Learning, cognitive, and attentional problems in adolescents born small for gestational age.
OBJECTIVE: To determine whether the presence, severity, or symmetry of growth restriction in term infants is an independent risk factor for learning, cognitive, and attentional problems in adolescence. METHODS: A total of 7388 term infants have been followed prospectively since birth. At 14 years, 5...
| Publicado en: | Pediatrics Vol. 112; no. 2; pp. 301 - 308 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Aug2003 Part 1 of 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106626917&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106626917 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Aug2003 Part 1 of 2 vid: 112 iid: 2 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 106626917 106626917 2005077947 10.1542/peds.112.2.301 NLM12897278 106626917 ppf: 301 ppct: 7 formats: tig: atl: Learning, cognitive, and attentional problems in adolescents born small for gestational age. aug: au: O'Keeffe MJ O'Callaghan M Williams GM Najman JM Bor W affil: Department of Developmental Paediatrics, Mater Children's Hospital, Brisbane, Queensland, Australia; miocalla@mater.org.au sug: subj: Adolescent Psychology Attention Deficit Hyperactivity Disorder Epidemiology Infant, Premature Psychosocial Factors Infant, Small for Gestational Age Psychosocial Factors Intelligence Learning Disorders Epidemiology Adolescence Analysis of Variance Attention Deficit Hyperactivity Disorder Etiology Behavior Rating Scales Chi Square Test Child Behavior Checklist Cognition Disorders Etiology Comparative Studies Confidence Intervals Data Analysis Software Female Infant, Newborn Intelligence Tests Learning Disorders Etiology Male Prospective Studies Questionnaires Self Report Human Adolescent: 13-18 years Infant, Newborn: birth-1 month Female Male ab: OBJECTIVE: To determine whether the presence, severity, or symmetry of growth restriction in term infants is an independent risk factor for learning, cognitive, and attentional problems in adolescence. METHODS: A total of 7388 term infants have been followed prospectively since birth. At 14 years, 5059 mothers completed a Child Behavior Checklist and provided information on their child's school progress. A total of 5051 adolescents completed a Youth Self Report, with 3703 also undergoing psychometric testing with Ravens Progressive Matrices and Wide Range Achievement Test (WRAT) reading subtest. Outcomes were compared on the basis of birth weight groups and measures of body symmetry and were adjusted for the level of social risk at birth. RESULTS: Adolescents who were born small for gestational age (SGA), when compared with their appropriately grown counterparts (>10th percentile), were more likely to experience learning difficulties, with a higher prevalence in those of birth weight < or =3rd percentile. Girls of birth weight < or =3rd percentile were more likely to have attentional problems and low WRAT reading scores. There was no significant difference in Ravens IQ or mean WRAT reading scores between SGA and non-SGA groups. There was no association between body symmetry and any of the outcomes studied. CONCLUSIONS: SGA status seems to have only modest independent effects on learning, cognition, and attention in adolescence. Severity but not symmetry of growth restriction predicted learning difficulties. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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