Head Growth and Neurocognitive Outcomes

Wright, Charlotte; Emond, Alan

doi:10.1542/peds.2014-3172

Cited by 75 publications

(43 citation statements)

References 13 publications

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“…41 Those authors also noted a study in the UK that found that in children whose HC crossed below the second percentile, 40% had neurodevelopmental pathology. 42 …”

Section: Discussionmentioning

confidence: 94%

Growth and development in children born very low birthweight

Scharf

Stroustrup

Conaway

et al. 2015

Arch Dis Child Fetal Neonatal Ed

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Objective To examine the relationships between growth (birth to age 2 years) and developmental outcomes in children born with very low birthweight (VLBW). Design Motor and mental development in children born with VLBW were regressed on anthropometric measurements at birth, 9 months and 2 years using multivariable regression. Setting The Early Childhood Longitudinal Study—Birth Cohort, a longitudinal cohort, community sample, designed to be representative of children born across the USA. Patients 950 children born with VLBW (<1500 g). Main Outcome Measures Motor and cognitive scores on the Bayley Scales at 9 months and 24 months chronological age. Results A high proportion of children exhibited poor growth, with length-for-age z-scores <−2 (ie, stunting) in 21.3% of children at 9 months (adjusted for prematurity) and 34.2% of children at 2 years. Compared with children having z-scores >−2, children with growth shortfalls in head circumference, length and weight had a higher adjusted OR (aOR) of low Bayley motor scores at 9 months and 2 years (aOR ranging from 1.8 to 3.3, all p<0.05), while low Bayley cognitive scores were predicted by 9-month deficits in length and weight (aOR 2.0 and 2.4, respectively, both p<0.01) and 2-year deficits in length and head circumference (aOR 2.9 and 2.8, both p<0.05). Conclusion Anthropometric measures of growth were linked to current and future neurodevelopmental outcomes in children born with VLBW. While careful length measures may be a particularly useful marker, deficits in all anthropometric measures were risk factors for developmental delays.

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“…41 Those authors also noted a study in the UK that found that in children whose HC crossed below the second percentile, 40% had neurodevelopmental pathology. 42 …”

Section: Discussionmentioning

confidence: 94%

Growth and development in children born very low birthweight

Scharf

Stroustrup

Conaway

et al. 2015

Arch Dis Child Fetal Neonatal Ed

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show abstract

“…Belfort et al 3 showed that HC zscore <1 SD from the mean in early infancy predicted poorer motor and cognitive outcomes. Wright and Emond 18 showed higher rates of motor and cognitive delay, cerebral palsy, abnormal neurologic examination, and sNDI were associated with poor HG while in the hospital. Despite similar findings, timing of measurement varies significantly, and therefore conclusions about when HG is most important are difficult to make.…”

Section: Figurementioning

confidence: 92%

Head Growth Trajectory and Neurodevelopmental Outcomes in Preterm Neonates

et al. 2017

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“…During this period of most rapid brain growth, undernutrition inhibits gene expression regulating brain development, resulting in reduced brain size, DNA content, myelinization, cortical dendritic growth, synaptogenesis, and neurotransmitter content (Nyaradi, Li, Siobhan, Foster, & Oddy, ; Johnson, Riis, & Noble, . Young children suffering from undernutrition have poorer school achievement, diminished cognitive and language ability, and more behavioural problems (Lange, Froimowitz, Bigler, & Lainhart, ; Nelson & Deutschberger, ; Handler, Stoch, & Smythe, ; Ivanovic et al, ; Ivanovic, Perez et al, ; Grantham‐McGregor et al, ; Schoenmaker et al, ; Wright & Emond, ). In Guatemala, S. Africa, Philippines, Jamaica, and Brazil, early cognitive development predicts later school outcomes (reviewed in Grantham‐McGregor et al, ).…”

Section: Introductionmentioning

confidence: 99%

Diet quality over time is associated with better development in rural Nepali children

Miller

Neupane

Joshi

et al. 2020

Maternal & Child Nutrition

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Developmental delays affect between 150 and 200 million children <5 years of age worldwide. Outside of diet supplement studies, relatively little is known about the relationships between diet quality and developmental status in resource‐poor settings. We examined associations between different aspects of dietary quality (dietary diversity score [DDS] and animal‐source food [ASF] consumption) and child development (assessed using the Ages and Stages Questionnaire‐3 [ASQ‐3]) among children whose families were enrolled in a community development intervention trial (implemented by Heifer Nepal) in western Nepal. Two sets of analyses were performed: (a) cross‐sectional Sample (N = 629) seen at the endline survey and (b) longitudinal sample (N = 269) with complete dietary records (six surveys over 48 months). In both samples, child development was significantly related to household wealth, maternal education, and especially home environmental quality. In the cross‐sectional sample, greater consumption of eggs (adjusted odds ratio [aOR] 0.80, p = .04) or dairy products (aOR 0.95, p = .05) over the previous 7 days significantly reduced odds of low total ASQ score, by logistic regression analysis. In the longitudinal sample, only egg consumption and cumulative DDS and ASF scores were associated with significantly reduced odds of low total ASQ score (aORs 0.59–0.89). In adjusted linear regression analysis, both cumulative DDS (β [CI]: 1.92 [0.4, 3.5]) and ASF scores (2.46 [0.3, 4.7]) were significantly associated with greater continuous total child development. Programmes targeting child development must address home environmental quality as well as long‐term diet quality.

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Head Growth and Neurocognitive Outcomes

Cited by 75 publications

References 13 publications

Growth and development in children born very low birthweight

Growth and development in children born very low birthweight

Head Growth Trajectory and Neurodevelopmental Outcomes in Preterm Neonates

Diet quality over time is associated with better development in rural Nepali children

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