Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review
Glucose impairment is common in preterm infants but the impact of early neonatal hyperglycemia on long term neurodevelopment is still highly controversial. This review reports current evidence of the effect of hyperglycemia on neurodevelopmental outcome. It was conducted according to the PRISMA guid...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/10/1541 |
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| author | Silvia Guiducci Leonardo Meggiolaro Anna Righetto Marco Piccoli Eugenio Baraldi Alfonso Galderisi |
| author_facet | Silvia Guiducci Leonardo Meggiolaro Anna Righetto Marco Piccoli Eugenio Baraldi Alfonso Galderisi |
| author_sort | Silvia Guiducci |
| collection | DOAJ |
| description | Glucose impairment is common in preterm infants but the impact of early neonatal hyperglycemia on long term neurodevelopment is still highly controversial. This review reports current evidence of the effect of hyperglycemia on neurodevelopmental outcome. It was conducted according to the PRISMA guidelines. We searched MEDLINE via PubMed; EMBASE via Ovid; the Cochrane Central Register of Controlled Trials; the Cochrane Library; ClinicalTrials.gov; and the World Health Organization’s International Trials Registry and Platform. We included studies that investigated the association between hyperglycemia, defined as at least one episode of glycemia ≥8 mmol/L, and neurodevelopment outcome evaluated either through the Griffiths Mental Developmental Scales (GMDS) or the Bayley Scales of Infant Development (BSID) for the first 5 years of life, and the Wechsler Intelligence Scale for Children (WISC) and the Movement Assessment Battery for Children (MABC) for the following age category. We selected six studies, comprising 2226 infants in total and which included 1059 (48%) infants for whom neurodevelopment assessment was available. We found an association between hyperglycemia and neurological delay in the first two years of life, especially for motor functions; this result was confirmed in later childhood. The quality of evidence was poor; therefore, the negative influence of neonatal hyperglycemia on the neurological development of preterm infants must be investigated in further studies. |
| first_indexed | 2024-03-09T20:27:15Z |
| format | Article |
| id | doaj.art-7741a472f4d94184b5676dd307ff74f7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:27:15Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-7741a472f4d94184b5676dd307ff74f72023-11-23T23:32:38ZengMDPI AGChildren2227-90672022-10-01910154110.3390/children9101541Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A ReviewSilvia Guiducci0Leonardo Meggiolaro1Anna Righetto2Marco Piccoli3Eugenio Baraldi4Alfonso Galderisi5Departement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyDepartement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyDepartement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyDepartement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyDepartement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyDepartement of Woman’s and Child’s Health, University of Padova, 35128 Padova, ItalyGlucose impairment is common in preterm infants but the impact of early neonatal hyperglycemia on long term neurodevelopment is still highly controversial. This review reports current evidence of the effect of hyperglycemia on neurodevelopmental outcome. It was conducted according to the PRISMA guidelines. We searched MEDLINE via PubMed; EMBASE via Ovid; the Cochrane Central Register of Controlled Trials; the Cochrane Library; ClinicalTrials.gov; and the World Health Organization’s International Trials Registry and Platform. We included studies that investigated the association between hyperglycemia, defined as at least one episode of glycemia ≥8 mmol/L, and neurodevelopment outcome evaluated either through the Griffiths Mental Developmental Scales (GMDS) or the Bayley Scales of Infant Development (BSID) for the first 5 years of life, and the Wechsler Intelligence Scale for Children (WISC) and the Movement Assessment Battery for Children (MABC) for the following age category. We selected six studies, comprising 2226 infants in total and which included 1059 (48%) infants for whom neurodevelopment assessment was available. We found an association between hyperglycemia and neurological delay in the first two years of life, especially for motor functions; this result was confirmed in later childhood. The quality of evidence was poor; therefore, the negative influence of neonatal hyperglycemia on the neurological development of preterm infants must be investigated in further studies.https://www.mdpi.com/2227-9067/9/10/1541neonatal glucosehyperglycemiapreterm infantneurodevelopmental outcomeneurodevelopment impairment |
| spellingShingle | Silvia Guiducci Leonardo Meggiolaro Anna Righetto Marco Piccoli Eugenio Baraldi Alfonso Galderisi Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review Children neonatal glucose hyperglycemia preterm infant neurodevelopmental outcome neurodevelopment impairment |
| title | Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review |
| title_full | Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review |
| title_fullStr | Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review |
| title_full_unstemmed | Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review |
| title_short | Neonatal Hyperglycemia and Neurodevelopmental Outcomes in Preterm Infants: A Review |
| title_sort | neonatal hyperglycemia and neurodevelopmental outcomes in preterm infants a review |
| topic | neonatal glucose hyperglycemia preterm infant neurodevelopmental outcome neurodevelopment impairment |
| url | https://www.mdpi.com/2227-9067/9/10/1541 |
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