Long-term effects of premature birth on somatic development in women through adolescence and adulthood

J Int Med Res. 2018 Jan;46(1):44-53. doi: 10.1177/0300060517714369. Epub 2017 Jul 6.

Abstract

Objectives To evaluate the long-term consequences of preterm birth on anthropometric parameters in women in adolescence and into adulthood. Methods Seventy girls born preterm (age 12.22 ± 1.52 years) and 48 born at term participated in the first stage. Eighteen years later, 13 of the same women participated in a follow-up and were compared with a control group of 27 women. We compared anthropometric results across the two examinations, and in the second stage, also assessed body composition using bioelectrical impedance analysis. Results No significant differences were found in anthropometric parameters or the content of individual components of the body between the preterm-born and control groups. However, the preterm-born group showed a tendency for higher average fat mass and lower fat-free and soft lean mass compared with the control group, and had a significantly higher mean waist-hip ratio. Conclusions Preterm birth does not adversely affect somatic development in girls during adolescence, but shows a correlation with an elevated waist-hip ratio in adulthood.

Keywords: Prematurity; bioelectrical impedance; body components; long-term effects; longitudinal study; metabolic age; obesity; somatic development.

MeSH terms

  • Adipose Tissue / anatomy & histology*
  • Adipose Tissue / growth & development
  • Adolescent
  • Adult
  • Body Composition
  • Body Mass Index
  • Child
  • Female
  • Human Development / physiology*
  • Humans
  • Infant, Newborn
  • Infant, Premature / growth & development*
  • Longitudinal Studies
  • Pregnancy
  • Waist-Hip Ratio