Systemic Arterial Hypertension in Childhood: A Challenge Related to the Increasing Survival of Very Low Birth Weight Preterm Infants

被引:0
作者
Schoenardie, Bruna Ossanai [1 ]
Guimaraes, Victoria Bernardes [2 ]
Procianoy, Renato Soibelmann [3 ,4 ]
Silveira, Rita C. [3 ,4 ]
机构
[1] Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
[2] Univ Fed Ciencias Saude Porto Alegre, Sch Med, Porto Alegre, RS, Brazil
[3] Univ Fed Rio Grande do Sul, Dept Pediat, Porto Alegre, RS, Brazil
[4] Hosp Clin Porto Alegre, Neonatol Sect, Porto Alegre, RS, Brazil
关键词
systemic arterial hypertension; prematurity; early childhood; neonate; child; AMBULATORY BLOOD-PRESSURE; BORN; SIZE; GROWTH; NUMBER; AGE; PREECLAMPSIA; PREDICTORS; CHILDREN; OBESITY;
D O I
10.1055/s-0038-1675644
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective To verify the prevalence of systemic arterial hypertension (SAH) and to identify possible early predictors of SAH at ages 2 and 4 years in very low birth weight (VLBW) infants. Study Design This is a prospective cohort study including inborn children with birth weight (BW) <1,500 g. Arterial blood pressure measurements were performed at 2 and 4 years. Model 1 compared children with and those without SAH at age 4. Model 2 compared children who had SAH at ages 2 and 4 with the others. SAH was diagnosed if the systolic or/and diastolic pressures were above the 95th percentile. Results A total of 198 patients were included during the 5-year study period, of whom 56% had SAH at age 4. In model 1, white matter injury (WMI) and catch-up growth at age 2 were predictors of SAH at age 4. In model 2, bronchopulmonary dysplasia, WMI, catch-up growth at age 2, and BW were predictors of SAH at 2 and 4 years. SAH at age 2 was an independent risk factor for SAH at age 4. After a multivariate analysis of model 2, BW and catch-up growth were associated with SAH. Conclusion Prevalence of SAH was high in VLBW infants; it was associated with low BW and catch-up growth at age 2.
引用
收藏
页码:1072 / 1078
页数:7
相关论文
共 50 条
[11]   Antibiotic exposure and growth patterns in preterm, very low birth weight infants [J].
Alaina K. Pyle ;
Joseph B. Cantey ;
L. Steven Brown ;
Roy J. Heyne ;
Phillip S. Wozniak ;
Elizabeth Heyne ;
Amy Holcombe ;
Elizabeth M. Brammer ;
Cheryl S. Lair ;
Pablo J. Sánchez .
Maternal Health, Neonatology and Perinatology, 7 (1)
[12]   Acquisition of motor abilities up to independent walking in very low birth weight preterm infants [J].
Volpi, Sandra C. P. ;
Rugolo, Ligia M. S. S. ;
Peracoli, Jose C. ;
Corrente, Jose Eduardo .
JORNAL DE PEDIATRIA, 2010, 86 (02) :143-148
[13]   Reduced kidney function in very-low-birth-weight preterm infants at preschool age [J].
Chen, Chia-Huei ;
Chang, Jui-Hsing ;
Hsu, Chyong-Hsin ;
Ko, Mary Hsin-Ju ;
Lin, Chia-Ying ;
Lin, Tzu-Hua ;
Tsai, Jeng-Daw ;
Chang, Hung-Yang .
PEDIATRIC NEPHROLOGY, 2025,
[14]   Optimizing Neuromotor Outcomes Among Very Preterm, Very Low-Birth-Weight Infants [J].
Msall, Michael E. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (20) :2257-2258
[15]   Perinatal Infections and Neurodevelopmental Outcome in Very Preterm and Very Low-Birth-Weight Infants A Meta-Analysis [J].
van Vliet, Elvira O. G. ;
de Kieviet, Jorrit F. ;
Oosterlaan, Jaap ;
van Elburg, Ruurd M. .
JAMA PEDIATRICS, 2013, 167 (07) :662-668
[16]   Reference Echocardiographic Measurements in Very Low Birth Weight Preterm Infants [J].
Calado, C. ;
Collins, C. ;
Drew, S. ;
Holberton, J. .
AMERICAN JOURNAL OF PERINATOLOGY, 2019, 36 (03) :303-310
[17]   Neurodevelopment and Growth of a Cohort of Very Low Birth Weight Preterm Infants Compared to Full-Term Infants in Brazil [J].
Fuentefria, Rubia N. ;
Silveira, Rita C. ;
Procianoy, Renato S. .
AMERICAN JOURNAL OF PERINATOLOGY, 2018, 35 (02) :152-162
[18]   Orofacial characteristics of the very low-birth-weight preterm infants [J].
Ruiz, Doris Rocha ;
de Albuquerque Diniz, Edna Maria ;
Jornada Krebs, Vera Lucia ;
de Carvalho, Werther Brunow .
JORNAL DE PEDIATRIA, 2021, 97 (01) :96-102
[19]   Ophthalmic Artery Blood Flow in Very-Low-Birth-Weight Preterm Infants [J].
Soares, Catia Rejane S. ;
Silveira, Rita C. ;
Procianoy, Renato S. .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2010, 51 (02) :708-711
[20]   Parenting stress in families with very low birth weight preterm infants in early infancy [J].
Howe, Tsu-Hsin ;
Sheu, Ching-Fan ;
Wang, Tien-Ni ;
Hsu, Yung-Wen .
RESEARCH IN DEVELOPMENTAL DISABILITIES, 2014, 35 (07) :1748-1756