Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood

Objectives. To investigate if an association exists between being born large for gestational age (LGA) and verbal ability or externalizing behaviour problems at ages 4-5 years. Method. A secondary analysis was conducted using the National Longitudinal Survey of Children and Youth, including singleto...

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Main Authors: Cairina E. Frank, Kathy N. Speechley, Jennifer J. Macnab, M. Karen Campbell
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2018/9181497
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author Cairina E. Frank
Kathy N. Speechley
Jennifer J. Macnab
M. Karen Campbell
author_facet Cairina E. Frank
Kathy N. Speechley
Jennifer J. Macnab
M. Karen Campbell
author_sort Cairina E. Frank
collection DOAJ
description Objectives. To investigate if an association exists between being born large for gestational age (LGA) and verbal ability or externalizing behaviour problems at ages 4-5 years. Method. A secondary analysis was conducted using the National Longitudinal Survey of Children and Youth, including singleton births in 2004-2005 followed till 4-5 years (n=1685). LGA was defined as a birth weight > 90th percentile. Outcomes included poor verbal ability (scoring < 15th percentile on the Revised Peabody Picture Vocabulary Test) and externalizing behaviour problems (scoring > 90th percentile on externalizing behaviour scales). Multivariable logistic regression with longitudinal standardized funnel weights and bootstrapping estimation were used. Results. Infants born LGA were not found to be at increased risk for poor verbal ability (aOR: 1.16 [0.49,2.72] and aOR: 0.83 [0.37,1.87] for girls and boys, resp.) or externalizing behaviour problems (aOR: 1.24 [0.52,2.93] and aOR: 1.24 [0.66,2.36] for girls and boys, resp.). Social factors were found to impact developmental attainment. Maternal smoking led to an increased risk for externalizing behaviour problems (aOR: 3.33 [1.60,6.94] and aOR: 2.12 [1.09,4.13] for girls and boys, resp.). Conclusion. There is no evidence to suggest that infants born LGA are at increased risk for poor verbal ability or externalizing behaviour problems.
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spelling doaj-art-47fd1b751bdf495fbe70b6561c6533a82025-02-03T05:58:03ZengWileyInternational Journal of Pediatrics1687-97401687-97592018-01-01201810.1155/2018/91814979181497Infants Born Large for Gestational Age and Developmental Attainment in Early ChildhoodCairina E. Frank0Kathy N. Speechley1Jennifer J. Macnab2M. Karen Campbell3Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON, CanadaDepartment of Epidemiology and Biostatistics, University of Western Ontario, London, ON, CanadaDepartment of Epidemiology and Biostatistics, University of Western Ontario, London, ON, CanadaDepartment of Epidemiology and Biostatistics, University of Western Ontario, London, ON, CanadaObjectives. To investigate if an association exists between being born large for gestational age (LGA) and verbal ability or externalizing behaviour problems at ages 4-5 years. Method. A secondary analysis was conducted using the National Longitudinal Survey of Children and Youth, including singleton births in 2004-2005 followed till 4-5 years (n=1685). LGA was defined as a birth weight > 90th percentile. Outcomes included poor verbal ability (scoring < 15th percentile on the Revised Peabody Picture Vocabulary Test) and externalizing behaviour problems (scoring > 90th percentile on externalizing behaviour scales). Multivariable logistic regression with longitudinal standardized funnel weights and bootstrapping estimation were used. Results. Infants born LGA were not found to be at increased risk for poor verbal ability (aOR: 1.16 [0.49,2.72] and aOR: 0.83 [0.37,1.87] for girls and boys, resp.) or externalizing behaviour problems (aOR: 1.24 [0.52,2.93] and aOR: 1.24 [0.66,2.36] for girls and boys, resp.). Social factors were found to impact developmental attainment. Maternal smoking led to an increased risk for externalizing behaviour problems (aOR: 3.33 [1.60,6.94] and aOR: 2.12 [1.09,4.13] for girls and boys, resp.). Conclusion. There is no evidence to suggest that infants born LGA are at increased risk for poor verbal ability or externalizing behaviour problems.http://dx.doi.org/10.1155/2018/9181497
spellingShingle Cairina E. Frank
Kathy N. Speechley
Jennifer J. Macnab
M. Karen Campbell
Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
International Journal of Pediatrics
title Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
title_full Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
title_fullStr Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
title_full_unstemmed Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
title_short Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood
title_sort infants born large for gestational age and developmental attainment in early childhood
url http://dx.doi.org/10.1155/2018/9181497
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AT kathynspeechley infantsbornlargeforgestationalageanddevelopmentalattainmentinearlychildhood
AT jenniferjmacnab infantsbornlargeforgestationalageanddevelopmentalattainmentinearlychildhood
AT mkarencampbell infantsbornlargeforgestationalageanddevelopmentalattainmentinearlychildhood