Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons.

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Tác giả: Anna Booman, Janne Boone-Heinonen, Byron A Foster, Kristin Lyon-Scott, Miguel Marino, Jonathan M Snowden

Ngôn ngữ: eng

Ký hiệu phân loại: 201.727 International affairs formerly 291.1787

Thông tin xuất bản: United States : Preventive medicine reports , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 470648

OBJECTIVE: Understanding of twin growth in the United States (US) is based on outdated or predominantly non-Hispanic White samples, and the age at which twins catch up to singletons is unclear. In this study, we characterized normative weight trajectories of twins and singletons in a contemporary, diverse cohort. METHODS: Data were from the PROMISE study, an electronic health record-based cohort of pregnant people and their children in the US (2005-2021). The Jenss model was used to characterize weight trajectories from 0 to 24 months of age. Twins ( RESULTS: Male and female twins had lower birth weight compared to singletons and experienced a high rate of weight gain throughout infancy. Among males, twins caught up in weight to the full singleton cohort and to GA-matched singletons at approximately 12 and 6 months, respectively. Among females, twins caught up to GA-matched singletons at approximately 15 months but did not fully overcome their birth weight disadvantage to the full singleton sample by 24 months. CONCLUSIONS: These findings highlight that the use of singleton growth charts or preterm singleton growth charts among twins may be inappropriate and suggest the need for a twin-specific growth chart. Future research is needed to understand factors that drive differences in weight trajectories between twins and singletons and to guide twin-specific guidelines.
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