Outcome of low birthweight in China: a 16-year longitudinal study

Yongmei Peng1, Bin Huang, Frank Biro

  • 1Department of Child Health Care, Children's Hospital, Fudan University, 183 Fenglin Road, Shanghai 200 032, China. ympeng99@yahoo.com.cn

Insights

Low-birthweight (LBW) adolescents in China, especially those small for gestational age (SGA), show deficits in physical growth and cognitive development compared to normal-birthweight peers. These findings highlight the need for targeted support for LBW individuals.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Low-birthweight (LBW) is a significant global health concern.
  • Understanding the long-term outcomes of LBW infants is crucial for developing effective interventions.
  • This study investigates the growth and neurodevelopmental trajectories of LBW infants in China.

Purpose of the Study:

  • To compare the physical growth and neurodevelopmental outcomes of low-birthweight (LBW) infants with normal-birthweight (control) infants born and raised in China.
  • To identify specific challenges faced by LBW adolescents in terms of cognitive capacity and scholastic achievement.

Main Methods:

  • A prospective cohort study involving 203 LBW infants (1200-2499 g) and 71 control infants (> or =2500 g) born in Shanghai in 1983.
  • LBW infants were further categorized into small for gestational age (SGA) and preterm groups.
  • Longitudinal assessments included weight, height, head circumference, Gesell developmental quotient (DQ), Wechsler intelligence quotient (IQ), and scholastic achievement scores up to 16 years of age.

Main Results:

  • LBW infants, particularly those who were SGA, demonstrated significantly lower weight, height, and head circumference compared to control subjects throughout 16 years of follow-up.
  • Deficits in developmental quotient (DQ) were observed through 3 years, and lower intelligence quotient (IQ) and scholastic achievement scores were noted at 5 and 16 years for LBW individuals.
  • While preterm infants showed some catch-up growth and cognitive function compared to SGA infants, both LBW groups lagged behind controls.

Conclusions:

  • Adolescents in China born with low birthweight (1200-2499 g), especially those who are SGA, experience persistent deficits in physical growth, cognitive abilities, and academic achievement.
  • These findings underscore the long-term impact of LBW and suggest a critical need for ongoing evaluation and support services for this population in China.
  • Interventions aimed at improving outcomes for LBW individuals are essential to mitigate long-term health and educational disparities.
Abstract

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