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Published on: July 30, 2009
[Topics on Child Development in Pediatrics]
1Department of Pediatrics, Tokyo Women's Medical University.
Very-low-birth-weight (VLBW) babies show higher rates of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). Long-term follow-up is crucial for these children to address developmental challenges.
Area of Science:
- Neonatal Medicine
- Developmental Pediatrics
- Neuroscience
Background:
- Neonatal medicine advances improve survival for very-low-birth-weight (VLBW) infants.
- Mild cognitive dysfunction is a growing concern in VLBW survivors.
Observation:
- Incidence of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) in VLBW infants at age 3 was 7.2%.
- This rate is significantly higher than the 2.8% incidence of ASD in the general population.
- By age 6, the incidence of these developmental disorders in VLBW children increased to 30%.
Findings:
- VLBW infants exhibit a substantially elevated risk for developmental disorders like ASD and ADHD.
- Developmental issues become more pronounced as VLBW children age, necessitating early and ongoing assessment.
Implications:
- Early identification and intervention are critical for VLBW children with developmental disorders.
- Comprehensive, long-term follow-up is essential for VLBW survivors through elementary school.
- Support strategies should focus on improving parent-child relationships and managing behavioral challenges.
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