The influence of growth on development outcome in extremely low birthweight infants at 2 years of age

Connors, J M; O'Callaghan, MJ; Burns, YR; Gray, Peter H.; Tudehope, DI; Mohay, Heather; Rogers, Yvonne

doi:10.1046/j.1440-1754.1999.00309.x

Cited by 25 publications

(11 citation statements)

References 28 publications

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“…Early introduction and faster advancement of feeds lead to a faster regaining of birthweight between 11 and 18 days (7,9,13). It also shows better catch-up growth, linear growth and neurodevelopment outcome (14)(15)(16)(17). Regaining of birthweight was much earlier in our study than previously reported.…”

Section: Discussionsupporting

confidence: 56%

Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g – an RCT

et al. 2013

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Section: Discussionsupporting

confidence: 56%

Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g – an RCT

et al. 2013

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“…The relationship between somatic growth and neurological outcome has not been fully investigated in infants with CHD, but has been well described in the preterm population [25–27]. A slower growth velocity has been shown to increase the likelihood of neurodevelopmental impairment [25].…”

Section: Discussionmentioning

confidence: 99%

Congenital Heart Disease Affects Cerebral Size but Not Brain Growth

Ortinau

Inder

et al. 2012

Pediatr Cardiol

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Background Infants with CHD have delayed brain maturation and alterations in brain volume. Brain metrics is a simple measurement technique that can be used to evaluate brain growth. This study used brain metrics to test the hypothesis that alterations in brain size persist at three months of age and that infants with CHD have slower rates of brain growth than control infants. Methods Fifty-seven infants with CHD underwent serial brain magnetic resonance imaging (MRI). To evaluate brain growth across the first three months of life, brain metrics were undertaken on 19 tissue and fluid spaces on MRIs performed pre-operatively and at three months of age. Results Pre-operatively, infants with CHD have smaller frontal, parietal, cerebellar and brainstem measures (p<0.001). At three months of age, alterations persisted in all measures except the cerebellum. There was no difference between control and CHD infants in brain growth. However, the cerebellum trended towards greater growth in infants with CHD. Somatic growth was the primary factor that related to brain growth. Presence of focal white matter lesions pre- and post-operatively did not relate to alterations in brain size or growth. Conclusion Although infants with CHD have persistent alterations in brain size at three months of age, rates of brain growth are similar to that of healthy term infants. Somatic growth was the primary predictor of brain growth, emphasizing the importance of optimal weight gain in this population.

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“…In this study, they evaluated motor development using NSMDA and cognitive development using Griffhts Mental Development Scale in 197 babies. They showed that low body mass index of the babies born with a very low birth weight (<1 000 g) at the age of two years was related with low cognitive and motor skills (18). In another study in which the relation between early minor motor difficulties in babies born with a very low birth weight and attention difficulties in the school period was examined, a strong relation was found between attention in the school period and motor development at the age of 24 months according to NSMDA scores independent of biological and social factors in very low birth weight babies (19).…”

Section: Discussionmentioning

confidence: 99%

Is there any difference between high-risk infants with different birth weight and gestational age in neurodevelopmental characters?

Kara¹,

Günel²,

Açıkel³

et al. 2015

Turk Pediatri Ars

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Aim: This study is aimed to investigate differences between cognitive, language and motor development of high-risk infants related to birth weight and gestational age. Material and Methods:One hundred sixty high-risk infants who were born 32 weeks, 1 500 gr and below included in this study. According to corrected age, 58 infants were 1 month, 72 were at 4 months, 82 were at 8 months and 65 were 12 months old. Infants were seperated two groups according to gestational age <30 weeks and 30-32 weeks and birth weight ≤1 000 gr and 1 001-1 500 gr. Infants motor development were assessed with Bayley-III Infant and Toddler Development Motor Scale (Bayley-III) and Neuro Sensory Motor Developmental Scale (NSMDA), cognitif and lanuage development were Bayley-III cognitive and Language scales. Assessments were applied by the same physiotherapist at 1 month, 4 months, 8 months and 12 months old infants in corrected age. Mann-Whitney U Test, 2 x 2 Chi-Square test ve Fisher's exact tests were used to compare group data. Statistical significance was determined p<0.05. Results:Cognitive, motor and language developments were in normal ranges in all infants. There were no statistical differences in cognitive, language and motor development between groups (p>0.05). Conclusion:Results of this study showed that the motor, cognitive and language development were normal in all high risk infants and power gestational age and birth weight did not affect these parametes. (Turk Pediatri Ars 2015; 50: 151-7)

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The influence of growth on development outcome in extremely low birthweight infants at 2 years of age

Abstract: Low weight percentile at 2 years was related to adverse developmental outcome in ELBW infants at high perinatal risk or with neurological impairment, though minimal association was present for neurologically normal infants at low perinatal risk.

Cited by 25 publications

References 28 publications

Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g – an RCT

Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g – an RCT

Congenital Heart Disease Affects Cerebral Size but Not Brain Growth

Is there any difference between high-risk infants with different birth weight and gestational age in neurodevelopmental characters?

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