National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Standard

National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years. / Bolk, Jenny; Fredriksson Kaul, Ylva; Hellström-Westas, Lena; Stjernqvist, Karin; Padilla, Nelly; Serenius, Fredrik; Hellgren, Kerstin; Åden, Ulrika.

I: Acta Paediatrica, International Journal of Paediatrics, Vol. 107, Nr. 5, 2018, s. 831-837.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Harvard

APA

CBE

MLA

Vancouver

Author

Bolk, Jenny ; Fredriksson Kaul, Ylva ; Hellström-Westas, Lena ; Stjernqvist, Karin ; Padilla, Nelly ; Serenius, Fredrik ; Hellgren, Kerstin ; Åden, Ulrika. / National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years. I: Acta Paediatrica, International Journal of Paediatrics. 2018 ; Vol. 107, Nr. 5. s. 831-837.

RIS

TY - JOUR

T1 - National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years

AU - Bolk, Jenny

AU - Fredriksson Kaul, Ylva

AU - Hellström-Westas, Lena

AU - Stjernqvist, Karin

AU - Padilla, Nelly

AU - Serenius, Fredrik

AU - Hellgren, Kerstin

AU - Åden, Ulrika

PY - 2018

Y1 - 2018

N2 - Aim: This study aimed to explain the relationship between visual-motor integration (VMI) abilities and extremely preterm (EPT) birth, by exploring the influence of perinatal variables, cognition, manual dexterity and ophthalmological outcomes. Methods: This was part of the population-based national Extremely Preterm Infant Study in Sweden (EXPRESS) study. We studied 355 children, born at a gestational age of <27 weeks from April 2004 to March 2007, and 364 term-born controls. At six-and-a-half years of age, we assessed VMI, cognitive function, motor skills and vision. VMI impairment was classified as <-1 standard deviation (SD). Results: The mean (SD) VMI score was 87 (±12) in preterm children compared to 98 (±11) in controls (p < 0.001). VMI impairment was present in 55% of preterm infants and in 78% of children born at 22-23 weeks. Male sex and postnatal steroids showed a weak association with poorer visual-motor performance, whereas low manual dexterity and cognitive function showed a stronger association. Conclusion: Poor VMI performance was common in this EXPRESS cohort of children born EPT. Its strong association to cognition and manual dexterity confirms that all of these factors need to be taken into account when evaluating risks in preterm born children.

AB - Aim: This study aimed to explain the relationship between visual-motor integration (VMI) abilities and extremely preterm (EPT) birth, by exploring the influence of perinatal variables, cognition, manual dexterity and ophthalmological outcomes. Methods: This was part of the population-based national Extremely Preterm Infant Study in Sweden (EXPRESS) study. We studied 355 children, born at a gestational age of <27 weeks from April 2004 to March 2007, and 364 term-born controls. At six-and-a-half years of age, we assessed VMI, cognitive function, motor skills and vision. VMI impairment was classified as <-1 standard deviation (SD). Results: The mean (SD) VMI score was 87 (±12) in preterm children compared to 98 (±11) in controls (p < 0.001). VMI impairment was present in 55% of preterm infants and in 78% of children born at 22-23 weeks. Male sex and postnatal steroids showed a weak association with poorer visual-motor performance, whereas low manual dexterity and cognitive function showed a stronger association. Conclusion: Poor VMI performance was common in this EXPRESS cohort of children born EPT. Its strong association to cognition and manual dexterity confirms that all of these factors need to be taken into account when evaluating risks in preterm born children.

KW - Children

KW - Extremely preterm

KW - Outcome

KW - Perinatal risk factors

KW - Visual-motor integration

U2 - 10.1111/apa.14231

DO - 10.1111/apa.14231

M3 - Article

VL - 107

SP - 831

EP - 837

JO - Acta Pædiatrica

T2 - Acta Pædiatrica

JF - Acta Pædiatrica

SN - 1651-2227

IS - 5

ER -