Longitudinal study of physical growth and neuromotor development in preterm infants

LU An-feng; HUANG Hai-yan; HUANG Guo-sheng; BI Xue-lan

doi:10.11852/zgetbjzz2018-26-05-03

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (5) : 472-474. DOI: 10.11852/zgetbjzz2018-26-05-03

Longitudinal study of physical growth and neuromotor development in preterm infants

LU An-feng, HUANG Hai-yan, HUANG Guo-sheng, BI Xue-lan

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Abstract

Objective To analyze the influence of preterm on physical growth and neuromotor development in infants, in order to provide evidence for improving motor development. Methods A total of 408 preterm infants with detailed case data in Neonatology Department of Qinzhou Maternal and Child Health Care Hospital were enrolled in this follow-up study. The head circumferences and body weights at corrected age of 40 weeks, 6 and 12 months were collected. Also, the score of Neonatal Behavioral Neurological Assessment (NBNA) at corrected age of 40 weeks and the development quotient in Gesell Developmental Scale at gestation-adjusted age of 6 and 12 months were collected. Comparison on physical growth and neuromotor development between physical growth retardation group and normal growth group was made. Results The incidence of physical growth retardation at corrected age of 40 weeks was the highest (21.8%), and was significantly lower at the age of 12 months than that at the age of 6 months. The incidence of impaired gross motor development at corrected age of 12 months was significantly lower than that at corrected age of 6 months (7.6% vs 16.4%). The infants with physical growth retardation had significantly higher incidences of neuromotor developmental delay at the three time points (P＜0.05). Conclusions Most preterm infants had achieved catch-up growth in physique and good development in neuromotor at corrected age of 12 months. Physical growth retardation at corrected age of 12 months is a risk factor for abnormal gross motor development.

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preterm infants / physical growth / motor development / Gesell Developmental Scale

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LU An-feng, HUANG Hai-yan, HUANG Guo-sheng, BI Xue-lan. Longitudinal study of physical growth and neuromotor development in preterm infants[J]. Chinese Journal of Child Health Care. 2018, 26(5): 472-474 https://doi.org/10.11852/zgetbjzz2018-26-05-03

References

[1] Fenton TR, Kim JH.A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants[J].BMC Pediatr,2013, 20(13):59.
[2] 首都儿科研究所,九市儿童体格发育调查协作组.中国七岁以下儿童体重、身长/身高和头围的生长标准值及标准化生长曲线[J].中华儿科杂志,2009,47(3):173-178.
[3] 鲍秀兰.新生儿行为能力和测查方法[J].实用诊断与治疗杂志, 2003, 17(6): 441-443.
[4] 早产儿营养调查协作组.新生儿重症监护病房中早产儿营养相关状况多中心调查974例报告[J].中华儿科杂志,2009,47(1):12-17.
[5] Clark RH,Thomas P,Peabody J. Extrauterine growth restriction Remains a serious problem in prematurely born neonates[J].Pediatrics.2003,111(5Pt1):986-990.
[6] 蔡岳鞠,宋燕燕,黄志坚,等.早产儿出院时宫外发育迟缓的危险因素分析[J].中国当代儿科杂志,2015,17(7):659-662.
[7] 《中华儿科杂志》编辑委员会,中华医学会儿科学分会儿童保健学组,中华医学会儿科学分会新生儿学组.早产、低出生体重儿出院后喂养建议[J].中华儿科杂志,2016,54(1):6-12.
[8] 周丛乐.深入认识早产儿脑病[J].临床儿科杂志,2015,33(3):201-204.
[9] 张梅,钱红艳,匡晓妮,等.早产儿矫正年龄1岁时神经发育特征分析[J].中国当代儿科杂志,2017,19(2):147-151.
[10] 闫淑媛, 刘震宇, 钱红艳,等.不同胎龄及出生体质量早产儿早期神经发育的纵向研究[J].临床儿科杂志,2017,35(6):425-429.
[11] 王清清,苏卫东,黄育丹,等.晚期早产儿与足月儿早期生长发育比较[J].温州医科大学学报,2017,47(2):132-135.
[12] 桑田,王颖,胡秀丽,等.极低出生体重儿体格发育与神经发育关系的研究[J].中国新生儿科杂志,2016,31(3):161-167.
[13] Velikos K, Soubasi V, Michalettou I,et al.Bayley-III scales at 12 months of corrected age in preterm infants: Patterns of developmental performance and correlations to environmental and biological influences[J]. Res Dev Disabil,2015,45-46:110-119.
[14] 黄海燕.早产儿神经系统发育结局的研究进展[J].中国儿童保健杂志,2016,24(2):153-155.
[15] Belfort MB,Rifas-Shiman SL,Sullivan T,et al.Infant growth before and after term:effects on neurodevelopment in preterm infants[J].Pediatrics, 2011, 128(4):e899-e906.
[16] Guellec I,Lapillonne A, Marre S,et al.Effect of Intra-and Extrauterine growth on long-term neurologic outcomes of very preterm infants[J].J Pediatr,2016,175:93-99.
[17] Belfort MB, Kuban KC, O'Shea TM, et al.Weight status in the first 2 years of Life and neurodevelopmental impairment in extremely low gestational Age newborns[J]. J Pediatr,2016,168:30-35.