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J Pediatr. 2013 Sep;163(3):680-5.e1-3. doi: 10.1016/j.jpeds.2013.03.006. Epub 2013 Apr 10.

Association between feeding difficulties and language delay in preterm infants using Bayley Scales of Infant Development-Third Edition.

Collaborators (226)

Jobe AH, Caplan MS, Oh W, Laptook AR, Vohr BR, Hensman AM, Stephens BE, Alksninis B, Andrews D, Angela K, Cashore B, Francis K, Gargus RA, Gingras D, Lainwala S, Leach TM, Leonard MR, Moore JR, Noel L, Walden RV, Watson VE, Fanaroff AA, Walsh MC, Wilson-Costello DE, Newman NS, Siner BS, Friedman HG, Schibler K, Donovan EF, Steichen JJ, Bridges K, Alexander B, Grisby C, Mincey HL, Hessling J, Gratton TL, Mersmann MW, Yolton K, Goldberg RN, Cotten C, Goldstein RF, Auten KJ, Fisher KA, Foy KA, Grimes S, Gustafson KE, Lohmeyer MB, Carlton DP, Hale EC, Black L, Carter S, Dinkins E, Fritz S, Miller J, LaRossa MM, Seabrook I, Smikle GV, Higgins RD, Archer SW, Frantz ID 3rd, Fiascone JM, Church PT, MacKinnon BL, Nylen E, Furey A, McGowan EC, Poindexter BB, Lemons JA, Dusick AM, Herron DE, Wilson LD, Bissey J, Cook AB, Eaken G, Hamer F, Lytle C, Minnich HM, Das A, Poole W, Wallace D, Auman JO, Cunningham M, Irene AR, Newman JE, Huitema CM, Pickett JW 2nd, Schaefer SE, Zaterka-Baxter KM, Van Meurs KP, Stevenson DK, Adams MM, Hintz SR, Ball M, Baran JM, Brudos GK, DeAnda ME, DeBattista AM, Kohn JG, Kuelper CG, Pyle RP, Sivakumar D, Carlo WA, Ambalavanan N, Peralta-Carcelen M, Soong A, Collins MV, Cosby SS, Phillips VA, Bailey KJ, Biasini FJ, Chopko SA, Johnston KC, Nelson KG, Patterson CS, Rector RV, Whitley S, Finer NN, Rasmussen MR, Wozniak PR, Fuller MG, Arnell K, Bridge R, Demetrio C, Posin D, Rich W, Bell EF, Acarregui MJ, Johnson KJ, Eastman DL, Bauer CR, Duara S, Everett-Thomas R, Calejo M, Diaz AN, Eguaras SM, Garcia A, Hamlin-Smith K, Harwood M, Hiriart-Fajardo S, Mathews EO, Pierre H, Riguard A, Stroerger A, Watterberg KL, Ohls RK, Lacy CB, Rohr J, Fuller J, Lowe J, Montman R, Phelps DL, Myers GJ, Reubens LJ, Burnell E, Johnson JB, Horihan CA, Hust D, Jensen RL, Kushner E, Merzbach J, Zwetsch L, Yost K, Sánchez PJ, Rosenfeld CR, Salhab WA, Heyne RJ, Guzman A, Hensley G, Miller NA, Heyne E, Madden LA, Adams S, Morgan JS, Boatman CT, Johnson LB, Kennedy KA, Tyson JE, Akpa EG, Alaniz NI, Lis AE, Green C, Martin S, McDavid GE, Tate PL, Simmons MC, Dieterich S, Evans PW, Morris BH, Reddoch S, Siddiki S, Wright SL, Faix RG, Yoder BA, Osborne KA, Jensen JJ, Spencer C, Weaver-Lewis K, Bodnar A, Strong R, O'Shea T, Peters NJ, Peterson C, Waldrep EL, Washburn LK, Dillard RG, Welch CD, Morris MW, Hounshell GW, Shankaran S, Pappas A, Bara R, Muran G, Goldston L, Ehrenkranz RA, Butler CG, Jacobs H, Cervone P, Gettner P, Greisman S, Konstantino M, Poulsen J, Taft J, Williams J, Close N, Gilliam W, Romano E.

Author information

1
Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30303, USA. iadamsc@emory.edu

Abstract

OBJECTIVE:

To evaluate the relationship between abnormal feeding patterns and language performance on the Bayley Scales of Infant Development-Third Edition at 18-22 months adjusted age among a cohort of extremely premature infants.

STUDY DESIGN:

This is a descriptive analysis of 1477 preterm infants born ≤ 26 weeks gestation or enrolled in a clinical trial between January 1, 2006 and March 18, 2008 at a National Institute of Child Health and Human Development Neonatal Research Network center who completed the 18-month neurodevelopmental follow-up assessment. At 18-22 months adjusted age, a comprehensive neurodevelopmental evaluation was performed by certified examiners including the Receptive and Expressive Language Subscales of the Bayley Scales of Infant Development-Third Edition and a standardized adjusted age feeding behaviors and nutritional intake. Data were analyzed using bivariate and multilevel linear and logistic regression modeling.

RESULTS:

Abnormal feeding behaviors were reported in 193 (13%) of these infants at 18-22 months adjusted age. Abnormal feeding patterns, days of mechanical ventilation, hearing impairment, and Gross Motor Functional Classification System level ≥ 2 each independently predicted lower composite language scores.

CONCLUSIONS:

At 18 months adjusted age, premature infants with a history of feeding difficulties are more likely to have language delay. Neuromotor impairment and days of mechanical ventilation are both important risk factors associated with these outcomes.

KEYWORDS:

BSID-III; Bayley Scales of Infant Development-Third Edition; ELBW; Extremely low birth weight; GMFCS; Gross Motor Functional Classification System; IVH; Intraventricular hemorrhage; MRI; Magnetic resonance imaging; ND; NEC; NICHD; NRN; National Institute of Child Health and Human Development; Necrotizing enterocolitis; Neonatal Research Network; Neurodevelopmental; PVL; Periventricular leukomalacia

PMID:
23582139
PMCID:
PMC3755022
DOI:
10.1016/j.jpeds.2013.03.006
[Indexed for MEDLINE]
Free PMC Article

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