Attention-Deficit/Hyperactivity Disorder and Very Preterm/Very Low Birth Weight: A Meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFRANZ, Adelar Pedro
dc.contributor.authorBOLAT, Gul Unsel
dc.contributor.authorBOLAT, Hilmi
dc.contributor.authorMATIJASEVICH, Alicia
dc.contributor.authorSANTOS, Ina Silva
dc.contributor.authorSILVEIRA, Rita C.
dc.contributor.authorPROCIANOY, Renato Soibelmann
dc.contributor.authorROHDE, Luis Augusto
dc.contributor.authorMOREIRA-MAIA, Carlos Renato
dc.date.accessioned2018-02-02T16:56:40Z
dc.date.available2018-02-02T16:56:40Z
dc.date.issued2018
dc.description.abstractCONTEXT: Although very preterm (VP), extremely preterm (EP), very low birth weight (VLBW), and extremely low birth weight (ELBW) newborns seem to have a higher risk of later attention-deficit/hyperactivity disorder (ADHD), the magnitude of the risk is not well-defined. OBJECTIVE: To systematically review and meta-analyze the risk of VP/VLBW and EP/ELBW individuals to develop a ADHD categorical diagnosis or dimensional symptomatology compared with controls with normal weight and/or birth age. DATA SOURCES: We used PsycINFO, Medline, Embase, and Cochrane databases. STUDY SELECTION: We selected cross-sectional, prospective, or retrospective studies with no time or language restriction. DATA EXTRACTION: Independent reviewers screened and extracted data using predefined standard procedures. RESULTS: In 12 studies (N = 1787), researchers relying on a categorical diagnosis showed that both VP/VLBW and EP/ELBW subjects have a higher ADHD risk (odds ratio [OR] = 3.04 higher than controls; 95% confidence interval [CI] 2.19 to 4.21). In subgroup analyses, we demonstrated that the more extreme the cases, the higher the ORs (VP/VLBW: OR = 2.25 [95% CI 1.56 to 3.26]; EP/ELBW: OR = 4.05 [95% CI 2.38 to 6.87]). We drew data from 29 studies (N = 3504) on ADHD symptomatology and found significant associations with inattention (standardized mean difference [SMD] = 1.31, 95% CI 0.66 to 1.96), hyperactivity and impulsivity (SMD = 0.74, 95% CI 0.35 to 1.13), and combined symptoms (SMD = 0.55, 95% CI 0.42 to 0.68) when compared with controls. LIMITATIONS: Heterogeneity was significantly high for all analyses involving the 3 ADHD dimensions. CONCLUSIONS: With our results, we provide evidence that VP/VLBW subjects have an increased risk of ADHD diagnosis and symptomatology compared with controls, and these findings are even stronger in the EP/ELBW group. Future researchers should address which risk factors related to prematurity or low birth weight lead to ADHD.
dc.description.indexMEDLINE
dc.description.sponsorshipFundo de Incentivo a Pesquisa e Eventos
dc.description.sponsorshipPrograma de Transtornos de Deficit de Atencao e Hiperatividade of the Hospital de Clinicas de Porto Alegre
dc.identifier.citationPEDIATRICS, v.141, n.1, article ID e20171645, 16p, 2018
dc.identifier.doi10.1542/peds.2017-1645
dc.identifier.eissn1098-4275
dc.identifier.issn0031-4005
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/24932
dc.language.isoeng
dc.publisherAMER ACAD PEDIATRICS
dc.relation.ispartofPediatrics
dc.rightsrestrictedAccess
dc.rights.holderCopyright AMER ACAD PEDIATRICS
dc.subject.otherdeficit hyperactivity disorder
dc.subject.otherborn extremely preterm
dc.subject.otherschool-aged children
dc.subject.otherbehavioral outcomes
dc.subject.othermental-health
dc.subject.otherneurobehavioral outcomes
dc.subject.otherworldwide prevalence
dc.subject.otherfetal-growth
dc.subject.otheryoung-adults
dc.subject.otherrisk-factors
dc.subject.wosPediatrics
dc.titleAttention-Deficit/Hyperactivity Disorder and Very Preterm/Very Low Birth Weight: A Meta-analysis
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryTurquia
hcfmusp.affiliation.countryisotr
hcfmusp.author.externalFRANZ, Adelar Pedro:Univ Fed Rio Grande do Sul, Postgrad Program Psychiat, Rua Ramiro Barcelos 2350,400 N, BR-90035903 Porto Alegre, RS, Brazil
hcfmusp.author.externalBOLAT, Gul Unsel:Ege Univ, Fac Med, Dept Child & Adolescent Psychiat, Izmir, Turkey
hcfmusp.author.externalBOLAT, Hilmi:Ege Univ, Fac Med, Dept Med Genet, Izmir, Turkey
hcfmusp.author.externalSANTOS, Ina Silva:Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, RS, Brazil
hcfmusp.author.externalSILVEIRA, Rita C.:Hosp Clin Porto Alegre, Neonatol Sect, Dept Pediat, Porto Alegre, RS, Brazil
hcfmusp.author.externalPROCIANOY, Renato Soibelmann:Hosp Clin Porto Alegre, Neonatol Sect, Dept Pediat, Porto Alegre, RS, Brazil
hcfmusp.author.externalROHDE, Luis Augusto:Hosp Clin Porto Alegre, Dept Child & Adolescent Psychiat, Porto Alegre, RS, Brazil; Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil; Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.author.externalMOREIRA-MAIA, Carlos Renato:Univ Fed Rio Grande do Sul, Postgrad Program Psychiat, Rua Ramiro Barcelos 2350,400 N, BR-90035903 Porto Alegre, RS, Brazil
hcfmusp.citation.scopus190
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.description.articlenumbere20171645
hcfmusp.description.issue1
hcfmusp.description.volume141
hcfmusp.origemWOS
hcfmusp.origem.pubmed29255083
hcfmusp.origem.scopus2-s2.0-85040082420
hcfmusp.origem.wosWOS:000419003300020
hcfmusp.publisher.cityELK GROVE VILLAGE
hcfmusp.publisher.countryUSA
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