Population‐based longitudinal study showed that children born small for gestational age faced a higher risk of hospitalisation during early childhood

Aim We examined the effects of being born small for gestational age (SGA) on the risk of being hospitalised for common diseases during childhood. Methods This Japanese nationwide, population‐based longitudinal survey followed babies born before 42 weeks of gestation from 10 to 17 January and from 10...

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Bibliographic Details
Published in:Acta Paediatrica 2019-03, Vol.108 (3), p.473-478
Main Authors: Yoshimoto, Junko, Yorifuji, Takashi, Washio, Yosuke, Okamura, Tomoka, Watanabe, Hirokazu, Doi, Hiroyuki, Tsukahara, Hirokazu
Format: Article
Language:English
Subjects:
Age
Asthma
Bronchitis
Childhood
Children
Common childhood diseases
Diarrhea
Gestation
Gestational age
Health risks
Hospitalisation
Infants
Longitudinal studies
Longitudinal study
Population studies
Population-based studies
Premature birth
Preterm infants
Regression analysis
Risk factors
Small for gestational age
Small for gestational age infants
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Summary:Aim We examined the effects of being born small for gestational age (SGA) on the risk of being hospitalised for common diseases during childhood. Methods This Japanese nationwide, population‐based longitudinal survey followed babies born before 42 weeks of gestation from 10 to 17 January and from 10 to 17 July 2001, using data from the Government's Longitudinal Survey of Babies in the 21st Century. Our study followed 41 268 children until 5.5 years of age: 39 107 full term (8.7% SGA) and 2161 preterm (15.5% SGA). We evaluated the relationship between SGA status and hospitalisation using their history of hospitalisation for common diseases and comparing full‐term or preterm births. Logistic regression analysis, adjusted for potential confounders, estimated the odds ratios (ORs) and 95% confidence intervals (CIs). Results The full‐term and preterm children who were born SGA were more likely to be hospitalised during infancy and early childhood than those born non SGA. The ORs for hospitalisation from six months to 18 months of age were 1.23 (95% CI: 1.10–1.37) for full‐term and 1.67 (95% CI: 1.23–2.25) for preterm subjects. Higher risks of hospitalisation due to bronchitis, pneumonia, bronchial asthma and diarrhoea were also observed. Conclusion Being born SGA was associated with all‐cause and cause‐specific hospitalisation in early childhood, particularly for term infants.
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.14507