Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-25T01:48:50.818Z Has data issue: false hasContentIssue false

Long-Term Follow-Up Study of Somatic Development in Prematurely Born Twins after Life-Threatening Episodes

Published online by Cambridge University Press:  01 August 2014

D. Chlebna-Sokół*
Affiliation:
Clinic of Paediatric Propedeutics of the Medical University, Lodz, Poland
I. Ligenza
Affiliation:
Clinic of Paediatric Propedeutics of the Medical University, Lodz, Poland
K. Haładaj
Affiliation:
Clinic of Paediatric Propedeutics of the Medical University, Lodz, Poland
*
ul Sporna 36/50, 91 – 738 Lodz, Poland

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The study comprised 14 pairs of twins. All the children were prematurely born between the 27 and the 33 weeks of pregnancy with birth weight 600-1900 g. Somatic development was assessed on the basis of the body weight, length/height measurements taken in the 6th and 12th months of the corrected age and in the 24th month of the calendar age. Body mass index was also calculated as weight in kilograms divided by the square of the height in meters. The obtained results were compared with the regional norms for children from Lodz. Moreover, in each child individual measurements and body mass index were normalized as compared to the arithmetic mean and the standard deviation for the established age norm. The percentage of children with body mass deficiency and decreased body length/height was relatively high. Individual assessment of somatic development, taking into account the normalized values enable observation of the direction of changes within the range of somatic features in individual children. Retardation of somatic development of prematurely born twins should be first of all associated with their very low birth weight. Severe complications of prematurity affect physical development of the children examined by us, especially in the first two years of life.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1998

References

REFERENCES

1. Akerman, BA, Fischbein, S (1992): Within-pair similarity in MZ and DZ twins from birth to eighteen years of age. Acta Genet Med Gemellol 41 (2–3), 155–64.Google ScholarPubMed
2. Alfieri, A, Gatti, I, Alfieri, AC (1987): Weight and height in twins and children born in the last decade. Acta Genet Med Gemellol 36 (2), 209–11.Google ScholarPubMed
3. Baker, LA, Reynolds, C, Phelps, E (1992): Biometrical analysis of individual growth curves. Behav Genet 22 (2), 253–64.CrossRefGoogle ScholarPubMed
4. Chaudhari, S, Bhalerao, MR, Vaidya, U (1997): Growth and development of twins compared with singletons at ages one and four years. Indian Pediatr 34 (1-2), 1081–6.Google Scholar
5. Chlebna-Sokół, D (1995): The influence of supraoptimal fluorides concentration in drinking water on biological development and health state in school children. Wpływ ponadoptymalnych stężeń fluorków na rozwój biologiczny i stan zdrowia dzieci w wieku szkolnym. Instytut Ekologii PAN, Dziekanów Leśny.Google Scholar
6. Chlebna-Sokół, D, Ligenza, I, Haladj, K (1995): Disturbances in somatic development of infants hospitalized from the birth because of their pathologic condition connected with prematurity. Zaburzenia w rozwoju somatycznym niemowląt hospitalizowanych od urodzenia z powodu stanów chorobowych związanych z wcześniactwem. Przeg Pediatr 25 (3), 163–6.Google Scholar
7. Ciechanowska, B (1992): Physical and psychomotor development in the first year of life of children born from multiple pregnancies. Rozwój fizyczny i psychomotoryczny w pierwszym roku życia dzieci urodzonych z ciążmnogich. Zdrowie Publ 103, 8, 399405.Google Scholar
8. Czochańska, J (1991): Assessment of neurodevelopmental condition of infants. Guidelines for physicians. Ocena stanu neurorozwojowego niemowląt. Wytyczne dla lekarzy. Instytut Matki i Dziecka, Warszawa.Google Scholar
9. Donovan, EF, Ehrenkranz, RA, Shankaran, S (1998): Outcomes of very low birth weight twins cared for in the National Institute of Child Health and Human Development Neonatal Research Network's intensive care units. Am I Obstet Gynecol 179 (3Ptl), 742–9.CrossRefGoogle Scholar
10. Ford, G, Rickards, A, Kitchen, WH (1986): Relationship of growth and psychoneurologic status of 2-year-old children of birthweight 500-999 g. Early Hum Dev 13 (3), 329–37.Google Scholar
11. Henrichsen, L, Skinhoj, K, Andersen, GE (1986): Delayed growth and reduced intelligence in 9-17 year old intrauterine growth retarded children compared with their monozygous co-twins. Acta Paediatr Scand 75 (1), 31–5.Google Scholar
12. Ivanov, VP (1987): Contribution of genetic and environmental factors in the phenotypic variability of major indices of child development at different stages of postnatal ontogenesis. Genetika 23 (3), 528–39.Google Scholar
13. Keet, MP, Jaroszewicz, AM, Lombard, CJ (1986): Follow-up study of physical growth of monozygous twins with discordant within-pair birth weights. Pediatrics 77 (3), 336–44.CrossRefGoogle ScholarPubMed
14. Lubicka, D (1994): Changes in body height and mass in twins after 18 years of life. Zmiany wysokości i ciężaru ciała u blizniąt po 18 roku życia. Przeg Antrop 57, 1–2, 1121.Google Scholar
15. Luke, B, Leurgans, S, Keith, L, Keith, D (1995): The childhood growth of twin children. Acta Genet Med Gemellol 44 (3–4), 169–78.Google ScholarPubMed
16. Malinowski, A Chlebna-Sokół, (1998): A Child from Lodz. Research methods and standards of biological development. Dziecko Łodzkie. Metody badań i normy rozwoju biologicznego. Wyd Ankal. Łódź.Google Scholar
17. Nikolajev, K, Heinonen, K, Hakulinen, A (1998): Effects of intrauterine growth retardation and prematurity on spirometric flow values and lung volumes at school age in twin pairs. Pediatr Pulmonol 25 (6), 367–70.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
18. Ooki, S, Asaka, A (1993): Physical growth of Japanese twins. Acta Genet Med Gemellol 42 (3–4), 275–87.Google ScholarPubMed
19. Raz, S, Glogowski-Kawamoto, B, Yu, AW (1998): The effects of perinatal hypoxic risk on development outcome in early and middle childhood: a twin study. Neuropsychology 12 (3), 459–67.CrossRefGoogle ScholarPubMed
20. Sorensen, TI, Holst, C, Stunkard, AJ (1992): Childhood body mass index-genetic and familial environmental influences assessed in longitudinal adoption study. Int J Obes Relat Metab Disord 16 (9), 705–14.Google ScholarPubMed
21. Stunkard, AJ, Harris, JR, Pedersen, NL (1990): The body mass index of twins who have been reared apart. N Engl J Med 322 (21), 1483–7.CrossRefGoogle ScholarPubMed
22. Sung, IK, Vohr, B, Oh, W (1993): Growth and neurodevelopment outcome of very low birth weight and gestational age. J Pediatr 123 (4), 618–24.CrossRefGoogle Scholar
23. Zahalkowa, M (1992): Growth, weight and physical proportionality in twins. Cesk Pediatr 47 (8), 478–83.Google Scholar