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Systematic review indicates postnatal growth in term infants born small-for-gestational-age being associated with later neurocognitive and metabolic outcomes

Castanys-Munoz, E; Kennedy, K; Castaneda-Gutierrez, E; Forsyth, S; Godfrey, KM; Koletzko, B; Ozanne, SE; ... Ong, KK; + view all (2017) Systematic review indicates postnatal growth in term infants born small-for-gestational-age being associated with later neurocognitive and metabolic outcomes. Acta Paediatrica , 106 (8) pp. 1230-1238. 10.1111/apa.13868. Green open access

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Abstract

We systematically reviewed papers published in English between 1994 and October 2015 on how postnatal weight gain and growth affect neurodevelopment and metabolic outcomes in term‐born small‐for‐gestational‐age (SGA) infants. Two randomised trials reported that enriched infant formulas that promoted early growth also increased fat mass, lean mass and blood pressure (BP), but had no effect on early neurocognitive outcomes. Meanwhile, 31 observational studies reported consistent positive associations between postnatal weight gain and growth with neurocognitive outcomes, adiposity, insulin resistance and BP. // Conclusion: Few intervention studies exist, despite consistent positive associations between early growth and neurocognition in term‐born SGA infants.

Type: Article
Title: Systematic review indicates postnatal growth in term infants born small-for-gestational-age being associated with later neurocognitive and metabolic outcomes
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/apa.13868
Publisher version: https://doi.org/10.1111/apa.13868
Language: English
Additional information: Copyright © 2017 The Authors. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Adiposity, Insulin resistance, Neurodevelopment, Postnatal growth, Small for gestational age
UCL classification: UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10050866
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