Evidence map›Paper›PMID 42521447›Full record

ArticleBMJ paediatrics open2026

Growth faltering in Indian preterm infants: a prospective cohort study highlighting modifiable post-discharge feeding practices.

Padmasani Venkat Ramanan, Apoorva Kutar

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited 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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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Padmasani Venkat RamananPediatrics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India padmasani2001@yahoo.com.ORCID http://orcid.org/0000-0002-5911-3179
Apoorva KutarPhD Scholar, Clinical Nutrition, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPreterm and extremely low birth weight infants are at high risk of postnatal growth restriction. This study was done to evaluate the growth trajectories during the first year of life among preterm infants ≤34 weeks' gestation and to identify the modifiable factors associated with undernutrition at 12-13 months corrected age (CA). METHODOLOGY: This prospective longitudinal cohort study was done in a hospital in South India. The participants were infants born at ≤34 weeks' gestation. They were enrolled at 4-6 months and followed up to 12-13 months CA. The birth details, anthropometric parameters at birth and infant feeding practices were noted initially at 6 months CA and again at 12-13 months CA. The primary outcomes were adverse anthropometric statuses at 12-13 months CA. Multivariable logistic regression identified independent risk factors for adverse outcomes.

resultsAmong 201 preterm infants, mean weight, length and head circumference (HC)-for-age Z-scores declined from birth to 12-13 months CA. At 12-13 months CA, 21.9% were underweight, 32.8% were stunted and 48.3% had HC-for-age Z-score (HCAZ) <-2. In multivariable analyses, lower gestational age and extremely low birth weight were associated with higher odds of underweight. Poor complementary feeding practices as indicated by the infant and young child feeding (IYCF) scores were associated with underweight and wasting. Early initiation of complementary feeding (<6 months CA) was associated with higher odds of stunting and HCAZ<-2.

conclusionsThe prevalence of underweight, stunting and HCAZ<-2 increased steadily from birth to 6 months and to 12-13 months. While lower gestational age and birth weight conferred biological risk, early complementary feeding and poor IYCF practices were significant modifiable determinants of adverse growth outcomes.

Indexed as

Growth DisordersInfant, PrematureBreast FeedingFemaleGestational AgeHumansIndiaInfantInfant, NewbornLogistic ModelsLongitudinal StudiesMalePatient DischargeProspective StudiesRisk FactorsBreastfeedingChild HealthGrowthInfant

Identifiers

PMID42521447
PMCPMC13423069

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