"Extrauterine growth restriction" and "postnatal growth failure" are misnomers for preterm infants.

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dc.contributor.author Fenton, Tanis R en
dc.contributor.author Cormack, Barbara en
dc.contributor.author Goldberg, Dena en
dc.contributor.author Nasser, Roseann en
dc.contributor.author Alshaikh, Belal en
dc.contributor.author Eliasziw, Misha en
dc.contributor.author Hay, William W en
dc.contributor.author Hoyos, Angela en
dc.contributor.author Anderson, Diane en
dc.contributor.author Bloomfield, Francis en
dc.contributor.author Griffin, Ian en
dc.contributor.author Embleton, Nicholas en
dc.contributor.author Rochow, Niels en
dc.contributor.author Taylor, Sarah en
dc.contributor.author Senterre, Thibault en
dc.contributor.author Schanler, Richard J en
dc.contributor.author Elmrayed, Seham en
dc.contributor.author Groh-Wargo, Sharon en
dc.contributor.author Adamkin, David en
dc.contributor.author Shah, Prakesh S en
dc.date.accessioned 2020-06-11T00:48:32Z en
dc.date.issued 2020-05 en
dc.identifier.issn 0743-8346 en
dc.identifier.uri http://hdl.handle.net/2292/51464 en
dc.description.abstract Preterm infants are increasingly diagnosed as having "extrauterine growth restriction" (EUGR) or "postnatal growth failure" (PGF). Usually EUGR/PGF is diagnosed when weight is <10th percentile at either discharge or 36-40 weeks postmenstrual age. The reasons why the phrases EUGR/PGF are unhelpful include, they: (i) are not predictive of adverse outcome; (ii) are based only on weight without any consideration of head or length growth, proportionality, body composition, or genetic potential; (iii) ignore normal postnatal weight loss; (iv) are usually assessed prior to growth slowing of the reference fetus, around 36-40 weeks, and (v) are usually based on an arbitrary statistical growth percentile cut-off. Focus on EUGR/PGF prevalence may benefit with better attention to nutrition but may also harm with nutrition delivery above infants' actual needs. In this paper, we highlight challenges associated with such arbitrary cut-offs and opportunities for further refinement of understanding growth and nutritional needs of preterm neonates. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Journal of Perinatology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title "Extrauterine growth restriction" and "postnatal growth failure" are misnomers for preterm infants. en
dc.type Journal Article en
dc.identifier.doi 10.1038/s41372-020-0658-5 en
pubs.issue 5 en
pubs.begin-page 704 en
pubs.volume 40 en
dc.rights.holder Copyright: The author en
pubs.end-page 714 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Review en
pubs.subtype Journal Article en
pubs.elements-id 797744 en
pubs.org-id Liggins Institute en
pubs.org-id LiFePATH en
dc.identifier.eissn 1476-5543 en
pubs.record-created-at-source-date 2020-03-28 en
pubs.dimensions-id 32214217 en

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