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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 108 - 115 (8page)
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초록· 키워드
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Purpose: We compared neurodevelopmental outcomes according to prenatal and postnatal growth patterns in preterm infants and evaluated the proper catch-up growth timing and risk factors that affect poor neurodevelopmental outcomes.
Methods: We retrospectively reviewed the electronic medical records of preterm infants born at <32 weeks of gestational age or with <1,500 g of birth weight, who were tested with the Bayley scales of infant and toddler development, third edition (Bayley-III), at 8 and/or 18 months of corrected age in the outpatient clinic. Study populations were divided into four groups according to catch-up growth patterns, which were evaluated about <10th or ≥10th percentile at birth and at 8 or 18 months.
Results: In this study, 107 preterm infants were enrolled and 149 results of Bayley-III were analyzed. Infants whose lengths were within <10th percentile at birth had lower cognitive score than those whose lengths were ≥10th percentile at birth (P=0.007). The catch-up growth of length affected cognitive score (P<0.001), and the catch-up growth of head circumference affected cognitive (P<0.001) and motor scores (P= 0.024). The catch-up growth of head circumference by 8 months than that by 18 months was more correlated to cognitive (R2=0.300 vs. 0.266, respectively) and motor development (R2=0.257 vs. 0.210, respectively) at 18 months.
Conclusion: Appropriate body length at birth in preterm infants was significantly associated with optimal cognitive development. Catch-up growth of body length was related to cognitive development, while catch-up growth of head circumference was related to both cognitive and motor development. Earlier catch-up growth of head circumference was more critical for neurodevelopment than weight and length.
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참고문헌 (32)
참고문헌 신청
Prader A / 1963 / Catch-up growth following illness or starvation. An example of developmental canalization in man / J Pediatr 62:646~659
Ehrenkranz RA / 1999 / Longitudinal growth of hospitalized very low birth weight infants / Pediatrics 104:280~289
Dusick AM / 2003 / Growth failure in the preterm infant: Can we catch up? / Semin Perinatol 27:302~310
Cooke RJ / 2010 / Postnatal growth and development in the preterm and small for gestational age infant / Nestle Nutr Workshop Ser Pediatr Program 65:85~95
Lundgren EM / 2003 / Intellectual and psychological performance in males born small for gestational age / Horm Res 59(Suppl 1):139~141
Ehrenkranz RA / 1999 / Longitudinal growth of hospitalized very low birth weight infants / Pediatrics 104:280~289
Dusick AM / 2003 / Growth failure in the preterm infant: Can we catch up? / Semin Perinatol 27:302~310
Cooke RJ / 2010 / Postnatal growth and development in the preterm and small for gestational age infant / Nestle Nutr Workshop Ser Pediatr Program 65:85~95
Lundgren EM / 2003 / Intellectual and psychological performance in males born small for gestational age / Horm Res 59(Suppl 1):139~141
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