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Updated: Feb 11, 2026

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Early postnatal growth and neurodevelopment in children born moderately preterm or small for gestational age at term:
Marion Taine1,2,3, Marie-Aline Charles1,2, Jacques Beltrand2,3,4
1Early Determinants of Children's Health and Development Team (ORCHAD), Inserm UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Villejuif, France.
Insights
Early postnatal growth positively impacts neurodevelopment in preterm infants and those small for gestational age. This review highlights the critical first six months for cognitive outcomes like IQ, suggesting a potential ceiling effect.
Area of Science:
- Developmental Pediatrics
- Neonatology
- Neuroscience
Background:
- Growing clinical interest in long-term effects of early postnatal growth (EPG).
- Established link between rapid EPG and cardiovascular risk.
- Hypothesized neurodevelopmental benefits of EPG in moderately preterm (MP) and small for gestational at term (SGAT) infants remain under-explored.
Purpose of the Study:
- To systematically review the relationship between EPG (before age 3 years) and neurodevelopmental outcomes.
- Focus on individuals born MP (32-36 weeks' GA) or SGAT.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
Main Methods:
- Systematic literature search of Web of Science, EMBASE, and PubMed (inception to July 1, 2017).
- Inclusion of 19 articles from 12 distinct study populations.
- Quality assessment using a detailed scale; meta-analysis precluded by lack of standardized growth analysis.
Main Results:
- A positive association observed between EPG and neurodevelopmental outcomes, particularly Intelligence Quotient (IQ).
- The first six months of life identified as a potentially critical period.
- Non-linear association noted, with a plateau in IQ suggesting a possible ceiling effect for higher weight gain.
Conclusions:
- Generally positive association found between EPG and neurodevelopmental outcomes for MP and SGAT infants.
- Highlights the importance of early growth for cognitive development in vulnerable populations.
- Recommends strategies for future epidemiological studies to refine understanding of this relationship.
Background:
Clinicians' interest in the long-term effects of early postnatal growth (EPG) is growing. There is compelling evidence linking rapid EPG with later cardiovascular risk, but its neurodevelopmental benefits still remain hypothetical in individuals born moderately preterm (MP) or small for gestational at term (SGAT).
Methods:
The objective was to perform a systematic review of the relationship between EPG before age 3 years and neurodevelopmental outcome for individuals born MP (32-36 weeks' gestational age) or SGAT. Following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, 3 independent investigators searched for articles published on this topic in the Web of Science, EMBASE and PubMed from database inception to July 1, 2017. A detailed quality scale was used to evaluate articles.
Results:
We selected 19 articles relying on 12 distinct study populations; 7 articles from 3 study populations were considered at moderate or high quality. The lack of standardisation of growth analysis methods prevented performing a meta-analysis. Overall, EPG was positively associated with neurodevelopmental outcome, especially Intelligence Quotient (IQ) when available. In this relationship, the first 6 months of life might be a critical period. Analysis of the few articles investigating the shape of the relationships revealed a non-linear association, with a plateau for IQ with higher weight gain, which suggests a possible ceiling effect.
Conclusions:
A positive association was generally found between EPG and neurodevelopmental outcome for individuals born MP or SGAT. Strategies for future epidemiological studies are suggested to improve the characterisation of this relationship.
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