perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2020-65-2-15-21perinatology-1102Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSСовременные подходы к оценке показателей физического развития у детей первых месяцев жизниModern approaches to the physical development indicators in children in their first months of lifehttps://orcid.org/0000-0001-7650-7084АлямовскаяГ. А.AlyamovskayаG. A.

Алямовская Галина Александровна – к.м.н., ст. науч. сотр. отдела неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии им. академика Ю.Е. Вельтищева

125412 Москва, ул. Талдомская, д. 2

galina45@mail.ruhttps://orcid.org/0000-0003-2675-230XСахароваЕ. С.SakharovaЕ. S.

Сахарова Елена Станиславовна – д.м.н., вед. науч. сотр. отдела неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии им. академика Ю.Е. Вельтищева

125412 Москва, ул. Талдомская, д. 2

https://orcid.org/0000-0001-6268-7782КешишянЕ. С.KeshishyanE. S.

Кешишян Елена Соломоновна – д.м.н., проф., зав. отделом неонатологии и патологии детей раннего возраста Научно-исследовательского клинического института педиатрии им. академика Ю.Е. Вельтищева125412 Москва, ул. Талдомская, д. 2

ОСП «Научно-исследовательский клинический институт педиатрии им. академика Ю.Е. Вельтищева»; ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияVeltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical UniversityRussian Federation2020130520206521521Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20202020Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/1102

Одной из задач современной педиатрии является разработка стандартов прироста показателей физического развития у детей первых лет жизни. Клинические исследования показали, что значения массо-ростовых индексов не отражают состав тканей в организме и не могут использоваться как основные показатели гармоничности развития. В определенные возрастные периоды значения массо-ростовых индексов коррелируют с содержанием тощей и жировой массы и могут косвенно свидетельствовать о риске возникновения метаболических нарушений в зрелом возрасте. На скорость прироста основных показателей физического развития (масса и длина тела, окружность головы) существенное влияние оказывает вскармливание ребенка на первом году жизни; темпы физического развития также определяются гестационным возрастом. Для оценки физического развития недоношенных детей, особенно родившихся ранее 27-й недели, должны использоваться специальные центильные кривые, учитывающие вид вскармливания и современные особенности тактики выхаживания.

The design of new growth standards for infants in first years of life is one of the important problems in pediatrics today. Clinical issues showed, that body mass indices are not representative for body composition and couldn’t be used as indicators of growth harmony. In definite periods of age, body mass indices correlate with fat-free and fat mass and can be predictors of metabolic disturbances in adulthood. Child’s feeding in first year of life substantially influences to monthly gain of weight, height and head circumference; growth rate is also determined of gestational age. For growth assessment in premature infants, especially born before 27 week of pregnancy, special centile growth curves with considering of feeding and modern nursing tactics should have be used.

