Physical growth and neurodevelopmental outcome of nonhandicapped low-risk children born preterm
| Autor: | Joachim Pietz, Rainer Graf, Otwin Linderkamp, André Rupp, Inge Rauterberg-Ruland, Johannes Peter, Dieter Sontheimer |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Birth weight Gross motor skill Neuropsychological Tests Nervous System Child Development Pregnancy Medicine Humans Language Development Disorders Risk factor Child reproductive and urinary physiology Growth Disorders medicine.diagnostic_test business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age Infant Neuropsychological test medicine.disease Low birth weight Premature birth Child Preschool Pediatrics Perinatology and Child Health Premature Birth Female medicine.symptom business Infant Premature Follow-Up Studies |
| Zdroj: | Early human development. 79(2) |
| ISSN: | 0378-3782 |
| Popis: | Outcome studies on the effects of prematurity are increasingly restricted to extremely immature infants with birth weight below 1000 g or gestational age below 26 weeks. In contrast, studies comprising low-risk preterm infants are rare.To examine growth and neurodevelopmental outcome, 70 low-risk low birth weight (LBW) children without neurological impairment were followed from birth to 7 years of age. At 7 years of age, LBW children were compared to a matched control group born at term.Postnatal growth was measured at 20 months in the LBW group and at 7 years in LBW and control children. At 20 months, the LBW group was assessed with the Griffiths Scales. At 7 years, LBW and control children were assessed with a neuropsychological test battery comprising tests for language, visual-perceptual, visual-motor, fine and gross motor abilities.At 7 years of age, the frequency of children with low (3rd-9th percentile) or subnormal (3rd percentile) growth parameters was increased in the LBW group. The Mean Griffiths Developmental Quotient (DQ) of the preterm group was normal (102.3+/-8.4), and there were only two results below DQ 85. There was no difference between 49 children appropriate for gestational age and 21 small for gestational age (SGA) children. At 7 years of age, reduced mean test results in the range of -0.5 SDS were observed for language and visual-motor abilities in the preterm group. This was due to an increased frequency of LBW children with moderately (SDS -1.0 to -2.0 SDS) subnormal test results. Even for the slightly LBW group (2000 to 2499 g), poorer language abilities were confirmed.All LBW infants, including low-risk populations, should be included in a follow-up program in order to detect deficits early in life and begin treatment before school entry. |
| Databáze: | OpenAIRE |
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