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. 2023 Jun 20;108(12):e324884. doi: 10.1136/archdischild-2022-324884

Table 3. Association between maturity and SGA/IUGR combinations and different outcomes.

Ref Outcomes Population Exposures Reference Effect size (CI), direction of association
PTSGA PTAGA TIUGR TSGA TLBW TAGA TNBW T
48 Neonatal mortality ≤28 days <34 X OR=56.97 (11.1 to 291.7)
48 Neonatal mortality ≤28 days <34 X OR=74.9 (32.6 to 171.7)
48 Neonatal mortality ≤28 days 34–36 X OR=19.88 (8.3 to 47.5)
48 Neonatal mortality ≤28 days 34–36 X OR=3.18 (1.0 to 10.7)
48 Neonatal mortality ≤28 days X X OR=2.23 (1.2 to 4.10)
46 Neonatal mortality <28 days X X RR=15.42 (9.11 to 26.1)
46 Neonatal mortality <28 days X X RR=8.05 (3.88 to 16.72)
46 Neonatal mortality <28 days X X RR=2.44 (1.67 to 3.57)
46 Early neonatal mortality <7 days X X RR=17.19 (9.57 to 30.91)
46 Early neonatal mortality <7 days X X RR=7.59 (3.38 to 17.08)
46 Early neonatal mortality <7 days X X RR=2.76 (1.82 to 4.18)
46 Late neonatal mortality 8–28 days X X RR=17.37 (10.27 to 29.37)
46 Late neonatal mortality 8–28 days X X RR=5.60 (2.75 to 11.43)
46 Late neonatal mortality 8–28 days X X RR=2.45 (1.7 to 3.51)
46 Postneonatal mortality 29–365 days X X RR=5.22 (2.8 to 9.64)
46 Postneonatal mortality 29–365 days X X RR=2.72 (1.5 to 4.79)
46 Postneonatal mortality 29–365 days X X RR=1.98 (1.39 to 2.81)
46 Infant mortality <365 days X X RR=9.24 (4.33 to 19.71)
46 Infant mortality <365 days X X RR=5.30 (2.39 to 11.76)
46 Infant mortality <365 days X X RR=2.28 (1.52 to 3.41)
160 Wasting 12–60 months X X aOR=4.19 (2.90 to 6.05)
160 Wasting 12–60 months X X aOR=1.96 (1.46 to 2.63)
160 Wasting 12–60 months X X aOR=2.52 (2.27 to 2.80)
160 Stunting 12–60 months X X aOR=4.51 (3.42 to 5.93)
160 Stunting 12–60 months X X aOR=1.93 (1.71 to 2.18)
160 Stunting 12–60 months X X aOR=2.43 (2.22 to 2.66)
160 Undernutrition 12–60 months X X aOR=5.35 (4.39 to 6.53)
160 Undernutrition 12–60 months X X aOR=2.07 (1.76 to 2.44)
160 Undernutrition 12–60 months X X aOR=3.17 (2.78 to 3.62)
174 Motor <7 years X X aSMD=−0.15 (−0.40 to 0.09)
174 Motor <7 years X X aSMD=−0.23 (−0.42 to –0.03)
174 Motor <7 years X X aSMD=−0.007 (−0.08 to 0.06)
174 Cognitive <7 years X X aSMD=−0.17 (−0.29 to –0.05)
174 Cognitive <7 years X X aSMD=−0.14 (−0.24 to –0.05)
174 Cognitive <7 years X X aSMD=−0.02 (−0.10 to 0.06)
174 Language <7 years X X aSMD=−0.02 (−0.23 to 0.19)
174 Language <7 years X X aSMD=−0.03 (−0.12 to 0.06)
172 Cerebral palsy Neonates X X OR=2.34 (1.43 to 3.82)
42 Neonatal mortality Neonates X X OR=4.11 (3.70 to 4.56)
42 Non-neurological neonatal morbidity Neonates X X OR=2.98 (1.58 to 5.61)
42 Neonatal morbidity: neurological Neonates X X OR=2.12 (1.56 to 2.91)
43 Morbidly composite 1–18 years X X OR=1.49 (1.02 to 2.1)
