Consensus
Il bambino nato piccolo per l’età gestazionale
SGA, BIRTH WEIGHT, BIRTH LENGTH, INTRAUTERINE GROWTH RETARDATION (IUGR)
RITA SALOMONE, FRANCESCO CHIARELLI*
Clinica Pediatrica, Università di Chieti
*Segretario Generale della Società Europea di Endocrinologia Pediatrica (ESPE)
Giugno 2007 - pagg. 363 -369
Abstract
Being small for gestational (SGA) leads to consequences not only in the neonatal period but
also in adulthood. During the last 15 years, a number of long term risks of being SGA have
been clearly identified, including hypertension, ischaemic heart disease, glucose intolerance,
type 2 diabetes, premature pubarche, and ovarian hyperandrogenism. Careful follow-up
of this high risk population could allow early intervention to improve some risk factors (eg obesity,
hypercolesterolemia, life style) in order to prevent or postpone long-term complications.
In February 2006 a group of 42 physicians convened in Manchester to integrate such data
into their health-care management of children born small for gestational age (SGA). The
meeting was convened, with representation from paediatric endocrine societies (European Society
for Paediatric Endocrinology-ESPE and Lawson Wilkins Pediatric Endocrine Society-LWPES)
and the Growth Hormone Research Society (GRS), to examine current data relevant to
the early, mid and long-term outcome of children born SGA. The working groups formulated
evidence-based answers to commonly asked questions, providing a platform for consensus
development in the international scientific community in this relevant field for paediatricians.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
• Albertsson-Wikland K, Boguzewski M,
Karlberg J. Children born small for gestational
age: postnatal growth and hormonal status.
Horm Res 1998;49(Suppl 2):10-3.
• Chernausek SD. Treatment of short child born small for gestational age. Horm Res 2005;64(Suppl 2):63-6.
• Clayton PE, Cianfarani S, Czernichow P, Johannsson G, Rapaport R, Rogol A. Consensus Statement: Management of the Child Born Small for Gestational Age through to Adulthood: A Consensus Statement of the International Societies of Pediatric Endocrinology and Growth Hormone Research Society. J Clin Endocrinol Metab 2007;92(3):804-10.
• Cutfield WS, Lindberg A, Rapaport R, Wajnrajch MP, Saenger P. Safety of growth hormone treatment in children born small for gestational age: the US trial and KIGS analysis. Horm Res 2006;65(Suppl 3):153-9.
• Geremia C, Cianfarani S. Laboratory test and measurements in children born small for gestational age (SGA). Clin Chim Acta 2006; 364:113-23.
• Lee PA, Chernausek SD, Hokken-Koelega AC, Czernichow P. International Small for Gestational Age Advisory Board consensus development conference statement: management of the short child born small for gestational age. Pediatrics 2001;111:1253-61.
• Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life: a systematic review. Obes Rev 2006;6:143-54.
• Newsome CA, Shiell AW, Fall CH, Phillips DI, Shier R, Law CM. Is birth weight related to large glucose and insulin metabolism? A systematic review. Diabet Med 2004;20:339-48.
• Chernausek SD. Treatment of short child born small for gestational age. Horm Res 2005;64(Suppl 2):63-6.
• Clayton PE, Cianfarani S, Czernichow P, Johannsson G, Rapaport R, Rogol A. Consensus Statement: Management of the Child Born Small for Gestational Age through to Adulthood: A Consensus Statement of the International Societies of Pediatric Endocrinology and Growth Hormone Research Society. J Clin Endocrinol Metab 2007;92(3):804-10.
• Cutfield WS, Lindberg A, Rapaport R, Wajnrajch MP, Saenger P. Safety of growth hormone treatment in children born small for gestational age: the US trial and KIGS analysis. Horm Res 2006;65(Suppl 3):153-9.
• Geremia C, Cianfarani S. Laboratory test and measurements in children born small for gestational age (SGA). Clin Chim Acta 2006; 364:113-23.
• Lee PA, Chernausek SD, Hokken-Koelega AC, Czernichow P. International Small for Gestational Age Advisory Board consensus development conference statement: management of the short child born small for gestational age. Pediatrics 2001;111:1253-61.
• Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life: a systematic review. Obes Rev 2006;6:143-54.
• Newsome CA, Shiell AW, Fall CH, Phillips DI, Shier R, Law CM. Is birth weight related to large glucose and insulin metabolism? A systematic review. Diabet Med 2004;20:339-48.
Corrispondenza: chiarelli@unich.it