HEALTH IN OPTIMAL FITNESS AND ITS RELATED FACTORS IN YOUNG CHILDREN BORN WITH PRETERM BIRTH

초록

Problem statement: Young children born with preterm birth (PTB) are prone to various difficulties for 'health in optimal fitness (HOF)' achievement. The study was done to describe HOF of young children born with PTB and to explore factors affecting HOF in health status, investment resources, and anthropological values using HOF theory. Methods: A retrospective case control study was conducted with 76 PTB children at 24-42 months of corrected age. Multiple logistic regressions were used to identify related factors on HOF. HOF explains growth (G-HOF), development (D-HOF), and integrated growth and development (GD-HOF). Results: Frequencies of G, D and GD-HOF uncertain (HOFU) were 20 (26.3%), 21 (27.6%), 36 (47.4%), respectively. In health status, higher birth weight had a lower risk of G-HOFU (OR=0.24, p=.016). Longer hospitalization durations in neonatal intensive care unit posed a risk to D and GD-HOFU (OR=4.58, p=.042; OR=3.35, p=.018). In investment resources, the greater the number of families equated to a lower risk of D-HOFU (OR=0.21, p=.036). The higher the score of the Home Observation for Measurement of the Environment equated to a lower risk of GD-HOFU (OR=0.25, p=.036). In anthropological values, the higher the score of Maternal Attachment Inventory also suggested a lower risk of G-HOFU (OR=0.26, p=.023). Girls, or birth order, such as a second child, suggested a lower risk of D-HOFU (OR=0.29, p=.049; OR=0.22, p=.013). Conclusion: Young children born with PTB were in a high risk group for HOFU. HOF in PTB children was related to not only health status but also investment resources and anthropological values.