Postnatal Growth of Moroccan Preterm Infants: Determinants of Incomplete Catch-up Growth and Z-Score Trajectories in a Middle-Income Country.
Background: Prematurity and neonatal hypotrophy (defined as a Z-score below -2 for weight, length, or head circumference) increase the risk of perinatal morbidity, mortality, and long-term developmental disorders. This study examines the growth trajectories of Moroccan preterm infants and investigat...
| Publicado en: | Journal of Research in Health Sciences Vol. 25; no. 4; pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Hamadan University of Medical Sciences, School of Public Health
Fall2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188919364&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188919364 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22287795 903Q jtl: Journal of Research in Health Sciences issn: 22287795 maglogo: N pubinfo: dt: Fall2025 vid: 25 iid: 4 pid: 54266 pub: Hamadan University of Medical Sciences, School of Public Health artinfo: ui: 188919364 188919364 188919364 10.34172/jrhs.9203 188919364 ppf: 1 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Postnatal Growth of Moroccan Preterm Infants: Determinants of Incomplete Catch-up Growth and Z-Score Trajectories in a Middle-Income Country. aug: au: Mochhoury, Latifa Elgoundali, Khaddouj Chebabe, Milouda Chafik, Kawtar Chahboune, Mohamed Barkat, Amina affil: Higher Institute of Health Sciences, Hassan First University of Settat, Settat, Morocco sug: subj: Infant Development Morocco Postnatal Period Infant, Premature Low and Middle Income Countries Growth In Infancy and Childhood Body Weight Head Circumference Body Height Human Morocco Infant Retrospective Design Prospective Studies Record Review Anthropometry Gestational Age Length of Stay Parity Phototherapy Antibiotics Administration and Dosage Diet Sex Factors Fisher's Exact Test Descriptive Statistics Analysis of Variance Multiple Logistic Regression Odds Ratio Confidence Intervals Data Analysis Software McNemar's Test Chi Square Test Male Female Infant: 1-23 months Male Female ab: Background: Prematurity and neonatal hypotrophy (defined as a Z-score below -2 for weight, length, or head circumference) increase the risk of perinatal morbidity, mortality, and long-term developmental disorders. This study examines the growth trajectories of Moroccan preterm infants and investigates the factors influencing their overall growth outcomes at six months, including weight, length, and head circumference. Study Design: A retrospective longitudinal cohort study Methods: This study was conducted at the National Reference Center for Neonatology and Nutrition in Rabat from April to October 2023. It included 686 premature newborns (24-36 weeks) hospitalized for ≥ 48 hours, with complete anthropometric data and follow-up of six months. Exclusion criteria were major malformations, chromosomal abnormalities, metabolic disorders, and incomplete data. ANOVA and multivariate logistic regression identified independent predictors of weight growth outcomes at six months (WAZ ≥ -2), adjusting for confounders (gestational age, gender, hospitalization, multiparity, phototherapy, antibiotics, and early food diversification). Results are reported as odds ratios (ORs) with 95% confidence intervals (CI). Growth curves were generated with Python. Significance was set at P < 0.05. Results: Gestational age of ≥ 32 weeks (OR = 6.66, 95% CI: 1.21, 36.72; P = 0.029) and multiparity (OR = 12.09, 95% CI: 2.12, 68.93; P = 0.005) predicted growth outcomes, while a hospital stay of ≥ 10 days reduced the likelihood (OR = 0.05, 95% CI: 0.01, 0.27; P = 0.001). Male gender and antibiotic use showed non-significant trends (P = 0.053). Conclusion: Close monitoring and targeted nutritional strategies are essential to improve postnatal growth in preterm infants. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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