English publication
Theunissen,
N.C.M., den-Ouden, A.L., Meulman, J.J., Koopman, H.M., Verloove-Vanhorick,
S.P., & Wit, J.M. (2000). Health status development in a cohort
of preterm children. Journal of Pediatrics, 137(4), 534-539.


Abstract
Objective: The complications that accompany a preterm birth can have long-term
effects. The HS at the age of 5 and 10 years in a cohort of children born
preterm is studied to determine the impact of preterm birth on HS development.
Sample: 688 children, born in 1983 with a gestational age of less than
32 weeks and a birth weight of less than 1500 grams.
Design: Prospectively collected HS variables, obtained from the parents,
were analyzed in a longitudinal perspective, using principal component
analyses. Results: One third of the sample had minor to severe HS problems
at both ages of measurement. One third had problems on one assessment
only. The remainder of the sample had no HS problems at either age. The
analyses grouped the HS variables into three combinations. Problems in
Basic Functioning, such as mobility or speech, decreased with age. Negative
Moods substantially increased, and Concentration Problems increased slightly.
Specifically at risk were preterm born children with handicaps, boys,
and SGA children. Conclusion: According to the parents, one third of the
cohort had no HS problems at either age. The pattern of HS problems of
the preterm born children changed between 5 and 10 years of age.
Keywords
health status; preterm birth; premature
birth; very low birth weight; longitudinal studies; follow-up;