Neuropsychological development of large for gestational age infants at the age of 12 months.
10.7499/j.issn.1008-8830.2307040
- VernacularTitle:大于胎龄儿12月龄神经心理发育状况研究
- Author:
Meng-Yu BAO
1
;
Xiu-Yun QIAO
;
Xin-Han ZHANG
1
;
Zi-Xuan ZHANG
1
;
Fei ZHAO
1
;
Xin-Xia CHEN
1
Author Information
1. School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China (Chen X-X, Email: chenxxsdu@ 163. com).
- Publication Type:Journal Article
- Keywords:
Early term infant;
Full-term infant;
Large for gestational age infant;
Neuropsychological development;
Preterm infant
- MeSH:
Infant, Newborn;
Infant;
Child;
Humans;
Birth Weight;
Infant, Large for Gestational Age;
Infant, Small for Gestational Age;
Gestational Age;
Child Health
- From:
Chinese Journal of Contemporary Pediatrics
2023;25(12):1246-1252
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To investigate the level of neuropsychological development in large for gestational age (LGA) infants at the age of 12 months.
METHODS:The infants, aged 12 to <13 months, who attended the Outpatient Service of Child Care in the First Affiliated Hospital of Shandong First Medical University from December 2021 to June 2023, were enrolled as subjects. According to the gestational age and birth weight, they were divided into preterm appropriate for gestational age (AGA) group, preterm LGA group, early term AGA group, early term LGA group, full-term AGA group, and full-term LGA group. A modified Poisson regression analysis was used to investigate the association between LGA and neuropsychological development outcome at 12 months of age.
RESULTS:After adjustment for confounding factors, compared with the full-term AGA group at the age of 12 months, the full-term LGA group had a significant increase in the risk of language deficit (RR=1.364, 95%CI: 1.063-1.750), the early term LGA group had significant increases in the risk of abnormal gross motor, fine motor, language, and the preterm LGA group had significant increases in the risk of abnormal language, social behavior, and total developmental quotient (P<0.05); also, the early term AGA group had higher risks of developmental delay across all five attributes and in total developmental quotient at the age of 12 months (P<0.05); except for the language attribute, the preterm AGA group had higher risks of developmental delay in the other 4 attributes (P<0.05).
CONCLUSIONS:The neuropsychological development of LGA infants with different gestational ages lags behind that of full-term AGA infants at 12 months of age, and follow-up and early intervention of such infants should be taken seriously in clinical practice.