недоношенные детифизическое развитиемассо-ростовые индексыцентильные кривыеpremature babiesphysical developmentmass-growth indicescentile growth curvesReferencesПрахин Е.И., Грицинская В.Л. Характеристика методов оценки физического развития детей. Педиатрия. Журнал им. Г.Н. Сперанского 2004; 2: 60–62. [Prakhin E.I., Grishinskaya V.L. The characteristic of growth development evaluation in children. Pediatriya. Zhurnal im. G.N. Spe- ranskogo (Pediatria. Journal named after G.N. Speransky) 2004; 2: 60–62. (in Russ.)]Прахин Е.И., Грицинская В.Л. Характеристика методов оценки физического развития детей. Педиатрия. Журнал им. Г.Н. Сперанского 2004; 2: 60–62. [Prakhin E.I., Grishinskaya V.L. The characteristic of growth development evaluation in children. Pediatriya. Zhurnal im. G.N. Spe- ranskogo (Pediatria. Journal named after G.N. Speransky) 2004; 2: 60–62. (in Russ.)]Bloom B.T., Mulligan J., Arnold C., Ellis S., Moffitt S., Rivera A. et al. Improving growth of very low birth weight infants in the first 28 days. Pediatrics 2003; 112: 8–14.Bloom B.T., Mulligan J., Arnold C., Ellis S., Moffitt S., Rivera A. et al. Improving growth of very low birth weight infants in the first 28 days. Pediatrics 2003; 112: 8–14.Ehrenkranz R.A., Dusick A.M., Vohr B.R., Wright L.L., Wrange L.A., Poole W.K. Growth in neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics 2006; 117: 1253–1261. DOI: 10.1542/peds.2005-1368Ehrenkranz R.A., Dusick A.M., Vohr B.R., Wright L.L., Wrange L.A., Poole W.K. Growth in neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics 2006; 117: 1253–1261. DOI: 10.1542/peds.2005-1368Lamb M.M., Dabelea D., Yin X. Early life predictors of higher body mass index in healthy children. Ann Nutr Metab 2010; 56: 16–22. DOI: 10.1159/000261899Lamb M.M., Dabelea D., Yin X. Early life predictors of higher body mass index in healthy children. Ann Nutr Metab 2010; 56: 16–22. DOI: 10.1159/000261899Jabakhani S.B., Boland F., Ward M., Biesma R. Body mass index changes in early childhood. J Pediatr 2018; 202: 106–114. DOI: 10.1016/j.jpeds.2018.06.049Jabakhani S.B., Boland F., Ward M., Biesma R. Body mass index changes in early childhood. J Pediatr 2018; 202: 106–114. DOI: 10.1016/j.jpeds.2018.06.049Демьянова Т.Г., Авдеева Т.Г., Пригожий Е.А., Григорьянц Л.Я. Состояние здоровья детей на первом году жизни, родившихся с массой тела менее 1500 граммов. Детская больница 2004; 2 (16): 9–12. [Demyanova T.G., Avdeeva T.G., Prigodgiy E.A., Grigoriantz L.Ja. Health status in children with birth weight less than 1500 g at first year of life. Detskaya bol’nitsa 2004; 2 (16): 9–12. (in Russ.)]Демьянова Т.Г., Авдеева Т.Г., Пригожий Е.А., Григорьянц Л.Я. Состояние здоровья детей на первом году жизни, родившихся с массой тела менее 1500 граммов. Детская больница 2004; 2 (16): 9–12. [Demyanova T.G., Avdeeva T.G., Prigodgiy E.A., Grigoriantz L.Ja. Health status in children with birth weight less than 1500 g at first year of life. Detskaya bol’nitsa 2004; 2 (16): 9–12. (in Russ.)]De Cunto A., Paviotti G., Ronfani L. Can body mass index accurately predict adiposity in newborns? Arch Dis Child Fetal Neonatal Ed 2014; 99: 238–239. DOI: 10.1136/archdischild-2013-305386De Cunto A., Paviotti G., Ronfani L. Can body mass index accurately predict adiposity in newborns? Arch Dis Child Fetal Neonatal Ed 2014; 99: 238–239. DOI: 10.1136/archdischild-2013-305386Villar J., Puglia F.A., Fenton T.R., Ismail L.C., Staines-Urias E., Giuliani F. et al. Body composition at birth and its relationship with neonatal anthropometric ratios: the newborn body composition study of the INTERGROWTH-21st project. Pediatr Res 2017; 82 (2): 305–316. DOI: 10.1038/pr.2017.52Villar