Abstract
Background: Minor motor problems have been reported in low birthweight children, but few studies have assessed motor skills in adolescents.
Objective: To examine the prevalence of motor problems in adolescents with low birth weight.
Method: Fifty four very low birthweight (VLBW: birth weight ⩽ 1500 g), 59 term small for gestational age (SGA: birth weight < 10th centile), and 83 control (birth weight ⩾ 10th centile at term) children were assessed with the Movement assessment battery for children (Movement ABC) at the age of 14 in a population based study.
Results: One in four VLBW children (odds ratio (OR) 9.3, 95% confidence interval (CI) 2.5 to 34.5) and one in six SGA children (OR 4.7, 95%CI 1.2 to 18.4) had motor problems compared with controls (3.7%). There were no sex differences in motor problems in the VLBW group, and the increased risk was consistent across the continuum of the Movement ABC. For SGA children, the increased risk of motor problems was particularly in manual dexterity in boys.
Conclusion: VLBW and SGA adolescents have increased risk of motor problems compared with control children.
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Selected References
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- Albertsson-Wikland K., Karlberg J. Postnatal growth of children born small for gestational age. Acta Paediatr Suppl. 1997 Nov;423:193–195. doi: 10.1111/j.1651-2227.1997.tb18413.x. [DOI] [PubMed] [Google Scholar]
- Almendingen K., Trygg K., Pedersen J. I. An assessment of the use of simple methods to predict individual energy intakes for intervention studies. Eur J Clin Nutr. 1998 Jan;52(1):54–59. doi: 10.1038/sj.ejcn.1600515. [DOI] [PubMed] [Google Scholar]
- Bourre J. M., Morand O., Chanez C., Dumont O., Flexor M. A. Influence of intrauterine malnutrition on brain development: alteration of myelination. Biol Neonate. 1981;39(1-2):96–99. doi: 10.1159/000241398. [DOI] [PubMed] [Google Scholar]
- Davis P. G., Doyle L. W., Rickards A. L., Kelly E. A., Ford G. W., Davis N. M., Callanan C. Methylxanthines and sensorineural outcome at 14 years in children < 1501 g birthweight. J Paediatr Child Health. 2000 Feb;36(1):47–50. doi: 10.1046/j.1440-1754.2000.00446.x. [DOI] [PubMed] [Google Scholar]
- Dobbing J., Hopewell J. W., Lynch A. Vulnerability of developing brain. VII. Permanent deficit of neurons in cerebral and cerebellar cortex following early mild undernutrition. Exp Neurol. 1971 Sep;32(3):439–447. doi: 10.1016/0014-4886(71)90010-0. [DOI] [PubMed] [Google Scholar]
- Ford G. W., Doyle L. W., Davis N. M., Callanan C. Very low birth weight and growth into adolescence. Arch Pediatr Adolesc Med. 2000 Aug;154(8):778–784. doi: 10.1001/archpedi.154.8.778. [DOI] [PubMed] [Google Scholar]
- Forslund M., Bjerre I. Follow-up of preterm children. I. Neurological assessment at 4 years of age. Early Hum Dev. 1989 Sep;20(1):45–66. doi: 10.1016/0378-3782(89)90072-8. [DOI] [PubMed] [Google Scholar]
- Hack M., Fanaroff A. A. Outcomes of children of extremely low birthweight and gestational age in the 1990's. Early Hum Dev. 1999 Jan;53(3):193–218. doi: 10.1016/s0378-3782(98)00052-8. [DOI] [PubMed] [Google Scholar]
- Hack M., Klein N. K., Taylor H. G. Long-term developmental outcomes of low birth weight infants. Future Child. 1995 Spring;5(1):176–196. [PubMed] [Google Scholar]
- Hadders-Algra M., Huisjes H. J., Touwen B. C. Preterm or small-for-gestational-age infants. Neurological and behavioural development at the age of 6 years. Eur J Pediatr. 1988 Jun;147(5):460–467. doi: 10.1007/BF00441967. [DOI] [PubMed] [Google Scholar]
