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O'Shea TM, Register HM, Yi JX, Jensen ET, Joseph RM, Kuban KCK, Frazier JA, Washburn L, Belfort M, South AM, Santos HP, Shenberger J, Perrin EM, Thompson AL, Singh R, Rollins J, Gogcu S, Sanderson K, Wood C, Fry RC. Growth During Infancy After Extremely Preterm Birth: Associations with Later Neurodevelopmental and Health Outcomes. J Pediatr 2023; 252:40-47.e5. [PMID: 35987367 PMCID: PMC10242541 DOI: 10.1016/j.jpeds.2022.08.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 07/12/2022] [Accepted: 08/11/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To evaluate associations between changes in weight, length, and weight/length ratio during infancy and outcomes later in life among individuals born extremely preterm. STUDY DESIGN Among participants in the Extremely Low Gestational Age Newborn (ELGAN) study, we measured weight and length at discharge from the neonatal intensive care unit (NICU) and at age 2 years and evaluated neurocognitive, psychiatric, and health outcomes at age 10 years and 15 years. Using multivariable logistic regression, we estimated associations between gains in weight, length, and weight/length ratio z-scores between discharge and 2 years and outcomes at 10 and 15 years. High gain was defined as the top quintile of change; low gain, as the bottom quintile of change. RESULTS High gains in weight and weight/length were associated with greater odds of obesity at 10 years, but not at 15 years. These associations were found only for females. High gain in length z-score was associated with lower odds of obesity at 15 years. The only association found between high gains in growth measures and more favorable neurocognitive or psychiatric outcomes was between high gain in weight/length and lower odds of cognitive impairment at age 10 years. CONCLUSIONS During the 2 years after NICU discharge, females born extremely preterm with high gains in weight/length or weight have greater odds of obesity at 10 years, but not at 15 years. Infants with high growth gains in the 2 years after NICU discharge have neurocognitive and psychiatric outcomes in middle childhood and adolescence similar to those of infants with lower gains in weight and weight/length.
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Affiliation(s)
- T Michael O'Shea
- Department of Pediatrics, The University of North Carolina, Chapel Hill, NC
| | - Hannah M Register
- Department of Pediatrics, The University of North Carolina, Chapel Hill, NC
| | - Joe X Yi
- Frank Porter Graham Child Development Institute, The University of North Carolina, Chapel Hill, NC
| | - Elizabeth T Jensen
- Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Robert M Joseph
- Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA
| | - Karl C K Kuban
- Department of Pediatrics and Neurology, Boston Medical Center, Boston, MA
| | - Jean A Frazier
- Eunice Kennedy Shriver Center and Department of Psychiatry, University of Massachusetts Chan Medical Center, Worcester, MA
| | - Lisa Washburn
- Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Mandy Belfort
- Department of Pediatric Newborn Medicine, Harvard Medical School, Boston, MA
| | - Andrew M South
- Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC; Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Hudson P Santos
- School of Nursing & Health Studies, University of Miami, Coral Gables, FL
| | - Jeffrey Shenberger
- Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Eliana M Perrin
- Department of Pediatrics, Johns Hopkins University School of Medicine and Nursing, Baltimore, MD
| | - Amanda L Thompson
- Department of Anthropology, The University of North Carolina, Chapel Hill, NC
| | - Rachana Singh
- Department of Pediatrics, Tufts Children's Hospital, Tufts University School of Medicine, Boston, MA
| | - Julie Rollins
- Department of Pediatrics, The University of North Carolina, Chapel Hill, NC
| | - Semsa Gogcu
- Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Keia Sanderson
- Department of Internal Medicine, University of North Carolina School of Medicine, Chapel Hill, NC
| | - Charles Wood
- Department of Pediatrics, Duke University School of Medicine, Durham, NC
| | - Rebecca C Fry
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, NC
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Frye BM, Valure PM, Craft S, Baxter MG, Scott C, Wise-Walden S, Bissinger DW, Register HM, Copeland C, Jorgensen MJ, Justice JN, Kritchevsky SB, Register TC, Shively CA. Correction to: Temporal emergence of age-associated changes in cognitive and physical function in vervets (Chlorocebus aethiops sabaeus). GeroScience 2021; 43:2633. [PMID: 34383204 DOI: 10.1007/s11357-021-00427-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Brett M Frye
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA.,Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Payton M Valure
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Suzanne Craft
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA.,Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Mark G Baxter
- Nash Family Department of Neuroscience, IW, New York, USA
| | - Christie Scott
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Shanna Wise-Walden
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - David W Bissinger
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Hannah M Register
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Carson Copeland
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Matthew J Jorgensen
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA
| | - Jamie N Justice
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Stephen B Kritchevsky
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Thomas C Register
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA.,Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Carol A Shively
- Department of Pathology - Comparative Medicine, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC, 27157-1040, USA. .,Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA.
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Frye BM, Valure PM, Craft S, Baxter MG, Scott C, Wise-Walden S, Bissinger DW, Register HM, Copeland C, Jorgensen MJ, Justice JN, Kritchevsky SB, Register TC, Shively CA. Temporal emergence of age-associated changes in cognitive and physical function in vervets (Chlorocebus aethiops sabaeus). GeroScience 2021; 43:1303-1315. [PMID: 33611720 PMCID: PMC8190425 DOI: 10.1007/s11357-021-00338-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 02/04/2021] [Indexed: 02/07/2023] Open
Abstract
Dual declines in gait speed and cognitive performance are associated with increased risk of developing dementia. Characterizing the patterns of such impairments therefore is paramount to distinguishing healthy from pathological aging. Nonhuman primates such as vervet/African green monkeys (Chlorocebus aethiops sabaeus) are important models of human neurocognitive aging, yet the trajectory of dual decline has not been characterized. We therefore (1) assessed whether cognitive and physical performance (i.e., gait speed) are lower in older aged animals; (2) explored the relationship between performance in a novel task of executive function (Wake Forest Maze Task-WFMT) and a well-established assessment of working memory (delayed response task-DR task); and (3) examined the association between baseline gait speed with executive function and working memory at 1-year follow-up. We found (1) physical and cognitive declines with age; (2) strong agreement between performance in the novel WFMT and DR task; and (3) that slow gait is associated with poor cognitive performance in both domains. Our results suggest that older aged vervets exhibit a coordinated suite of traits consistent with human aging and that slow gait may be a biomarker of cognitive decline. This integrative approach provides evidence that gait speed and cognitive function differ across the lifespan in female vervet monkeys, which advances them as a model that could be used to dissect relationships between trajectories of dual decline over time.
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Affiliation(s)
- Brett M Frye
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Payton M Valure
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Suzanne Craft
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Mark G Baxter
- Nash Family Department of Neuroscience, IW, New York, USA
| | - Christie Scott
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Shanna Wise-Walden
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - David W Bissinger
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Hannah M Register
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Carson Copeland
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Matthew J Jorgensen
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
| | - Jamie N Justice
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Stephen B Kritchevsky
- Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine - Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, USA
| | - Thomas C Register
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA
| | - Carol A Shively
- Wake Forest School of Medicine, Medical Center Blvd Winston-Salem, NC, 27157-1040, USA.
- Wake Forest Alzheimer's Disease Research Center, Winston-Salem, USA.
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