Adult outcomes of being born late preterm or early term - What do we know?

Eero Kajantie, Sonja Strang-Karlsson, Kari Anne Indredavik Evensen, Peija Haaramo

Research output: Contribution to journalArticleScientificpeer-review

Abstract

The literature on adult outcomes of people born late preterm (LPT, 34-36 completed weeks) or early term (ET, 37-38 weeks) was reviewed. In PubMed, 9547 articles were identified; 53 were eligible. Of these, 12 were based on clinical cohorts, 32 on medical birth register linkages, and nine on historical birth cohorts; 48 out of 53 on Nordic countries; 50 out of 53 reported on LPT and eight out of 53 reported on ET. LPT plus ET have increased early ( <45 years) adult all-cause mortality. Despite increased cardiometabolic risk factors and slightly lower cardiorespiratory fitness in LPT, no studies showed increased risk for coronary heart disease, some showed increased risk for stroke, and all showed increased risk for type 2 diabetes. Most show increased risk for asthma and decreased allergic rhinitis. LPT have slightly lower cognitive abilities and higher rates of several mental disorders; ET have intermediate values. LPT and ET adults have slightly lower education, occupational status, and income. We recommend that authors report findings of LPT/ET separately from those born more preterm.

Original languageEnglish
JournalSeminars in Fetal & Neonatal Medicine
Volume24
Issue number1
Pages (from-to)66-83
Number of pages18
ISSN1744-165X
DOIs
Publication statusPublished - Feb 2019
MoE publication typeA1 Journal article-refereed

Fields of Science

  • Preterm
  • Cardiovascular
  • Pulmonary
  • Physical activity
  • Neurocognitive
  • Psychiatric
  • Socio-economic
  • PERINATAL RISK-FACTORS
  • ISCHEMIC-HEART-DISEASE
  • FOR-GESTATIONAL-AGE
  • YOUNG-ADULTS
  • PSYCHIATRIC-DISORDERS
  • COGNITIVE OUTCOMES
  • ATOPIC-DERMATITIS
  • PHYSICAL-ACTIVITY
  • MENTAL-DISORDERS
  • BLOOD-PRESSURE
  • 3123 Gynaecology and paediatrics

Cite this

@article{6220df2675d44fa695f093960919074c,
title = "Adult outcomes of being born late preterm or early term - What do we know?",
abstract = "The literature on adult outcomes of people born late preterm (LPT, 34-36 completed weeks) or early term (ET, 37-38 weeks) was reviewed. In PubMed, 9547 articles were identified; 53 were eligible. Of these, 12 were based on clinical cohorts, 32 on medical birth register linkages, and nine on historical birth cohorts; 48 out of 53 on Nordic countries; 50 out of 53 reported on LPT and eight out of 53 reported on ET. LPT plus ET have increased early ( <45 years) adult all-cause mortality. Despite increased cardiometabolic risk factors and slightly lower cardiorespiratory fitness in LPT, no studies showed increased risk for coronary heart disease, some showed increased risk for stroke, and all showed increased risk for type 2 diabetes. Most show increased risk for asthma and decreased allergic rhinitis. LPT have slightly lower cognitive abilities and higher rates of several mental disorders; ET have intermediate values. LPT and ET adults have slightly lower education, occupational status, and income. We recommend that authors report findings of LPT/ET separately from those born more preterm.",
keywords = "Preterm, Cardiovascular, Pulmonary, Physical activity, Neurocognitive, Psychiatric, Socio-economic, PERINATAL RISK-FACTORS, ISCHEMIC-HEART-DISEASE, FOR-GESTATIONAL-AGE, YOUNG-ADULTS, PSYCHIATRIC-DISORDERS, COGNITIVE OUTCOMES, ATOPIC-DERMATITIS, PHYSICAL-ACTIVITY, MENTAL-DISORDERS, BLOOD-PRESSURE, 3123 Gynaecology and paediatrics",
author = "Eero Kajantie and Sonja Strang-Karlsson and {Indredavik Evensen}, {Kari Anne} and Peija Haaramo",
year = "2019",
month = "2",
doi = "10.1016/j.siny.2018.11.001",
language = "English",
volume = "24",
pages = "66--83",
journal = "Seminars in Fetal & Neonatal Medicine",
issn = "1744-165X",
publisher = "W.B. Saunders",
number = "1",

}

Adult outcomes of being born late preterm or early term - What do we know? / Kajantie, Eero ; Strang-Karlsson, Sonja ; Indredavik Evensen, Kari Anne ; Haaramo, Peija.

