PEDIATRICS Vol. 108 No. 2 August 2001, pp. 407-415
Physical Growth and Current Health Status of Infants Who Were of Extremely Low Birth Weight and Controls at Adolescence
Received Dec 5, 2000; accepted Feb 15, 2001.
, and
From the * Department of Pediatrics, McMaster University,
Hamilton, and Objectives. To compare the physical
growth, current health status, and utilization of health care resources
by extremely low birth weight (ELBW) and control (C) adolescents and to
look at changes over time.
Methods. A longitudinal regional cohort study was
conducted. Growth measures were converted to z scores on
the National Center for Health Statistics growth curves. Information
regarding current health status/health care utilization was obtained by
parental interviews.
Results. A total of 154 (91%) of 169 ELBW survivors
between 12 and 16 years and 125 (86%) of 145 controls participated.
Neurosensory impairments were present in 28% of ELBW survivors and 2%
of control participants. Mean z scores for both height
and weight were below 0 for ELBW survivors (weight: Conclusions. Although physical growth continues to be
compromised and substantial morbidity remains among ELBW survivors at
adolescence, there seems to be some catch-up growth, a reduction in the
prevalence of acute health problems, and a decrease in the utilization
of medical resources.
Department of Psychiatry, University of Toronto,
Ontario, Canada; and § Monash Institute of Public Health, Melbourne,
Australia.
0.35; height:
0.55) compared with control participants (weight: 0.40; height:
0.28). However, among ELBW survivors, significant catch-up growth
occurred in both parameters between age 8 and adolescence but remained
stable among control participants. ELBW survivors had a higher
prevalence of visual problems (57% vs 21%), seizures (7% vs 1%),
developmental delay (26% vs 1%), learning disabilities (34% vs
10%), and hyperactivity (9% vs 2%) and used more specialists and
community resources than did control participants.
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