Global Pediatric Health (Jun 2015)

Autonomic Functioning in Young Adults Born at Extremely Low Birth Weight

  • Karen J. Mathewson PhD,
  • Ryan J. Van Lieshout MD, PhD,
  • Saroj Saigal MD,
  • Katherine M. Morrison MD,
  • Michael H. Boyle PhD,
  • Louis A. Schmidt PhD

DOI
https://doi.org/10.1177/2333794X15589560
Journal volume & issue
Vol. 2

Abstract

Read online

Autonomic functioning is altered in infants born at extremely low birth weight (ELBW; 2500 g). HF in the smallest-born ELBW participants was significantly lower than in NBW controls. In both groups, greater birth weight was associated with higher HF. Among ELBW survivors, lower birth weight predicted faster heart rate and higher DBP, but neither heart rate nor DBP appeared to be well-coordinated with baroreflex activity (LF), the principal mechanism for short-term blood pressure regulation. Adult autonomic regulation may be significantly altered in those born extremely preterm.