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Adaptive behavior in 10-11 year old children born preterm with a very low birth weight (VLBW)

Toril Fjørtoft1, Kristine Hermansen Grunewaldt2, Gro C Christensen Løhaugen3

  • 1Dept. of Clinical Services, St. Olavs Hospital, Trondheim University Hospital, Norway; Dept. of Lab. Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|December 16, 2014
PubMed

Insights

Children born with very low birth weight (VLBW) show adaptive behavior challenges. Even without cerebral palsy (CP), VLBW children may have impaired adaptive function, requiring targeted support.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Children born with very low birth weight (VLBW) often face developmental challenges.
  • Adaptive behavior is crucial for daily functioning and long-term outcomes.
  • Cerebral palsy (CP) is a known factor affecting development in VLBW infants.

Purpose of the Study:

  • To compare adaptive behavior in 10-11 year old VLBW children with and without CP to term-born controls.
  • To investigate the relationship between neonatal factors, infant motor repertoire, and adaptive behavior in VLBW children without CP.

Main Methods:

  • Longitudinal study of 28 VLBW children without CP, 10 VLBW children with CP, and 31 term-born controls at 10-11 years.
  • Parent-reported Vineland Adaptive Behavior Scales-II used to assess adaptive behavior.
  • Scores adjusted for sex, SES, cognitive, and motor function; associations with neonatal variables examined.

Main Results:

  • VLBW children, both with and without CP, exhibited significantly lower Adaptive Behavior Composite scores than controls.
  • These differences persisted after adjusting for covariates.
  • In VLBW children without CP, an abnormal infant motor repertoire at 14 weeks was linked to lower adaptive behavior scores later.

Conclusions:

  • VLBW children experience significant challenges in adaptive behavior.
  • VLBW children without CP may have impaired adaptive function not explained by SES, cognitive, or motor deficits.
  • Early identification and intervention for adaptive behavior difficulties in VLBW children are essential.
Abstract

Keywords:
Adaptive behaviorGeneral movements assessmentInfant motor behaviorPretermSchool age

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