Berdal, E.K., Wollum, A.E.K., Hollund, I.M.H. et al. Health-related quality of life from 20 to 32 years of age in very low birth weight individuals: a longitudinal study. Health Qual Life Outcomes 20, 136 (2022). https://doi.org/10.1186/s12955-022-02044-3
Health-related quality of life from 20 to 32 years of age in very low birth weight individuals : a longitudinal study
|Author:||Berdal, Elias Kjølseth1; Wollum, Arnt Erik Karlsen1; Hollund, Ingrid Marie Husby2,3;|
1Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
2Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway
3Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
4Department of Internal Medicine, Nordland Hospital Trust, Bodø, Norway
5Department of Clinical Medicine, UiT Arctic University of Norway, Tromsø, Norway
6Finnish Institute for Health and Welfare, Public Health Promotion Unit, Helsinki, Oulu, Finland
7PEDEGO Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
8Children’s Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
9Unit for Physiotherapy Services, Trondheim Municipality, Trondheim, Norway
10Children’s Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
11Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway
|Online Access:||PDF Full Text (PDF, 1.4 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2023031331366
|Publish Date:|| 2023-03-13
Background: Preterm birth with very low birth weight (VLBW, birth weight < 1500 g) is associated with health problems later in life. How VLBW individuals perceive their physical and mental health-related quality of life (HRQoL) is important to understand their putative burden of disease. Previous studies have shown mixed results, and longitudinal studies into adulthood have been requested. This study aimed to investigate differences in HRQoL between preterm VLBW and term born individuals at 32 years of age, and to study changes in HRQoL from 20 to 32 years.
Methods: In a geographically based longitudinal study, 45 VLBW and 68 term born control participants completed the Short Form 36 Health Survey (SF-36) at 32 years of age. Data from three previous timepoints was also available (20, 23 and 28 years of age). The SF-36 yields eight domain scores as well as a physical and a mental component summary. Between-group differences in these variables were investigated. We also performed subgroup analyses excluding individuals with disabilities, i.e., cerebral palsy and/or low estimated intelligence quotient.
Results: At 32 years of age, the physical component summary was 5.1 points lower (95% confidence interval (CI): 8.6 to 1.6), and the mental component summary 4.1 points lower (95% CI: 8.4 to − 0.3) in the VLBW group compared with the control group. For both physical and mental component summaries there was an overall decline in HRQoL from 20 to 32 years of age in the VLBW group. When we excluded individuals with disabilities (n = 10), group differences in domain scores at 32 years were reduced, but physical functioning, bodily pain, general health, and role-emotional scores remained lower in the VLBW subgroup without disabilities compared with the control group.
Conclusion: We found that VLBW individuals reported lower HRQoL than term born controls at 32 years of age, and that HRQoL declined in the VLBW group from 20 to 32 years of age. This was in part, but not exclusively explained by VLBW individuals with disabilities.
Health and quality of life outcomes
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3142 Public health care science, environmental and occupational health
Open access funding provided by Norwegian University of Science and Technology. The work of Drs. Hollund, Kajantie and Evensen was supported by the European Union's Horizon 2020 Research and Innovation Program: Research on European Children and Adults born Preterm (RECAP Preterm), Grant No. 733280. Dr. Kajantie received funding from the Academy of Finland 315690, the Novo Nordisk Foundation NNF20OC0063930, the Foundation for Pediatric Research, the Sigrid Juselius Foundation, the Finnish Medical Foundation, the Finnish Foundation for Cardiovascular Research, and the Finnish Diabetes Research Foundation. Dr. Evensen received funding from the Joint Research Committee of St. Olavs Hospital HF and the Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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