J., Puglia F.A., Fenton T.R., Ismail L.C., Staines-Urias E., Giuliani F. et al. Body composition at birth and its relationship with neonatal anthropometric ratios: the newborn body composition study of the INTERGROWTH-21st project. Pediatr Res 2017; 82 (2): 305–316. DOI: 10.1038/pr.2017.52Perng W., Ringham B.M., Glueck D.H., Sauder K.A., Starling A.P. Belfort M.B. et al. An observational cohort study of weight- and length-derived anthropometric indicators with body composition at birth and 5 mo: the Healthy Start study. Am J Clin Nutr 2017; 106: 559–567. DOI: 10.3945/ ajcn.116.149617Perng W., Ringham B.M., Glueck D.H., Sauder K.A., Starling A.P. Belfort M.B. et al. An observational cohort study of weight- and length-derived anthropometric indicators with body composition at birth and 5 mo: the Healthy Start study. Am J Clin Nutr 2017; 106: 559–567. DOI: 10.3945/ ajcn.116.149617Villar J., Giuliani F., Bhutta Z.A., Bertino E., Ohuma E.O., Ismail L.C. et al. Postnatal growth standards for preterm infants: the Preterm Postnatal Follow-up Study of the INTERGROWTH-21st Project. Lancet Glob Health 2015; 3 (11): e681–91. DOI: 10.1016/S2214-109X(15)00163-1Villar J., Giuliani F., Bhutta Z.A., Bertino E., Ohuma E.O., Ismail L.C. et al. Postnatal growth standards for preterm infants: the Preterm Postnatal Follow-up Study of the INTERGROWTH-21st Project. Lancet Glob Health 2015; 3 (11): e681–91. DOI: 10.1016/S2214-109X(15)00163-1Koletzko B., Beyer J., Brands B., Demmelmair H., Grote V., Haile G. et al.; European Childhood Obesity Trial Study Group. Early influences of nutrition on postnatal growth. Nestle Nutr Inst Workshop Ser 2013; 71: 11–27. DOI: 10.1159/000342533Koletzko B., Beyer J., Brands B., Demmelmair H., Grote V., Haile G. et al.; European Childhood Obesity Trial Study Group. Early influences of nutrition on postnatal growth. Nestle Nutr Inst Workshop Ser 2013; 71: 11–27. DOI: 10.1159/000342533Martin R.M., Holly J.M., Smith G.D. Could associations between breastfeeding and insulin-like growth factors underlie associations of breastfeeding with adult chronic disease? The Avon longitudinal study of parents and children. Clin Endocrinol (Oxf) 2005; 62: 728–737. DOI: 10.1111/j.13652265.2005.02287.xMartin R.M., Holly J.M., Smith G.D. Could associations between breastfeeding and insulin-like growth factors underlie associations of breastfeeding with adult chronic disease? The Avon longitudinal study of parents and children. Clin Endocrinol (Oxf) 2005; 62: 728–737. DOI: 10.1111/j.13652265.2005.02287.xRamel S.E., Zhang L., Misra S., Anderson C.G., Deme- rath E.W. Do anthropometric measures accurately reflect body composition in preterm infants? Pediatric Obesity 2017; 12: 72–77. DOI: 10.1111/ijpo.12181Ramel S.E., Zhang L., Misra S., Anderson C.G., Deme- rath E.W. Do anthropometric measures accurately reflect body composition in preterm infants? Pediatric Obesity 2017; 12: 72–77. DOI: 10.1111/ijpo.12181Bertino E., Coscia A., Mombro M., Boni L. Postnatal weight increase and growth velocity of very low birth weight infants. Arch Dis Child Fetal Neonatal Ed 2006; 91: F349–F356. DOI: 10.1136/adc.2005.090993Bertino E., Coscia A., Mombro M., Boni L. Postnatal weight increase and growth velocity of very low birth weight infants. Arch Dis Child Fetal Neonatal Ed 2006; 91: F349–F356. DOI: 10.1136/adc.2005.090993Clark R.H., Thomas P., Peabody J. Extrauterine growth restriction remains a serious problem in prematurely born neonates. Pediatrics 2003; 111: 986–990.Clark R.H., Thomas P., Peabody J. Extrauterine growth restriction remains a serious problem in prematurely born neonates. Pediatrics 2003; 111: 986–990.Ehrenkranz R.A., Younes N., Lemons J.A. