Catch-up Growth During Childhood Among Very Low-Birth-Weight Children

doi:10.1001/archpedi.1996.02170360012002

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Vol. 150 No. 11, November 1996

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Catch-up Growth During Childhood Among Very Low-Birth-Weight Children

Maureen Hack, MB, ChB; Barbara Weissman, MD; Elaine Borawski-Clark, PhD

Arch Pediatr Adolesc Med. 1996;150(11):1122-1129.

Abstract

Objectives
To examine growth attainment and correlates of catch-up growthat 8 years of age in a cohort of very low-birth-weight (VLBW)children (<1500 g), including appropriate and small-for-gestational-agechildren, and to compare their growth with normal-birth-weight(NBW) children.

Design
Eight-year longitudinal follow-up of a cohort of VLBW children.A geographically based, randomly selected sample of NBW childrenwas recruited at 8 years of age.

Setting
Tertiary perinatal center.

Participants
Two hundred forty-nine VLBW children born between January 1,1977,and December 31, 1979 (78% of survivors), of whom 199 were bornappropriate for gestational age and 50 were small for gestationalage (<–2 SD). The NBW population included 363 children.

Main Outcome Measures
For the VLBW population, rates of subnormal weight (below thethird percentile) and height were obtained at birth, at 40 weeks(term), and at 8 and 20 months. For the VLBW and NBW populations,mean weight, height, and percentile distribution at 8 yearswere derived from the National Center for Health Statisticsstandards.

Results
Catch-up growth to above the third percentile occurred between40 weeks and 8 months, 8 and 20 months, and up to 8 years ofage among the VLBW children. At 40 weeks, 54% were subnormalin weight and 60% were subnormal in height; at 8 months, 33%and 22%, respectively, and at 8 years, 8% were subnormal inweight and height. Small-for-gestational-age children had lowerrates of catch-up growth. Multivariate analyses disclosed maternalheight, race, birth weight, and neurologic abnormality to predictpercentile distribution of height; and maternal height, smallfor gestational age, and neurologic abnormality to predict subnormalheight.

Conclusions
Catch-up growth occurs during child-hood among VLBW children.These results have implications when counseling parents aboutthe potential growth attainment of their children.

Arch Pediatr Adolesc Med. 1996;150:1122-1129

Author Affiliations

From the Departments of Pediatrics (Dr Hack) and Epidemiology and Biostatistics (Dr Borawski-Clark), Case Western Reserve University, Cleveland, Ohio; and the Department of Pediatrics, Emory University, Atlanta, Ga (Dr Weissman).

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