- Herrgård E., Luoma L., Tuppurainen K., Karjalainen S., Martikainen A. Neurodevelopmental profile at five years of children born at < or = 32 weeks gestation. Dev Med Child Neurol. 1993 Dec;35(12):1083–1096. doi: 10.1111/j.1469-8749.1993.tb07926.x. [DOI] [PubMed] [Google Scholar]
- Horwood L. J., Mogridge N., Darlow B. A. Cognitive, educational, and behavioural outcomes at 7 to 8 years in a national very low birthweight cohort. Arch Dis Child Fetal Neonatal Ed. 1998 Jul;79(1):F12–F20. doi: 10.1136/fn.79.1.f12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Indredavik M. S., Vik T., Heyerdahl S., Kulseng S., Fayers P., Brubakk A-M. Psychiatric symptoms and disorders in adolescents with low birth weight. Arch Dis Child Fetal Neonatal Ed. 2004 Sep;89(5):F445–F450. doi: 10.1136/adc.2003.038943. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jongmans M., Mercuri E., de Vries L., Dubowitz L., Henderson S. E. Minor neurological signs and perceptual-motor difficulties in prematurely born children. Arch Dis Child Fetal Neonatal Ed. 1997 Jan;76(1):F9–14. doi: 10.1136/fn.76.1.f9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kramer M. S. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ. 1987;65(5):663–737. [PMC free article] [PubMed] [Google Scholar]
- Losse A., Henderson S. E., Elliman D., Hall D., Knight E., Jongmans M. Clumsiness in children--do they grow out of it? A 10-year follow-up study. Dev Med Child Neurol. 1991 Jan;33(1):55–68. doi: 10.1111/j.1469-8749.1991.tb14785.x. [DOI] [PubMed] [Google Scholar]
- Low J. A., Galbraith R. S., Muir D., Killen H., Pater B., Karchmar J. Intrauterine growth retardation: a study of long-term morbidity. Am J Obstet Gynecol. 1982 Mar 15;142(6 Pt 1):670–677. doi: 10.1016/s0002-9378(16)32439-5. [DOI] [PubMed] [Google Scholar]
- Marlow N., Roberts B. L., Cooke R. W. Motor skills in extremely low birthweight children at the age of 6 years. Arch Dis Child. 1989 Jun;64(6):839–847. doi: 10.1136/adc.64.6.839. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marlow N., Roberts L., Cooke R. Outcome at 8 years for children with birth weights of 1250 g or less. Arch Dis Child. 1993 Mar;68(3 Spec No):286–290. doi: 10.1136/adc.68.3_spec_no.286. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCormick M. C. The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med. 1985 Jan 10;312(2):82–90. doi: 10.1056/NEJM198501103120204. [DOI] [PubMed] [Google Scholar]
- McCormick M. C. The outcomes of very low birth weight infants: are we asking the right questions? Pediatrics. 1997 Jun;99(6):869–876. doi: 10.1542/peds.99.6.869. [DOI] [PubMed] [Google Scholar]
- McLeary R. D., Kuhns L. R., Barr M., Jr Ultrasonography of the fetal cerebellum. Radiology. 1984 May;151(2):439–442. doi: 10.1148/radiology.151.2.6709916. [DOI] [PubMed] [Google Scholar]
- Morales-Roselló J., Martinez-Gonzalez L., Santonja-Lucas J. J. Predicted and actual fetal weight throughout the last trimester. J Ultrasound Med. 1997 Nov;16(11):711–717. doi: 10.7863/jum.1997.16.11.711. [DOI] [PubMed] [Google Scholar]
- Ong L. C., Boo N. Y., Chandran V. Predictors of neurodevelopmental outcome of Malaysian very low birthweight children at 4 years of age. J Paediatr Child Health. 2001 Aug;37(4):363–368. doi: 10.1046/j.1440-1754.2001.00694.x. [DOI] [PubMed] [Google Scholar]
