Table 1:
Currently available identification tools for EUGR
| Criteria | Mild EUGR | Moderate EUGR | Severe EUGR | When to apply? |
|---|---|---|---|---|
|
| ||||
| 1. Weight-for-age Z-scoresa | Decline of 0.8–1.2 SD | Decline of >1.2–2 SD | Decline >2 SD | Not appropriate for first 2 weeks of life |
| 2. Weight gain velocityb | <75% of expected weight gain for that particular age | <50% of expected weight gain for that particular age | <25% of expected weight gain for that particular age | Not appropriate for first 2 weeks of life |
| 3. ≥2 of the following | Not appropriate for first 2 weeks, can be used subsequently in conjunction with other parameters if accurate length measurement is available. | |||
| •Length-for-age Z-scoresa | Decline of 0.8–1.2 SD | Decline of >1.2–2 SD | Decline >2 SD | |
| •Length gain velocityb | <75% of expected length gain for that particular age 15–18 days | <50% of expected length gain for that particular age 19–21 days | <25% of expected length gain for that particular age | |
| •Days to regain birth weight (in conjugation with nutrient intake) | (>3–5 consecutive days of <75% intakes of estimated protein/calorie) | (>5–7 consecutive days of <75% intakes of estimated protein/calorie) | >21 days (>7 consecutive days of <75% intakes of estimated protein/calorie) | Preferred for first 2 weeks of life |
Expected Z-score for weight for age and length for age.
Weight gain velocity and linear growth velocity were estimated using online calculator (www.peditools.org). In this calculator, weight gain velocity is estimated by using the World Health Organization (WHO) methods; weight increments are classified by birth-weight category presented in 1-week and 2-weeks intervals from birth to 60 days.21