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. 2007 Dec;151(6):635-41, 641.e1-2.
doi: 10.1016/j.jpeds.2007.04.063. Epub 2007 Sep 4.

Self-perceived health, functioning and well-being of very low birth weight infants at age 20 years

Maureen Hack  1 , Lydia Cartar, Mark Schluchter, Nancy Klein, Christopher B Forrest
Affiliations

Self-perceived health, functioning and well-being of very low birth weight infants at age 20 years

Maureen Hack et al. J Pediatr. 2007 Dec.

Abstract

Objective: To examine the self-perceived health of very low birth weight (VLBW; <1.5 kg) infants during young adulthood.

Study design: The population included 241 VLBW and 232 normal birth weight (NBW) controls who completed the Child Health and Illness Profile: Adolescent Edition (CHIP-AE) at 20 years of age. The CHIP-AE includes six domains: Satisfaction, Comfort, Resilience, Achievement, Risk Avoidance, and Disorders, and 13 profiles that characterize patterns of health. Results were compared between VLBW and NBW subjects adjusting for sex and sociodemographic status.

Results: VLBW subjects did not differ from NBW controls in the domains of Satisfaction or Comfort but reported less Resilience (effect size [ES] -0.19, P < .05), specifically in physical activity and family involvement. They reported better Achievement, specifically in work performance (ES 0.28, P < .05), more Risk Avoidance (ES 0.43, P < .001), and significantly more long-term medical, surgical, and psychosocial disorders. Similar proportions of VLBW and NBW subjects reported Excellent (15% vs 11%), Average (27% vs 34%), and Poor (12% vs 13%) profiles of health.

Conclusions: VLBW subjects report similar health, well-being, and functioning compared with NBW controls and greater risk avoidance. However, we are concerned that their lesser resilience may prove detrimental to their future adult health.

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References

    1. Hack M, Flannery D, Schluchter M, Cartar L, Borawski E, Klein N. Young adult outcomes of very low birth weight children (VLBW, <1.5 kg) N Engl J Med. 2002;346:149–57. - PubMed
    1. Saigal S, Stoskopf B, Pinelli J, Streiner D, Hoult L, Panet N, et al. Self-perceived health-related quality of life of former extremely low birth weight infants at adulthood. Pediatrics. 2006;118:1140–8. - PubMed
    1. Cooke RWI. Health, lifestyle, and quality of life for young adults born very preterm. Arch Dis Child. 2004;89:201–6. - PMC - PubMed
    1. Dinesen SJ, Greisen G. Quality of life in young adults with very low birth weight. Arch Dis Child Fetal Neonatal Ed. 2001;85:F165–F169. - PMC - PubMed
    1. Hack M, Schluchter M, Cartar L, Rahman M, Cuttler L, Borawski E. Growth of very low birth weight infants to 20 years. Pediatrics. 2003. pp. e30–e38. Available at: http://www.pediatrics.org/cgi/content/full/112/1/e30. - PubMed

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