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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2021
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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) |
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newborn prematurity growth neurodevelopment postnatal growth Pediatrics RJ1-570 |
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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 |
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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 |
work_keys_str_mv |
AT leticiaalcantara neuropsychologicaldevelopmentandnewcriteriaforextrauterinegrowthrestrictioninverylowbirthweightchildren 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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