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Birth Weight < 3rd Percentile Prediction Using Additional Biochemical Markers—The Uric Acid Level and Angiogenesis Markers (sFlt-1, PlGF)—An Exploratory Study

Bibliographic Data

ID15500686
AuthorsMagdalena Bednarek-Jędrzejek (0000-0002-4006-7774, Pomeranian Medical University, corresponding author), Sylwia Dzidek (0000-0002-8279-5585, Pomeranian Medical University), Piotr Tousty (0000-0002-7385-6390, Pomeranian Medical University), Ewa Kwiatkowska (0000-0002-9847-6589, Pomeranian Medical University), Aneta Cymbaluk‐Płoska (0000-0003-4727-7763, Pomeranian Medical University), Tomasz Góra (0000-0002-0494-9614, John Paul II Hospital), Bartosz Czuba (0000-0002-2345-3243, Medical University of Silesia), Andrzej Torbé (0000-0002-6344-4798, Pomeranian Medical University), Sebastian Kwiatkowski (0000-0003-1504-3639, Pomeranian Medical University)
Year2022
Volume19
Issue22
Pages15059-15059
Publication date2022-11-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192215059
PMID36429778
OpenAlexW4309306489
LanguageEN
References cited39

(1) Aim: Ultrasound is the gold standard for assessing fetal growth disorders. The relationship between high sFlt-1/PlGF scores and LBW (low birth weight) was described. In this study, we attempted to assess whether uric acid could be used as a secondary marker in estimating the pregnancy risk associated with LBW. (2) Material and methods: 665 pregnant women with a suspected or confirmed form of placental insufficiency were enrolled. In each of the patients, sFlt-1 and PlGF and uric acid levels were determined. Patients were divided into two groups according to birth weight below and above the third percentile for the given gestational age with the criteria of the neonatal definition of FGR (fetal growth restriction). (3) Results: A significant negative correlation between neonatal birth weight and the uric acid level across the entire study group was observed. We found a significant negative correlation between neonatal birth weight and the uric acid level with birth weights < 3rd percentile. (4) Conclusions: There is a significant link between the uric acid concentration and LBW in the group with placental insufficiency. Uric acid can improve the prediction of LBW. An algorithm for LBW prognosis that makes use of biophysical (ultrasound) and biochemical (uric acid level, angiogenesis markers) parameters yields better results than using these parameters separately from each other

Biology · Birth weight · Fetus · Gestational age · Low birth weight · Obstetrics · Percentile · Pregnancy · Uric acid · Birth, Development, and Health · Gestational Diabetes Research and Management · Mathematics · Medicine · Pregnancy and preeclampsia studies · Genetics · Internal Medicine · Physiology

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