Neurodevelopment in Young Children Born to HIV-Infected Mothers: A Meta-analysis

Megan S McHenry1,2, Carole I McAteer3,2, Eren Oyungu4

  • 1Departments of Pediatrics, msuhl@iu.edu.

Pediatrics
|January 28, 2018
PubMed

Insights

Young children infected with HIV (HIV+) and those exposed but uninfected (HEU) show poorer neurodevelopmental outcomes than HIV-unexposed (HUU) children. Antiretroviral (ARV) exposure may further impact these outcomes, warranting further research.

Area of Science:

  • Pediatric Neurology
  • Developmental Psychology
  • Infectious Diseases

Background:

  • HIV-infected (HIV+) children exhibit poorer neurodevelopmental outcomes compared to HIV-uninfected peers.
  • Limited data exists on neurodevelopmental differences among young HIV+ children, HIV-exposed but uninfected (HEU) children, and HIV-unexposed and uninfected (HUU) children.

Purpose of the Study:

  • To systematically review and meta-analyze neurodevelopmental performance data in young HIV+, HEU, and HUU children.
  • To compare cognitive and motor scores across these pediatric groups.

Main Methods:

  • Systematic search of Ovid Medline, Embase, PsycINFO, ERIC, and Cochrane Database of Systematic Reviews.
  • Inclusion criteria applied to 45 identified studies; 11 studies with Bayley Scales of Infant and Toddler Development scores included in meta-analysis.
  • Data extraction and cross-checking by independent reviewers.

Main Results:

  • Compared to HUU children, both HIV+ and HEU children demonstrated lower cognitive and motor scores.
  • HIV+ and HEU children with antiretroviral (ARV) exposure had significantly lower cognitive and motor scores than those without ARV exposure.

Conclusions:

  • Both HIV+ and HEU children exhibit worse developmental outcomes than HUU children.
  • ARV exposure in HIV+ and HEU children is associated with poorer outcomes, though this requires cautious interpretation.
  • Further research is necessary to elucidate the specific impact of ARV exposure on early childhood development.
Abstract

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