Common Core Assessments in follow-up studies of adults born preterm-Recommendation of the Adults Born Preterm International Collaboration

Eero Kajantie^{1

2

3

4}, Samantha Johnson⁵, Kati Heinonen⁶, Peter J Anderson^{7

8}, Dieter Wolke^{9

10}, Kari Anne I Evensen^{3

11

12

13}, Katri Räikkönen⁶, Brian A Darlow¹⁴, Sylvia van der Pal¹⁵, Marit S Indredavik³, Julia Jaekel^{1

9

16}, Petteri Hovi^{1

4

17}, Katherine Morrison¹⁸, Erik Verrips¹⁵, Lex W Doyle^{8

19}; APIC Adults Born Preterm International Collaboration

Affiliations

¹ Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.
² PEDEGO Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
³ Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
⁴ Children's Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.
⁵ Department of Health Sciences, University of Leicester, Leicester, UK.
⁶ Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
⁷ Turner Institute for Brain & Mental Health, Monash University, Melbourne, Vic., Australia.
⁸ Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Vic., Australia.
⁹ Department of Psychology, University of Warwick, Coventry, UK.
¹⁰ Warwick Medical School, University of Warwick, Coventry, UK.
¹¹ Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
¹² Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
¹³ Unit for Physiotherapy Services, Trondheim Municipality, Trondheim, Norway.
¹⁴ Department of Paediatrics, University of Otago, Christchurch, New Zealand.
¹⁵ Department of Child Health, The Netherlands Organization for Applied Scientific Research TNO, Leiden, The Netherlands.
¹⁶ Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
¹⁷ Department of Pediatrics, Tampere University and Tampere University Hospital, Tampere, Finland.
¹⁸ Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, ON, Canada.
¹⁹ Research Office, Departments of Obstetrics and Gynaecology and of Paediatrics, The Royal Women's Hospital, University of Melbourne, Melbourne, Vic., Australia.

PMID: 32990377
DOI: 10.1111/ppe.12694

Common Core Assessments in follow-up studies of adults born preterm-Recommendation of the Adults Born Preterm International Collaboration

Eero Kajantie et al. Paediatr Perinat Epidemiol. 2021 May.

. 2021 May;35(3):371-387.

doi: 10.1111/ppe.12694. Epub 2020 Sep 29.

Authors

Affiliations

¹ Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.
² PEDEGO Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
³ Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
⁴ Children's Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.
⁵ Department of Health Sciences, University of Leicester, Leicester, UK.
⁶ Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
⁷ Turner Institute for Brain & Mental Health, Monash University, Melbourne, Vic., Australia.
⁸ Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Vic., Australia.
⁹ Department of Psychology, University of Warwick, Coventry, UK.
¹⁰ Warwick Medical School, University of Warwick, Coventry, UK.
¹¹ Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
¹² Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
¹³ Unit for Physiotherapy Services, Trondheim Municipality, Trondheim, Norway.
¹⁴ Department of Paediatrics, University of Otago, Christchurch, New Zealand.
¹⁵ Department of Child Health, The Netherlands Organization for Applied Scientific Research TNO, Leiden, The Netherlands.
¹⁶ Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
¹⁷ Department of Pediatrics, Tampere University and Tampere University Hospital, Tampere, Finland.
¹⁸ Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, ON, Canada.
¹⁹ Research Office, Departments of Obstetrics and Gynaecology and of Paediatrics, The Royal Women's Hospital, University of Melbourne, Melbourne, Vic., Australia.

PMID: 32990377
DOI: 10.1111/ppe.12694

Abstract

Background: Of all newborns, 1%-2% are born very preterm (VP; <32 weeks) or with very low birthweight (VLBW; ≤1500 g). Advances in prenatal and neonatal care have substantially improved their survival, and the first generations who have benefited from these advances are now entering middle age. While most lead healthy lives, on average these adults are characterised by a number of adversities. These include cardiometabolic risk factors, airway obstruction, less physical activity, poorer visual function, lower cognitive performance, and a behavioural phenotype that includes inattention and internalising and socially withdrawn behaviour that may affect life chances and quality of life. Outcomes in later adulthood are largely unknown, and identifying trajectories of risk or resilience is essential in developing targeted interventions. Joint analyses of data and maintenance of follow-up of cohorts entering adulthood are essential. Such analyses are ongoing within the Adults Born Preterm International Collaboration (APIC; www.apic-preterm.org). Joint analyses require data harmonisation, highlighting the importance of consistent assessment methodologies.

Objective: To present an expert recommendation on Common Core Assessments to be used in follow-up assessments of adults born preterm.

Methods: Principles of Common Core Assessments were discussed at APIC meetings. Experts for each specific outcome domain wrote the first draft on assessments pertaining to that outcome. These drafts were combined and reviewed by all authors. Consensus was reached by discussion at APIC meetings.

Results: We present a recommendation by APIC experts on consistent measures to be used in adult follow-up assessments.

Conclusions: The recommendation encompasses both "core" measures which we recommend to use in all assessments of adults born preterm that include the particular outcome. This will allow comparability between time and location. The recommendation also lists optional measures, focusing on current gaps in knowledge. It includes sections on study design, cardiometabolic and related biomarkers, biological samples, life style, respiratory, ophthalmic, cognitive, mental health, personality, quality of life, sociodemographics, social relationships, and reproduction.

Keywords: birthweight; follow-up; preterm; recommendation.

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References

REFERENCES

1. Howson CP, Kinney MV, Lawn JE, WHO (eds). Born Too Soon: The Global Action Report on Preterm Birth. Geneva: World Health Organisation; 2012.
1. Chawanpaiboon S, Vogel JP, Moller AB, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. Lancet Glob Health. 2019;7:e37-e46.
1. Euro-Peristat. Euro-Peristat project with SCPE and Eurocat. European Perinatal health report. The health of pregnant women and babies in Europe in 2010. 2013. http://www.europeristat.com. Accessed December 1, 2018..
1. Lui K, Lee SK, Kusuda S, et al. Trends in outcomes for neonates born very preterm and very low birth weight in 11 high-income countries. Pediatr Res. 2019;215:32-40.e14.
1. Taffel SM. Trends in low birth weight: United States, 1975-85. Vital Health Stat. 1989;21:1-30.

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Common Core Assessments in follow-up studies of adults born preterm-Recommendation of the Adults Born Preterm International Collaboration

Affiliations

Common Core Assessments in follow-up studies of adults born preterm-Recommendation of the Adults Born Preterm International Collaboration

Authors

Affiliations

Abstract

References

REFERENCES

Publication types

MeSH terms

Grants and funding