Factors associated with non-nutritive sucking habits at 2 years of age among very preterm children: EPIPAGE-2 cohort study.

Tytuł:: Factors associated with non-nutritive sucking habits at 2 years of age among very preterm children: EPIPAGE-2 cohort study.
Autorzy:: Herrera S; Université de Paris, CRESS, INSERM, INRA, Paris, France.
Pierrat V; Université de Paris, CRESS, INSERM, INRA, Paris, France.; Department of Neonatal Medicine, Jeanne de Flandre Hospital, CHU Lille, Lille, France.
Kaminski M; Université de Paris, CRESS, INSERM, INRA, Paris, France.
Benhammou V; Université de Paris, CRESS, INSERM, INRA, Paris, France.
Bonnet AL; Université de Paris, EA2496, Montrouge, France.; Department of Odontology, AP-HP, Charles Foix Hospital, Paris, France.
Ancel PY; Université de Paris, CRESS, INSERM, INRA, Paris, France.; Clinical Research Unit, Centre for Clinical Investigation P1419, Cochin Broca Hôtel-Dieu Hospital, Paris, France.
Germa A; Université de Paris, CRESS, INSERM, INRA, Paris, France.; Department of Odontology, AP-HP, Charles Foix Hospital, Paris, France.
Źródło:: Paediatric and perinatal epidemiology [Paediatr Perinat Epidemiol] 2021 Mar; Vol. 35 (2), pp. 217-226. Date of Electronic Publication: 2020 Oct 05.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Oxford ; Boston : Blackwell Scientific Publications, [c1987-
MeSH Terms:: Fingersucking*
Infant, Extremely Premature*
Child ; Child, Preschool ; Cohort Studies ; Female ; Habits ; Humans ; Infant ; Infant, Newborn ; Prospective Studies
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Contributed Indexing:: Keywords: cohort study; maxillofacial anomalies; neonatal care; non-nutritive sucking habits; pacifier; very preterm
Entry Date(s):: Date Created: 20201005 Date Completed: 20211124 Latest Revision: 20211124
Update Code:: 20240105
DOI:: 10.1111/ppe.12725
PMID:: 33016411
: Czasopismo naukowe

Pełny tekst

Background: The association between prolonged non-nutritive sucking habits (NNSHs, ie, sucking pacifiers or fingers) and maxillofacial growth anomalies in the general population has been widely described. Because maturation of sucking abilities is not fully achieved in very preterm infants (<32 weeks' gestation), neonatal services worldwide rely on the use of pacifiers to promote the development of adequate sucking reflexes, possibly prolonging NNSHs during infancy.
Objective: We aimed to describe the frequency and to identify factors associated with NNSHs at age 2 years in very preterm children.
Methods: The study was based on data from EPIPAGE-2, a French national prospective cohort study of preterm births during 2011 that included 2593 children born between 24 and 31 weeks' gestation. The primary outcome was NNSHs at 2 years. Multivariable log-linear regression models with generalized estimation equations were used to study the association between the characteristics studied and NNSHs. Multiple imputations were used to take into account missing data.
Results: The frequency of NNSHs was 69% in the overall sample but higher among girls (adjusted risk ratio [RR] 1.12, 95% confidence interval [CI] 1.05, 1.17), children born from multiple pregnancies (eg, twins/triplets) (RR 1.07, 95% CI 1.00, 1.11), children who were fed by nasogastric tube (RR 1.07, 95% CI 1.01, 1.13), or those who benefitted from developmental care programmes (RR 1.10, 95% CI 1.02, 1.19). The NNSHs frequency was lower if mothers were not born in France (RR 0.70, 95% CI 0.64, 0.77), children had 2 or more older siblings (RR 0.88, 95% CI 0.82, 0.96), or children were breast-fed at discharge (RR 0.90, 95% CI 0.85, 0.95).
Conclusions: NNSHs at 2 years seemed associated with cultural background, development care programmes, and breast feeding. Whether NNSHs at 2 years among very preterm children are associated with future maxillofacial growth anomalies deserves further attention.
(© 2020 John Wiley & Sons Ltd.)

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