43 Morbidly composite 1–18 years X X OR=0.98 (0.87 to 1.10)
43 Learning difficulties or learning disabilities 12 months–18 years X X OR=2.03 (1.65 to 2.50)
43 Obesity 2–18 years X X OR=0.94 (0.59 to 1.49)
43 Obesity 6–11 years X X OR=0.90 (0.50 to 1.64)
43 Hypertension 3–16 years X X OR=0.98 (0.8 to 1.12)
44 Neurodevelopmental scores (high scores) 40 weeks–10 years X X Largest SMD=−0.32 (−0.38 to –0.25)
44 Neurodevelopmental scores (low scores) 40 weeks–10y ears X X Smallest SMD=−0.31 (−0.38 to –0.25)
45 Cognitive score 0.16–10.0 years X XI X SMDH=−0.39 (−0.50 to –0.28)
45 Cognitive score 0.16–10.0 years X X SMDH=−0.34 (−0.45 to –0.22)
45 Cognitive score 2.0–9.5 years X I X SMDH=−0.58 (−0.82 to –0.35)
45 Borderline intellectual impairment Child X X OR=1.75 (1.50 to 2.04)
84 Systolic blood pressure Child/adult X X MD=2.00 (0.21 to 3.78)
84 Systolic blood pressure Child/adult X X MD=1.46 (0.13 to 2.79)
84 Diastolic blood pressure Child/adult X X MD=1.39 (0.00 to 2.78)
84 Diastolic blood pressure Child/adult X X MD=1.22 (0.19 to 2.25)
84 High-density lipoprotein Child/adult X X MD=0.03 (−0.04 to 0.10)
84 High-density lipoprotein Child/adult X X MD=0.01 (−0.04 to 0.07)
84 Low-density lipoprotein Child/adult X X MD=0.67 (0.38 to 0.97)
84 Low-density lipoprotein Child/adult X X MD=0.13 (−0.03 to 0.29)
84 Triglyceride Child/adult X X MD=0.00 (−0.07 to 0.06)
84 Triglyceride Child/adult X X MD=−0.04 (−0.09 to 0.02)
84 Insulin Child/adult X X MD=−1.65 (−3.39 to 0.10)
84 Insulin Child/adult X X MD=−1.07 (−2.29 to 0.15)
84 BMI Child/adult X X MD=−0.38 (−0.98 to 0.22)
84 BMI Child/adult X X MD=0.06 (−0.34 to 0.46)
87 Systolic blood pressure 11.3–41.3 years X X SMD=0.41 (0.12 to 0.70)
87 Systolic blood pressure 11.3–41.3 years X X SMD=0.31 (−0.33 to 0.95)
87 Diastolic blood pressure 11.3–41.3 years X X SMD=0.28 (0.05 to 0.51)
87 Diastolic blood pressure 11.3–41.3 years X X SMD=0.09 (−0.08 to 0.26)
87 Serum creatinine 17.6–22.9 years X X SMD=0.18 (−0.24 to 0.59)
87 Serum creatinine 17.6–22.9 years X X SMD=0.02 (−0.32 to 0.35)

Inline graphic, harmful effect from high to lower risks; Inline graphic, no effect high to lower risk.

Symbols inexposures: X, as defined in exposure; XI, SGA and IUGR (defined in reference 45); I, IUGR (defined in reference 45).

(45) IUGR is defined as antenatal evidence of growth restriction by abnormal middle cerebral artery pulsatility index and umbilical artery pulsatility index, or late onset verified by ultrasound or clinically, or ultrasound and clinical evaluation, or third trimester serial ultrasound.

AGAappropriate for gestational ageBMIbody mass indexIUGRintrauterine growth restrictionLBWlow birth weightMDmean differenceNBWnormal body weightPTpretermRRrelative riskSGAsmall for gestational ageSMDstandardised mean differenceSMDHstandardized mean difference for heteroscedastic population variancesTterm