In:
Annals of Nutrition and Metabolism, S. Karger AG, Vol. 65, No. 2-3 ( 2014), p. 220-226
Kurzfassung:
〈 b 〉 〈 i 〉 Aim: 〈 /i 〉 〈 /b 〉 To study the effect of catch-up growth in the 1st year on cognition, health-related quality of life (HRQoL), problem behavior and growth in young adults. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 We included individuals without severe complications and born small for gestational age (SGA; n = 228 for weight, n = 203 for length) or with a low head circumference (HC, n = 178) or a low weight adjusted for length (n = 64) in the Collaborative Project on Preterm and SGA Infants. Neonatal growth was standardized (standard deviation scores for gestational age, SDS 〈 sub 〉 GA 〈 /sub 〉 ) according to GA-specific reference charts. Catch-up growth was defined as SDS 〈 sub 〉 GA 〈 /sub 〉 at 1 year of age adjusted for SDS 〈 sub 〉 GA 〈 /sub 〉 at birth. Cognition was defined by the Multicultural Capacity Test-Intermediate Level, HRQoL by the London Handicap Scale (LHS) and the Health Utility Index Mark 3 categorized into 4 levels (Multi-Attribute Utility, MAU), and problem behavior by the Young Adult Self-Report. We adjusted for potential confounders. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Most adults were born preterm (93.7%). A higher catch-up growth in the 1st year was associated with better cognition (B = 2.57, 95% CI 0.08-5.05 for weight), less disabilities according to the LHS (B = 2.06, 95% CI 0.35-3.78 for HC) and the MAU (OR = 0.67, 95% CI 0.48-0.95 for HC) and higher final height (B = 0.33, 95% CI 0.18-0.47 for weight; B = 0.41, 95% 0.28-0.55 for length, and B = 0.18, 95% CI 0.04-0.33 for HC) in young adulthood. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 There are long-term benefits of catch-up growth.
Materialart:
Online-Ressource
ISSN:
0250-6807
,
1421-9697
Sprache:
Englisch
Verlag:
S. Karger AG
Publikationsdatum:
2014
ZDB Id:
1481977-6
