| Learning, cognitive, and attentional problems in adolescents born small for gestational age. | |
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MedLine Citation:
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PMID: 12897278 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine whether the presence, severity, or symmetry of growth restriction in term infants is an independent risk factor for learning, cognitive, and attentional problems in adolescence. METHODS: A total of 7388 term infants have been followed prospectively since birth. At 14 years, 5059 mothers completed a Child Behavior Checklist and provided information on their child's school progress. A total of 5051 adolescents completed a Youth Self Report, with 3703 also undergoing psychometric testing with Ravens Progressive Matrices and Wide Range Achievement Test (WRAT) reading subtest. Outcomes were compared on the basis of birth weight groups and measures of body symmetry and were adjusted for the level of social risk at birth. RESULTS: Adolescents who were born small for gestational age (SGA), when compared with their appropriately grown counterparts (>10th percentile), were more likely to experience learning difficulties, with a higher prevalence in those of birth weight < or =3rd percentile. Girls of birth weight < or =3rd percentile were more likely to have attentional problems and low WRAT reading scores. There was no significant difference in Ravens IQ or mean WRAT reading scores between SGA and non-SGA groups. There was no association between body symmetry and any of the outcomes studied. CONCLUSIONS: SGA status seems to have only modest independent effects on learning, cognition, and attention in adolescence. Severity but not symmetry of growth restriction predicted learning difficulties. |
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Authors:
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Michael J O'Keeffe; Michael O'Callaghan; Gail M Williams; Jake M Najman; William Bor |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 112 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-08-04 Completed Date: 2003-10-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 301-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Developmental Paediatrics, Mater Children's Hospital, Brisbane, Queensland, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Psychology* Attention Deficit Disorder with Hyperactivity / epidemiology*, etiology Cognition Disorders / etiology Female Humans Infant, Newborn Infant, Premature / psychology* Infant, Small for Gestational Age / psychology* Intelligence* Learning Disorders / epidemiology*, etiology Male Prospective Studies Questionnaires |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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