ESPE Abstracts (2014) 82 P-D-3-1-882

Project Episga: PreMeb Presentation, Subject Recruitment, and Initial Data

Ignacio Diez-Lopeza, Ainhoa Sarasua-Mirandaa, Marta Hoyo-Morachoa, Isabel Lorente-Blazqueza, Raquel Gomez de Segura Lorentea, Dorleta Pérez Camposa, Victor Manuel Rodriguez-Riverab & Maria Teresa Macarulla-Arenazab


aUniversity Hospital of Alava, Vitoria, Research Group of the Child PEG, Vitoria/Basque Country, Spain; bNutrition and Obesity if Basque Country University, Vitoria/Basque Country, Spain


Background: Up to 50% SGA did not do a proper catch up (for over/under) and may have implications in size, metabolic, cardiovascular. Arises: epiSGA – PreMeb Project. Global approach to study.

Objective: Create clinical cohort of SGA for monitoring, assessment catch-up, use GHRH requirements, environmental/social factors and variables influence on clinical, laboratory and metabolic profiles in order to progress in the knowledge of natural history. Processing graph anthropometric and biochemical normalcy tables in each branch.

Material and methods: Study and classification newborn singletons live our hospital (years 2012–2014) as age and weight/height tables regarding the Spanish (2008) (balance accuracy and standardized stadiometer) n estimated 110 cases. Visits to regulated 0, 3, 6, 9, 12, 15, 18, and 24 months.

Initial results: SGA recruited in 6 months (20 ♂, 58%). Average age 30.5 years mother SDS 2.6 (22–41), first pregnant 24/34 (70%), Basque origin 30/34 (88%), and previous children SGA 5/34 (14%). Mean BMI 22.5 kg/m2 SDS2.8 (19–26), mean height 162.5 cm stem. SDS 3.8 (156–186). Gestation habitual smoker in 15/34 (45%), middle eight cigarettes/day SDS 4 (3–15). Levels of primary studies (10%), FP (45%), diploma (30%), and graduate (15%). Working during pregnancy 24/34 (70%), with over 3 h of walking per week 80%. Taking drugs during pregnancy 11/34 (32%), 75% for asthma (inhaled B2/budesonida), 15% (l-thyroxine) 10% other. Pathologies associated with pregnancy 18/34 (53%) (gestosis, pre-eclampsia, DM, thyroiditis, and psychogenic stress). Term delivery 23/34 (67%), vaginal delivery in 30/34 (88%). 2.6 SDS medium weight (−3.5 to 2) 2.5 SDS medium size (−3.2 to 2.1) sex and corresponding EG. EBF 23/34 (68%) at 1 month of life. Income or pathology RN on first month of life 10/34 (29%).

Results: The current lifestyle of pregnant women (age, snuff, stress, and work), taking regular medication (asthma) leads to a higher rate of SGA. Children born SGA seems requiring greater use of artificial feeding and is a population risk of disease in the first month of life.