Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference

Autores
Revollo, Gabriela Beatriz; Martinez, Jorge Ivan; Grandi, Carlos; Alfaro Gómez, Emma Laura; Dipierri, José E.
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Introduction. The term “low birth weight” (< 2500 g) encompasses preterm newborns and term newborns small for gestational age (SGA) (< P10). The World Health Organization defines low weight (LW) as a birth weight < P3 of weight/ age. There is no consensus at an international level about which standards and/or references related to birth weight for gestational age (GA) should be used to assess SGA and LW among preterm newborns. LW and SGA prevalence was determined using the INTERGROWTH21st standard and Urquía’s reference for the Argentine population, and agreement between the prevalence observed with both tools was analyzed. Population and methods. Observational, analytical, and retrospective study based on all births occurred in 2013 as reported by the Argentine National Ministry of Health. Exclusion criteria were GA < 24+0 - > 42+6 weeks, twin pregnancy, and missing data on weight, GA, and sex. Prevalence was estimated by sex, region, and prematurity category for LW and SGA according to the standard and the reference. Agreement was assessed using the Kappa index. Results. The prevalence of LW and SGA was higher according to the standard among preterm newborns; the contrary was observed among fullterm newborns. Statistical significance varied based on GA category, sex, and region. A higher prevalence was observed in the northern regions of Argentina, and agreement among prevalence values ranged from weak to very good. Conclusions. Prevalence agreement of LW and SGA observed according to the standard and the reference among preterm and full-term newborn infants was moderate, with interregional variability. Results propose new auxological perspectives in the epidemiological assessment of intrauterine growth restriction in Argentina.
Fil: Revollo, Gabriela Beatriz. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
Fil: Martinez, Jorge Ivan. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
Fil: Grandi, Carlos. Universidade de Sao Paulo; Brasil
Fil: Alfaro Gómez, Emma Laura. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina
Fil: Dipierri, José E.. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
Materia
GROWTH CHARTS
INTRAUTERINE GROWTH RESTRICTION
SMALL FOR GESTATIONAL AGE NEWBORN
PREVALENCE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/138571

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network_name_str CONICET Digital (CONICET)
spelling Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine referenceRevollo, Gabriela BeatrizMartinez, Jorge IvanGrandi, CarlosAlfaro Gómez, Emma LauraDipierri, José E.GROWTH CHARTSINTRAUTERINE GROWTH RESTRICTIONSMALL FOR GESTATIONAL AGE NEWBORNPREVALENCEhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Introduction. The term “low birth weight” (< 2500 g) encompasses preterm newborns and term newborns small for gestational age (SGA) (< P10). The World Health Organization defines low weight (LW) as a birth weight < P3 of weight/ age. There is no consensus at an international level about which standards and/or references related to birth weight for gestational age (GA) should be used to assess SGA and LW among preterm newborns. LW and SGA prevalence was determined using the INTERGROWTH21st standard and Urquía’s reference for the Argentine population, and agreement between the prevalence observed with both tools was analyzed. Population and methods. Observational, analytical, and retrospective study based on all births occurred in 2013 as reported by the Argentine National Ministry of Health. Exclusion criteria were GA < 24+0 - > 42+6 weeks, twin pregnancy, and missing data on weight, GA, and sex. Prevalence was estimated by sex, region, and prematurity category for LW and SGA according to the standard and the reference. Agreement was assessed using the Kappa index. Results. The prevalence of LW and SGA was higher according to the standard among preterm newborns; the contrary was observed among fullterm newborns. Statistical significance varied based on GA category, sex, and region. A higher prevalence was observed in the northern regions of Argentina, and agreement among prevalence values ranged from weak to very good. Conclusions. Prevalence agreement of LW and SGA observed according to the standard and the reference among preterm and full-term newborn infants was moderate, with interregional variability. Results propose new auxological perspectives in the epidemiological assessment of intrauterine growth restriction in Argentina.Fil: Revollo, Gabriela Beatriz. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; ArgentinaFil: Martinez, Jorge Ivan. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; ArgentinaFil: Grandi, Carlos. Universidade de Sao Paulo; BrasilFil: Alfaro Gómez, Emma Laura. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; ArgentinaFil: Dipierri, José E.. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; ArgentinaSociedad Argentina de Pediatría2017-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/138571Revollo, Gabriela Beatriz; Martinez, Jorge Ivan; Grandi, Carlos; Alfaro Gómez, Emma Laura; Dipierri, José E.; Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference; Sociedad Argentina de Pediatría; Archivos Argentinos de Pediatría; 115; 6; 12-2017; 547-5550325-00751668-3501CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.5546/aap.2017.eng.547info:eu-repo/semantics/altIdentifier/url/http://www.sap.org.ar/docs/publicaciones/archivosarg/2017/v115n6a06e.pdfinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:09:30Zoai:ri.conicet.gov.ar:11336/138571instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:09:30.485CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
title Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
spellingShingle Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
Revollo, Gabriela Beatriz
GROWTH CHARTS
INTRAUTERINE GROWTH RESTRICTION
SMALL FOR GESTATIONAL AGE NEWBORN
PREVALENCE
title_short Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
title_full Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
title_fullStr Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
title_full_unstemmed Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
title_sort Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference
dc.creator.none.fl_str_mv Revollo, Gabriela Beatriz
Martinez, Jorge Ivan
Grandi, Carlos
Alfaro Gómez, Emma Laura
Dipierri, José E.
