Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children
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 crit...
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MDPI AG
2021-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/11/955 |
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| author | Leticia Alcántara Cristina Fernández-Baizán Lara González-García Enrique García-López Clara González-López Jorge Luis Arias Marta Méndez Gonzalo Solís Sánchez |
| author_facet | Leticia Alcántara Cristina Fernández-Baizán Lara González-García Enrique García-López Clara González-López Jorge Luis Arias Marta Méndez Gonzalo Solís Sánchez |
| author_sort | Leticia Alcántara |
| collection | DOAJ |
| description | 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 (<i>p</i> = 0.004) and length (<i>p</i> = 0.003) and with z-score IGW-21’s (INTERGRWTH-21 Project) weight (<i>p</i> = 0.004) and length (<i>p</i> = 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. |
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| language | English |
| last_indexed | 2024-03-10T05:36:13Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-4f01f23985d3425ba0c3bbc6d0ad79912023-11-22T22:54:24ZengMDPI AGChildren2227-90672021-10-0181195510.3390/children8110955Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight ChildrenLeticia Alcántara0Cristina Fernández-Baizán1Lara González-García2Enrique García-López3Clara González-López4Jorge Luis Arias5Marta Méndez6Gonzalo Solís Sánchez7Hospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, SpainFaculty of Psychology, Universidad de Oviedo, 33003 Oviedo, SpainHospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, SpainHospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, SpainHospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, SpainFaculty of Psychology, Universidad de Oviedo, 33003 Oviedo, SpainFaculty of Psychology, Universidad de Oviedo, 33003 Oviedo, SpainHospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, SpainBackground: 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 (<i>p</i> = 0.004) and length (<i>p</i> = 0.003) and with z-score IGW-21’s (INTERGRWTH-21 Project) weight (<i>p</i> = 0.004) and length (<i>p</i> = 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.https://www.mdpi.com/2227-9067/8/11/955newbornprematuritygrowthneurodevelopmentpostnatal growth |
| spellingShingle | Leticia Alcántara Cristina Fernández-Baizán Lara González-García Enrique García-López Clara González-López Jorge Luis Arias Marta Méndez Gonzalo Solís Sánchez Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children Children newborn prematurity growth neurodevelopment postnatal growth |
| title | Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children |
| title_full | Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children |
| title_fullStr | Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children |
| title_full_unstemmed | Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children |
| title_short | Neuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children |
| title_sort | neuropsychological development and new criteria for extrauterine growth restriction in very low birth weight children |
| topic | newborn prematurity growth neurodevelopment postnatal growth |
| url | https://www.mdpi.com/2227-9067/8/11/955 |
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