Evidence map›Paper›PMID 26470687›Full record

ArticleThe Journal of pediatrics2016

Weight Status in the First 2 Years of Life and Neurodevelopmental Impairment in Extremely Low Gestational Age Newborns.

Mandy B Belfort, Karl C K Kuban, T Michael O'Shea, Elizabeth N Allred, Richard A Ehrenkranz, Stephen C Engelke, Alan Leviton, Extremely Low Gestational Age Newborn (ELGAN) Study Investigators

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Extreme prematurity: Risk and resiliency.Current problems in pediatric and adolescent health care · 2022
    Review
  5. Article
  6. Critical examination of relationships between early growth and childhood overweight in extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  7. Article
  8. Weight, length, and head circumference at 36 weeks are not predictive of later cognitive impairment in very preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  9. Article
  10. Review
  11. Article
  12. Optimizing nutrition of the preterm infant.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mandy B BelfortDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA.
Karl C K KubanDivision of Pediatric Neurology, Boston Medical Center, Boston, MA.
T Michael O'SheaDepartment of Pediatrics, Wake Forest University, Winston-Salem, NC.
Elizabeth N AllredNeuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, MA.
Richard A EhrenkranzSection of Neonatal-Perinatal Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, CT.
Stephen C EngelkeDepartment of Pediatrics, Division of Neonatology, Eastern Carolina University School of Medicine, Greenville, NC.
Alan LevitonNeuroepidemiology Unit, Department of Neurology, Boston Children's Hospital, Boston, MA.
Extremely Low Gestational Age Newborn (ELGAN) Study Investigators

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
NEUROIMAGING COREP30HD040677 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI MCCARTER, ROBERT JAMES · 2001 to 2015
$15.9M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Circulating Immune Biomarkers and Retinopathy of PrematurityR01EY021820 · NEI · TUFTS UNIVERSITY BOSTON · PI DAMMANN, OLAF · 2013 to 2016
$1.7M
Balancing the Risk and Benefits of Rapid Weight Gain in InfancyK23DK083817 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI BELFORT, MANDY BROWN · 2008 to 2012
$752k
NEI NIH HHS 1-R01-EY021820-01NEI NIH HHS R01 EY021820NICHD NIH HHS 5P30HD018655-28NICHD NIH HHS P30 HD018655NICHD NIH HHS P30 HD040677NICHD NIH HHS U54 HD090255NIDDK NIH HHS K23 DK083817NIDDK NIH HHS K23DK083817NINDS NIH HHS 2R01NS040069-06A2NINDS NIH HHS 5U01NS040069-05NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

objectiveTo examine the extent to which weight gain and weight status in the first 2 years of life relate to the risk of neurodevelopmental impairment in extremely preterm infants. STUDY

designIn a cohort of 1070 infants born between 23 and 27 weeks' gestation, we examined weight gain from 7-28 days of life (in quartiles) and weight z-score at 12 and 24 months corrected age (in 4 categories: <-2; ≥-2, <-1; ≥1, <1; and ≥1) in relation to these adverse neurodevelopmental outcomes: Bayley-II mental development index <55, Bayley-II psychomotor development index <55, cerebral palsy, Gross Motor Function Classification System ≥1 (cannot walk without assistance), microcephaly. We adjusted for confounders in logistic regression, stratified by sex, and performed separate analyses including the entire sample, and excluding children unable to walk without assistance (motor impairment).

resultsWeight gain in the lowest quartile from 7-28 days was not associated with higher risk of adverse outcomes. Children with a 12-month weight z-score <-2 were at increased risk for all adverse outcomes in girls, and for microcephaly and Gross Motor Function Classification System ≥1 in boys. However, excluding children with motor impairment attenuated all associations except that of weight z-score <-2 with microcephaly in girls. Similarly, most associations of low weight z-score at 24 months with adverse outcomes were attenuated with exclusion of children with motor impairment.

conclusionExcluding children who have gross motor impairment appears to eliminate the association of low weight status with neurodevelopmental impairments at 2 years in extremely preterm infants.

Indexed as

Child DevelopmentBody WeightDevelopmental DisabilitiesFemaleHumansInfantInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth WeightLogistic ModelsMaleNeurodevelopmental DisordersProspective StudiesRisk FactorsWeight Gain

Identifiers

PMID26470687
PMCPMC4698026

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.