Japanese growth charts stratified by birth weight in 500-gram increments: Findings from the Japan Environment and Children’s Study
Growth charts are essential tools for monitoring the physical development of children. We analyzed data from a nationwide Japanese birth cohort of 98,987 participants to create eight growth charts stratified by birth weight in 500-gram increments. Infants with birth weight < 2,500 g showed significant improvements in height and weight standard deviation (SD) scores by 4 yr of age. Boys and girls weighing 500-999 g at birth had average length/height SD scores of -6.40 and -8.20, which improved to -1.26 and -1.17 by 4 yr of age, respectively. Conversely, infants with birth weight ≥ 3,500 g showed decreased height and weight SD scores by 4 yr of age. Boys and girls weighing ≥ 4,000 g had average length/height SD scores of 1.87 and 2.10 at birth, which decreased to 0.34 and 0.51 by 4 yr of age, respectively. These findings reveal distinct growth patterns for different birth weight categories, highlighting the impact of birth weight on early childhood growth trajectories. The growth charts developed here serve as a valuable tool for evaluating children born small or large. These charts enable a more accurate monitoring of children's growth and can be useful in both clinical and public health settings.
Authors
- Naomi Tamura (ORCID: https://orcid.org/0000-0003-2116-4023)
- Reiko Kishi (ORCID: https://orcid.org/0000-0001-8173-9269)
- Yoshiya Ito (ORCID: https://orcid.org/0000-0001-7905-6661)
- Kazutoshi Cho (ORCID: https://orcid.org/0000-0003-2742-4084)
- Akinori Moriichi (ORCID: https://orcid.org/0000-0001-5239-1830)
- Hiroyoshi Iwata (ORCID: https://orcid.org/0000-0002-6949-0795)
- Akie Nakamura
- Mariko Itoh
- Maki Tojo
- Keitaro Makino (ORCID: https://orcid.org/0000-0001-9252-8256)
- Yasuaki Saijo (ORCID: https://orcid.org/0000-0002-6211-8202)
- Taro Yamauchi (ORCID: https://orcid.org/0000-0002-5168-2748)
- Takeshi Yamaguchi (ORCID: https://orcid.org/0000-0001-6329-0437)
- Yumi Kono (ORCID: https://orcid.org/0000-0002-0647-7868)
- Sachiko Itoh
Institutions
- Jichi Medical University (JP)
- Asahikawa Medical University (JP)
- Health Sciences University of Hokkaido (JP)
- Sapporo University (JP)
- Hokkaido University (JP)
- Japanese Red Cross Hokkaido College of Nursing (JP)
- Hokkaido hospital (JP)
- National Center For Child Health and Development (JP)
- Japan Community Healthcare Organization (JP)
- Hokkaido University Hospital (JP)
- Jichi Medical University Hospital (JP)
Publication Details
- Journal
- Clinical Pediatric Endocrinology
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1297/cpe.2024-0063
- Primary Topic
- Birth, Development, and Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Center for Child Health and Development
- Hokkaido University
- Chiba University
- Nagoya City University