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  1. Article ; Online: Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study.

    Mehl, Cathrin Vano / Benum, Silje Dahl / Aakvik, Kristina Anna Djupvik / Kongsvold, Atle / Mork, Paul Jarle / Kajantie, Eero / Evensen, Kari Anne I

    BMC pediatrics

    2023  Volume 23, Issue 1, Page(s) 430

    Abstract: Background: Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term ... ...

    Abstract Background: Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term is associated with lower objectively measured and self-reported PA during adulthood. We also examined if objectively measured and self-reported PA were associated with HRQoL.
    Methods: As part of the 32-year follow-up in the NTNU Low Birth Weight in a Lifetime Perspective study, SGA and non-SGA control participants wore two tri-axial accelerometers for seven days (37 SGA, 43 control), and completed the International Physical Activity Questionnaire (IPAQ) (42 SGA, 49 control) and the Short Form 36 Health Survey (SF-36) (55 SGA, 67 control). Group differences in objectively measured daily metabolic equivalent of task (MET) minutes spent sedentary (lying, sitting), on feet (standing, walking, running, cycling), on the move (walking, running, cycling) and running/cycling, and group differences in self-reported daily MET minutes spent walking and in moderate and vigorous PA were examined using linear regression. Associations with SF-36 were explored in a general linear model.
    Results: Mean (SD) daily MET minutes on the move were 218 (127) in the SGA group and 227 (113) in the control group. There were no group differences in objectively measured and self-reported PA or associations with HRQoL. In the SGA group, one MET minute higher objectively measured time on the move was associated with 4.0 (95% CI: 0.6-6.5, p = 0.009) points higher SF-36 physical component summary.
    Conclusion: We found no differences in objectively measured and self-reported PA or associations with HRQoL between term-born SGA and non-SGA control participants in adulthood.
    MeSH term(s) Adult ; Humans ; Infant, Newborn ; Gestational Age ; Prospective Studies ; Quality of Life ; Infant, Small for Gestational Age ; Exercise
    Language English
    Publishing date 2023-08-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-023-04256-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Physical activity and cognitive function in adults born very preterm or with very low birth weight-an individual participant data meta-analysis.

    Aakvik, Kristina Anna Djupvik / Benum, Silje Dahl / Tikanmäki, Marjaana / Hovi, Petteri / Räikkönen, Katri / Harris, Sarah L / Woodward, Lianne J / Darlow, Brian A / Indredavik, Marit S / Lydersen, Stian / Mork, Paul Jarle / Kajantie, Eero / Evensen, Kari Anne I

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0298311

    Abstract: Objective: Individuals born very preterm (<32 weeks of gestation) or with very low birthweight (<1500g) have lower cognitive function compared with term-born peers. Furthermore, some studies suggest that they are less physically active as young adults ... ...

    Abstract Objective: Individuals born very preterm (<32 weeks of gestation) or with very low birthweight (<1500g) have lower cognitive function compared with term-born peers. Furthermore, some studies suggest that they are less physically active as young adults than controls, but the relationship between physical activity and cognitive function remains unclear. We performed an individual participant data meta-analysis to examine whether being born preterm/with very low birth weight is associated with physical activity in adulthood and examined if cognitive function mediates this association.
    Study design: Cohorts with data on physical activity and cognitive function in adults born very preterm/very low birth weight and term-born controls were recruited from the Research on European Children and Adults Born Preterm, and the Adults Born Preterm International Collaboration Consortia. A systematic literature search was performed in PubMed and Embase.
    Results: Five cohorts with 1644 participants aged 22-28 years (595 very preterm/very low birth weight and 1049 controls) were included. Adults born very preterm/very low birth weight reported 1.11 (95% CI: 0.68 to 1.54) hours less moderate to vigorous physical activity per week than controls, adjusted for cohort, age and sex. The difference between individuals born very preterm/very low birth weight and controls was larger among women than among men. Neither intelligence quotient nor self-reported executive function mediated the association between very preterm/very low birth weight and moderate to vigorous physical activity. Results were essentially the same when we excluded individuals with neurosensory impairments.
    Conclusion: Adults born very preterm/very low birth weight, especially women, reported less moderate to vigorous physical activity than their term-born peers. Cognitive function did not mediate this association. Considering the risk of adverse health outcomes among individuals born preterm, physical activity could be a target for intervention.
    MeSH term(s) Infant, Newborn ; Male ; Child ; Young Adult ; Humans ; Female ; Infant, Extremely Premature ; Infant, Very Low Birth Weight ; Cognition ; Executive Function ; Exercise ; Premature Birth
    Language English
    Publishing date 2024-02-13
    Publishing country United States
    Document type Meta-Analysis ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0298311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Multidisciplinary and neuroimaging findings in preterm born very low birthweight individuals from birth to 28 years of age: A systematic review of a Norwegian prospective cohort study.

