Functional Outcomes at Age 7 Years of Moderate Preterm and Full Term Children Born Small for Gestational Age - 25/02/15
, Koenraad N.J.A. Van Braeckel, PhD 1, Jorien M. Kerstjens, MD, PhD 1, Inger F.A. Bocca-Tjeertes, MD, PhD 1, Sijmen A. Reijneveld, MD, PhD 2, Arend F. Bos, MD, PhD 1Abstract |
Objective |
To compare functional outcomes of 7-year-old (school-age) children born small for gestational age (SGA; ie, a birth weight z score ≤ −1 SD), with appropriate for gestational age (AGA) peers, born moderately preterm or full term.
Study design |
Data were collected as part of the Longitudinal Preterm Outcome Project study, a community-based, prospective cohort study of 336 AGA and 42 SGA born children (median gestational age 35 weeks, range 31-41). Of the SGA children, 32 were moderately preterm, 10 were full term; of the AGA, these numbers were 216 and 120, respectively. At 6.9 years, we assessed intelligence, verbal memory, attention, visuomotor integration, and motor skills and we collected the parent-reported executive functioning. We compared the outcomes of the SGA children with those of their AGA peers.
Results |
The performance of SGA children was similar to that of their AGA peers, except for attention control which was abnormal more often in SGA children (OR 3.99, 95% CI 1.32-12.12). The IQ of SGA children was 3 points lower, but this difference failed to reach significance.
Conclusions |
At school age, children born SGA have a greater risk of abnormal test scores on attention control than children born AGA, independent of gestational age. Their motor and many other cognitive functions are similar. The impact of these outcomes seems limited. Nevertheless, the consequences for school performance deserve attention.
Le texte complet de cet article est disponible en PDF.Keyword : AGA, GA, IUGR, Movement ABC, MPT, SGA
Plan
| Supported by the foundation of Beatrix Children's Hospital, the Cornelia Foundation for the Handicapped Child, A. Bulk-Children Preventive Health Care Fund (KS 15F07(2).59), Dutch Brain Foundation, FrieslandCampina, Friso Infant Nutrition, and Pfizer Europe. The authors declare no conflicts of interest. |
|
| Registered with Controlled-Trials.com: ISRCTN80623320. |
Vol 166 - N° 3
P. 552 - mars 2015 Retour au numéro
Article précédent
- The ProPre-Save Study: Effects of Probiotics and Prebiotics Alone or Combined on Necrotizing Enterocolitis in Very Low Birth Weight Infants
- Dilek Dilli, Banu Aydin, Nurdan Dinlen Fettah, Elif Özyaz?c?, Serdar Beken, Ay?egül Zenciro?lu, Nurullah Okumu?, Banu Mutlu Özyurt, Mehmet ?ah ?pek, Arzu Akda?, Özden Turan, ?enol Bozda?
- 50 Years Ago in The Journal of Pediatrics : Intestinal Glycosidase Activities in Congenital Malabsorption of Disaccharides
- David Galloway
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?