Small for gestational age—cognitive performance from infancy to adulthood: an observational study

Objective To determine whether cognitive performance from infancy to adulthood is affected by being born small for gestational age (SGA), and if this depends on the SGA reference used. Furthermore, to determine SGA’s effect while considering the effects of very preterm/very low birthweight (VP/VLBW)...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2020-12, Vol.127 (13), p.1598-1606
Main Authors: Eves, R, Mendonça, M, Bartmann, P, Wolke, D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Birth weight
Child
Child, Preschool
Cognition
Cognitive ability
cognitive development
Fetuses
Gestational age
growth restriction
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age - psychology
Infant, Very Low Birth Weight
Infants
Intelligence
Longitudinal Studies
Neonates
Observational studies
Small-for-gestational age
Social factors
term
very preterm
Young Adult
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Summary:Objective To determine whether cognitive performance from infancy to adulthood is affected by being born small for gestational age (SGA), and if this depends on the SGA reference used. Furthermore, to determine SGA’s effect while considering the effects of very preterm/very low birthweight (VP/VLBW), socio‐economic status (SES) and parent–infant relationship. Design, setting and population A total of 414 participants (197 term‐born, 217 VP/VLBW) of the Bavarian Longitudinal Study. Methods Small for gestational age was classified using neonatal or fetal growth references. SES and the parent–infant relationship were assessed before the infant was 5 months old. Main outcome measures Developmental (DQ) and intelligence (IQ) tests assessed cognitive performance on six occasions, from 5 months to 26 years of age. Results The fetal reference classified more infants as SGA (
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.16341