author Revollo, Gabriela Beatriz
author_facet Revollo, Gabriela Beatriz
Martinez, Jorge Ivan
Grandi, Carlos
Alfaro Gómez, Emma Laura
Dipierri, José E.
author_role author
author2 Martinez, Jorge Ivan
Grandi, Carlos
Alfaro Gómez, Emma Laura
Dipierri, José E.
author2_role author
author
author
author
dc.subject.none.fl_str_mv GROWTH CHARTS
INTRAUTERINE GROWTH RESTRICTION
SMALL FOR GESTATIONAL AGE NEWBORN
PREVALENCE
topic GROWTH CHARTS
INTRAUTERINE GROWTH RESTRICTION
SMALL FOR GESTATIONAL AGE NEWBORN
PREVALENCE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Introduction. The term “low birth weight” (< 2500 g) encompasses preterm newborns and term newborns small for gestational age (SGA) (< P10). The World Health Organization defines low weight (LW) as a birth weight < P3 of weight/ age. There is no consensus at an international level about which standards and/or references related to birth weight for gestational age (GA) should be used to assess SGA and LW among preterm newborns. LW and SGA prevalence was determined using the INTERGROWTH21st standard and Urquía’s reference for the Argentine population, and agreement between the prevalence observed with both tools was analyzed. Population and methods. Observational, analytical, and retrospective study based on all births occurred in 2013 as reported by the Argentine National Ministry of Health. Exclusion criteria were GA < 24+0 - > 42+6 weeks, twin pregnancy, and missing data on weight, GA, and sex. Prevalence was estimated by sex, region, and prematurity category for LW and SGA according to the standard and the reference. Agreement was assessed using the Kappa index. Results. The prevalence of LW and SGA was higher according to the standard among preterm newborns; the contrary was observed among fullterm newborns. Statistical significance varied based on GA category, sex, and region. A higher prevalence was observed in the northern regions of Argentina, and agreement among prevalence values ranged from weak to very good. Conclusions. Prevalence agreement of LW and SGA observed according to the standard and the reference among preterm and full-term newborn infants was moderate, with interregional variability. Results propose new auxological perspectives in the epidemiological assessment of intrauterine growth restriction in Argentina.
Fil: Revollo, Gabriela Beatriz. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
Fil: Martinez, Jorge Ivan. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
Fil: Grandi, Carlos. Universidade de Sao Paulo; Brasil
Fil: Alfaro Gómez, Emma Laura. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina
Fil: Dipierri, José E.. Universidad Nacional de Jujuy. Instituto de Biología de la Altura; Argentina. Universidad Nacional de Jujuy. Instituto de Ecorregiones Andinas. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Ecorregiones Andinas; Argentina
description Introduction. The term “low birth weight” (< 2500 g) encompasses preterm newborns and term newborns small for gestational age (SGA) (< P10). The World Health Organization defines low weight (LW) as a birth weight < P3 of weight/ age. There is no consensus at an international level about which standards and/or references related to birth weight for gestational age (GA) should be used to assess SGA and LW among preterm newborns. LW and SGA prevalence was determined using the INTERGROWTH21st standard and Urquía’s reference for the Argentine population, and agreement between the prevalence observed with both tools was analyzed. Population and methods. Observational, analytical, and retrospective study based on all births occurred in 2013 as reported by the Argentine National Ministry of Health. Exclusion criteria were GA < 24+0 - > 42+6 weeks, twin pregnancy, and missing data on weight, GA, and sex. Prevalence was estimated by sex, region, and prematurity category for LW and SGA according to the standard and the reference. Agreement was assessed using the Kappa index. Results. The prevalence of LW and SGA was higher according to the standard among preterm newborns; the contrary was observed among fullterm newborns. Statistical significance varied based on GA category, sex, and region. A higher prevalence was observed in the northern regions of Argentina, and agreement among prevalence values ranged from weak to very good. Conclusions. Prevalence agreement of LW and SGA observed according to the standard and the reference among preterm and full-term newborn infants was moderate, with interregional variability. Results propose new auxological perspectives in the epidemiological assessment of intrauterine growth restriction in Argentina.
publishDate 2017
dc.date.none.fl_str_mv 2017-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/138571
Revollo, Gabriela Beatriz; Martinez, Jorge Ivan; Grandi, Carlos; Alfaro Gómez, Emma Laura; Dipierri, José E.; Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference; Sociedad Argentina de Pediatría; Archivos Argentinos de Pediatría; 115; 6; 12-2017; 547-555
0325-0075
1668-3501
CONICET Digital
CONICET
url http://hdl.handle.net/11336/138571
identifier_str_mv Revollo, Gabriela Beatriz; Martinez, Jorge Ivan; Grandi, Carlos; Alfaro Gómez, Emma Laura; Dipierri, José E.; Prevalence of low weight and small for gestational age in Argentina: Comparison between the INTERGROWTH-21st standard and an Argentine reference; Sociedad Argentina de Pediatría; Archivos Argentinos de Pediatría; 115; 6; 12-2017; 547-555
0325-0075
1668-3501
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.5546/aap.2017.eng.547
info:eu-repo/semantics/altIdentifier/url/http://www.sap.org.ar/docs/publicaciones/archivosarg/2017/v115n6a06e.pdf
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
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application/pdf
dc.publisher.none.fl_str_mv Sociedad Argentina de Pediatría
publisher.none.fl_str_mv Sociedad Argentina de Pediatría
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repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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