Composition of Weight Gain during the Neonatal Period and Longitudinal Growth Follow-Up in Premature Babies

Abstract

Changes in the rate of growth and adiposity index (Quetelet index), calculated as weight/(length)2, kg/m2, were monitored from birth to 3 years in 19 premature babies (post-conceptional age 31.2 ± 2 weeks) who were subjected during rapid growth (16 ± 4 g/kg·day) to initial metabolic balance studies in the first weeks of life. These studies showed that the rate of fat accretion in these infants (3.3 ± 0.9 g/kg·day) was substantially greater than that observed in fetuses of the same gestational age (2 g/kg·day) but the adiposity index was lower (9.6 ± 1 kg/m2) than intrauterine values (11 kg/m2). Since at 6 months of age (corrected for gestational age at birth) the adiposity index was close to normality (103% of standard), the greater rate of fat accretion in early life contributed to progressively restore total body fat in premature babies. It is concluded that despite substantial fat deposition during the first weeks of life, the future evolution of these premature babies is favourable as judged from the normalization of adiposity index within the first 2 years of life.