In: Seminars in Fetal & Neonatal Medicine, Vol. 24, No. 1, 02.2019, p. 66-83.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Adult outcomes of being born late preterm or early term - What do we know?

AU - Kajantie, Eero

AU - Strang-Karlsson, Sonja

AU - Indredavik Evensen, Kari Anne

AU - Haaramo, Peija

PY - 2019/2

Y1 - 2019/2

N2 - The literature on adult outcomes of people born late preterm (LPT, 34-36 completed weeks) or early term (ET, 37-38 weeks) was reviewed. In PubMed, 9547 articles were identified; 53 were eligible. Of these, 12 were based on clinical cohorts, 32 on medical birth register linkages, and nine on historical birth cohorts; 48 out of 53 on Nordic countries; 50 out of 53 reported on LPT and eight out of 53 reported on ET. LPT plus ET have increased early ( <45 years) adult all-cause mortality. Despite increased cardiometabolic risk factors and slightly lower cardiorespiratory fitness in LPT, no studies showed increased risk for coronary heart disease, some showed increased risk for stroke, and all showed increased risk for type 2 diabetes. Most show increased risk for asthma and decreased allergic rhinitis. LPT have slightly lower cognitive abilities and higher rates of several mental disorders; ET have intermediate values. LPT and ET adults have slightly lower education, occupational status, and income. We recommend that authors report findings of LPT/ET separately from those born more preterm.

AB - The literature on adult outcomes of people born late preterm (LPT, 34-36 completed weeks) or early term (ET, 37-38 weeks) was reviewed. In PubMed, 9547 articles were identified; 53 were eligible. Of these, 12 were based on clinical cohorts, 32 on medical birth register linkages, and nine on historical birth cohorts; 48 out of 53 on Nordic countries; 50 out of 53 reported on LPT and eight out of 53 reported on ET. LPT plus ET have increased early ( <45 years) adult all-cause mortality. Despite increased cardiometabolic risk factors and slightly lower cardiorespiratory fitness in LPT, no studies showed increased risk for coronary heart disease, some showed increased risk for stroke, and all showed increased risk for type 2 diabetes. Most show increased risk for asthma and decreased allergic rhinitis. LPT have slightly lower cognitive abilities and higher rates of several mental disorders; ET have intermediate values. LPT and ET adults have slightly lower education, occupational status, and income. We recommend that authors report findings of LPT/ET separately from those born more preterm.

KW - Preterm

KW - Cardiovascular

KW - Pulmonary

KW - Physical activity

KW - Neurocognitive

KW - Psychiatric

KW - Socio-economic

KW - PERINATAL RISK-FACTORS

KW - ISCHEMIC-HEART-DISEASE

KW - FOR-GESTATIONAL-AGE

KW - YOUNG-ADULTS

KW - PSYCHIATRIC-DISORDERS

KW - COGNITIVE OUTCOMES

KW - ATOPIC-DERMATITIS

KW - PHYSICAL-ACTIVITY

KW - MENTAL-DISORDERS

KW - BLOOD-PRESSURE

KW - 3123 Gynaecology and paediatrics

U2 - 10.1016/j.siny.2018.11.001

DO - 10.1016/j.siny.2018.11.001

M3 - Article

VL - 24

SP - 66

EP - 83

JO - Seminars in Fetal & Neonatal Medicine

JF - Seminars in Fetal & Neonatal Medicine

SN - 1744-165X

IS - 1

ER -