Self-perceived health, functioning and well-being of very low birth weight infants at age 20 years

Maureen Hack1, Lydia Cartar, Mark Schluchter

  • 1Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio, USA. mxh7@case.edu

The Journal of Pediatrics
|November 24, 2007
PubMed

Insights

Very low birth weight (VLBW) individuals report similar adult health but less resilience. Despite better achievement and risk avoidance, VLBW survivors face more long-term health issues.

Area of Science:

  • Neonatal health outcomes
  • Longitudinal studies in developmental pediatrics
  • Adult health of preterm infants

Background:

  • Very low birth weight (VLBW) infants (<1.5 kg) face unique developmental challenges.
  • Understanding the long-term self-perceived health of VLBW survivors into adulthood is crucial for targeted interventions.

Purpose of the Study:

  • To assess and compare the self-perceived health and well-being of very low birth weight (VLBW) individuals with normal birth weight (NBW) controls in young adulthood.

Main Methods:

  • A cohort of 241 VLBW and 232 NBW individuals completed the Child Health and Illness Profile: Adolescent Edition (CHIP-AE) at age 20.
  • The CHIP-AE assesses health across domains including Satisfaction, Comfort, Resilience, Achievement, Risk Avoidance, and Disorders.
  • Statistical analyses compared VLBW and NBW groups, adjusting for sex and sociodemographic factors.

Main Results:

  • VLBW subjects reported lower Resilience, particularly in physical activity and family involvement.
  • Conversely, VLBW individuals demonstrated better Achievement in work performance and higher Risk Avoidance.
  • VLBW survivors experienced significantly more long-term medical, surgical, and psychosocial disorders compared to NBW controls.

Conclusions:

  • Very low birth weight (VLBW) survivors perceive their overall health and functioning similarly to normal birth weight (NBW) peers in young adulthood.
  • While VLBW individuals exhibit enhanced risk avoidance and achievement, their diminished resilience raises concerns for future adult health.
  • Longitudinal monitoring and support are essential for VLBW survivors to address potential long-term health detriments.
Abstract

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