Evidence map›Paper›PMID 41094170›Full record

ArticleEuropean journal of clinical nutrition2026

First-year growth patterns of preterm infants receiving kangaroo mother care: associations with early life factors and 1-year anthropometry.

S Nel, U D Feucht, T Botha, M Arashi, F A M Wenhold

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Article in European journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

S NelUniversity of Pretoria Faculty of Health Sciences, Department of Human Nutrition, Pretoria, South Africa. sanja.nel@up.ac.za.ORCID 0000-0003-3175-7340
U D FeuchtUniversity of Pretoria Research Centre for Maternal, Fetal, Newborn & Child Health Care Strategies, Atteridgeville, South Africa.ORCID 0000-0002-6339-1040
T BothaUniversity of Pretoria Research Centre for Maternal, Fetal, Newborn & Child Health Care Strategies, Atteridgeville, South Africa.ORCID 0000-0002-8861-4466
M ArashiUniversity of Pretoria Faculty of Natural and Agricultural Sciences, Department of Statistics, Pretoria, South Africa.ORCID 0000-0002-5881-9241
F A M WenholdUniversity of Pretoria Faculty of Health Sciences, Department of Human Nutrition, Pretoria, South Africa.ORCID 0000-0003-1140-5065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study characterises first-year growth patterns in a historical preterm infant cohort, and investigates associated early-life factors and 1-year anthropometry.

methodsWe analysed 322 South African preterm infants' (mean 32.8 ± 2.4 weeks gestation) 1-year clinic records after kangaroo mother care discharge. Latent class trajectory modelling identified patterns of weight-for-age (WAZ), length-for-age (LAZ), weight-for-length (WLZ), and head circumference-for-age (HCZ) z-scores (Fenton 2013 Growth Chart; WHO Growth Standards, age-corrected). Z-score patterns were characterised as maintenance, faltering (progressively decreasing), gain (progressively increasing) or catch-up (rapidly increasing, exceeding birth z-score). Ordinal regression analysis investigated associations of early-life maternal/infant factors, birth weight, and early (until 50 weeks postmenstrual age) WAZ gain with growth patterns. One-year stunting (LAZ < -2), wasting (WLZ < -2) and overweight (body mass index-for-age z-score > +2) were compared.

resultsBest-fit models identified three WAZ and LAZ patterns (gradual gain, faltering, catch-up), three WLZ patterns (maintenance, faltering, catch-up) and two HCZ patterns (maintenance, gain). Most infants displayed maintenance, gradual gain or catch-up. Lower birth weight z-score (BWZ) was associated with LAZ catch-up (OR:8.33 (3.13-20.00)), WLZ faltering (OR:2.94 (1.69-5.00)) HCZ gain (OR:1.92 (1.23-3.13)), but lower odds of gradual WAZ gain (OR:0.36 (0.19-0.68)) and WAZ faltering (OR:0.56 (0.34-0.92)). Smaller early WAZ gains were associated with gradual WAZ gain (OR:2.27 (1.56-3.33)), WAZ faltering (OR:1.47 (1.11,1.96)), LAZ catch-up (OR:1.85 (1.25-2.70)), and LAZ faltering (OR:1.39 (1.09-1.75)). WAZ and WLZ faltering were both associated (p < 0.001) with 1-year stunting (45.5%, 23.5%) and wasting (21.8%, 10.3%).

conclusionsMost preterm infants had appropriate first-year growth. Lower BWZ was associated with WAZ and LAZ catch-up but WLZ faltering, and sub-optimal early WAZ growth with growth faltering.

Indexed as

Child DevelopmentInfant, PrematureKangaroo-Mother Care MethodAnthropometryBirth WeightCohort StudiesFemaleHumansInfantInfant, NewbornMaleSouth Africa

Identifiers

PMID41094170
PMCPMC12783048

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