Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan

All children should have some developmental screening periodically throughout childhood, especially those who were born prematurely. There is limited information about the development of children with very low birth weight (VLBW; birth weight < 1500 g) beyond the preschool age in Taiwan. We evalu...

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Main Authors: Shu-Chi Mu, Kuo-Su Tsou, Chyong-Hsin Hsu, Li-Jung Fang, Suh-Fang Jeng, Chia-Han Chang, Kuo-Inn Tsou
Format: Article
Language:English
Published: Elsevier 2008-12-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664609600140
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author Shu-Chi Mu
Kuo-Su Tsou
Chyong-Hsin Hsu
Li-Jung Fang
Suh-Fang Jeng
Chia-Han Chang
Kuo-Inn Tsou
author_facet Shu-Chi Mu
Kuo-Su Tsou
Chyong-Hsin Hsu
Li-Jung Fang
Suh-Fang Jeng
Chia-Han Chang
Kuo-Inn Tsou
author_sort Shu-Chi Mu
collection DOAJ
description All children should have some developmental screening periodically throughout childhood, especially those who were born prematurely. There is limited information about the development of children with very low birth weight (VLBW; birth weight < 1500 g) beyond the preschool age in Taiwan. We evaluated intelligence quotient (IQ) and cognitive ability of prematurely born school-aged children in Taiwan. Methods: This was a multicenter study of VLBW and full-term children born between 1995 and 1997 at four hospitals in northern Taiwan. We used the Wechsler Intelligence Scale for Children, 3rd Edition (WISC-III), to assess these children. Demographic data were recorded including maternal and paternal age, education, birth weight, gestational age, and gender. Results: A total of 189 children (130 with VLBW born prematurely and 59 born at full term) were recruited. There were significant differences in performance IQ (PIQ; 90.16 ± 17.05 vs. 108.51 ± 15.65, p < 0.001), verbal IQ (VIQ; 97.43 ± 15.62 vs. 111.78 ± 13.65, p < 0.001), full-scale IQ (FSIQ; 93.14 ± 16.33 vs. 111.05 ± 14.81, p < 0.001), verbal comprehension index score (VCIS; 98.06 ± 15.53 vs. 112.47 ± 13.74, p < 0.001), perceptional organization index score (POIS; 92.39 ± 17.13 vs. 109.42 ± 14.87, p < 0.001) and freedom from distractibility index score (FDIS; 98.34 ± 17.71 vs. 110.53 ± 10.94, p = 0.008). There was no correlation between perinatal outcomes and FSIQ. Conclusion: Our results suggest that VLBW children have significantly lower PIQ, VIQ, FSIQ, VCIS, POIS and FDIS at primary school compared with full-term children.
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spelling doaj.art-b99998a7b4ca4193bd4c2f521d602cf12022-12-22T03:07:49ZengElsevierJournal of the Formosan Medical Association0929-66462008-12-011071291592010.1016/S0929-6646(09)60014-0Cognitive Development at Age 8 Years in Very Low Birth Weight Children in TaiwanShu-Chi Mu0Kuo-Su Tsou1Chyong-Hsin Hsu2Li-Jung Fang3Suh-Fang Jeng4Chia-Han Chang5Kuo-Inn Tsou6Department of Pediatrics, Shin-Kong Wu Ho-Su Memorial Hospital, Institute of Clinical Medicine, National Yang-Ming University, and College of Medicine, Fu Jen Catholic University, Taipei, TaiwanTaipei Child Development Assessment Center, Taipei City Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Neonatology, Branch for Women and Children, Taipei City Hospital, Taipei, TaiwanSchool and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, and Department of Rehabilitation and Physical Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pediatrics, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanCollege of Medicine, Fu Jen Catholic University and Department of Pediatrics, Catholic Tien Hospital, Taipei, TaiwanAll children should have some developmental screening periodically throughout childhood, especially those who were born prematurely. There is limited information about the development of children with very low birth weight (VLBW; birth weight < 1500 g) beyond the preschool age in Taiwan. We evaluated intelligence quotient (IQ) and cognitive ability of prematurely born school-aged children in Taiwan. Methods: This was a multicenter study of VLBW and full-term children born between 1995 and 1997 at four hospitals in northern Taiwan. We used the Wechsler Intelligence Scale for Children, 3rd Edition (WISC-III), to assess these children. Demographic data were recorded including maternal and paternal age, education, birth weight, gestational age, and gender. Results: A total of 189 children (130 with VLBW born prematurely and 59 born at full term) were recruited. There were significant differences in performance IQ (PIQ; 90.16 ± 17.05 vs. 108.51 ± 15.65, p < 0.001), verbal IQ (VIQ; 97.43 ± 15.62 vs. 111.78 ± 13.65, p < 0.001), full-scale IQ (FSIQ; 93.14 ± 16.33 vs. 111.05 ± 14.81, p < 0.001), verbal comprehension index score (VCIS; 98.06 ± 15.53 vs. 112.47 ± 13.74, p < 0.001), perceptional organization index score (POIS; 92.39 ± 17.13 vs. 109.42 ± 14.87, p < 0.001) and freedom from distractibility index score (FDIS; 98.34 ± 17.71 vs. 110.53 ± 10.94, p = 0.008). There was no correlation between perinatal outcomes and FSIQ. Conclusion: Our results suggest that VLBW children have significantly lower PIQ, VIQ, FSIQ, VCIS, POIS and FDIS at primary school compared with full-term children.http://www.sciencedirect.com/science/article/pii/S0929664609600140freedom from distractibility index scorefull-scale intelligence quotientintelligence quotientperceptional organization index scoreperformance intelligence quotientverbal comprehension index scoreverbal intelligence quotientvery low birth weight
spellingShingle Shu-Chi Mu
Kuo-Su Tsou
Chyong-Hsin Hsu
Li-Jung Fang
Suh-Fang Jeng
Chia-Han Chang
Kuo-Inn Tsou
Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
Journal of the Formosan Medical Association
freedom from distractibility index score
full-scale intelligence quotient
intelligence quotient
perceptional organization index score
performance intelligence quotient
verbal comprehension index score
verbal intelligence quotient
very low birth weight
title Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
title_full Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
title_fullStr Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
title_full_unstemmed Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
title_short Cognitive Development at Age 8 Years in Very Low Birth Weight Children in Taiwan
title_sort cognitive development at age 8 years in very low birth weight children in taiwan
topic freedom from distractibility index score
full-scale intelligence quotient
intelligence quotient
perceptional organization index score
performance intelligence quotient
verbal comprehension index score
verbal intelligence quotient
very low birth weight
url http://www.sciencedirect.com/science/article/pii/S0929664609600140
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