Birth weight charts for a Chinese population: An observational study of routine newborn weight data from Chongqing

Zhao, Xue, Xia, Yinyin, Zhang, Hua, Baker, Philip N. and Norris, Tom (2019) Birth weight charts for a Chinese population: An observational study of routine newborn weight data from Chongqing. BMC Pediatrics, 19. ISSN 1471-2431

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Abstract

Background: To construct birth weight charts for the Chongqing municipality, China and to identify whether differences in birth weight exist across urban/rural populations, thereby warranting separate charts. Methods: Secondary analysis of routinely collected data from 338,454 live infants between 2014 and 2017 in Chongqing municipality. Sex-specific birth weight-for-gestational age centiles were constructed by the lambda-mu-sigma method via the GAMLSS R-based package. This method remodels the skewed birth weight distribution to estimate a normal distribution, allowing any birth weight centile to be generated. A separate set of centiles were created, accounting for urban/rural differences in birth weight. Results: The centiles performed well across all gestational ages. For example, 2.37% (n = 4176) of males and 2.26% (n = 3656) of females were classified as below the 2nd centile (expected percentage = 2.28%), 49.75% of males (n = 87,756) and 50.73% of females (n = 82,203) were classified as below the 50th centile (expected proportion = 50%) and 97.52% of males (n = 172,021) and 97.48% of females (n = 157,967) were classified as below the 98th centile (expected proportion = 97.72%). The overall estimated centiles of birth weight for rural infants were higher than the centiles for urban infants at the earlier gestational ages (< 37 gestational weeks). However, this trend was reversed in infants born at term. Conclusion: We have constructed a readily utilizable set of birth weight references from a large representative sample of births in Chongqing. The method used to construct the references allows for the calculation of the exact centile for any infant delivered between 28 and 42 completed weeks, which was not possible with previous charts.

Item Type: Article
Additional Information: Availability of data and materials: The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Uncontrolled Keywords: birth weight centiles,china,lms,rural,urban,pediatrics, perinatology, and child health ,/dk/atira/pure/subjectarea/asjc/2700/2735
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
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Depositing User: LivePure Connector
Date Deposited: 24 Jun 2025 16:30
Last Modified: 26 Jun 2025 10:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/99707
DOI: 10.1186/s12887-019-1816-9

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