Evidence map›Paper›PMID 27117061›Full record

ArticleItalian journal of pediatrics2016

Incidence of infants born small- and large-for-gestational-age in an Italian cohort over a 20-year period and associated risk factors.

Valentina Chiavaroli, Valeria Castorani, Paola Guidone, José G B Derraik, Marco Liberati, Francesco Chiarelli, Angelika Mohn

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
15.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Evidence of changes in the oral language in children born full-term and small for gestational age: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022
    Pooled it
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  8. Maternal Birth Weight FromJournal of pregnancy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Valentina ChiavaroliDepartment of Paediatrics, University of Chieti, Via dei Vestini 5, 66100, Chieti, Italy. valentinachiavaroli@hotmail.it.
Valeria CastoraniDepartment of Paediatrics, University of Chieti, Via dei Vestini 5, 66100, Chieti, Italy.
Paola GuidoneDepartment of Paediatrics, University of Chieti, Via dei Vestini 5, 66100, Chieti, Italy.
José G B DerraikLiggins Institute, University of Auckland, Auckland, New Zealand.
Marco LiberatiDepartment of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy.
Francesco ChiarelliDepartment of Paediatrics, University of Chieti, Via dei Vestini 5, 66100, Chieti, Italy.
Angelika MohnDepartment of Paediatrics, University of Chieti, Via dei Vestini 5, 66100, Chieti, Italy.
University of Chieti-Pescara · ITUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the incidence of infants born small-for-gestational-age (SGA) and large-for-gestational-age (LGA) in an Italian cohort over 20 years (1993-2013). Furthermore, we investigated maternal factors associated with SGA and LGA births.

methodsA retrospective review of obstetric records was performed on infants born in Chieti (Italy) covering every 5(th) year over a 20-year period, specifically examining data for 1993, 1998, 2003, 2008, and 2013. Infants with birthweight <10(th) percentile were defined as SGA, and those with birthweight >90(th) percentile as LGA. Data collected included newborn anthropometry, birth (multiple vs singleton), maternal anthropometry, previous miscarriage, gestational diabetes, hypertension, and smoking during pregnancy.

resultsThere were a pooled total of 5896 live births recorded across the 5 selected years. The number of SGA (+60.6 %) and LGA (+90.2 %) births increased considerably between 1993 and 2013. However, there were no marked changes in the incidence of SGA or LGA births (8.3 % and 10.8 % in 1993 versus 7.6 % and 11.7 % in 2013, respectively). Maternal factors associated with increased risk of SGA infants included hypertension, smoking, and previous miscarriage (all p < 0.05), while greater pre-pregnancy BMI and gestational diabetes were risk factors for LGA births (all p < 0.05).

conclusionsThere was an increase in the number of SGA and LGA births in Chieti over the last two decades, but there was little change in incidence over time. Most maternal factors associated with increased odds of SGA and LGA births were modifiable, thus incidence could be reduced by targeted interventions.

Indexed as

Infant, Small for Gestational AgeFemaleFetal MacrosomiaHumansIncidenceInfant, NewbornItalyMalePregnancyRetrospective StudiesRisk FactorsBirth lengthBirth weightGestational diabetesIncidenceLGAObesitySGASmoking

Identifiers

PMID27117061
PMCPMC4845339
OpenAlexW2345123681

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.