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Published on: June 29, 2013
Intrauterine growth restriction - a population-based study of the association with academic performance and
Kirsten Kierulf Strømme1, Petter Strømme, Espen Bjertness
1Institute of General Practice and Community Medicine and Institute for Surgical Research, Oslo University Hospital, Oslo, Norway.
Insights
Small for gestational age (SGA) infants showed no increased risk for psychiatric issues. However, SGA girls experienced minor academic setbacks in late teens, unlike SGA boys.
Area of Science:
- Perinatal Medicine
- Developmental Psychology
- Educational Psychology
Background:
- Intrauterine growth restriction (IUGR) can lead to infants being small for gestational age (SGA).
- The long-term effects of SGA on psychiatric health and academic performance in adolescence require further investigation.
- Understanding these associations is crucial for identifying at-risk individuals and implementing timely interventions.
Purpose of the Study:
- To determine if infants born small for gestational age (SGA) face a higher risk of psychiatric problems in late adolescence.
- To assess the association between SGA status and academic impairment among teenagers.
- To explore potential gender-specific differences in these outcomes.
Main Methods:
- A cohort study linked 10th-grade students in Oslo (2001-2004, n=2131) with fetal growth data.
- Small for gestational age (SGA) was defined as the lowest 2.5th, 5th, or 10th percentile; appropriate for gestational age (AGA) was the highest 90th percentile.
- Mental health was assessed using standardized questionnaires, and academic achievements/ambitions were self-reported.
Main Results:
- No significant difference in psychiatric problem prevalence was found between SGA and AGA groups.
- SGA girls demonstrated poorer academic performance in English, mathematics, and social science compared to AGA girls.
- These academic disparities were not observed in boys, and no link was found between SGA and psychiatric issues in either gender.
Conclusions:
- Small for gestational age (SGA) has a minor negative impact on adolescent girls' academic achievement, but not boys'.
- No association exists between being small for gestational age (SGA) and psychiatric problems in either gender.
- Findings suggest specific vulnerabilities for academic performance in adolescent girls affected by SGA.
Aim:
To investigate whether intrauterine growth restriction (IUGR), resulting in small for gestational age (SGA) infants, is associated with increased susceptibility to psychiatric problems and academic impairment in late teens.
Methods:
A cohort of all 10th-grade students in Oslo, Norway, followed up between 2001 and 2004 (n = 2131), was linked with foetal growth data. IUGR was considered equal to SGA at the lowest 2.5th, 5th, and 10th percentiles and appropriate for gestational age (AGA) as the highest 90th percentile. Mental health was evaluated using the Hopkins Symptoms Check List and the Strength and Difficulties Questionnaire, and academic achievements and ambitions were self-reported by the students.
Results:
Psychiatric problems were equally prevalent in all groups. However, the SGA girls performed inferiorly compared to their AGA peers in the school subjects English [3.6 vs 3.9 (p = 0.03)], mathematics [4.0 vs 4.3 (p = 0.01)] and social science [4.2 vs 4.4 (p = 0.05)], but not for Norwegian. This association was not observed in boys. There was an association between academic impairment and prematurity, occurring more frequently among immigrants (p < 0.001).
Conclusion:
SGA had a small negative impact on academic achievements in adolescent girls, but not boys. There was no association between SGA and psychiatric problems in either gender.
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