{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T10:13:58Z","timestamp":1771150438790,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate growth and body composition at NICU discharge in term\u2010born neonates with structural congenital anomalies and identify predictors of body fat percentage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study included 61 term neonates (\u2265\u200937\u2009weeks' gestation) with cardiac or non\u2010cardiac congenital anomalies requiring surgery. Anthropometric measures at birth and discharge and body composition at discharge were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores declined significantly between birth and discharge for weight (\u22120.38 to \u22121.53), length (\u22120.02 to \u22120.64), and head circumference (\u22120.04 to \u22120.79) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Infants with congenital heart disease demonstrated a more pronounced weight\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score decline. At discharge, mean body fat was 9% (SD 4.9), with no significant differences between cardiac and non\u2010cardiac anomalies or sexes. Fat\u2010free mass was relatively preserved (91%, 910\u2009g\/kg). Multivariate analysis identified time of full enteral feeds (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02) and maternal ethnicity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) as independent predictors of body fat.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Term neonates with congenital anomalies experience significant postnatal growth restriction and reduced fat mass by NICU discharge. Maternal ethnicity and time to full enteral feeds independently influence body fat percentage. These findings support the need for individualised nutrition and routine body composition monitoring to optimise outcomes in this high\u2010risk group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70332","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T09:50:00Z","timestamp":1759917000000},"page":"345-352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Growth and Body Composition at Discharge in Full\u2010Term Neonates With Congenital Anomalies"],"prefix":"10.1111","volume":"115","author":[{"given":"Amit","family":"Trivedi","sequence":"first","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital at Westmead  Westmead New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn Browning","family":"Carmo","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital at Westmead  Westmead New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"James\u2010Nunez","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital at Westmead  Westmead New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne","family":"Gordon","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Centre for Newborn Care Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Congenital Anomalies in Australia","author":"Australian Institute of Health and Welfare","year":"2024"},{"key":"e_1_2_13_3_1","volume-title":"Congenital Disorders","author":"World Health Organization","year":"2025"},{"key":"e_1_2_13_4_1","volume-title":"Congenital Disorders","author":"World Health Organization","year":"2025"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-023-04865-w"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yjpso.2023.100036"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2023.105798"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31389-7"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61692-4"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2022-324988"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665107005691"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01354.x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.113.080945"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-018-0158-x"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000532111"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_13_18_1","volume-title":"Child Growth Standards 2025","author":"World Health Organization","year":"2025"},{"key":"e_1_2_13_19_1","volume-title":"Australian Standard Classification of Cultural and Ethnic Groups (ASCCEG)","author":"Australian Bureau of Statistics","year":"2019"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.21037\/pm-20-77"},{"issue":"01","key":"e_1_2_13_21_1","first-page":"e33","article-title":"Growth From Birth to 30 Months for Infants Born With Congenital Gastrointestinal Anomalies and Disorders","volume":"38","author":"Strobel K. 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