scholarly journals Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 955
Author(s):  
Leticia Alcántara ◽  
Cristina Fernández-Baizán ◽  
Lara González-García ◽  
Enrique García-López ◽  
Clara González-López ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neuropsychological Tests ◽  
Very Low Birth Weight ◽  
Growth Parameters ◽  
Growth Restriction ◽  
Z Score ◽  
Neuropsychological Development ◽  
Neonatal Growth ◽  
Extrauterine Growth Restriction

Background: Controversy between short-term neonatal growth of very low birth-weight preterm (VLBW) and neurodevelopment may be affected by criteria changes of extrauterine growth restriction (EUGR). Objective: to determine if new EUGR criteria imply modifications in the relationship between old criteria and results of neuropsychological tests in preterm children. Patients and methods: 87 VLBW at 5–7 years of age were studied. Neuropsychological assessment included RIST test (Reynolds Intellectual Sctreening Test) and NEPSY-II (NE neuro, PSY psycolgy assessment) tests. The relationships between these tests and the different growth parameters were analyzed. Results: RIST index was correlated with z-score Fenton’s weight (p = 0.004) and length (p = 0.003) and with z-score IGW-21’s (INTERGRWTH-21 Project) weight (p = 0.004) and length (p = 0.003) at neonatal discharge, but not with z-score difference between birth and neonatal discharge in weight, length, and HC for both. We did not find a statistically significant correlation between Fenton or IGW-21 z-scores and scalar data of NEPSY-II subtasks. Conclusion: In our series, neonatal growth influence on neuropsychological tests at the beginning of primary school does not seem robust, except for RIST test. New EUGR criteria do not improve the predictive ability of the old ones.

scholarly journals New Criteria for Extrauterine Growth Restriction in Very Low-birth-weight Preterm Children and Neuropsychological Development at the Beginning of Primary School.

2021 ◽  
Author(s):  
Gonzalo Solís ◽  
Cristina Fernández-Baizán ◽  
Leticia Álcantara ◽  
Lara González-García ◽  
Enrique García-López ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neuropsychological Tests ◽  
Very Low Birth Weight ◽  
Growth Restriction ◽  
Neuropsychological Development ◽  
Visuospatial Abilities ◽  
New Concepts ◽  
Extrauterine Growth Restriction ◽  
New Criteria

Abstract Controversy between short-term neonatal growth of very low birth-weight preterm (VLBW) and neurodevelopment may be affected by new criteria of intra- and extrauterine growth restriction (IUGR and EUGR). Objective: To determine if IUGR and IUGR classic and new criteria are related to the neuropsychological development in VLBW. Patients and methods: 87 VLBW were studied at 5–7 years. Neuropsychological assessment included RIST test and NEPSY-II tests. Results of these tests were related to IUGR and EUGR classification using Fenton and INTERGROWTH-21 (IGW-21) graphs and standards. Results: Weight IUGR by Fenton and IGW-21 was 37.9 and 39.1% (Kappa 0.879). Classic (static) EUGR was 89.7% and 75.9%, respectively (Kappa 0.532). “True” EUGR was 52.9% and 36.8% (Kappa 0.683). Result of the RIST index was correlated with Fenton´s z-score weight (0.034), length (< 0.001) and head circumference (HC) (< 0.001) at birth; with IGW-21´s length (0.002) at birth; with Fenton´s weight (0.004) and length (0.003) at neonatal discharge; and with IGW-21´s weight (0.004) and length (0.003) at neonatal discharge. We found statistically significant differences in IQ when comparing cases with and without IUGR of weight, length and HC by Fenton; and length and HC by IGW-21; also we found differences in static EURG for length and HC for Fenton and IGW-21. In NEPSY-II subtasks we found some relationship in inhibitory control and visuospatial abilities. Conclusion: IUGR and EUGR classic and new concepts show different classification percentages of VLBW. This should be considered when assessing relationships with risk of alterations in neuropsychological tests at school initiation, due to the different results found depending on the classification criteria chosen.

Extrauterine Growth Restriction in Low Birth Weight Infants

2019 ◽  
Vol 38 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Kari Bonnar ◽  
Debbie Fraser
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Neurodevelopmental Outcome ◽  
Growth Failure ◽  
Postnatal Growth ◽  
Growth Restriction ◽  
Low Birth Weight Infants ◽  
Extrauterine Growth Restriction ◽  
Postnatal Growth Failure

Extrauterine growth restriction (EUGR) affects a significant number of very low birth weight (VLBW) infants and has the potential to impact neurodevelopmental outcome as well as other aspects of long-term health. More aggressive nutritional approaches have reduced the incidence of postnatal growth failure but many questions remain about the expected rate of growth for very preterm infants, the best ways to measure growth velocity, and the optimal approaches to supporting growth. This article examines some of the outstanding issues regarding postnatal growth failure and summarizes current practice recommendations.

scholarly journals Nutritional Factors Associated with Late-Onset Sepsis in Very Low Birth Weight Newborns

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 196
Author(s):  
Juliany Caroline Silva de Sousa ◽  
Ana Verônica Dantas de Carvalho ◽  
Lorena de Carvalho Monte de Prada ◽  
Arthur Pedro Marinho ◽  
Kerolaynne Fonseca de Lima ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
Very Low Birth Weight ◽  
Late Onset ◽  
Growth Restriction ◽  
Low Birth Weight Infants ◽  
Late Onset Sepsis ◽  
Extrauterine Growth Restriction

Background: Delayed onset of minimal enteral nutrition compromises the immune response of preterm infants, increasing the risk of colonization and clinical complications (e.g., late-onset sepsis). This study aimed to analyze associations between late-onset sepsis in very low birth weight infants (<1500 g) and days of parenteral nutrition, days to reach full enteral nutrition, and maternal and nutritional factors. Methods: A cross-sectional study was carried out with very low birth weight infants admitted to a neonatal intensive care unit (NICU) of a reference maternity hospital of high-risk deliveries. Data regarding days of parenteral nutrition, days to reach full enteral nutrition, fasting days, extrauterine growth restriction, and NICU length of stay were extracted from online medical records. Late-onset sepsis was diagnosed (clinical or laboratory) after 48 h of life. Chi-squared, Mann–Whitney tests, and binary logistic regression were applied. Results: A total of 97 preterm infants were included. Of those, 75 presented late-onset sepsis with clinical (n = 40) or laboratory (n = 35) diagnosis. Maternal urinary tract infection, prolonged parenteral nutrition (>14 days), and extrauterine growth restriction presented 4.24-fold, 4.86-fold, and 4.90-fold higher chance of late-onset sepsis, respectively. Conclusion: Very low birth weight infants with late-onset sepsis had prolonged parenteral nutrition and took longer to reach full enteral nutrition. They also presented a higher prevalence of extrauterine growth restriction than infants without late-onset sepsis.

scholarly journals Analysis of Nutrition Support in Very Low-Birth-Weight Infants With Extrauterine Growth Restriction

2018 ◽  
Vol 34 (3) ◽  
pp. 436-443 ◽  
Author(s):  
Fangwen Hu ◽  
Qingya Tang ◽  
Ying Wang ◽  
Jiang Wu ◽  
Huijuan Ruan ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Growth Restriction ◽  
Nutrition Support ◽  
Low Birth Weight Infants ◽  
Extrauterine Growth Restriction

Intrauterine growth restriction affects z-scores of anthropometric parameters during the first 6 years in very low-birth-weight-children born at less than 30 weeks of gestation

2019 ◽  
Vol 11 (1) ◽  
pp. 44-48
Author(s):  
Hiromichi Shoji ◽  
Akiko Watanabe ◽  
Atsuko Awaji ◽  
Naho Ikeda ◽  
Mariko Hosozawa ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Intrauterine Growth Restriction ◽  
Very Low Birth Weight ◽  
Growth Restriction ◽  
Z Score ◽  
Anthropometric Parameters ◽  
Intrauterine Growth ◽  
Z Scores

AbstractObjective:Little is known about physical constitution outcomes for very preterm infants. Here, we compare z-scores of anthropometric parameters up to 6 years of age in children born with very low birth weight (VLBW) at less than 30 weeks of gestation, with or without intrauterine growth restriction (IUGR).Design:Participants were divided into four subgroups: male (M), small for gestational age (SGA) (n = 30); M, appropriate for gestational age (AGA) (n = 59); female (F), SGA (n = 24); and F, AGA (n = 61). z-Scores of body weight (BW), body length (BL), and body mass index (BMI) were assessed at birth, 1 year corrected age, 3 years of age, and 6 years of age.Results:For boys, BW and BMI were significantly lower among SGA children than among AGA children at all assessments, but there was no difference in BL at 3 or 6 years. For girls, BW and BL were significantly lower among SGA children than among AGA children at all assessments, but no difference was detected in BMI after 1.5 years. No significant variation in the z-score of BW or BMI in either SGA group was observed after 1 year. BL z-score in all groups gradually increased until 6 years of age.Conclusion:IUGR affects BW and BMI in boys and BW and BL in girls during the first 6 years in VLBW children born at less than 30 weeks of gestation. SGA children did not catch up in BW or BMI from 1 to 6 years of age.

Extrauterine Growth Restriction: A Review of the Literature

2008 ◽  
Vol 27 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Valerie Ruth
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Very Low Birth Weight ◽  
Developmental Outcomes ◽  
Growth Restriction ◽  
Common Condition ◽  
Review Of The Literature ◽  
Extrauterine Growth Restriction

Extrauterine growth restriction (EUGR) is a common condition in very low birth weight (VLBW) preterm infants (≤1,500 g). Most affected infants have a birth weight that is average for gestational age, but by the time of hospital discharge have a weight that is less than the tenth percentile for corrected gestational age. EUGR is the most frequent morbidity among VLBW survivors at their time of discharge from the hospital. Studies to elucidate the causes of EUGR have been inconclusive. Recent research has found an association between EUGR, developmental outcomes, and long-term morbidity. Low birth weight has also been associated with chronic diseases later in life. These findings emphasize the critical nature of understanding the phenomenon of EUGR and ways it can be prevented.

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