Height at 2 and 5 years of age in children born very preterm: the EPIPAGE study

Pierrat, Véronique; Marchand-Martin, Laetitia; Guemas, Isabelle; Matis, Jacqueline; Burguet, A.; Jc, Picaud; Fresson, Jeanne; Alberge, C.; Marret, Stéphane; Rozé, J. C.; Kaminski, Michal F.; Larroque, Béatrice; Ancel, Pierre‐Yves

doi:10.1136/adc.2010.185470

Cited by 39 publications

(37 citation statements)

References 28 publications

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“…Postnatal growth restriction at 5 years of age was rare in our study cohort compared with some earlier studies: 3% vs 15% 10 for weight, 3% vs 6% 15 for height, and 1% vs 26% 10 for HC.…”

Section: Figurecontrasting

confidence: 67%

“…In addition, causes of intrauterine and postnatal growth restriction vary, as do individual growth rates and styles. 15 Furthermore, some infants classified as non-SGA at birth could have been subject to growth restriction in utero and thus had not achieved their genetic growth potential before birth. Growth references and age corrections also vary between studies, along with the age points and methods for evaluation of cognitive outcome.…”

Section: Figurementioning

confidence: 99%

“…1,[6][7][8] Suboptimal growth at the time of discharge is still a common phenomenon despite advances in treatment and nutrition regimens, [9][10][11] and growth delay, especially in weight 8,12,13 and length, 8,14,15 usually remains a problem that tends to ease in childhood 1,14,15 and adulthood. 7,8,16 Extreme prematurity 10,11,17 and being small for gestational age (SGA) 7,15,[18][19][20] are seen as specific risk factors in this growth lag. Male gender, 4,7,16 critical morbidity, 6,9,13,21 and of course a parent' s shortness 15,18,22,23 are other important predictors of later poor growth in very preterm infants.…”

mentioning

confidence: 99%

“…7,8,16 Extreme prematurity 10,11,17 and being small for gestational age (SGA) 7,15,[18][19][20] are seen as specific risk factors in this growth lag. Male gender, 4,7,16 critical morbidity, 6,9,13,21 and of course a parent' s shortness 15,18,22,23 are other important predictors of later poor growth in very preterm infants.…”

mentioning

confidence: 99%

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Antenatal and Postnatal Growth and 5-Year Cognitive Outcome in Very Preterm Infants

Leppänen

Lapinleimu

Lind³

et al. 2014

Pediatrics

108

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WHAT'S KNOWN ON THIS SUBJECT: Better postnatal growth, especially head growth, associates with better cognitive development in preterm infants. Suboptimal postnatal growth is more common in infants with poor antenatal growth than in infants with normal growth. WHAT THIS STUDY ADDS:Good weight gain and head circumference growth until 2 years was associated with better 5-year cognitive outcome in non-small for gestational age infants. Good head circumference growth around term age benefits the cognitive outcome of small for gestational age infants. abstract OBJECTIVES: To study how antenatal growth affects cognitive outcome in very preterm infants and to determine whether there is an association between growth in any particular time period between birth and 5 years of age and cognitive outcome. Small for gestational age (SGA) and non-SGA infants were analyzed separately, because antenatal growth may affect postnatal growth. and 2006 who were treated at Turku University Hospital (n = 181) were followed. Weight, length, and head circumference (HC) of the infants were measured at 9 time points between birth and 5 years. The growth was determined as a z score change between measurement points. Cognitive development was assessed at 5 years of age with the Wechsler Preschool and Primary Scales of IntelligenceRevised. The association between growth and full-scale IQ (FSIQ) was studied. METHODS:RESULTS: Growth in length and height was not associated with 5-year cognitive outcome. However, weight (r = 0.18, P = .04) and HC growth (r = 0.25, P = .01) between birth and 2 years of corrected age correlated to FSIQ in non-SGA children. In SGA children, HC growth (r = 0.33, P = .03) around term age correlated to FSIQ. CONCLUSIONS:Cognitive outcome was similar in SGA and non-SGA very preterm infants. Growth affected cognition positively in both subgroups, but the critical time period was different. Drs Leppänen and Lind made substantial contributions to conception and design, acquired data, analyzed and interpreted data, and wrote and revised the manuscript; Drs Lapinleimu, Lehtonen, Haataja, and Rautava made substantial contributions to conception and design, analyzed and interpreted data, and wrote and revised the manuscript; Mr Matomäki carried out the statistical analyses, made substantial contributions to conception and design and interpretation of data, and wrote and revised the manuscript; and all authors approved the article to be published. www.pediatrics.org/cgi

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“…Postnatal growth restriction at 5 years of age was rare in our study cohort compared with some earlier studies: 3% vs 15% 10 for weight, 3% vs 6% 15 for height, and 1% vs 26% 10 for HC.…”

Section: Figurecontrasting

confidence: 67%

Section: Figurementioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Antenatal and Postnatal Growth and 5-Year Cognitive Outcome in Very Preterm Infants

Leppänen

Lapinleimu

Lind³

et al. 2014

Pediatrics

108

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“…We included them because many twins are born moderately PT, which is mostly physiologic rather than pathologic and, in the long-term, multiple births are not associated with poor growth. 19,20 Second, we were unable to differentiate wellregulated diabetic mothers from unregulated ones and we could not enter diabetes as a predictor in our models. Nevertheless, we knew that many of the mothers of LGA children were not diabetic.…”

Section: Discussionmentioning

confidence: 99%

Growth Patterns of Large for Gestational Age Children up to Age 4 Years

Bocca-Tjeertes¹,

Kerstjens²,

Reijneveld

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Preterm (PT) birth is negatively associated with growth. Particularly small for gestational age PT infants are at risk for delays in growth, whereas knowledge about the consequences regarding growth of large for gestational age PT birth is lacking.WHAT THIS STUDY ADDS: During infancy, growth in height, weight, and head circumference of large for gestational age PT infants was well balanced and sufficient. Subsequently, however, weight gain accelerated and resulted in high BMIs compared with the World Health Organization Multicentre Growth Reference Study population. RESULTS:We found that growth in height, weight, and head circumference of LGA PT children was well balanced during infancy and that only weight gain accelerated during subsequent years. This led to high BMIs comparable to those of LGA FT children. Being born both LGA and PT resulted in a median growth at the age of 4 years that was 0.1 SD lower for weight (P = .44), 0.1 SD lower for height (P = .48), and 0.5 SD lower for head circumference compared with LGA FT counterparts (P = .016), whereas BMI at age 4 years was equal. Compared with appropriate for gestational age (AGA) PT children, these measures for LGA PT children were 0.9 SD, 0.6 SD, and 0.4 SD (all P , .001) higher, respectively. That led to the BMI of LGA PT children at age 4 years being significantly higher (0.9 points, ie, 0.7 SD) than that of AGA PT and also higher (0.6 points, ie, 0.4 SD) than that of AGA FT children. CONCLUSIONS:The growth patterns of LGA PT-born children are distinctly different from other PT or FT children. In particular, we found substantially greater weight gains and relatively higher BMIs among them, which added to their already increased metabolic risks based on their gestational age. Pediatrics 2014;133:e643-e649 AUTHORS:

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