Evidence map›Paper›PMID 41781155›Full record

ArticleBMJ paediatrics open2026

Comparative impact of early versus late growth on neurodevelopment in neonates.

Indu Mary Thomas, Sreerenjini B, Thanuja Sasi, Malavika Krishnakumar, Georg Gutjahr, Aswin S Prabhu, Perraju Bendapudi

Abstract readComparative Study
In one paragraph

Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Indu Mary ThomasNeonatology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Sreerenjini BDepartment of Mathematics, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.ORCID http://orcid.org/0009-0008-9398-5983
Thanuja SasiNeonatology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Malavika KrishnakumarHealth Sciences Research, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.ORCID http://orcid.org/0009-0006-6903-5836
Georg GutjahrHealth Sciences Research, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.ORCID http://orcid.org/0000-0002-1925-8349
Aswin S PrabhuNeonatology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Perraju BendapudiNeonatology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India bendapudip@gmail.com.ORCID http://orcid.org/0000-0002-2969-3061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse neurodevelopmental outcomes are linked to preterm birth. Although survival rates have improved due to advancements in newborn care, long-term developmental outcomes continue to be a concern.

methodsThis retrospective study examines the relationship between anthropometric measures, including weight, head circumference (HC) and length z-scores, at birth, discharge and follow-up and motor and cognitive development, using data from 562 preterm infants who were monitored for at least 1 year after discharge. Neurodevelopmental outcomes were measured using the Alberta Infant Motor Scale (AIMS) and the Developmental Assessment Scale for Indian Infants.

resultsHigher discharge z-scores for weight, length and HC were significantly associated with improved AIMS scores at 3 months of corrected age, with weight (β=0.94, 95% CI 0.40 to 1.50, p<0.001), length (β=0.67, 95% CI 0.19 to 1.1, p=0.006) and HC (β=0.77, 95% CI 0.19 to 1.4, p=0.010) all showing strong positive associations. Similarly, higher discharge z-scores for these parameters remained associated with better AIMS scores at 6 months and 12 months. Catch-up growth observed at these time points did not influence the outcome (p>0.05).

conclusionThe results of our study lead us to conclude that growth during the neonatal intensive care unit (NICU) stay is more important than post-discharge catch-up growth. This highlights the crucial role of early nutritional and growth support in shaping later motor development. This suggests that the care and nutrition provided during the NICU period have lasting effects on developmental trajectories. Ensuring optimal growth before discharge should therefore be a key focus of neonatal care to improve long-term neurodevelopmental outcomes.

Indexed as

Child DevelopmentInfant, PrematureNeurodevelopmentFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesGrowthInfantIntensive Care Units, NeonatalNeonatology

Identifiers

PMID41781155
PMCPMC12970086

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