| Title | Effect of early intervention on 8-year growth status of low-birth-weight preterm infants. | | Author(s) | Casey PH, Bradley RH, Whiteside-Mansell L, Barrett K, Gossett JM, Simpson PM | | Institution | Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72202, USA. caseypatrickh@uams.edu | | Source | Arch Pediatr Adolesc Med 2009 Nov; 163(11):1046-53. | | Abstract | OBJECTIVE: To examine the impact of early educational experience at age 8 years on child growth status. The Infant Health and Development Program has shown positive impacts to age 8 years on intelligence and adaptive functioning of larger preterm infants.
DESIGN: Randomized controlled trial.
SETTING: Home and center based.
PARTICIPANTS: Three hundred seventy-seven intervention (INT) and 608 nonintervention (NI) children, stratified by birth-weight categories 2001 to 2500 g and 2000 g or less. Intervention Educational intervention from nursery discharge until age 3 years.
MAIN OUTCOME MEASURES: Eight-year weight, height, head circumference, and body mass index.
RESULTS: Complete data were available for 313 INT children and 491 NI children. Adjusting for child birth weight, birth-weight category, treatment group x birth-weight category interaction, sex, race, and Neonatal Health Index; maternal education and preconception weight; and site, the INT children at age 8 years were significantly taller (127.6 vs 126.6 cm; P = .02) and had a larger head circumference (52.5 vs 52.1 cm; P < .001) than the NI children. The prevalence of both overweight (9%) and underweight (4.5%) was the same in both treatment groups. Lighter low-birth-weight INT children had greater 8-year weight (28.0 vs 26.8 kg; P = .02), larger head circumference (52.6 vs 52.1 cm; P < .001), and larger height (127.6 vs 126.5 cm; P = .05) compared with their counterparts in the NI group.
CONCLUSION: Low-birth-weight preterm children, specifically the lighter low-birth-weight group, who received the Infant Health and Development Program educational intervention were heavier and taller and had greater head circumference compared with NI children in the same birth-weight category. | | Language | eng | | Pub Type(s) | Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
| | PubMed ID | 19884596 |
|
