best Newborn Anthropometric Measure Associated With the Risks and Outcomes of Intrauterine Growth Restriction.
abstract: Intrauterine growth restriction (IUGR) is associated with various prenatal risks and postnatal adverse outcomes. The aim of this study is to choose the most sensitive newborn anthropometric measure, which is closely associated with IUGR-related risks and outcomes, to substitute IUGR after delivery. Data were obtained from the Collaborative Perinatal Project, a multicenter prospective cohort study in the United States from 1959 to 1976. Maternal heavy smoking and severe hypertensive disorders during pregnancy, neonatal polycythemia and hypothermia, low intelligence quotient (<70) at age 7 years were chosen as IUGR-related risks and outcomes. Eight anthropometric measures at birth were tested by logistic regression model. Birth weight-to-head circumference (W/HC) had the largest odds ratio (OR) for neonatal polycythemia (OR = 1.8, 95% confidence interval [CI] = 1.5-2.0), severe hypertensive disorders (OR = 1.9, 95% CI = 1.5-2.2), and maternal heavy smoking (OR = 1.9, 95% CI = 1.7-2.1) during pregnancy. It also had the highest summary OR (9.3). Thus, W/HC may be a good measure for IUGR.
authors: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China Affiliated Hospital of Luzhou Medical College, Luzhou, Sichuan, China.
authors: XiaoPing
authors: X
authors: Lei
authors: Department of Neonatology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: YongJun
authors: Y
authors: Zhang
authors: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Fang
authors: F
authors: Fang
authors: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Ting
authors: T
authors: Wu
authors: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Yan
authors: Y
authors: Chen
authors: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China zhangjunjim@gmail.com.
authors: Jun
authors: J
authors: Zhang
mesh_terms: D000886:Anthropometry / Q000379:methods*; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012307:Risk Factors; D014481:United States
keywords: anthropometry; birth weight; cohort study; intrauterine growth retardation; newborn