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104: 280–289.Ehrenkranz R.A., Younes N., Lemons J.A. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104: 280–289.Hintz S.R., Kendrick D.E., Stoll B.J. Neurodevelopmental and growth outcomes of extremely low birth weight infants after necrotizing enterocolitis. Pediatrics 2005; 115: 696–703. DOI: 10.1542/peds.2004-0569Hintz S.R., Kendrick D.E., Stoll B.J. Neurodevelopmental and growth outcomes of extremely low birth weight infants after necrotizing enterocolitis. Pediatrics 2005; 115: 696–703. DOI: 10.1542/peds.2004-0569Sherman M. P., Shoemaker C.T. Follow-Up of NICU Patient. Pediatrics 2004; 114: 5: 1377–1397.Sherman M. P., Shoemaker C.T. Follow-Up of NICU Patient. Pediatrics 2004; 114: 5: 1377–1397.Euser A.M., de Wit C.C., Finken M.J.J. Growth of preterm born children. Hormone research 2008; 70: 319–328. DOI: 10.1159/000161862Euser A.M., de Wit C.C., Finken M.J.J. Growth of preterm born children. Hormone research 2008; 70: 319–328. DOI: 10.1159/000161862Agostoni C., Buonocore G., Carnielli V.P., De Curtis M., Darmaun D., Decsi T. et al. Enteral nutrient supply for preterm infants: commentary from the European Society or Pediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition. JPGN 2010; 50 (1): 85–91. DOI: 10.1097/ MPG.0b013e3181adaee0Agostoni C., Buonocore G., Carnielli V.P., De Curtis M., Darmaun D., Decsi T. et al. Enteral nutrient supply for preterm infants: commentary from the European Society or Pediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition. JPGN 2010; 50 (1): 85–91. DOI: 10.1097/ MPG.0b013e3181adaee0Lucas A., Fewtrell M.S., Morley R., Singhal A., Abbott R.A., Isaacs E. et al. Randomized trial of nutrient-enriched formula versus standard formula for postdischarge preterm infants. Pediatrics 2001; 108 (3): 703–711.Lucas A., Fewtrell M.S., Morley R., Singhal A., Abbott R.A., Isaacs E. et al. Randomized trial of nutrient-enriched formula versus standard formula for postdischarge preterm infants. Pediatrics 2001; 108 (3): 703–711.ESPGHAN Committee on Nutrition, Aggett P.J., Agostoni C., Axelsson I., De Curtis M., Goulet O., Hernell O. et al. Feeding preterm infants after hospital discharge. A Commentary by ESPGHAN Committee on nutrition. J Pediatr 2006; 42: 596–603. DOI: 10.1097/01.mpg.0000221915.73264.c7ESPGHAN Committee on Nutrition, Aggett P.J., Agostoni C., Axelsson I., De Curtis M., Goulet O., Hernell O. et al. Feeding preterm infants after hospital discharge. A Commentary by ESPGHAN Committee on nutrition. J Pediatr 2006; 42: 596–603. DOI: 10.1097/01.mpg.0000221915.73264.c7Ramel S.E., Gray H.L., Ode K.L., Younge N., Georgieff M.K., Demerath E.W. Body composition changes in preterm infants following hospital discharge: comparison with term infants. JPNG 2011; 53 (3): 333–338. DOI: 10.1097/MPG.0b013e3182243aa7Ramel S.E., Gray H.L., Ode K.L., Younge N., Georgieff M.K., Demerath E.W. Body composition changes in preterm infants following hospital discharge: comparison with term infants. JPNG 2011; 53 (3): 333–338. DOI: 10.1097/MPG.0b013e3182243aa7Johnson M.J., Wootton S.A., Leaf A.A., Jackson A.A. Preterm birth and body composition at term equivalent age: a systematic review and meta-analysis. Pediatrics 2012; 130: 3: 640– 649. DOI: 10.1542/peds.2011-3379Johnson M.J., Wootton S.A., Leaf A.A., Jackson A.A. Preterm birth and body composition at term equivalent age: a systematic review and meta-analysis. Pediatrics 2012; 130: 3: 640– 649. DOI: 10.1542/peds.2011-3379Uthaya S., Thomas E.L., Hamilton G., Doré C.J., Bell J., Modi N. Altered adiposity after extremely preterm birth. Pediatr Res 2005; 57 (2): 