ArticleThe Lancet regional health. Europe2021
International versus national growth charts for identifying small and large-for-gestational age newborns: A population-based study in 15 European countries.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Cognitive and academic outcomes of large-for-gestational-age babies born at early term: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- International Consensus Guideline on Small for Gestational Age: Etiology and Management From Infancy to Early Adulthood.Endocrine reviews · 2023Guideline
- Pooled it
- Choice of Growth Standard and Interpretation of Large for Gestational Age Outcomes: Evidence From the CDC4G Trial.Paediatric and perinatal epidemiology · 2026Trial
- Associations of severe adverse perinatal outcomes among continuous birth weight percentiles on different birth weight charts: a secondary analysis of a cluster randomized trial.BMC pregnancy and childbirth · 2022Trial
- Repositioning early head circumference to predict catch-up growth in SGA infants.Pediatric research · 2026Article
- Birth Weight Percentiles and Infant and Child Growth Dynamics.JAMA network open · 2026Article
- Machine learning to improve the prediction of Large for Gestational Age (LGA) neonates: a cohort study.BMC pregnancy and childbirth · 2026Article
- New growth charts for children and adolescents in Catalonia, Spain: developed from routinely collected data (2013-2019).BMC public health · 2026Article
- Do Birthweight-For-Gestational Age Centiles Predict Serious Neonatal Morbidity and Neonatal Mortality?Paediatric and perinatal epidemiology · 2026Article
- Blood Count-Derived Inflammatory Indices at Two Timepoints in Insulin-Treated Gestational Diabetes: A Retrospective Cohort Study.International journal of women's health · 2026Article
- The First 1000 Critical Days: Determinants of Adverse Birth Outcomes in the Sari Birth Cohort, Iran.International journal of preventive medicine · 2026Article
- A Machine Learning Model Based on First-Trimester Lipidomic Signatures for Predicting Metabolic Pregnancy Complications.International journal of molecular sciences · 2025Article
- Vulnerable newborn types: Analysis of population-based registries for 165 million births in 23 countries, 2000-2021.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Prevalence of Large-for-Gestational Age and Macrosomia Among Livebirths in 23 Low- and Middle-Income Countries Between 2000 and 2021: An Individual Participant Data Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Neonatal mortality risk of large-for-gestational-age and macrosomic live births in 15 countries, including 115.6 million nationwide linked records, 2000-2020.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Reduced Availability of Essential Amino Acids Disrupts Differentiation of Anorexigenic POMC Neurons in the Fetal Rat Hypothalamus.Molecular neurobiology · 2025Article
- Smaller birth size may be associated with lower physical activity in adult women.Scientific reports · 2025Article
- The Korea Infant Physical Growth Examination Survey (KIPGroS): a study protocol.Clinical and experimental pediatrics · 2025Article
- Maternal genomic profile, gestational diabetes control, and Mediterranean diet to prevent low birth weight.iScience · 2024Article
Corrections and comments
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Authors and funding
19 authors at 14 institutions in 16 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo inform the on-going debate about the use of universal prescriptive versus national intrauterine growth charts, we compared perinatal mortality for small and large-for-gestational-age (SGA/LGA) infants according to international and national charts in Europe.
methodsWe classified singleton births from 33 to 42 weeks of gestation in 2010 and 2014 from 15 countries (
findingsSGA and LGA prevalence using national charts were near 10% in all countries, but varied according to international charts with a north to south gradient (3.0% to 10.1% and 24.9% to 8.0%, respectively). Compared with appropriate for gestational age (AGA) infants by both charts, risk of perinatal mortality was increased for SGA by both charts (aOR[95%
interpretationUsing international instead of national charts in Europe could lead to growth restricted infants being reclassified as having normal growth, while infants with low risks of mortality could be reclassified as having excessive growth.
fundingInfAct Joint Action, CHAFEA Grant n°801,553 and EU/EFPIA Innovative Medicines Initiative 2 Joint Undertaking ConcePTION grant n°821,520. AH received a PhD grant from EHESP.
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Registered trials
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.