Korean reference for full-term birth length by sex: data from the 4th Korean National Health and Nutrition Examination Survey (KNHANES-IV; 2007-2009)

Ann Pediatr Endocrinol Metab. 2019 Dec;24(4):226-230. doi: 10.6065/apem.2019.24.4.226. Epub 2019 Dec 31.

Abstract

Purpose: The purpose of this study was to construct reference data for birth length of full-term and preterm Korean infants by sex and to define a sex-specific birth length cut-off to identify small for gestational age (SGA).

Methods: Data were collected from the 4th Korean National Health and Nutrition Examination Survey (2007-2009), comprising 843 children with birth length data and birth history.

Results: References for the 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles of birth length and weight were created using singleton neonates of gestational age (GA) 36-37 weeks and 38-41 weeks by sex. The birth length cutoff value for SGA (<10th percentile) was 48 cm in both male and female neonates, and the ≤3rd percentile cutoff was 47 cm in males and 46 cm in females born at a GA of 38-41 weeks.

Conclusion: New Korean reference data were created for birth length and differed from those of other ethnicities. Further research on short-term and long-term health outcomes of SGA infants based on the new reference data is needed.

Keywords: Gestational age; Koreans; Reference; Small for gestational age infant; Birth length.