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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
Aim:
To compare the growth and neurodevelopment of low-birthweight (LBW) and normal-birthweight (control) infants born and raised in China.
Design:
Prospective cohort study.
Subjects And Setting:
203 LBW (1200-2499 g) and 71 control (> or =2500 g) infants born at two Shanghai hospitals in 1983 did not differ for date of birth, gender, parental occupation, parental weight and age. LBW <10th centile at > or =37 wk gestation was defined as small for gestational age (SGA, n=102). LBW at < 37 wk gestation was defined as preterm (n=101).
Main Outcome Measures:
Weight, height, head circumference, Gesell developmental quotient (DQ), Wechsler intelligence quotient (IQ), and scholastic achievement score.
Results:
Of the 274 enrolled subjects, 234 (85%) returned at 6 mo, 135 (49%) at 6 y, and 104 (38%) at 16 y. SGA, preterm, and control subjects did not differ in rates of follow-up or baseline characteristics. However, SGA and preterm were lower than control subjects in weight and head circumference through 16 y, height through 4 y, DQ through 3 y, IQ at 5 and 16 y, and scholastic achievement at 16 y. Catch-up to growth in the control group, defined as >3rd centile, and normal IQ, defined as > or =85, were both more common among preterm than SGA subjects.
Conclusions:
Adolescents in China with birthweights of 1200-2499 g, and particularly those who were SGA, lag behind peers with birthweights >2500 g in physical growth, cognitive capacity, and school achievement. The findings suggest that LBW adolescents in China today represent a population in need of evaluation and support.
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