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Growth Patterns in Small for Gestational Age Babies and Correlation with Insulin-like Growth Factor-1 Levels

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Abstract

Objective

Correlation of catch-up growth and Insulin-like Growth Factor -1 levels (IGF-I) in SGA babies.

Methods

50 Full-term Small for Gestational Age children aged 12–18 months were analyzed for Catch-up growth (gain in weight and/or length, Standard Deviation Score/SDS >0.67). IGF-1 was measured after post-glucose load using ELISA method and correlated with catch-up growth.

Results

Mean (SD) birthweight and length were 2.1 (0.3) Kg and 44.4 (3.1) cm, respectively. At enrollment, mean (SD) age, weight and length were 15.0 (2.1) months, 7.7 (1.3) Kg, and 72.9 (5.6) cm, respectively. Catch-up growth was noted in 60% children. IGF-1 levels were significantly higher in children showing catch-up growth (56.6 (63.2) ng/mL) compared to those not having catch up growth (8.7 (8.3) ng/mL). IGF-1 was positively correlated with both weight and length catch-up.

Conclusion

Majority of Small for Gestational Age showed catch-up growth by 18 months, which had good correlation with IGF-1 levels.

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References

  1. Karlberg J, Albertsson-Wikland K. Growth in full-term small for gestational age infants: From birth to final height. Pediatr Res. 1995;38:733–9.

    Article  CAS  PubMed  Google Scholar 

  2. Saenger P, Czernichow P, Hughes I, Reiter EO. Small for gestational age: Short stature and beyond. Endocrine Rev. 2007;28:219–51.

    Article  CAS  Google Scholar 

  3. Albertsson-Wikland K, Boquszewski M, Karlberg J. Children born small-for-gestational age: postnatal growth and hormonal status. Horm Res. 1998;49:7–13.

    Article  CAS  PubMed  Google Scholar 

  4. Soliman AT. Catch-up Growth: Role of GH-IGF-I Axis and Thyroxine. In: Preedy VR, editor. Handbook of Growth and Growth Monitoring in Health and Disease. New York: Sringer 2012. p. 8–9.

    Google Scholar 

  5. German I, Ong KK, Bazaes RA, Avila A, Salazar T, Dunger D, et al. Longitudinal changes in IGF-1, Insulin sensitivity, and secretion from birth to age three years in small-for-gestational-age children. J Clin Endocrinol Metab. 2006;91:4645–9.

    Article  CAS  Google Scholar 

  6. Mericq V, Ong KK, Bazaes RA, Pena V, Avila A, Salazar T. Longitudinal changes in insulin sensitivity and secretion from birth to age three years in small and appropriate-for gestational-age children. Diabetologia. 2005;48:2609–14.

    Article  CAS  PubMed  Google Scholar 

  7. Chellakooty M, Juul A, Boisen KA, Damgard IN, Kai CM, Schimdt IM, et al. A prospective study of serum insulin like growth factor (IGF-1) and IGF binding protein-3 in 942 healthy infants: Associations with birth weight, gender, growth velocity and breast feeding. J Clin Endocrinol Metab. 2006;91:820–6.

    Article  CAS  PubMed  Google Scholar 

  8. Victora CG, Barros FC, Horta BL, Martorell R. Short-term benefits of catch-up growth for small-for-gestational-age infants. Int J Epidemiol. 2001;30:1325–30.

    Article  CAS  PubMed  Google Scholar 

  9. Ong KK, Petry CJ, Emmett PM, Sandhu MS, Kiess W, Hales CN, et al; ALSPAC Study Team. Insulin sensitivity and secretion in normal children related to size at birth, postnatal growth, and plasma Insulin like growth factor-I levels. Diabetologia. 2004;47:1064–70.

    CAS  PubMed  Google Scholar 

  10. Low LC, Tam SY, Kwan EY, Tsang AM, Karlberg J. Onset of significant GH dependence of serum IGF-I and IGFbinding protein 3 concentrations in early life. Pediatr Res. 2001;50:737–42.

    Article  CAS  PubMed  Google Scholar 

  11. Dehiya RK, Bhartiya D, Kapadia C, Desai MP. Insulin like growth factor-I, insulin like growth factor binding protein-3 and acid labile subunit levels in healthy children and adolescents residing in Mumbai suburbs. Indian Pediatr. 2000;37: 990–7.

    CAS  PubMed  Google Scholar 

  12. Ong K, Kratzsch J, Kiess W, Dunger D; ALSPAC Study Team. Circulating IGF-I levels in childhood are related to both current body composition and early postnatal growth rate. J Clin Endocrinol Metab. 2002;87:1041–4.

    Article  CAS  PubMed  Google Scholar 

  13. Leger J, Noel M, Limal JM, Czernichow P. Growth factors and intrauterine growth retardation. II. Serum growth hormone, Insulin-like growth factor (IGF) I, and IGFbinding protein 3 levels in children with intrauterine growth retardation compared with normal control subjects: Prospective study from birth to two years of age. Study Group of IUGR. Pediatr Res. 1996;40:101–7.

    Article  CAS  PubMed  Google Scholar 

  14. Soto N, Bazaes RA, Pena V, Salazar T, Avila A, Iniguez G, et al. Insulin sensitivity and secretion are related to catchup growth in small-for-gestational-age infants at age 1 year: Results from a prospective cohort. J Clin Endocrinol Metab. 2003;88:3645–50.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Sangeeta Yadav.

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Rustogi, D., Yadav, S., Ramji, S. et al. Growth Patterns in Small for Gestational Age Babies and Correlation with Insulin-like Growth Factor-1 Levels. Indian Pediatr 55, 975–978 (2018). https://doi.org/10.1007/s13312-018-1422-1

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  • DOI: https://doi.org/10.1007/s13312-018-1422-1

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