Child Health Nurs Res.  2016 Oct;22(4):336-345. 10.4094/chnr.2016.22.4.336.

Health in Optimal Fitness and its Related Factors in Young Korean Children Born Prematurely

• Lee S
• Sohn M
• Kim S
• Choi S
• Jun Y
• Ahn Y

• KMID: 2444903
• DOI: http://doi.org/10.4094/chnr.2016.22.4.336

Abstract

PURPOSE
This study was conducted to describe health in optimal fitness (HOF) in young children born prematurely and to analyze factors affecting HOF in health status, investment resources, and anthropological values, based on HOF theory.
METHODS
A case-control study of 76 children with preterm births (PTB) was conducted at 24 to 42 months of corrected age. Their HOF status was evaluated based on height, weight, head circumference, and the Korean-Bayley Scale of Infant Development-II and classified as either HOF-achieved or HOF-uncertain in the domain of growth, development, and all together.
RESULTS
For growth, development, and all, 26.3%, 27.6%, and 47.4% of children, respectively, belonged to the HOF-uncertain group. Logistic regression analysis showed that longer length of hospital stay (≥21days; OR=7.8; 95% CI [1.5, 40.5]), worse scores on the Home Observation for Measurement of the Environment (HOME) (≥38; OR=0.1; 95% CI [0.0, 0.4]), having a working mother, (OR=5.7; 95% CI [1.2, 27.6]), and an older mother (≥35 years; OR=8.8; 95% CI [2.1, 37.3]) were statistically significant contributors of HOF-uncertain in the domain of all.
CONCLUSION
Findings show that young children born prematurely with prolonged stays in a neonatal intensive care unit and insufficient socioeconomic resources at home are more likely to exhibit delayed growth and development.

Keyword

Preterm birth; Child; Growth and development; Health status; Investments

MeSH Terms

Case-Control Studies
Child*
Growth and Development
Head
Humans
Infant
Infant, Newborn
Intensive Care, Neonatal
Investments
Length of Stay
Logistic Models
Mothers
Premature Birth