Physical Activity, Mental Health, and Well-Being in Very Pre-Term and Term Born Adolescents: An Individual Participant Data Meta-Analysis of Two Accelerometry Studies

Brylka, Asteria; Wolke, Dieter; Ludyga, Sebastian; Bilgin, Ayten; Spiegler, Juliane; Trower, Hayley; Gkiouleka, Anna; Gerber, Markus; Brand, Serge; Grob, Alexander; Weber, Peter; Heinonen, Kati; Kajantie, Eero; Räikkönen, Katri; Lemola, Sakari

doi:10.3390/ijerph18041735

Cited by 10 publications

(15 citation statements)

References 39 publications

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“…On average, VP/VLBW individuals have more motor problems which often persist into adulthood [53][54][55]67 and may thus participate less in physical activity, 68 further relating to more peer problems. 69,70 Furthermore, cognitive ability might be more influential on social competence than is physical ability. 47 Harrison suggested that VLBW children have cognitive and behavioural deficits that isolate them from both their peers and their peers' risk-taking behaviour in the absence of NSI.…”

Section: Discussionmentioning

confidence: 99%

Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis

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Baumann

et al. 2021

Pediatrics

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CONTEXT There is a lack of research on individual perceptions of social experiences and social relationships among very preterm (VP) adults compared with term-born peers. OBJECTIVE To investigate self-perceived social functioning in adults born VP (<32 weeks’ gestation) and/or with very low birth weight (VLBW) (<1500g) compared with term-born adults (≥37 weeks’ gestation) using an individual participant data (IPD) meta-analysis. DATA SOURCES Two international consortia: Research on European Children and Adults born Preterm and Adults Born Preterm International Collaboration. STUDY SELECTION Cohorts with outcomes assessed by using the Adult Self-Report Adaptive Functioning scales (friends, spouse/partner, family, job, and education) in both groups. DATA EXTRACTION IPD from 5 eligible cohorts were collected. Raw-sum scores for each scale were standardized as z scores by using mean and SD of controls for each cohort. Pooled effect size was measured by difference (Δ) in means between groups. RESULTS One-stage analyses (1285 participants) revealed significantly lower scores for relationships with friends in VP/VLBW adults compared with controls (Δ −0.37, 95% confidence interval [CI]: −0.61 to −0.13). Differences were similar after adjusting for sex, age, and socioeconomic status (Δ −0.39, 95% CI: −0.63 to −0.15) and after excluding participants with neurosensory impairment (Δ −0.34, 95% CI: −0.61 to −0.07). No significant differences were found in other domains. LIMITATIONS Generalizability of research findings to VP survivors born in recent decades. CONCLUSIONS VP/VLBW adults scored their relationship with friends lower but perceived their family and partner relationships, as well as work and educational experiences, as comparable to those of controls.

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Section: Discussionmentioning

confidence: 99%

Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis

Mendonça

Baumann

et al. 2021

Pediatrics

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“…Many preterm-born young adults attain lower education [56,57] and are less likely than their term-born counterparts to have couple relationships, start a family and have children [58]. There is also evidence that preterm birth is associated with certain lifestyle factors, including sedentary behaviour [59,60]. Multimorbidity could mediate the association of preterm birth with educational achievement or physical activity, or low socioeconomic position, living alone or sedentary lifestyle could be risk factors for multimorbidity among individuals with a preterm-born background.…”

Section: Potential Mechanismsmentioning

confidence: 99%

Preterm birth and the risk of chronic disease multimorbidity in adolescence and early adulthood: A population-based cohort study

