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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Autores principales: Leticia Alcántara, Cristina Fernández-Baizán, Lara González-García, Enrique García-López, Clara González-López, Jorge Luis Arias, Marta Méndez, Gonzalo Solís Sánchez
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:4f01f23985d3425ba0c3bbc6d0ad79912021-11-25T17:13:53ZNeuropsychological Development and New Criteria for Extrauterine Growth Restriction in Very Low-Birth-Weight Children10.3390/children81109552227-9067https://doaj.org/article/4f01f23985d3425ba0c3bbc6d0ad79912021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/955https://doaj.org/toc/2227-9067Background: 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.Leticia AlcántaraCristina Fernández-BaizánLara González-GarcíaEnrique García-LópezClara González-LópezJorge Luis AriasMarta MéndezGonzalo Solís SánchezMDPI AGarticlenewbornprematuritygrowthneurodevelopmentpostnatal growthPediatricsRJ1-570ENChildren, Vol 8, Iss 955, p 955 (2021)
institution DOAJ
collection DOAJ
language EN
topic newborn
prematurity
growth
neurodevelopment
postnatal growth
Pediatrics
RJ1-570
spellingShingle newborn
prematurity
growth
neurodevelopment
postnatal growth
Pediatrics
RJ1-570
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
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.
format article
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
title 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_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_sort neuropsychological development and new criteria for extrauterine growth restriction in very low-birth-weight children
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4f01f23985d3425ba0c3bbc6d0ad7991
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AT cristinafernandezbaizan neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT laragonzalezgarcia neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT enriquegarcialopez neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT claragonzalezlopez neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT jorgeluisarias neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT martamendez neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
AT gonzalosolissanchez neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren
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