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Pediatrics International (2014) 56, 344–348
doi: 10.1111/ped.12278
Original Article
Current growth status and metabolic parameters of Korean adolescents born small for gestational age: Results from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2010–2011 Won Kyoung Cho, In Ah Jung and Byung-Kyu Suh Department of Pediatrics, College of Medicine, Catholic University of Korea, Seoul, Korea Abstract
Background: Currently, little information is available on current growth status and metabolic syndrome (MetS) components according to birthweight at gestational age (BWGA) on Korean adolescents. Herein, the current height and weight and MetS components of Korean adolescents who were born as small for gestational age (SGA) were compared to those of the appropriate for GA (AGA) or large for GA (LGA) groups. Methods: Data for 2018 adolescents (aged 10–18 years) recorded in the Fifth Korean National Health and Nutrition Examination Survey 2010–2011 conducted by the Korean Ministry of Health and Welfare were assessed in this cross-sectional study. A total of 1750 subjects were assessed for current growth according to BWGA, and 792 were assessed for MetS components according to BWGA. Results: From the birth history of 1750 adolescents, the prevalence of SGA, AGA, and LGA was 11.4% (n = 193), 77.7% (n = 1366), and 10.9% (n = 191), respectively. Current height-standard deviation score (SDS) and weight-SDS were significantly positively related to BWGA in all Korean adolescents (P < 0.0001). Of the 792 adolescents, the prevalence of MetS was 1.2% (n = 9). There were no differences in MetS components in Korean adolescents between SGA and AGA or LGA group. Conclusion: BWGA is related to current height and weight in Korean adolescents but is not related to individual components of MetS.
Key words birthweight, bodyweight, gestational age, growth, metabolic syndrome X, small for gestational age.
Infants born small for gestational age (SGA) are at increased risk for perinatal morbidity, associated health problems, persistent short stature, and metabolic alterations in later life.1 Although approximately 70–90% SGA infants show some degree of catch-up growth during the first years of life, individuals born SGA may continue to have a short stature in adulthood.2,3 The fetal origins hypothesis states that individuals born SGA have a higher risk of developing metabolic syndrome (MetS) later in adult life.4 The exact cause of SGA births is unclear, but maternal factors, including pregnancy disease, alcohol intoxication, socioeconomic factors, placental infarct, and fetal factors, including chromosomal abnormalities and infections, seem to affect the reduced birth measurements. Based on data from several countries, approximately 15% of children worldwide are assumed to be born at a low birthweight (
Pediatrics International (2014) 56, 344–348
doi: 10.1111/ped.12278
Original Article
Current growth status and metabolic parameters of Korean adolescents born small for gestational age: Results from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2010–2011 Won Kyoung Cho, In Ah Jung and Byung-Kyu Suh Department of Pediatrics, College of Medicine, Catholic University of Korea, Seoul, Korea Abstract
Background: Currently, little information is available on current growth status and metabolic syndrome (MetS) components according to birthweight at gestational age (BWGA) on Korean adolescents. Herein, the current height and weight and MetS components of Korean adolescents who were born as small for gestational age (SGA) were compared to those of the appropriate for GA (AGA) or large for GA (LGA) groups. Methods: Data for 2018 adolescents (aged 10–18 years) recorded in the Fifth Korean National Health and Nutrition Examination Survey 2010–2011 conducted by the Korean Ministry of Health and Welfare were assessed in this cross-sectional study. A total of 1750 subjects were assessed for current growth according to BWGA, and 792 were assessed for MetS components according to BWGA. Results: From the birth history of 1750 adolescents, the prevalence of SGA, AGA, and LGA was 11.4% (n = 193), 77.7% (n = 1366), and 10.9% (n = 191), respectively. Current height-standard deviation score (SDS) and weight-SDS were significantly positively related to BWGA in all Korean adolescents (P < 0.0001). Of the 792 adolescents, the prevalence of MetS was 1.2% (n = 9). There were no differences in MetS components in Korean adolescents between SGA and AGA or LGA group. Conclusion: BWGA is related to current height and weight in Korean adolescents but is not related to individual components of MetS.
Key words birthweight, bodyweight, gestational age, growth, metabolic syndrome X, small for gestational age.
Infants born small for gestational age (SGA) are at increased risk for perinatal morbidity, associated health problems, persistent short stature, and metabolic alterations in later life.1 Although approximately 70–90% SGA infants show some degree of catch-up growth during the first years of life, individuals born SGA may continue to have a short stature in adulthood.2,3 The fetal origins hypothesis states that individuals born SGA have a higher risk of developing metabolic syndrome (MetS) later in adult life.4 The exact cause of SGA births is unclear, but maternal factors, including pregnancy disease, alcohol intoxication, socioeconomic factors, placental infarct, and fetal factors, including chromosomal abnormalities and infections, seem to affect the reduced birth measurements. Based on data from several countries, approximately 15% of children worldwide are assumed to be born at a low birthweight (
