Acta Paediatrica

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Physical activity (PA) has been associated with several health benefits in children, while inactivity has been associated with various diseases. The World Health Organization recommends a minimum of 60 minutes of PA per day for children, but only 20% of 11 to 17-year-old children achieve this. A better understanding of the socio-ecological factors that underlie PA habits may lead to more effective interventions that increase childhood PA. This article is protected by copyright. All rights reserved.

AIM: The primary objective was to assess the effect of prematurity at term-equivalent age on skin conductance and behavioural responses to acute stress. The secondary objective was to explore the reliability of skin conductance in detecting neonatal discomfort in preterm and full-term populations. METHODS: Very preterm infants at term-equivalent age and healthy full-term neonates, 34 infants in each group, underwent the hip dysplasia screening test. The acute pain in newborn infants (APN) scale was scored before and 15, 45 and 90 seconds after stimulus...

Haematohidrosis is a rare and dramatic condition in which bleeding occurs spontaneously from intact skin. We report the case of a nine-year-old boy with a typical clinical presentation. The case highlights how challenging it can be for medical professionals to recognize and evaluate rare conditions. A review of the literature was performed, showing that haematohidrosis is mainly a paediatric condition. Our case together with findings from the review indicates that treatment with Beta blockers may be effective for treatment of haematohidrosis in children...

Less than thirty percent of all marketed drugs worldwide have a paediatric licensing, and less than fifty percent of all marketed drugs are registered for children; in neonates less than ten percent (1, 2). This is not a fair situation since children should have the same right and access to tested medicines as adults. Even so, we see that off-label drugs are increasingly prescribed to children of all ages. This article is protected by copyright. All rights reserved.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

AIM: Obesity may start early in life. We investigated relationships between size and body composition variables in infancy and at four years of age using valid estimates of body composition. The results were compared to those obtained when body mass index (BMI) was used to estimate body fatness at four years. METHODS: Using air displacement plethysmography, size, fat mass and fat-free mass were studied, between 2007 and 2015, in 253 full-term healthy Swedish children at one week, 12 weeks and four years of age...

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AIM: Improved survival rates for premature infants have also increased the population at risk of necrotising enterocolitis (NEC). This study evaluated the outcomes of surgically treated NEC and identified risk factors for mortality, intestinal failure (IF) and IF associated liver disease (IFALD). METHODS: This was a retrospective observational study of 131 infants with surgically treated NEC from 1976 to 2016 in a Swedish tertiary referral centre: 20 in 1976-1996, 33 in 1997-2006 and 78 in 2007-2016...

We agree with Dr. Meyer (1) that socioeconomic disparities are far from being solved and, in fact, US disparities have increased in the past decade. Most studies on socioeconomic status attempt to disentangle specific factors mediating the inequities linked with poor health outcomes. Because of complex interactions between individual factors, we proposed a socioeconomic adversity index (SAI) combining such factors in the US(2). This article is protected by copyright. All rights reserved.

AIM: Structured light plethysmography (SLP) is a novel light-based method that captures chest wall movements to evaluate tidal breathing. We carried out a narrative mini-review of the clinical use of SLP in paediatrics. METHODS: PubMed and Google Scholar were searched for papers published in English up to December 2018. This identified a methodology paper published in 2010 and eight full papers, including three paediatric studies and one paediatric case report. We also included data from eight conference abstracts and one clinical case study...

AIM: The current study determined survival, short-term neonatal morbidity and predictors for death or adverse outcome of very preterm infants in Austria. METHODS: This population-based cohort study included 5,197 very preterm infants (53.3% boys) born between 2011 and 2016 recruited from the Austrian Preterm Outcome Registry. Main outcome measures were gestational age-related mortality and major short-term morbidities. RESULTS: Overall survival rate of all live-born infants included was 91...

AIM: This prospective study examined the prevalence of snoring during infancy and the prenatal and postnatal risk factors for this condition. METHODS: The study population comprised 1,388 infants from the CHILD-SLEEP birth cohort, who were recruited in the Pirkanmaa Hospital District, Finland, between 2011 and 2013. Sleep and background factor questionnaires were filled out prenatally by parents and when the infant was three and eight months old. RESULTS: The prevalence of habitual snoring was 3...

AIM: Early-life atypical sensory functioning and behavioral profiles are often associated with long-term developmental problems, especially in former preterm infants. We tested whether parenting style is associated with atypical sensory threshold or behavioral outcomes in preterm and term infants assessed during early childhood. METHODS: We prospectively evaluated parenting style for a cohort of term and preterm infants who had previous assessments of sensory development and behavior...

AIM: This Finnish regional birth-cohort study compared the school performance of very preterm and full-term children when they reached 11 years of age. METHODS: Teachers rated the educational abilities of 123 preterm children and 133 full-term controls at the age of 11 years as well as the support services they received. The children were all born in the Turku University Hospital between 2001 and 2005. In the preterm group, neurosensory impairments were confirmed at two years of corrected age and full-scale intelligence quotient (IQ) was assessed at 11 years of age using the Wechsler Intelligence Scale, Fourth Edition...

AIM: We examined associations between neurological alterations in infants born to smoking mothers and breastfeeding success at discharge and three months of age. METHODS: This 2016 study compared 35 normal weight infants born to smoking mothers at 37-41 weeks and 35 matched controls born to non-smoking mothers at the Maternity Hospital of Careggi University, Florence, Italy. Neonatal behaviour was evaluated using the neurological soft signs (NSS) component of the Graham-Rosenblith Scale...

Vedolizumab is a humanised monoclonal antibody. This gut specific antibody targets α4β7 integrin which reduces the white cell influx to inflamed tissue. Studies in adults have demonstrated the efficacy of this treatment and in the UK it has been approved by the National Institute for Health and Care Excellence (NICE) for use in adults. However, paediatric data are scarce for Inflammatory Bowel Disease (IBD), rare for paediatric Ulcerative Colitis (UC), and have limited follow up data. This article is protected by copyright...