Comparison of current health, functional limitations, and health care use of young adults who were born with extremely low birth weight and normal birth weight.

Full Abstract

OBJECTIVE:
The objective of this study was to compare the current health status, physical ability, functional limitations, and health care use of extremely low birth weight and normal birth weight young adults.

METHODS:
A longitudinal study was conducted of a population-based cohort of 166 extremely low birth weight survivors (501-1000 g birth weight; 1977-1982 births) and a group of 145 sociodemographically comparable normal birth weight individuals. Current health status, history of illnesses, hospitalizations, use of health resources, and physical self-efficacy were assessed through questionnaires that were administered to the young adults by masked interviewers.

RESULTS:
Individuals completed the assessments at a mean age of 23 years. Neurosensory impairments were identified in 27% of extremely low birth weight and 2% of normal birth weight individuals. No differences were reported in the current health status for physical or mental summary scores. Extremely low birth weight young adults reported a higher prevalence of chronic health conditions in the past 6 months. A significantly higher proportion of extremely low birth weight individuals had functional limitations in seeing, hearing, and dexterity and experienced clumsiness and learning difficulties. Except for prescription glasses, medications for depression, and home-care services for extremely low birth weight individuals, there were no significant differences between groups in use of health care resources. Extremely low birth weight individuals had significantly weaker hand grip strength and lower scores for physical self-efficacy, perceived physical ability, and physical self-confidence.

CONCLUSIONS:
Extremely low birth weight young adults seem to enjoy similar current health status to their normal birth weight peers. However, they continue to have significantly poorer physical abilities and a higher prevalence of chronic health conditions and functional limitations. Contrary to expectations, they do not pose a significant burden to the health care system at young adulthood.

Learn Faster Today Improve your study skills

Author information

Author/s: Saigal, Saroj (S); Stoskopf, Barbara (B); Boyle, Michael (M); Paneth, Nigel (N); Pinelli, Janet (J); Streiner, David (D); Goddeeris, John (J);

Affiliation: McMaster University, Department of Pediatrics, 1200 Main St W, Room 4G40, Hamilton, Ontario, Canada L8N 3Z5. saigal(-atsign-)mcmaster.ca

Grants: 1 R01 HD40219 (Agency:NICHD NIH HHS)

Journal and publication information

Publication Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: Pediatrics (Pediatrics), published in United States. (Language: eng)

Reference: 2007-Mar; vol 119 (issue 3) : pp e562-73

Dates: Created 2007/03/02; Completed 2007/03/27; Revised 2007/12/03;

PMID: 17332176, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Length of Stay - statistics & numerical data
Longitudinal Studies
Male
Mental Health - statistics & numerical data
Motor Activity
Ontario - epidemiology
Reference Values
Retinal Detachment - epidemiology
Self Efficacy
Sex Distribution
Socioeconomic Factors
Wounds and Injuries - epidemiology

These are the highest related articles currently in the database:

See 100+ related articles.