211–215. DOI: 10.1203/01. PDR.0000148284.58934.1CUthaya S., Thomas E.L., Hamilton G., Doré C.J., Bell J., Modi N. Altered adiposity after extremely preterm birth. Pediatr Res 2005; 57 (2): 211–215. DOI: 10.1203/01. PDR.0000148284.58934.1CHuke V., Rudloff S., Brugger M., Strauch K., Berthold L.D., Landmann E. Prematurity is not associated with intra-abdominal adiposity in 5- to 7-year-old children. J Pediatr 2013; 163 (5): 1301–1306. DOI: 10.1016/j.jpeds.2013.06.035Huke V., Rudloff S., Brugger M., Strauch K., Berthold L.D., Landmann E. Prematurity is not associated with intra-abdominal adiposity in 5- to 7-year-old children. J Pediatr 2013; 163 (5): 1301–1306. DOI: 10.1016/j.jpeds.2013.06.035Hack M., Schluchter M., Cartar L., Rahman M., Cuttler L., Borawski E. Growth of very low birth weight infants to age 20 years. Pediatrics 2003;112:e30–38Hack M., Schluchter M., Cartar L., Rahman M., Cuttler L., Borawski E. Growth of very low birth weight infants to age 20 years. Pediatrics 2003;112:e30–38Farooqi A., Hagglof B., Sedin G., Gothefors L. Growth in 10- to 12-year-old children born at 23 to 25 week’s gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics 2006; 118: e1452–1465. DOI: 10.1542/peds.2006-1069Farooqi A., Hagglof B., Sedin G., Gothefors L. Growth in 10- to 12-year-old children born at 23 to 25 week’s gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics 2006; 118: e1452–1465. DOI: 10.1542/peds.2006-1069Алямовская Г.А., Кешишян Е.С., Сахарова Е.С. Особенности физического развития глубоконедоношенных детей на первом году жизни. Вестник современной клинической медицины 2013; 6 (6): 6–14. [Alyamovskaya G.A., Keshishian E.S., Saharova E.S. Сharacteristic of growth development of very premare infants during the first year of life. Vestnik sovremennoi klinicheskoi meditsiny 2013; 6 (6): 6–14. (in Russ.)]Алямовская Г.А., Кешишян Е.С., Сахарова Е.С. Особенности физического развития глубоконедоношенных детей на первом году жизни. Вестник современной клинической медицины 2013; 6 (6): 6–14. [Alyamovskaya G.A., Keshishian E.S., Saharova E.S. Сharacteristic of growth development of very premare infants during the first year of life. Vestnik sovremennoi klinicheskoi meditsiny 2013; 6 (6): 6–14. (in Russ.)]Fenton T.R. A new growth charts for preterm babies: Babson and Benda’s charts updated with recent data and new format. BMC Pediatrics 2003; 3: 13.Fenton T.R. A new growth charts for preterm babies: Babson and Benda’s charts updated with recent data and new format. BMC Pediatrics 2003; 3: 13.Karlberg J. On the modeling of human growth. Stat Med 1987; 6: 185–192.Karlberg J. On the modeling of human growth. Stat Med 1987; 6: 185–192.Sherry B., Mei Z., Grummer-Strawn L., Dietz W.H. Evaluation of Recommendations for very low birth weight (≤1500 grams) Infants in the United States. Pediatrics 2003; 1 (11): 750–758.Sherry B., Mei Z., Grummer-Strawn L., Dietz W.H. Evaluation of Recommendations for very low birth weight (≤1500 grams) Infants in the United States. Pediatrics 2003; 1 (11): 750–758.WHO Multicentre Growth Reference Study Group. WHO child growth standards. Acta Pediatr Suppl 2006; 450: 5–101.WHO Multicentre Growth Reference Study Group. WHO child growth standards. Acta Pediatr Suppl 2006; 450: 5–101.Rabner M., Meurling J., Ahlberg C., Lorch S.A. The impact of growth curve changes in assessing premature infant growth. J Perinatol 2014; 34: 49–53. DOI: 10.1038/jp.2013.114Rabner M., Meurling J., Ahlberg C., Lorch S.A. The impact of growth curve changes in assessing premature infant growth. J Perinatol 2014; 34: 49–53. DOI: 10.1038/jp.2013.114

The authors declare that there are no conflicts of interest present.