Document Detail


Very low birth weight increases risk for sleep-disordered breathing in young adulthood: the Helsinki Study of Very Low Birth Weight Adults.
MedLine Citation:
PMID:  17908765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We investigated whether very low birth weight (<1500 g) is associated with the risk of sleep-disordered breathing in young adulthood. METHODS: The study was a retrospective longitudinal study of 158 young adults born with very low birth weight and 169 term-born control subjects (aged 18.5-27.1 years). The principal outcome variable was sleep-disordered breathing defined as chronic snoring. RESULTS: The crude prevalence of chronic snoring was similar in both groups: 15.8% for the very low birth weight group versus 13.6% for the control group. However, after controlling for the confounding variables in multivariate logistic regression models (age, gender, current smoking, parental education, height, BMI, and depression), chronic snoring was 2.2 times more likely in the very low birth weight group compared with the control group. In addition, maternal smoking during pregnancy was significantly and independently of very low birth weight related to risk of sleep-disordered breathing. Maternal preeclampsia, standardized birth weight, and, for very low birth weight infants, small-for-gestational-age status were not related to sleep-disordered breathing. CONCLUSIONS: Premature infants with very low birth weight have a twofold risk of sleep-disordered breathing as young adults. In addition, maternal smoking during pregnancy increases the risk of sleep-disordered breathing by more than twofold.
Authors:
E Juulia Paavonen; Sonja Strang-Karlsson; Katri Räikkönen; Kati Heinonen; Anu-Katriina Pesonen; Petteri Hovi; Sture Andersson; Anna-Liisa Järvenpää; Johan G Eriksson; Eero Kajantie
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  120     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-02     Completed Date:  2007-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  778-84     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychology, PO Box 9, 00014 University of Helsinki, Helsinki, Finland. juulia.paavonen@helsinki.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Chronic Disease
Female
Finland
Humans
Infant, Newborn
Infant, Premature / physiology
Infant, Very Low Birth Weight / physiology*
Longitudinal Studies
Male
Multivariate Analysis
Pregnancy
Prenatal Exposure Delayed Effects
Retrospective Studies
Sleep Apnea Syndromes / physiopathology*
Smoking / adverse effects
Snoring / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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