et al. 2021

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Background People who were born prematurely have high risks of many individual diseases and conditions in the early part of the life course. However, our knowledge of the burden of multiple diseases (multimorbidity) among prematurely born individuals is limited. We aimed to investigate the risk and patterns of chronic disease multimorbidity in adolescence and early adulthood among individuals born across the spectrum of gestational ages, comparing preterm and full-term born individuals. Methods and findings We used individual-level data from linked nationwide registers to examine the associations of gestational age at birth with specialised healthcare records of ≥2 chronic diseases (multimorbidity) in adolescence (age 10–17 years) and early adulthood (age 18–30 years). Our study population comprised 951,116 individuals (50.2% females) born alive in Finland between 1st January 1987 and 31st December 2006, inclusive. All individuals were followed from age 10 years to the onset of multimorbidity, emigration, death, or 31 December 2016 (up to age 30 years). We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for multimorbidity using flexible parametric survival models. During 6,417,903 person-years at risk (median follow-up: 7.9 years), 11,919 individuals (1.3%) had multimorbidity in adolescence (18.6 per 10,000 person-years). During 3,967,419 person-years at risk (median follow-up: 6.2 years), 15,664 individuals (1.7%) had multimorbidity in early adulthood (39.5 per 10,000 person-years). Adjusted HRs for adolescent multimorbidity, comparing preterm to full-term born individuals, were 1.29 (95% CI: 1.22 to 1.36) and 1.26 (95% CI: 1.18 to 1.35) in females and males, respectively. The associations of preterm birth with early adult multimorbidity were less marked, with the adjusted HRs indicating 1.18-fold risk in females (95% CI: 1.12 to 1.24) and 1.10-fold risk in males (95% CI: 1.04 to 1.17). We observed a consistent dose-response relationship between earlier gestational age at birth and increasing risks of both multimorbidity outcomes. Compared to full-term born males, those born at 37–38 weeks (early term) had a 1.06-fold risk of multimorbidity in adolescence (95% CI: 0.98 to 1.14) and this risk increased in a graded manner up to 6.85-fold (95% CI: 5.39 to 8.71) in those born at 23–27 weeks (extremely premature), independently of covariates. Among females, the same risks ranged from 1.16-fold (95% CI: 1.09 to 1.23) among those born at 37–38 weeks to 5.65-fold (95% CI: 4.45 to 7.18) among those born at 23–27 weeks. The corresponding risks of early adult multimorbidity were similar in direction but less marked in magnitude, with little difference in risks between males and females born at 36–37 weeks but up to 3-fold risks observed among those born at 23–27 weeks. Conclusions Our findings indicate that an earlier gestational age at birth is associated with increased risks of chronic disease multimorbidity in the early part of the life course. There are currently no clinical guidelines for follow-up of prematurely born individuals beyond childhood, but these observations suggest that information on gestational age would be a useful characteristic to include in a medical history when assessing the risk of multiple chronic diseases in adolescent and young adult patients.

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“…In a physical and psychological sense, adolescence marks a sensitive growth phase [ 1 ], which starts during puberty and finishes with bio-psychosocial maturity [ 2 ]. It typically takes place between 10 and 19 years of age [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Mediterranean Diet Adherence, Body Mass Index and Emotional Intelligence in Primary Education Students—An Explanatory Model as a Function of Weekly Physical Activity

et al. 2022

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Adolescence is a key developmental period from a health, physical and psychological perspective. In view of this, the present research aimed to establish the relationship between emotional intelligence, Mediterranean diet adherence, BMI and age. In order to address this aim, (a) an explanatory model is developed of emotional intelligence and its relationship with Mediterranean diet adherence, BMI and age, and (b) the proposed structural model is examined via multi-group analysis as a function of whether students engage in more than three hours of physical activity a week. To this end, a quantitative, non-experimental (ex post facto), comparative and cross-sectional study was carried out with a sample of 567 students (11.10 ± 1.24). The instruments used were an ad hoc questionnaire, the KIDMED questionnaire and the TMMS-24. Outcomes reveal that participants who engage in more than three hours of physical activity a week score more highly for emotional intelligence than those who do not meet this criterion. Furthermore, it was also observed that, whilst the majority of the sample was physically active, improvement was required with regards to Mediterranean diet adherence.

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Physical Activity, Mental Health, and Well-Being in Very Pre-Term and Term Born Adolescents: An Individual Participant Data Meta-Analysis of Two Accelerometry Studies

Cited by 10 publications

References 39 publications

Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis

Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis

Preterm birth and the risk of chronic disease multimorbidity in adolescence and early adulthood: A population-based cohort study

Mediterranean Diet Adherence, Body Mass Index and Emotional Intelligence in Primary Education Students—An Explanatory Model as a Function of Weekly Physical Activity

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