Table 3 Change in Z-scores from birth to discharge in infants < 33 weeks or < 1500 g in the growth cohort during both epochs. a. Changes in weight, length and FOC. b. Change in length Z-scores: multivariate analysis.

From: Improved linear growth after routine zinc supplementation in preterm very low birth weight infants

a

Variable

Unadjusteda

Adjusted for GA, postmenstrual age at discharge and Sexb

Epoch-1

Epoch-2

P-value

Sex

Epoch-1

Epoch-2

Epoch P-value

Delta WeightZ

−0.96 ± 0.74

N = 479

−0.91 ± 0.76

N = 346

0.34

Females

Males

−0.94 ± 0.05

−1.00 ± 0.05

−0.88 ± 0.05

−0.94 ± 0.05

0.27

Delta LengthZc

−0.94 ± 1.22

N = 351

−0.70 ± 0.83

N = 308

0.003

Females

Males

−0.91 ± 0.06

−1.00 ± 0.06

−0.65 ± 0.06

−0.74 ± 0.07

< 0.001

Delta FOCZ

−0.29 ± 0.93

N = 470

−0.39 ± 0.95

N = 340

0.13

Females

Males

−0.23 ± 0.06

−0.35 ± 0.06

−0.32 ± 0.06

−0.45 ± 0.07

0.19

b

  

Variable

Beta Coefficient (95% Confidence interval)

P-value

Epoch-2 vs Epoch-1

0.27 (0.13, 0.42)

< 0.001

Gestational age (by week)

0.23 (0.20, 0.26)

< 0.001

Antenatal steroids

−0.07 (−0.30, +0.17)

0.58

Male

−0.11 (−0.26, +0.03)

0.13

Race ethnicity

 Hispanic

(reference)

-

 Non-Hispanic Black

0.05 (−0.11, +0.22)

0.54

 Non-Hispanic White

0.24 (−0.15, 0.63)

0.23

 Other

0.17 (−0.47, +0.82)

0.60

 Severe bronchopulmonary dysplasiad

0.11 (−0.24, +0.45)

0.55

 Culture-positive late onset sepsis

0.09 (−0.27, +0.44)

0.64

 Gastrointestinal perforation

−0.17 (−1.49, +1.14)

0.80

 Average energy intake (cal/kg/day)e

−0.02 (−0.03, −0.01)

0.001

 Average protein intake (cal/kg/day)e

0.53 (0.24, 0.83)

< 0.001

  1. a mean ± standard deviation Student t-test; b mean ± standard error four-way ANOVA
  2. cAccurate measurements obtained by dietitian with length board or caliper within the first week of life and at discharge.
  3. GA gestational age, Delta []Z change in Z-score from birth to discharge for [], FOC fronto-occipital circumference
  4. Generalized linear equation, n = 621
  5. dNIH consensus definition
  6. eduring the entire hospitalization