PMID- 38255389 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240128 IS - 2227-9067 (Print) IS - 2227-9067 (Electronic) IS - 2227-9067 (Linking) VI - 11 IP - 1 DP - 2024 Jan 9 TI - Neurodevelopment Outcomes in Very-Low-Birth-Weight Infants with Metabolic Bone Disease at 2 Years of Age. LID - 10.3390/children11010076 [doi] LID - 76 AB - Metabolic bone disease (MBD) predominantly affects preterm infants, particularly very-low-birth-weight (VLBW) infants weighing <1500 g. However, there are limited reports on MBD and neurodevelopmental outcomes. This study aimed to analyze the risk factors for MBD and understand its impact on neurodevelopmental outcomes at 2 years of corrected age. Overall, 749 VLBW infants weighing <1350 g at birth were enrolled. Exclusion criteria were major congenital abnormalities, chromosomal abnormalities, and loss of follow-up on the Bayley Scales of Infant Development, Third Edition (BSID-III) test at 24 months of corrected age. Infants were retrospectively assessed by a trained case manager using the BSID-III test at 6, 12, and 24 months old. Infants were categorized as with or without MBD according to radiographic signs. Of those enrolled, 97 VLBW infants were diagnosed with MBD, compared to 362 VLBW infants without MBD. The proportion of infants that completed three follow-ups was 86%. At the assessment at 2 years of age, infants with MBD had lower and more significant differences in motor, language, and cognitive composites. MBD is associated with poor neurodevelopmental outcomes in cognitive, motor, and language composites for VLBW infants at 24 months of corrected age. FAU - Chen, Yu-Wen AU - Chen YW AUID- ORCID: 0009-0000-7250-5022 AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. FAU - Chang, Yu-Jun AU - Chang YJ AUID- ORCID: 0000-0002-1433-6002 AD - Big Data Center, Changhua Christian Hospital, No. 135, Nanxiao Street, Changhua City 500209, Taiwan. FAU - Chen, Lih-Ju AU - Chen LJ AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. FAU - Lee, Cheng-Han AU - Lee CH AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. FAU - Hsiao, Chien-Chou AU - Hsiao CC AUID- ORCID: 0000-0002-4523-5300 AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. AD - Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, No. 145, Xingda Road, South District, Taichung City 402202, Taiwan. FAU - Chen, Jia-Yuh AU - Chen JY AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. AD - Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, No. 145, Xingda Road, South District, Taichung City 402202, Taiwan. FAU - Chen, Hsiao-Neng AU - Chen HN AD - Department of Neonatology, Changhua Christian Children's Hospital, No. 320, Xuguang Road, Changhua City 500010, Taiwan. AD - School of Medicine, Chung-Sun Medical University, No. 110, Sec. 1, Jianguo N. Road, South District, Taichung City 402306, Taiwan. LA - eng PT - Journal Article DEP - 20240109 PL - Switzerland TA - Children (Basel) JT - Children (Basel, Switzerland) JID - 101648936 PMC - PMC10814392 OTO - NOTNLM OT - Bayley Scales of Infant Development-III OT - metabolic bone disease OT - neurodevelopmental outcomes OT - risk factors OT - very-low-birth-weight infants COIS- The authors declare no conflict of interest. EDAT- 2024/01/23 06:43 MHDA- 2024/01/23 06:44 PMCR- 2024/01/09 CRDT- 2024/01/23 01:07 PHST- 2023/12/04 00:00 [received] PHST- 2024/01/04 00:00 [revised] PHST- 2024/01/06 00:00 [accepted] PHST- 2024/01/23 06:44 [medline] PHST- 2024/01/23 06:43 [pubmed] PHST- 2024/01/23 01:07 [entrez] PHST- 2024/01/09 00:00 [pmc-release] AID - children11010076 [pii] AID - children-11-00076 [pii] AID - 10.3390/children11010076 [doi] PST - epublish SO - Children (Basel). 2024 Jan 9;11(1):76. doi: 10.3390/children11010076.