    Evensen, Kari Anne I / Aakvik, Kristina Anna Djupvik / Hollund, Ingrid Marie Husby / Skranes, Jon / Brubakk, Ann-Mari / Indredavik, Marit S

    Paediatric and perinatal epidemiology

    2022  Volume 36, Issue 5, Page(s) 606–630

    Abstract: Background: Children born preterm with very low birthweight (VLBW) face long-lasting neurodevelopmental challenges, where multidisciplinary assessments are warranted. The International Classification of Functioning, Disability and Health (ICF) provides ... ...

    Abstract Background: Children born preterm with very low birthweight (VLBW) face long-lasting neurodevelopmental challenges, where multidisciplinary assessments are warranted. The International Classification of Functioning, Disability and Health (ICF) provides a framework for understanding and conceptualising these outcomes.
    Objectives: We aimed to review clinical and neuroimaging findings from birth to adulthood in a Norwegian cohort of individuals born preterm with VLBW (gestational age <37 weeks, birthweight ≤1500 g) within the framework of ICF.
    Data sources: We searched PubMed and Embase for articles reporting results of the Norwegian University of Science and Technology (NTNU) Low Birth Weight in a Lifetime Perspective study.
    Study selection and data extraction: We included original articles reporting proportions of adverse outcomes, mean group differences, risk factors or associations between outcomes. Data were extracted according to ICF's two-level classification. Body functions and structures comprised outcomes of brain structures, cognition, mental health, vision, pain and physical health. Activities and participation comprised motor skills, general and social functioning, education, employment, and health-related quality of life.
    Synthesis: We performed a qualitative synthesis of included articles. Where mean (SD) was reported, we calculated group differences in SD units.
    Results: Fifty-eight publications were included. Within body functions and structures, increased prevalence of brain structure pathology, lower cognitive performance, mental health problems, visual and physical health impairments through childhood, adolescence and young adulthood were reported among preterm VLBW participants compared with controls. Within activities and participation, motor problems, lower general and social functioning, and lower academic attainment were found. Perinatal factors were associated with several outcomes, and longitudinal findings suggested persistent consequences of being born preterm with VLBW.
    Conclusions: Being born preterm with VLBW has long-term influences on body functions and structures, activities and participation. The ICF is appropriate for assessing general domains of functioning and guiding the management of individuals born preterm with VLBW.
    MeSH term(s) Adolescent ; Adult ; Child ; Cohort Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Infant, Very Low Birth Weight/psychology ; Neuroimaging ; Prospective Studies ; Quality of Life ; Young Adult
    Language English
    Publishing date 2022-07-22
    Publishing country England
    Document type Journal Article ; Systematic Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 639089-4
    ISSN 1365-3016 ; 0269-5022 ; 1353-663X
    ISSN (online) 1365-3016
    ISSN 0269-5022 ; 1353-663X
    DOI 10.1111/ppe.12890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Visual function in adults born preterm with very low birth weight-A two-country birth cohort study.

    Kulmala, Maarit / Jørgensen, Anna Perregaard Munch / Aakvik, Kristina Anna Djupvik / Jussinniemi, Laura / Benum, Silje Dahl / Ingvaldsen, Sigrid Hegna / Austeng, Dordi / Kajantie, Eero / Evensen, Kari Anne I / Majander, Anna / Morken, Tora Sund

    Acta ophthalmologica

    2023  Volume 102, Issue 1, Page(s) 49–57

    Abstract: Purpose: The purpose of the study was to investigate visual function and vision-related general health in adults that were born preterm with very low birth weight (VLBW: birth weight < 1500 g) in their 30s-40s.: Methods: We recruited 137 adults born ... ...

