The Turkish Journal of Pediatrics 2017 , Vol 59 , Num 2
The long-term neurodevelopmental outcomes of infants born full-term with low birth weight
Ayşe Tosun 1 ,Börte Gürbüz-Özgür 2 ,Hatice Aksu 3 ,Münevver Kaynak-Türkmen 4
1 Departments of Pediatric Neurology, Adnan Menderes University Faculty of Medicine, Aydın
2 Department of Child and Adolescent Psychiatry, Muğla Sıtkı Koçman University, Training and Research Hospital, Muğla, Turkey
3 Child and Adolescent Psychiatry, Adnan Menderes University Faculty of Medicine, Aydın
4 Departments of Neonatology, Adnan Menderes University Faculty of Medicine, Aydın
DOI : 10.24953/turkjped.2017.02.009 Tosun A, Gürbüz-Özgür B, Aksu H, Kaynak-Türkmen M. The long-term neurodevelopmental outcomes of infants born full-term with low birth weight. Turk J Pediatr 2017; 59: 169-176.

In this study, it was aimed to evaluate the neurological developments of pre-school or school-aged children together with their school successes, intelligence quotient and symptom severity of attention deficit hyperactivity disorder who were born at the 37th gestational week and above with birth weights below tenth percentile, which is called small for gestational age (SGA). A total of 74 patients with SGA and 75 healthy children were evaluated. The patients were evaluated by child neurologist and child psychiatrist. Wechsler Intelligence Scale for Children-Revised, Ankara Developmental Screening Inventory, and The Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-S) were applied according to their age groups. SGA cases had been breastfed for shorter durations (p: 0.004), had walked later (p<0.001), talked later (p<0.001), and had encountered more vision disorders (p: 0.009) than the control group. SGA cases were determined to encounter febrile convulsions more frequently (p: 0.007). SGA cases were determined to exhibit lower school success (p<0.001), were diagnosed with attention deficit hyperactivity disorder more frequently (p<0.001), and their mental developments were delayed (p<0.001). In cases with SGA, inattention (p: 0.004) and conduct disorder (p: 0.029) subscales and the total scale scores (p: 0.022) of T-DSM-IV-S were significantly lower when compared to the control group. We consider that being SGA may have a negative impact on child`s behavior, attention and academic achievement in long-term. Keywords : academic achievement, attention deficit hyperactivity disorder, behavior, children, small for gestational age

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