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Use of Head and Chest Circumference Ratio as an Index of Fetal Growth Retardation in Preterm Infants
Authors:Hiromichi Shoji  Yayoi Murano  Yukika Saitoh  Naho Ikeda  Natsuki Ohkawa  Naoto Nishizaki  Ken Hisata  Masato Kantake  Kaoru Obinata  Daisuke Yoneoka  Toshiaki Shimizu
Abstract:We evaluated the relationship between fetal growth in preterm babies using the head circumference (HC)/chest circumference (CC) ratio and other anthropometric parameters at birth and at school age. Data were collected from 187 very low birth weight (VLBW) children born at less than 30 weeks of gestational age (GA) at birth and at 6 years. We assessed the correlation between the HC/CC ratio and body weight (BW), body length (BL), and HC z-scores at birth, and BW, body height (BH), and body mass index (BMI) z-scores at 6 years. Multiple regression analysis showed that BW z-score, BL z-score, and HC z-score at birth were significantly associated with HC/CC at birth. The BMI z-score at 6 years was also significantly associated with HC/CC at birth. The HC/CC ratio at birth is a reliable parameter for evaluating fetal growth restriction and a possible predictor of physical growth in VLBW children.
Keywords:head circumference to chest circumference ratio   very low birth weight infants   fetal growth restriction   body mass index
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