    Abstract Purpose: The purpose of the study was to investigate visual function and vision-related general health in adults that were born preterm with very low birth weight (VLBW: birth weight < 1500 g) in their 30s-40s.
    Methods: We recruited 137 adults born preterm with VLBW and 158 term-born controls aged 31-43 years from two birth cohorts: the Helsinki Study of Very Low Birth Weight Adults (Finland) and the NTNU Low Birth Weight in a Lifetime Perspective study (Norway). We used neonatal data and measured refraction, best-corrected visual acuity (BCVA) using the Early Treatment Diabetic Retinopathy Study (ETDRS) chart, contrast sensitivity, visual fields, intraocular pressure (IOP), self-reported vision-targeted health status with the National Eye Institute Visual Function Questionnaire-25.
    Results: VLBW adults had a lower BCVA ETDRS score than controls: mean (SD) better eye 86.7 (13.4) versus 90.2 (4.4), p = 0.02; mean (SD) worse eye 82.3 (14.9) versus 87.6 (4.6), p = 0.003. VLBW adults also had lower contrast sensitivity thresholds in several spatial frequencies and scored lower than controls in eight out of the 12 subscales of self-reported vision-targeted health status. Refraction, visual fields and IOP were similar between groups. Two VLBW participants were blind. None had been treated for retinopathy of prematurity.
    Conclusion: We suggest that lower visual function and vision-related health represent life-long consequences of prematurity and VLBW in the studied 31- to 43-year-old cohort. The underlying mechanisms remain to be determined.
    MeSH term(s) Infant, Newborn ; Adult ; Humans ; Cohort Studies ; Infant, Very Low Birth Weight ; Infant, Premature ; Vision, Ocular ; Birth Weight
    Language English
    Publishing date 2023-05-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2408333-1
    ISSN 1755-3768 ; 1755-375X
    ISSN (online) 1755-3768
    ISSN 1755-375X
    DOI 10.1111/aos.15683
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Mental health, pain and tiredness in adults born very preterm or with very low birthweight.

    Hollund, Ingrid Marie Husby / Aakvik, Kristina Anna Djupvik / Benum, Silje Dahl / Ingvaldsen, Sigrid Hegna / Lydersen, Stian / Tikanmäki, Marjaana / Hovi, Petteri / Räikkönen, Katri / Kajantie, Eero / Johnson, Samantha / Marlow, Neil / Baumann, Nicole / Wolke, Dieter / Indredavik, Marit S / Evensen, Kari Anne I

    Acta paediatrica (Oslo, Norway : 1992)

    2023  Volume 113, Issue 1, Page(s) 72–80

    Abstract: Aim: Adults born preterm have increased risk of mental health problems and other neurodevelopmental conditions. We aimed to investigate associations of mental health with pain and tiredness in adults born very preterm (VP; <32 weeks) or very low ... ...

    Abstract Aim: Adults born preterm have increased risk of mental health problems and other neurodevelopmental conditions. We aimed to investigate associations of mental health with pain and tiredness in adults born very preterm (VP; <32 weeks) or very low birthweight (VLBW; <1500 g) and at term, and whether these associations are influenced by physical activity.
    Methods: As part of an EU Horizon 2020 project, individual participant data from six prospective cohort studies were harmonised for 617 VP/VLBW and 1122 term-born participants. Mental health was assessed by the Achenbach System of Empirically Based Assessment Adult Self-Report. Pain and tiredness were harmonised based on specific items from self-reported questionnaires. Associations between mental health and pain or tiredness were explored by linear regression.
    Results: An increase in the mental health scales internalising, externalising and total problems was associated with increased pain and tiredness in the preterm and term group alike. Results were maintained when adjusting for physical activity.
    Conclusion: The findings indicate that associations between mental health, pain and tiredness in adults are independent of gestation or birthweight. Future research should explore other potential mechanisms that may underlie the increased risk of mental health problems in the preterm population.
    MeSH term(s) Infant, Newborn ; Adult ; Female ; Humans ; Mental Health ; Infant, Extremely Premature ; Prospective Studies ; Infant, Very Low Birth Weight ; Pain
    Language English
    Publishing date 2023-10-03
    Publishing country Norway
    Document type Journal Article
    ZDB-ID 203487-6
    ISSN 1651-2227 ; 0365-1436 ; 0803-5253
    ISSN (online) 1651-2227
    ISSN 0365-1436 ; 0803-5253
    DOI 10.1111/apa.16982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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