Neonatal hyperglycemia and diminished long-term growth in very low birth weight preterm infants

S. E. Ramel, J. D. Long, H. Gray, K. Durrwachter-Erno, E. W. Demerath, R. Rao

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

OBJECTIVE:To investigate the association between early hyperglycemia and growth and development from hospital discharge to 2 years corrected age (CA) in very low birth weight (VLBW) infants.STUDY DESIGN:Blood glucose levels during the first 14 days after birth, weight, length and occipital-frontal circumference (OFC) at birth, hospital discharge and 4, 12 and 24 months CA, Bayley developmental scores at 12 and 24 months CA, and information on multiple clinical variables were recorded on VLBW preterm infants (N=80). The relationships between hyperglycemia, growth and developmental scores were determined using linear mixed effects regression.RESULT:Hyperglycemia was a strong predictor of poor rate of increase in weight, length and OFC until 24 months CA. Hyperglycemia was not associated with lower scores on the Bayley scales.CONCLUSION:Neonatal hyperglycemia was associated with poor physical growth until at least 2 years CA in this cohort of VLBW preterm infants.

Original languageEnglish (US)
Pages (from-to)882-886
Number of pages5
JournalJournal of Perinatology
Volume33
Issue number11
DOIs
StatePublished - Nov 2013

Bibliographical note

Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.

Keywords

  • follow-up
  • growth
  • hyperglycemia
  • insulin
  • neurodevelopment
  • preterm

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