Catch-up growth and behavioral development among preterm, small-for-gestational-age children: A nationwide Japanese population-based study.
Brain Dev
; 41(5): 397-405, 2019 May.
Article
in En
| MEDLINE
| ID: mdl-30611596
ABSTRACT
OBJECTIVE:
To examine the relationship between the catch-up growth of preterm, SGA children and their behavioral development.METHODS:
We analyzed data from a large Japanese, nationwide, population-based, longitudinal survey that started in 2001. We restricted the study participants to preterm children with information on height at 2â¯years of age (nâ¯=â¯1667). Catch-up growth for SGA infants was defined as achieving a height at 2â¯years of age above -2.0 standard deviations for chronological age. We then used logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the associations of SGA/catch-up status with neurobehavioral development both at 5.5 and 8â¯years of age, adjusting for potential infant- and parent-related confounding factors.RESULTS:
Twenty-six percent of preterm SGA infants failed to catch up. SGA children without catch-up growth were more likely to be unable to listen without fidgeting (OR 2.51, 95% CI 1.06-5.93) and unable to focus on one task (OR 2.66, 95% CI 1.09-6.48) compared with non-SGA children at 5.5â¯years of age. Furthermore, SGA children without catch-up growth were at significant risk for inattention at 8â¯years of age.CONCLUSIONS:
SGA infants with poor postnatal growth were at risk for attention problems throughout preschool-age to school-age among preterm infants. Early detection and intervention for attention problems among these infants is warranted.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Behavioral Symptoms
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Infant, Premature
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Infant, Small for Gestational Age
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Child Development
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Developmental Disabilities
Type of study:
Observational_studies
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Risk_factors_studies
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Screening_studies
Limits:
Child
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Child, preschool
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Female
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Humans
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Male
/
Newborn
Language:
En
Journal:
Brain Dev
Year:
2019
Document type:
Article