- Ornstein M., Ohlsson A., Edmonds J., Asztalos E. Neonatal follow-up of very low birthweight/extremely low birthweight infants to school age: a critical overview. Acta Paediatr Scand. 1991 Aug-Sep;80(8-9):741–748. doi: 10.1111/j.1651-2227.1991.tb11943.x. [DOI] [PubMed] [Google Scholar]
- Peralta-Carcelen M., Jackson D. S., Goran M. I., Royal S. A., Mayo M. S., Nelson K. G. Growth of adolescents who were born at extremely low birth weight without major disability. J Pediatr. 2000 May;136(5):633–640. doi: 10.1067/mpd.2000.104291. [DOI] [PubMed] [Google Scholar]
- Pharoah P. O., Stevenson C. J., Cooke R. W., Stevenson R. C. Clinical and subclinical deficits at 8 years in a geographically defined cohort of low birthweight infants. Arch Dis Child. 1994 Apr;70(4):264–270. doi: 10.1136/adc.70.4.264. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Powls A., Botting N., Cooke R. W., Marlow N. Motor impairment in children 12 to 13 years old with a birthweight of less than 1250 g. Arch Dis Child Fetal Neonatal Ed. 1995 Sep;73(2):F62–F66. doi: 10.1136/fn.73.2.f62. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Powls A., Botting N., Cooke R. W., Pilling D., Marlow N. Growth impairment in very low birthweight children at 12 years: correlation with perinatal and outcome variables. Arch Dis Child Fetal Neonatal Ed. 1996 Nov;75(3):F152–F157. doi: 10.1136/fn.75.3.f152. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Skranes J. S., Nilsen G., Smevik O., Vik T., Brubakk A. M. Cerebral MRI of very low birth weight children at 6 years of age compared with the findings at 1 year. Pediatr Radiol. 1998 Jun;28(6):471–475. doi: 10.1007/s002470050387. [DOI] [PubMed] [Google Scholar]
- Sommerfelt K., Ellertsen B., Markestad T. Low birthweight and neuromotor development: a population based, controlled study. Acta Paediatr. 1996 May;85(5):604–610. doi: 10.1111/j.1651-2227.1996.tb14096.x. [DOI] [PubMed] [Google Scholar]
- Sommerfelt Kristian, Sonnander Karin, Skranes Jon, Andersson Helle W., Ahlsten Gunnar, Ellertsen Bjørn, Markestad Trond, Jacobsen Geir, Hoffman Howard J., Bakketeig Leiv S. Neuropsychologic and motor function in small-for-gestation preschoolers. Pediatr Neurol. 2002 Mar;26(3):186–191. doi: 10.1016/s0887-8994(01)00381-2. [DOI] [PubMed] [Google Scholar]
- Spinillo A., Capuzzo E., Nicola S., Colonna L., Iasci A., Zara C. Interaction between fetal gender and risk factors for fetal growth retardation. Am J Obstet Gynecol. 1994 Nov;171(5):1273–1277. doi: 10.1016/0002-9378(94)90146-5. [DOI] [PubMed] [Google Scholar]
- Thomas P., Peabody J., Turnier V., Clark R. H. A new look at intrauterine growth and the impact of race, altitude, and gender. Pediatrics. 2000 Aug;106(2):E21–E21. doi: 10.1542/peds.106.2.e21. [DOI] [PubMed] [Google Scholar]
- Torrioli M. G., Frisone M. F., Bonvini L., Luciano R., Pasca M. G., Lepori R., Tortorolo G., Guzzetta F. Perceptual-motor, visual and cognitive ability in very low birthweight preschool children without neonatal ultrasound abnormalities. Brain Dev. 2000 May;22(3):163–168. doi: 10.1016/s0387-7604(00)00098-x. [DOI] [PubMed] [Google Scholar]
- Vohr B. R., Msall M. E. Neuropsychological and functional outcomes of very low birth weight infants. Semin Perinatol. 1997 Jun;21(3):202–220. doi: 10.1016/s0146-0005(97)80064-x. [DOI] [PubMed] [Google Scholar]
- Zubrick S. R., Macartney H., Stanley F. J. Hidden handicap in school-age children who received neonatal intensive care. Dev Med Child Neurol. 1988 Apr;30(2):145–152. doi: 10.1111/j.1469-8749.1988.tb04745.x. [DOI] [PubMed] [Google Scholar]
