Evidence map›Paper›PMID 39034355›Full record

ArticlePediatric research2025

Race as social determinant of growth and body composition among infants born very preterm.

Ariel A Salas, Katherine Chetta, Laura Lach, Lakshmi Katikaneni, Elena Itriago, Amy B Hair, Alvaro Moreira, Erynn M Bergner, Mohamad T Elabiad, Sara E Ramel

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Growth disparities among NICUs: insights from the New Jersey statewide neonatal collaborative.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Article
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

10 authors.

Ariel A SalasDepartment of Pediatrics, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. asalas@uab.edu.ORCID 0000-0002-4676-7747
Katherine ChettaDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Laura LachDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Lakshmi KatikaneniDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Elena ItriagoDepartment of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Amy B HairDepartment of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Alvaro MoreiraDepartment of Pediatrics, UT Health San Antonio, San Antonio, TX, USA.
Erynn M BergnerDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Mohamad T ElabiadDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
Sara E RamelDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRacism 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).

methodsDe-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.

resultsThe 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.

conclusionsAfter 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).

Indexed as

Body CompositionInfant, Extremely PrematureInfant, PrematureSocial Determinants of HealthBirth WeightBlack or African AmericanFemaleGestational AgeHumansInfant, NewbornMaleUnited StatesWeight GainWhiteWhite People

Identifiers

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Registered trials

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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.