• Birthweight - is it linked to minor illness in adulthood?

      Bellingham-Young, Denise; Adamson-Macedo, Elvidina N. (Society of Integrated Sciences, 2000)
      OBJECTIVE: The Barker's hypothesis states that poor nutrition in vitro is linked to low birthweight and major illness, in particular cardiovascular disease, in later life. Reported here is an investigation to establish links with birthweight and minor illness. METHODS: 78 participants whose birthweight ranged from 1.93 kg to 4.88 kg with a mean to 3.31 kg completed a symptom checklist. RESULTS: Analysis of variance indicates that those with a higher birthweight experience less minor illness. Regression analysis indicates that birthweight is significantly predictive of levels of some minor illnesses. CONCLUSION: This investigation adds a new dimension to Barker's hypothesis and shows that early environment can also affect levels of minor illness. It is suggested that susceptibility to minor illness may be explained by coactions between structure, function and environment prior to birth.
    • Detection of secretory immunoglobulin A (SIgA) in saliva of ventilated and non-ventilated preterm neonates

      Hayes, Julie; Adamson-Macedo, Elvidina N.; Perera, Shantha; Anderson, Janet (National Library of Medicine and National Institutes of Health, 1999)
      The very young preterm neonate has multiple immune deficiencies which may increase his or her vulnerability to infection. Secretory Immunoglobulin A (SIgA) plays an important role in the protection of epithelial surfaces exposed to the external environment; nevertheless controversy exists with regards to the ontogeny of SIgA in newborns and especially the preterm neonate. The objective was to investigate if SIgA could be detected in the saliva of very/extremely low birthweight neonates (V/ELBW). A total of 707 samples which were collected twice daily (morning and afternoon) for three consecutive days were obtained from sixty-eight preterm neonates (mean gestational age 28 weeks; conceptional age ranged from 25-35 weeks). A repeated measures design was used. Total concentration of SIgA was determined from unstimulated saliva by an Enzyme Linked Immunosorbant Assay technique. Results indicated that SIgA was detectable in the early postnatal period in the saliva of both ventilated preterms who were receiving intravenous total parenteral nutrition (TPN) and non-ventilated preterms. A 3-way repeated measures Analysis of Variance (ANOVA) showed no significant effect from 'before' and 'after' samples during a period of spontaneous activity, time and day of sampling. A significant effect of mode of nutrition was found; neonates who were receiving expressed breast milk had significantly higher concentrations of SIgA than those infants receiving TPN (df=3, F=14.27, p<0.0001). These results have implications for the care of the preterm neonate in intensive care.
    • Early prediction and psycho-immunologic mediation of minor illness in adulthood

      Bellingham-Young, Denise; Adamson-Macedo, Elvidina N. (National Library of Medicine and National Institutes of Health, 2002)
      The Barker Hypothesis suggests that an unfavourable uterine environment can have the effect of programming the body for disease later in life. Research indicates a bidirectional relationship between thought and biochemical reactions, that may be influenced by early programming. Reports suggest that 25% of variance in birthweight is a result of foetal environment and that the health and cognitive deficits do not just affect those with an officially low birthweight. OBJECTIVE: This study investigates the influence of birthweight on cognition and minor illness in adults. METHODS: This is a retrospective, cross sectional design with an opportunity sample of 75 adults. Participants whose birthweight ranged from 2.5 kg to 4.88 kg, completed a symptom check list and general self-efficacy scale, reporting on the previous month. RESULTS: Analysis of variance indicates that those with higher birthweight have fewer minor illness symptom days and higher general self-efficacy. Regression analysis indicates that birthweight is significantly predictive of levels of minor illness and general self-efficacy. CONCLUSION: From the findings of this and previous studies, it is possible to infer vertical coactions between foetal environment and immuno competence. It is suggested that birthweight is an early predictor of levels of a cognitive mediator and minor illness. Data were applied to an equilibrium model to represent the relationship in terms of Gottlieb's concept of horizontal and vertical coactions.
    • Neurobehavioral assessment predicts differential outcome between VLBW and ELBW preterm infants.

      Constantinou, Janet C.; Adamson-Macedo, Elvidina N.; Mirmiran, Majid; Ariagno, Ronald L.; Fleisher, Barry E. (Nature Publishing Group, 2005)
      OBJECTIVE: To evaluate the impact of birth weight on development of very low birth weight (VLBW) infants using the Neurobehavioral Assessment of the Preterm Infant (NAPI) before hospital discharge, and to show the relation to follow-up outcomes at 12, 18 and 30 months of age. STUDY DESIGN: In total, 113 preterm infants were assessed with the NAPI at 36 weeks postmenstrual age. Later, neurodevelopment was examined using the Bayley Infant Neurodevelopmental Screener (BINS) at 12 months and the Bayley Scales of Infant Development, at 18 and 30 months. The cohort was divided into two groups, based on birth weight, extremely low birth weight (ELBW) (<1000 g) and VLBW (1000 to 1500 g). RESULTS: ELBW infants showed significantly lower NAPI scores compared with VLBW infants at 36 weeks. The predischarge NAPI scores correlated with the 12, 18 and 30 months scores when the ELBW infants continue to have lower performance than the VLBW infants. In all, 14 infants developed cerebral palsy. These infants had significantly lower NAPI, BINS and Bayley scores compared with all other preterm infants. CONCLUSION: NAPI before discharge provides clinically meaningful information related to later neurodevelopmental outcome.
    • Prematurity and adult minor illness.

      Bellingham-Young, Denise; Adamson-Macedo, Elvidina N. (Society of Integrated Sciences, 2004)
      The long term impact of being born premature has received limited scientific investigation. Studies that have been carried out, focus on outcomes in childhood, with very few considering the impact on adult physical health. Three case studies are presented here, investigating differences in adult minor illness and psychological variables between adult participants born preterm, fullterm but small and fullterm with normal birthweight. This is a retrospective design using questionnaires and checklist to gather relevant information. Minor illness symptoms, daily hassles, anxiety, depression and general self-efficacy were measured. The participant born preterm scored higher on all measures. Data were applied to the Equilibrium Model for Minor Illness. Being born early appears to have a greater impact on later adult outcomes measured than being born fullterm but small or fullterm but of normal weight. In this article the authors reflect upon possible explanations for the different outcomes of each of the participants within the foetal origins of disease theory.