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National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years

Bolk, Jenny; Fredriksson Kaul, Ylva; Hellström-Westas, Lena LU ; Stjernqvist, Karin LU ; Padilla, Nelly; Serenius, Fredrik; Hellgren, Kerstin and Åden, Ulrika (2018) In Acta Paediatrica, International Journal of Paediatrics
Abstract

Aim: This study aimed to explain the relationship between visual-motor integration (VMI) abilities and extremely preterm (EPT) birth, by exploring the influence of perinatal variables, cognition, manual dexterity and ophthalmological outcomes. Methods: This was part of the population-based national Extremely Preterm Infant Study in Sweden (EXPRESS) study. We studied 355 children, born at a gestational age of <27 weeks from April 2004 to March 2007, and 364 term-born controls. At six-and-a-half years of age, we assessed VMI, cognitive function, motor skills and vision. VMI impairment was classified as <-1 standard deviation (SD). Results: The mean (SD) VMI score was 87 (±12) in preterm children compared to 98 (±11) in controls (p... (More)

Aim: This study aimed to explain the relationship between visual-motor integration (VMI) abilities and extremely preterm (EPT) birth, by exploring the influence of perinatal variables, cognition, manual dexterity and ophthalmological outcomes. Methods: This was part of the population-based national Extremely Preterm Infant Study in Sweden (EXPRESS) study. We studied 355 children, born at a gestational age of <27 weeks from April 2004 to March 2007, and 364 term-born controls. At six-and-a-half years of age, we assessed VMI, cognitive function, motor skills and vision. VMI impairment was classified as <-1 standard deviation (SD). Results: The mean (SD) VMI score was 87 (±12) in preterm children compared to 98 (±11) in controls (p < 0.001). VMI impairment was present in 55% of preterm infants and in 78% of children born at 22-23 weeks. Male sex and postnatal steroids showed a weak association with poorer visual-motor performance, whereas low manual dexterity and cognitive function showed a stronger association. Conclusion: Poor VMI performance was common in this EXPRESS cohort of children born EPT. Its strong association to cognition and manual dexterity confirms that all of these factors need to be taken into account when evaluating risks in preterm born children.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Children, Extremely preterm, Outcome, Perinatal risk factors, Visual-motor integration
in
Acta Paediatrica, International Journal of Paediatrics
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:85041740422
ISSN
0803-5253
DOI
10.1111/apa.14231
language
English
LU publication?
yes
id
80e3423a-3001-4eb4-a7fe-a8e0283c880f
date added to LUP
2018-02-23 15:30:16
date last changed
2018-05-29 12:13:47
@article{80e3423a-3001-4eb4-a7fe-a8e0283c880f,
  abstract     = {<p>Aim: This study aimed to explain the relationship between visual-motor integration (VMI) abilities and extremely preterm (EPT) birth, by exploring the influence of perinatal variables, cognition, manual dexterity and ophthalmological outcomes. Methods: This was part of the population-based national Extremely Preterm Infant Study in Sweden (EXPRESS) study. We studied 355 children, born at a gestational age of &lt;27 weeks from April 2004 to March 2007, and 364 term-born controls. At six-and-a-half years of age, we assessed VMI, cognitive function, motor skills and vision. VMI impairment was classified as &lt;-1 standard deviation (SD). Results: The mean (SD) VMI score was 87 (±12) in preterm children compared to 98 (±11) in controls (p &lt; 0.001). VMI impairment was present in 55% of preterm infants and in 78% of children born at 22-23 weeks. Male sex and postnatal steroids showed a weak association with poorer visual-motor performance, whereas low manual dexterity and cognitive function showed a stronger association. Conclusion: Poor VMI performance was common in this EXPRESS cohort of children born EPT. Its strong association to cognition and manual dexterity confirms that all of these factors need to be taken into account when evaluating risks in preterm born children.</p>},
  author       = {Bolk, Jenny and Fredriksson Kaul, Ylva and Hellström-Westas, Lena and Stjernqvist, Karin and Padilla, Nelly and Serenius, Fredrik and Hellgren, Kerstin and Åden, Ulrika},
  issn         = {0803-5253},
  keyword      = {Children,Extremely preterm,Outcome,Perinatal risk factors,Visual-motor integration},
  language     = {eng},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Paediatrica, International Journal of Paediatrics},
  title        = {National population-based cohort study found that visual-motor integration was commonly affected in extremely preterm born children at six-and-a-half years},
  url          = {http://dx.doi.org/10.1111/apa.14231},
  year         = {2018},
}