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Small for gestational age - cognitive performance from infancy to adulthood : an observational study
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Eves, Robert, Mendonca, Marina, Bartmann, Peter and Wolke, Dieter (2020) Small for gestational age - cognitive performance from infancy to adulthood : an observational study. BJOG : an international journal of obstetrics and gynaecology, 127 (13). pp. 1598-1606. doi:10.1111/1471-0528.16341
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WRAP-Small-gestational-age -cognitive-performance-infancy-adulthood-Wolke-2020.pdf - Accepted Version - Requires a PDF viewer. Download (9Mb) | Preview |
Official URL: https://doi.org/10.1111/1471-0528.16341
Abstract
To determine whether cognitive performance from infancy to adulthood is affected by being born 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 birth weight (VP/VLBW), socioeconomic status (SES), and parent-infant relationship. 414 participants (197 Term-Born, 217 VP/VLBW) of the Bavarian Longitudinal Study METHODS: SGA was classified using neonatal or fetal growth references. SES and the parent-infant relationship were assessed before 5 months old. Developmental (DQ) and IQ tests assessed cognitive performance on 6 occasions, from 5-months to 26-years old. The fetal reference classified more infants as SGA (<10th percentile) than the neonatal reference (N=138, 33% Vs N=75,18%). Using linear mixed models, SGA was associated with IQ -8 points lower than AGA, regardless of reference used (CI [-13.66, -0.64] and [-13.75,-1.98]). This difference narrowed minimally into adulthood. Being VP/VLBW was associated with IQ -16 [CI -21.01,-10.04, -] points lower than term-born participants. Low SES was associated with IQ -14 [CI -18.55, -9.06] points lower than high SES. A poor parent-infant relationship was associated with IQ -10 points lower than those with a good relationship [CI -13.91,-6.47] CONCLUSIONS: SGA is associated with lower IQ throughout development, independent of VP/VLBW birth, low SES or poor parent-child relationship. Social factors have comparable effects on IQ than SGA and should be considered for interventions. All authors are supported by EU horizon 2020 grant (RECAP-preterm; www.recap-preterm.eu) under agreement number 733280. [Abstract copyright: This article is protected by copyright. All rights reserved.]
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Cognition, Intelligence levels, Gestational age, Prematurely born children | ||||||||
| Journal or Publication Title: | BJOG : an international journal of obstetrics and gynaecology | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1471-0528 | ||||||||
| Official Date: | December 2020 | ||||||||
| Dates: |
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| Volume: | 127 | ||||||||
| Number: | 13 | ||||||||
| Page Range: | pp. 1598-1606 | ||||||||
| DOI: | 10.1111/1471-0528.16341 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | "This is the peer reviewed version of the following article: Eves, R., Mendonça, M., Bartmann, P. and Wolke, D. (2020), Small for Gestational Age ‐ Cognitive Performance from Infancy to Adulthood: An Observational Study. BJOG: Int J Obstet Gy. Accepted Author Manuscript. doi:10.1111/1471-0528.16341, which has been published in final form at https://doi.org/10.1111/1471-0528.16341. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| RIOXX Funder/Project Grant: |
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