Revnic, Radu; Miu, Nicolae; Mocan, Teodora; Agoston-Coldea, Lucia
December 2009
Clujul Medical;Dec2009, Vol. 82 Issue 4, p581
Academic Journal
Aims. To investigate in the ambulatory practice the factors those influence the anthropometric parameters in infants during the first year of life. Patients and methods. We realized a transverse survey of a 37 newborns population, followed- up in the ambulatory practice from birth until the age of 12 months. For each subject, the parents answered to a questionnaire, concerning the identity data, the gestational parity, the ethnical origin, the family history, the parents' tobacco habits, the age, weight and height of the genitors, the socioeconomic status of the family, and the study degree of the parents. We measured the weight, the length, the head circumference and the thoracic circumference of the subjects from birth, to one month, 4 months, 6 months and 1 year of age. Results. We registered an average of weight gain of 287% at the end of first year of life. There were no independent predictors of weight evolution in the first 12 month from birth. The only variables that has represented a marginal level of signification were the marital status of genitors (p=0.086), as well as the height of the father (p=0.092). The length of analyzed subjects was significantly influenced of smoking at genitors (p=0.012). Father weight was the only predictor in univariate analysis of cranium perimeter evolution in the first year (p=0.026). Cranial perimeter significant predictors were: type of delivery (p=0.045), diversification moment (p=0.029) as well as educational level of parents (p=0.042). Among those factors, the multivariate analysis selected diversification month (OR=1.2, CI95%=1.1-1.7, p=0.034) and type of delivery (OR=1.1, CI95%=1.0-1.3, p=0.045) as independent predictors. Conclusion. The evolution of anthropometric parameters of newborns in first year is genetically determined and can be influenced by several factors with negative impact: cesarean birth, diversification of alimentation, smoking at parents, educational level of parents.


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