Changes in emotional problems, hyperactivity and conduct problems in moderate to late preterm children and adolescents born between 1958 and 2002 in the United Kingdom

Bilgin, Ayten; Wolke, Dieter; Baumann, Nicole; Trower, Hayley; Brylka, Asteria; Räikkönen, Katri; Heinonen, Kati; Kajantie, Eero; Schnitzlein, Daniel D.; Lemola, Sakari

doi:10.1111/jcv2.12018

“…Our finding that term-born infants with MLBW had increased risk of conduct disorder was in line with a previous study describing children and adolescents born moderate to late preterm had relatively more conduct problems than those born full term [55]. Although there is less consensus about the association between birth weight and conduct problems, symptoms of conduct disorder were also shown by other researchers to be lower in children with LBW/preterm birth than those who were born at term [56].…”

Section: Discussionsupporting

confidence: 92%

Psychiatric disorders in term-born children with marginally low birth weight: a population-based study

Wu,

Huang,

Kao

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background Marginally low birth weight (MLBW) is defined as a birth weight of 2000 ~ 2499 g. Inconsistent findings have been reported on whether children with low birth weight had higher rates of neurological, attention, or cognitive symptoms. No studies have explored the occurrence of clinically diagnosed psychiatric disorders in term- born MLBW infants. We aimed to investigate the risk of subsequent psychiatric disorders in term-born children with MLBW. Methods This is a nationwide retrospective cohort study, by analysing the data from Taiwan’s National Health Insurance Research Database from 2008 to 2018. The study population includes propensity-score-matched term-born infants with MLBW and those without MLBW (birth weight ≥ 2500 g). Cox proportional hazard analysis was used after adjustment for potential demographic and perinatal comorbidity confounders. Incidence rates and hazard ratios (HR) of 11 psychiatric clinical diagnoses were evaluated. Results A total of 53,276 term-born MLBW infants and 1,323,930 term-born infants without MLBW were included in the study. After propensity score matching for demographic variables and perinatal comorbidities, we determined that the term-born MLBW infants (n = 50,060) were more likely to have attention deficit and hyperactivity disorder (HR = 1.26, 95% confidence interval (CI) [1.20, 1.33]), autism spectrum disorder (HR = 1.26, 95% CI [1.14, 1.40]), conduct disorder (HR = 1.25, 95% CI [1.03, 1.51]), emotional disturbance (HR: = 1.13, 95% CI [1.02, 1.26]), or specific developmental delays (HR = 1.38, 95% CI [1.33, 1.43]) than term-born infants without MLBW (n = 50,060). Conclusion MLBW was significantly associated with the risk of subsequent psychiatric disorder development among term-born infants. The study findings demonstrate that further attention to mental health and neurodevelopment issues may be necessary in term-born children with MLBW. However, possibilities of misclassification in exposures or outcomes, and risks of residual and unmeasured confounding should be concerned when interpreting our data.

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“…Preterm born children and adolescents are at an increased risk for mental health problems in addition to neuro-cognitive and physical health problems [5,7,30,33]. CSP might be particularly beneficial for preterm children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…Second, preterm children more often show socially withdrawn behaviour associated with shyness, peer problems, and social anxiety [17,31]. Positive effects of CSP on peer relationships or emotional function seen in term born population [14] might present a cost-effective, easy accessible intervention for preterm born children and adolescents who are at an increased risk to develop these problems [5,7]. In a population-based cohort from the UK and a study of preterm born from Switzerland higher levels of physical activity measured by accelerometer in a crosssectional design were associated with lower peer relationship problems in adolescence [6] and these associations were comparable in term born and preterm born groups.…”

Section: Introductionmentioning

confidence: 99%

Participation in Club Sport in Childhood Is Associated with Mental Health in Preterm and Term Born Adolescents

Spiegler

¹

,

El-Awad

²

,

Baumann

³

et al. 2021

Abstracts of the 46th Annual Meeting of the Society for Neuropediatrics

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Preterm born individuals have an increased risk for mental health problems. Participation in club sport is associated with better mental health but the causal direction is unclear. It is not known whether this association could also be found in preterm children. Data from term born (N = 10,368), late preterm (N = 630), and very to moderately preterm born (N = 243) children from the Millennium Cohort Study at the ages of 3, 5, 7, 11, and 14 years were used. Longitudinal associations between the parent-reported Strengths and Difficulties questionnaire (SDQ) and club sport participation (days per week) were analysed using multigroup structural equation modelling, adjusting for gender, maternal depression, parental education; motor problems and attrition were controlled for. Multi-group structural equation modelling showed that children with more peer relationship problems, emotional symptoms, conduct problems or hyperactivity-inattention were less likely to participate in club sport at subsequent assessment time points. More days with club sport participation was associated with lower levels of emotional symptoms and peer relationship problems but not conduct problems or hyperactivity-inattention at subsequent ages. Results were similar in all gestational age groups. Club sport participation predicts lower levels of peer relationship and emotional problems in subsequent waves while it is also predicted by lower levels of emotional problems, peer relationship problems, conduct problems and hyperactivity-inattention in preceding waves. Since no differences in the relationship between SDQ subscales and club sport participation were seen with regard to gestational age groups, club sport should be encouraged in all children.

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Participation in club sport in childhood is associated with mental health in preterm and term born adolescents

Spiegler,

EL-Awad,

Baumann

et al. 2024

Eur Child Adolesc Psychiatry

0

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Preterm born individuals have an increased risk for mental health problems. Participation in club sport is associated with better mental health but the causal direction is unclear. It is not known whether this association could also be found in preterm children. Data from term born (N = 10,368), late preterm (N = 630), and very to moderately preterm born (N = 243) children from the Millennium Cohort Study at the ages of 3, 5, 7, 11, and 14 years were used. Longitudinal associations between the parent-reported Strengths and Difficulties questionnaire (SDQ) and club sport participation (days per week) were analysed using multigroup structural equation modelling, adjusting for gender, maternal depression, parental education; motor problems and attrition were controlled for. Multi-group structural equation modelling showed that children with more peer relationship problems, emotional symptoms, conduct problems or hyperactivity-inattention were less likely to participate in club sport at subsequent assessment time points. More days with club sport participation was associated with lower levels of emotional symptoms and peer relationship problems but not conduct problems or hyperactivity-inattention at subsequent ages. Results were similar in all gestational age groups. Club sport participation predicts lower levels of peer relationship and emotional problems in subsequent waves while it is also predicted by lower levels of emotional problems, peer relationship problems, conduct problems and hyperactivity-inattention in preceding waves. Since no differences in the relationship between SDQ subscales and club sport participation were seen with regard to gestational age groups, club sport should be encouraged in all children.

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Changes in emotional problems, hyperactivity and conduct problems in moderate to late preterm children and adolescents born between 1958 and 2002 in the United Kingdom

Cited by 4 publications

References 95 publications

Psychiatric disorders in term-born children with marginally low birth weight: a population-based study

Psychiatric disorders in term-born children with marginally low birth weight: a population-based study

Participation in Club Sport in Childhood Is Associated with Mental Health in Preterm and Term Born Adolescents

Participation in club sport in childhood is associated with mental health in preterm and term born adolescents

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