JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2025, 80(6):310-315 | DOI: 10.55095/CSPediatrie2025/012

How do premature Czech children grow in the first two years of life and how can their growth be assessed in a quality way?

Hana Kosek Krásničanová1, Jana Tuková2, Marie Hladíková2, Jiří Helmich2, Daniela Marková2
1 Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice Motol, Praha
2 Klinika pediatrie a dědičných poruch metabolismu, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze

Preterm infants are a large specific paediatric subpopulation whose numbers have grown significantly in recent decades. Prematurity is a clinical syndrome of its kind, where a crucial approach is to monitor auxological parameters that are an exact correlate of the well-being of individuals of all pediatric age groups.

Deterioration of auxological parameters is the predominant manifestation of many serious clinical conditions, and detection of growth alterations is thus an essential part of the care of high-risk individuals born prematurely. Routine assessment of auxological

status generally benefits more from precise dynamic evaluation of normalized auxological data over time than from "cut-offs" of centiles (e.g., 3rd line). The ideal tool for this necessary monitoring is using software optimally designed using recent reference data for a given population.

We present representative reference auxological characteristics of Czech boys and girls born before 37th

weeks gestational age, created for two weight cohorts for both sexes (birth weight > and ≤ 1500 grams). Baseline auxological data of 1781 boys and girls from 40th to 144th week postmenstrual age (= 2 years corrected age) became the basis of the now freely distributed Nerost software, which provides instantaneous exact and graphical assessment of body length, body weight, weight-length

relationship and fronto-occipital circumference.

Keywords: infants born preterm, growth reference data, infant period, low-birth-weight and very-low-birth-weight infants, LMS method, growth charts, software for auxological data analysis

Received: December 30, 2024; Revised: December 30, 2024; Accepted: March 16, 2025; Published: August 1, 2025  Show citation

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Kosek Krásničanová H, Tuková J, Hladíková M, Helmich J, Marková D. How do premature Czech children grow in the first two years of life and how can their growth be assessed in a quality way? Ces-slov Pediat. 2025;80(6):310-315. doi: 10.55095/CSPediatrie2025/012.
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