Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards

被引:3
作者
Morkuniene, Ruta [1 ]
Tutkuviene, Janina [1 ]
Cole, Tim J. [2 ]
Jakimaviciene, Egle Marija [1 ]
Isakova, Jelena [3 ]
Bankauskiene, Agne [4 ]
Drazdiene, Nijole [5 ]
Basys, Vytautas [6 ]
机构
[1] Vilnius Univ, Fac Med, Inst Biomed Sci, Dept Anat Histol & Anthropol, MK Ciurlionio Str 21, Vilniu, Lithuania
[2] UCL Great Ormond St Inst Child Hlth, London, England
[3] Inst Hyg, Hlth Informat Ctr, Didzioji Str 22, Vilnius, Lithuania
[4] Vilnius Univ, Inst Biomed Sci, Fac Med, Dept Human & Med Genet, MK Ciurlionio Str 21, Vilnius, Lithuania
[5] Vilnius Univ, Inst Clin Med, Fac Med, Clin Childrens Dis, Santariskiu Str 2, Vilnius, Lithuania
[6] Lithuanian Acad Sci, Div Biol Med & Geosci, Gedimino Ave 3, Vilnius, Lithuania
关键词
FETAL-GROWTH STANDARDS; INTERNATIONAL STANDARDS; INFANT GROWTH; BIRTH-WEIGHT; INTERGROWTH-21ST; AGE; ASSOCIATIONS; LENGTH; BORN; PERFORMANCE;
D O I
10.1038/s41598-022-15128-3
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Neonatal head circumference (HC) not only represents the brain size of Homo sapiens, but is also an important health risk indicator. Addressing a lack of comparative studies on head size and its variability in term and preterm neonates from different populations, we aimed to examine neonatal HC by gestation according to a regional reference and a global standard. Retrospective analysis of data on neonatal HC obtained from the Lithuanian Medical Birth Register from 2001 to 2015 (423 999 newborns of 24-42 gestational weeks). The varying distribution by gestation and sex was estimated using GAMLSS, and the results were compared with the INTERGROWTH-21st standard. Mean HC increased with gestation in both sexes, while its fractional variability fell. The 3rd percentile matched that for INTERGROWTH-21st at all gestations, while the 50th and 97th percentiles were similar up to 27 weeks, but a full channel width higher than INTERGROWTH-21st at term. INTERGROWTH-21st facilitates the evaluation of neonatal HC in early gestations, while in later gestations, the specific features of neonatal HC of a particular population tend to be more precisely represented by regional references.
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页数:8
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