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Race as social determinant of growth and body composition among infants born very preterm.
Salas, Ariel A; Chetta, Katherine; Lach, Laura; Katikaneni, Lakshmi; Itriago, Elena; Hair, Amy B; Moreira, Alvaro; Bergner, Erynn M; Elabiad, Mohamad T; Ramel, Sara E.
Afiliación
  • Salas AA; Department of Pediatrics, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. asalas@uab.edu.
  • Chetta K; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
  • Lach L; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
  • Katikaneni L; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
  • Itriago E; Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
  • Hair AB; Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
  • Moreira A; Department of Pediatrics, UT Health San Antonio, San Antonio, TX, USA.
  • Bergner EM; Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
  • Elabiad MT; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
  • Ramel SE; Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Pediatr Res ; 2024 Jul 21.
Article en En | MEDLINE | ID: mdl-39034355
ABSTRACT

OBJECTIVE:

Racism leads to disparities in health outcomes. Our objective was to determine if black race was independently associated with differences in fat accretion at discharge in a large cohort of very preterm infants (32 weeks of gestation or less).

METHODS:

De-identified demographic, anthropometric and body composition data were collected from seven neonatal units around the United States. Weight, length, and head circumference z-scores at birth and at the time of body composition assessment or hospital discharge were calculated.

RESULTS:

The median gestational age and birthweight for this cohort (n = 888) were 29 weeks [IQR, 27-30] and 1167 g [SD, 354], respectively. The study population included 53% black preterm infants. Birthweight was lower in black preterm infants compared with white infants (1112 ± 334 g vs. 1228 ± 366 g; p < 0.0001). After adjusting for birthweight, gestational age, and birthweight-for-age z-score, black preterm infants had more weight gain (adjusted mean difference 0.5 g/kg/day; p = 0.03) but not higher BF% z-scores at hospital discharge (adjusted mean 1.2 vs. 1.3; p = 0.14) than white infants.

CONCLUSIONS:

After adjusting for covariates, black race was associated with higher weight gain velocity but not higher BF% z-scores. IMPACT This study presents findings from a large-scale multicenter cohort. Racial differences were observed in birth weight and the rate of weight gain; however, these differences were not associated with dissimilarities in body composition outcomes. Understanding nutrition and growth outcomes across racial groups is necessary to combat racial disparities in the neonatal intensive care unit (NICU).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pediatr Res Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pediatr Res Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos