scholarly journals ANÁLISE DO DESENVOLVIMENTO MOTOR DE BEBÊS PRÉ-TERMO

2019 ◽  
pp. 63-70
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Motor Development ◽  
Motor Performance ◽  
Neurological Diseases ◽  
Full Term ◽  
Term Infants ◽  
Basic Health ◽  
Basic Health Units

Prematurity predisposes the neonate to greater risks of comorbidities, one of which is the delay in motor development due to the immaturity of the organs and systems. Thus, this study aimed to evaluate the motor performance of preterm infants. Preterm infants with gestational age ≤ 37 weeks and excluded full-term infants with associated neurological diseases and syndromes were included in the study. The infants were screened from the Basic Health Units and evaluated through the Alberta motor Infant scale scale (AIMS). After the analysis of the development, 72,72% of the babies had normal motor development, while 27,28% presented suspicious motor performance.

scholarly journals Circulating Peptide YY Concentrations Are Higher in Preterm than Full-Term Infants and Correlate Negatively with Body Weight and Positively with Serum Ghrelin Concentrations

2005 ◽  
Vol 51 (11) ◽  
pp. 2131-2137 ◽  
Author(s):  
Tania Siahanidou ◽  
Helen Mandyla ◽  
Maria Vounatsou ◽  
Dimitris Anagnostakis ◽  
Ioannis Papassotiriou ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Energy Balance ◽  
Food Intake ◽  
Preterm Infants ◽  
Gestational Age ◽  
Peptide Yy ◽  
Full Term ◽  
Term Infants ◽  
Serum Ghrelin

Abstract Background: Peptide YY (PYY) and ghrelin are gastrointestinal tract–derived hormones that play roles in the regulation of food intake and energy balance. Negative energy balance often occurs in hospitalized preterm infants. Methods: To measure serum concentrations of PYY in preterm and full-term infants and to investigate their correlations with anthropometric characteristics, food intake, and serum ghrelin concentrations, we measured serum PYY and ghrelin concentrations by RIA in 62 healthy preterm infants [mean (SD) gestational age, 32.0 (2.1) weeks; postnatal age, 40.9 (14.8) days] and 15 healthy full-term infants of comparable postnatal age. All of the infants were formula-fed every 3 h. Results: PYY concentrations were significantly higher in preterm [1126.2 (215.4) ng/L] than in full-term infants [825.3 (234.4) ng/L; P <0.001]. In the entire study population, serum PYY concentrations correlated negatively with gestational age and anthropometric measurements (birth weight, body weight, body length, body mass index, and head circumference) and positively with serum ghrelin concentrations, whereas there was no significant correlation between PYY concentration and caloric intake or weight gain. Multiple regression analysis, after correction for prematurity, revealed that serum PYY concentrations correlated independently with serum ghrelin concentrations and infant body weight or body mass index. Conclusions: Circulating concentrations of PYY may increase in preterm infants to compensate for the negative body-weight balance. The physiologic mechanisms behind the correlation between PYY and ghrelin remain to be elucidated.

scholarly journals Impact of physiotherapy on neuromotor development of premature newborns

2014 ◽  
Vol 27 (3) ◽  
pp. 413-420 ◽  
Author(s):  
Giselle Athayde Xavier Coutinho ◽  
Daniela de Mattos Lemos ◽  
Antônio Prates Caldeira
Keyword(s):  
Preterm Infants ◽  
Motor Development ◽  
Perinatal Care ◽  
Monitoring Program ◽  
Full Term ◽  
Control Group ◽  
Term Infants ◽  
Significance Level ◽  
The Impact ◽  
Neuromotor Development

Introduction The population of children born prematurely has increased in line with improving the quality of perinatal care. It is essential to ensure to these children a healthy development. Objective We evaluate the neuromotor development of a group of preterm infants regularly assisted by a physiotherapy service in comparison to full-term newborns, checking, so the impact of the service. Materials and methods We randomly assigned preterm and full-term infants that formed two distinct groups. The group of preterm infants was inserted into a monitoring program of physiotherapy while the other infants were taken as a control group not receiving any assistance in physiotherapy. The groups were compared using the Alberta Infant Motor Scale (AIMS) at forty-week, four and six months of corrected gestational age and the scores were compared using Student's t-test, assuming a significance level of 5% (p < 0.05). Results The preterm group had significantly lower scores at 40th week compared to the control group, but subsequent scores showed no significant differences between the two groups. Conclusion The timely and adequate stimulation was efficient to promote the motor development of premature infants included in a follow up clinic.

scholarly journals Differences in walking attainment ages between low-risk preterm and healthy full-term infants

2012 ◽  
Vol 70 (8) ◽  
pp. 593-598 ◽  
Author(s):  
Ana P. Restiffe ◽  
José Luiz D. Gherpelli
Keyword(s):  
Cerebral Palsy ◽  
Birth Weight ◽  
Prospective Study ◽  
Preterm Infants ◽  
Motor Development ◽  
Full Term ◽  
Term Infants ◽  
Gross Motor ◽  
Gross Motor Development ◽  
Predictive Variables

OBJECTIVE: To compare gross motor development of preterm infants (PT) without cerebral palsy with healthy full-term (FT) infants, according to Alberta Infant Motor Scale (AIMS); to compare the age of walking between PT and FT; and whether the age of walking in PT is affected by neonatal variables. METHODS: Prospective study compared monthly 101 PT and 52 FT, from the first visit, until all AIMS items had been observed. Results: Mean scores were similarity in their progression, except from the eighth to tenth months. FT infants were faster in walking attainment than PT. Birth weight and length and duration of neonatal nursery stay were related to walking delay. CONCLUSION: Gross motor development between PT and FT were similar, except from the eighth to tenth months of age. PT walked later than FT infants and predictive variables were birth weight and length, and duration of neonatal intensive unit stay.

scholarly journals Motor development evaluated by Test of Infant Motor Performance: comparison between preterm and full-term infants

2011 ◽  
Vol 15 (5) ◽  
pp. 357-363 ◽  
Author(s):  
Carmen L. N. Guimarães ◽  
Cyda M. Reinaux ◽  
Ana C. G. Botelho ◽  
Geisy M. S. Lima ◽  
José E. Cabral Filho
Keyword(s):  
Motor Development ◽  
Motor Performance ◽  
Performance Comparison ◽  
Full Term ◽  
Term Infants

scholarly journals Psychomotor development of preterm infants aged 6 to 12 months

2012 ◽  
Vol 130 (5) ◽  
pp. 299-306 ◽  
Author(s):  
Sophie Helena Eickmann ◽  
Natália Ferraz de Araújo Malkes ◽  
Marília de Carvalho Lima
Keyword(s):  
Birth Weight ◽  
Preterm Infants ◽  
Motor Development ◽  
Demographic Data ◽  
Full Term ◽  
Psychomotor Development ◽  
Biological Factors ◽  
Term Infants ◽  
Organ Systems ◽  
Significant Difference

CONTEXT AND OBJECTIVE: The immaturity of preterm infants' organ systems may lead to difficulties in adapting to different environmental stimuli. The aim was to compare the psychomotor development of preterm infants (with corrected age) and term infants aged 6 to 12 months and to investigate associated factors.DESIGN AND SETTING: Cross-sectional analytical study conducted at Hospital das Clínicas, Universidade Federal de Pernambuco.METHODS: The sample consisted of 135 infants (45 preterm and 90 full-term) aged 6 to 12 months. Neuropsychomotor development was assessed using the Bayley III cognitive, language and motor subscales. Biological, socioeconomic and demographic data were gathered from medical records and through interviews with mothers.RESULTS: The mean cognitive, language and motor indices were within the range of normality for the sample as a whole. No significant difference in the development of infants born preterm and full-term was observed, except for expressive communication, in which preterm infants presented a lower index. Motor development was influenced by biological factors, and the poorest performances were observed in male infants; birth weight birth weight < 1500 g; Apgar score at five minutes < 7; weight-, length- and head circumference-for-age < -1 Z-score; and exclusively breastfeeding for < two months.CONCLUSIONS: Prematurity did not influence the psychomotor development of infants in this study population. Motor development was the most affected domain in the sample as a whole, especially due to biological factors. Investigations on child neuropsychomotor development should try to identify many determinant factors because of its multifactorial nature.

Serum Aldosterone Concentrations Related to Sodium Balance in the Newborn Infant

PEDIATRICS ◽  
1974 ◽  
Vol 53 (3) ◽  
pp. 410-413
Author(s):  
Sharon R. Siegel ◽  
Delbert A. Fisher ◽  
William Oh
Keyword(s):  
Preterm Infants ◽  
Gestational Age ◽  
Newborn Infants ◽  
Full Term ◽  
Sodium Balance ◽  
Term Infants ◽  
Serum Aldosterone ◽  
Sodium Load ◽  
Sodium Dependent ◽  
The Mean

Serum aldosterone concentrations and sodium (Na) balance were studied between 24 and 48 hours of life in 39 newborn infants of various gestational ages and in infants with or without respiratory distress syndrome (RDS) . The serum aldosterone levels in the neonatal period were high but not related to gestational age. The serum aldosterone levels of small-for-gestational-age (SGA) infants were similar to those of the full-term infants. In normal infants (preterm and full term) and in SGA infants, the mean oral Na intake was 1.0 mEq/kg/24 hr; in this group of infants, no correlation was observed between Na intake and excretion or between Na intake and serum aldosterone concentrations, probably due to the narrow range of Na intake. In preterm infants with RDS, Na was given in larger quantities and by the parenteral route. In this group, significant correlations were observed between Na intake and Na excretion and between Na intake and serum aldosterone concentrations. These data suggest that the expected sodium dependent regulatory mechanism for aldosterone secretion is functional 10 the preterm infants with RDS when given a large sodium load; and that the quantity of Na excretion is consistent with the variations in aldosterone concentrations.

scholarly journals Kinematic Analysis of Kicking Movements in Preterm Infants With Very Low Birth Weight and Full-Term Infants

2002 ◽  
Vol 82 (2) ◽  
pp. 148-159 ◽  
Author(s):  
Suh-Fang Jeng ◽  
Li-Chiou Chen ◽  
Kuo-Inn Tsou Yau
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Infants ◽  
Gestational Age ◽  
Kinematic Analysis ◽  
Very Low Birth Weight ◽  
Full Term ◽  
Coordination Pattern ◽  
Term Infants ◽  
Spontaneous Movements

Abstract Background and Purpose. Study of kicking development provides important information to understand how early spontaneous movements change in infants as they acquire voluntary control. Researchers have investigated the kicking movements of preterm infants; however, the movement patterns that they have described were inconsistent. The purpose of this study, therefore, was to examine the development of kicking movements with kinematic analysis in preterm infants with very low birth weight (VLBW) and full-term infants. Subjects and Methods. Twenty-two infants with VLBW who were divided into low gestational age (gestational age of &lt;30 weeks, n=9) and high gestational age (gestational age of ≥30 weeks, n=13) classes and 22 full-term infants were evaluated during kicking movements using 4 synchronized cameras and 3-dimensional kinematic analysis when the infants were 2 and 4 months of corrected age. Results. The infants with VLBW and a high gestational age showed similar kicking movements compared with the full-term infants. In contrast, the infants with VLBW and a low gestational age exhibited a higher kick frequency and a shorter flexion phase at 4 months of corrected age. They also exhibited a higher hip-knee correlation and lower variability in the interlimb coordination pattern at 2 and 4 months of corrected age. Discussion and Conclusion. The findings indicate that infants with VLBW, particularly those with a low gestational age, have age-related differences in movement organization and coordination of kicking compared with full-term infants.

scholarly journals 1526. The economic impact of respiratory syncytial virus (RSV) in infants in the United States: systematic literature review

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S764-S764
Author(s):  
Diana Bowser ◽  
Reissa Gervasio ◽  
Elizabeth Glaser ◽  
Dhwani Harihan ◽  
Katie Rowlands ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Literature Review ◽  
Preterm Infants ◽  
Gestational Age ◽  
Medical Costs ◽  
Full Term ◽  
Late Preterm ◽  
Term Infants ◽  
Late Preterm Infants ◽  
Syncytial Virus

Abstract Background Respiratory syncytial virus (RSV) is a human orthopneumovirus spread by direct contact with symptomatic, infected individuals. An estimated 587,000 RSV LRTIs result in inpatient or outpatient encounters annually among US infants (Rainisch et al 2019). The health care costs associated with RSV include medical costs to insurers, governments, and households, travel, and loss of wages. Initial summary of Inpatient and Ambulatory Medical Costs p Infant w RSV.JPG Jun 17th, 2020 @ 2:44 PM 852 x 572 122.3 Kb Methods A systematic literature review of the costs associated with children who have RSV was conducted. Following PRISMA methodology, key search terms were searched within article titles and abstracts through PubMed, EconLit, and Scopus. A total of 1,942 unique abstracts were screened independently by two authors and reduced to 180 articles after applying inclusion and exclusion criteria. The number of included articles after reviewing the full text was 66. Costing results were adjusted to USD2020 based on the Medical Care Consumer Price Index. Results Costing results were reported mainly for medical costs in inpatient settings. Initial results show that annual mean inpatient costs per RSV patient range among individual studies from $9,825 (SD=$25,227) for full term infants to $26,120 (SD unspecified) for late preterm infants (Table 1). Costing results vary by gestational age, with late preterm infants having an annual mean inpatient cost almost 1.6 times that of a full term infant. Inpatient costs for RSV infants are higher for commercial pay versus Medicaid, for both full term infants (commercial mean=$16,489 SD=$31,068, Medicaid mean=$10,291 SD=$64,625) and late preterm infants (commercial mean=$23,836; SD=$43,709, Medicaid mean=$18,864 SD=$28,716). Annual RSV ambulatory costs per infant vary between $4,371 (SD=$13,411) and $19,963 (SD=$27,269), depending on gestational age. Other relevant RSV costs include preventative drug costs, such as palivizumab (average $11,954 per infant). Conclusion The literature describes the economic impact of RSV primarily for hospitalization of children with underlying comorbidities. There is a need to better understand costing results for RSV, including the burden in ambulatory settings and indirect costs to families affected. Disclosures All Authors: No reported disclosures

scholarly journals Alberta Infant Motor Scale (AIMS) Performance of Greek Preterm Infants: Comparisons With Full-Term Infants of the Same Nationality and Impact of Prematurity-Related Morbidity Factors

2016 ◽  
Vol 96 (7) ◽  
pp. 1102-1108 ◽  
Author(s):  
Dimitrios Syrengelas ◽  
Vassiliki Kalampoki ◽  
Paraskevi Kleisiouni ◽  
Vassiliki Manta ◽  
Stavros Mellos ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Preterm Infants ◽  
Motor Development ◽  
Large Population ◽  
Neonatal Morbidity ◽  
Full Term ◽  
Hierarchical Regression ◽  
Term Infants ◽  
Cross Sectional ◽  
Hierarchical Regression Analysis

Abstract Background Only a few studies have been conducted with the objective of creating norms of the Alberta Infant Motor Scale (AIMS) for the assessment of gross motor development of preterm infants. The AIMS performance of preterm infants has been compared with that of the Canadian norms of full-term infants, but not with that of full-term infants of the same nationality. Moreover, the possible impact of prematurity-related morbidity factors on AIMS performance is unknown. Objectives The aims of this study were: (1) to evaluate AIMS trajectory in a large population of Greek preterm infants and create norms, (2) to compare it with the AIMS trajectory of Greek full-term infants, and (3) to examine the possible influence of neonatal morbidity on AIMS scores in the preterm sample. Design This was a cross-sectional study. Methods Mean AIMS scores were compared, per month (1–19), between 403 preterm infants (≤32 weeks of age, corrected for prematurity) and 1,038 full-term infants. In preterm infants, the association of AIMS scores with respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH) of grade ≤III, bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), and sepsis was assessed by hierarchical regression analysis. Results Alberta Infant Motor Scale scores were significantly lower in preterm infants than in full-term infants. Mean AIMS scores in preterm infants were significantly associated with RDS (b=−1.93; 95% CI=−2.70, −1.16), IVH (b=−0.97; 95% CI=−1.69, −0.25), and ROP (b=−1.12; 95% CI=−1.99, −0.24) but not with BPD or sepsis in hierarchical regression analysis. Conclusions Alberta Infant Motor Scale norms were created for Greek preterm infants. This study confirms that AIMS trajectories of preterm infants are below those of full-term infants of the same nationality. The influence of morbidity factors, including RDS, IVH, and ROP, should be taken into account when administering the AIMS in preterm infants.

scholarly journals Motor Development Evaluation of Low Risk Preterm Infants through the First Six Months of Life

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Preterm Infants ◽  
Motor Development ◽  
Full Term ◽  
Term Infants ◽  
Mean Values ◽  
Typical Sequence ◽  
Significant Difference ◽  
Term Newborns ◽  
Development Evaluation

Preterm and low birth weight children are at risk for developmental deficits, many preterm children even who do not develop cerebral palsy not having reached normal motor development level regarding their chronological age. Normal motor development starts at conception and continue throughout life according to a typical sequence, pattern and timing. Evaluation and early detection of developmental deviation in preterm infants will improve the concept of early intervention and result in better quality of life to the preterm infants and their families. A longitudinal, quantitative, comparative studyone hundred infants: Preterm and full-term infants were evaluated by Alberta Infant Motor Scale (AIMS) through the first 6 months of life. There was significant difference in mean values AIMS of preterm and full term newborns. Further studies are needed to assess motor development in preterm using corrected age.

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