Journal of perinatology : official journal of the California Perinatal Association · 2026
Association between postnatal anthropometric growth by term and high-performing neurodevelopment at age 3 years in extremely preterm infants.
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Maeda Takashi, Tanahashi Yoshihiro, Asada Hideyuki, Ueda Kazuto, Taniguchi Akinobu, Tanaka Ryuichi, Miura Ryosuke, Suzuki Toshihiko, Muramatsu Yukako, Kato Eiko, Hayashi Seiji, Yamamoto Hikaru, Takemoto Koji, Kato Yuichi, Oshiro Makoto, Kidokoro Hiroyuki, Takahashi Yoshiyuki, Sato Yoshiaki
Аннотация
OBJECTIVE: To evaluate the relationship between postnatal growth by term and high-performing neurodevelopment in infants born at less than 28 weeks of gestational age.
METHODS: This retrospective study examined associations between anthropometric Z-scores (length, weight, head circumference) at 32, 36, and 40 weeks postmenstrual age (PMA) and neurodevelopment at age 3 categorized into four groups (delay, subnormal, normal, high-performing).
RESULTS: A total of 287 infants were evaluated. Body length at 40 weeks PMA was significantly associated with high-performing neurodevelopment (adjusted OR = 1.86, 95% CI = 1.49-2.32), followed by head circumference (adjusted OR = 1.32, 95% CI = 1.04-67). Changes in body length Z-scores from 36 to 40 weeks PMA were significantly associated with high-performing neurodevelopment, whereas body weight and earlier changes in Z-scores were not.
CONCLUSIONS: In extremely preterm infants, body length growth by 40 weeks PMA was an independent predictor for high-performing neurodevelopment at age 3, whereas body weight and earlier growth changes did not.
METHODS: This retrospective study examined associations between anthropometric Z-scores (length, weight, head circumference) at 32, 36, and 40 weeks postmenstrual age (PMA) and neurodevelopment at age 3 categorized into four groups (delay, subnormal, normal, high-performing).
RESULTS: A total of 287 infants were evaluated. Body length at 40 weeks PMA was significantly associated with high-performing neurodevelopment (adjusted OR = 1.86, 95% CI = 1.49-2.32), followed by head circumference (adjusted OR = 1.32, 95% CI = 1.04-67). Changes in body length Z-scores from 36 to 40 weeks PMA were significantly associated with high-performing neurodevelopment, whereas body weight and earlier changes in Z-scores were not.
CONCLUSIONS: In extremely preterm infants, body length growth by 40 weeks PMA was an independent predictor for high-performing neurodevelopment at age 3, whereas body weight and earlier growth changes did not.