All issues > Volume 44(6); 2001

Original Article

J Korean Pediatr Soc. 2001;44(6):635-641. Published online June 15, 2001.

Evaluation of Health Status and Growth and Developmental Outcome of Intrauterine Growth-Retarded Infants

Il Tae IT Hwang¹, Eun Ae EA Park¹, Ho Seong HS Kim¹, Gyoung Hee GH Kim¹

¹Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea

Correspondence Eun Ae EA Park ,Email: pea8639@mm.ewha.ac.kr

Abstract

Purpose
: Although many children born with intrauterine growth retardation demonstrate significant catch-up growth in early childhood, substantial weight and height deficits remain in others. In addition, children with IUGR may demonstrate developmental deficits. The aims of this study are to evaluate the health status, growth and deveolpmental outcome of intrauterine growth retarded infants.
Methods
: Sixty five intrauterine growth retarded survivors born between 1993 and 1997 and fifty five reference children were matched for age, sex, and socioeconomic status. Anthropometric parameters were measured at birth and at the time of evaluation. Developmental status was evaluated by DDST and health status evaluation was performed using modified multiattribute health status (MAHS).
Results
: There was significant difference in birth weight and length between the two groups. At evaluation, there was no significant difference in growth parameters and DDST between two groups. Seventy two point three % of IUGR subjects had no functional limitations, but 23.1% of them had reduced function for one or two limitations. The correspoding figures for the reference group were 76.9% and 23.0%, respectively. The proportion of IUGR and reference children with three or more attributes affected was 4.6%(three) for IUGR versus 0% for reference group. Among three children, attributed number is seven, five, three among eight attributes.
Conclusion
: The MAHS classification approach is a useful instrument to evaluate health status in pediatric subjects.

Keywords :IUGR, Health status, Growth, Development