{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:57:44Z","timestamp":1763499464822,"version":"3.45.0"},"reference-count":29,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":2240,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,4,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Young adults are often reluctant to seek medical attention. Compared with full-term controls, very low birthweight (&amp;lt;1500 g; VLBW) young adults may have more health problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To assess the frequency of unrecognised or unmet physical health needs during a comprehensive health and welfare assessment of a national cohort of VLBW adults born in 1986 compared with full-term controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The VLBW cohort (n = 229; 71% of those alive) and controls (n = 100) aged 27\u201329 years were assessed in one University Hospital over 2 days. Physical health assessments included growth, respiratory function, blood pressure, echocardiogram, renal function, blood tests and an interview. Cranial MRI scans were performed on 150 VLBW adults and 50 controls. Significant unrecognised or unmet health needs were defined as including a body mass index (BMI) &amp;gt;30 plus raised fasting insulin &amp;gt;80 pmol\/L; any two of moderate respiratory obstruction, or reduced diffusing capacity, or being a regular smoker; cardiovascular: hypertension or abnormal echocardiogram.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among the VLBW cohort and controls; 61% versus 73% (P &amp;lt; 0.05) rated their overall health as very good or excellent. A general practitioner (GP) referral letter was sent for 44% VLBW adults and 38% controls, concerning metabolic problems in 20% and 17% respectively; respiratory problems in 12% and 4% (P &amp;lt; 0.05) respectively; cardiovascular problems in 14% and 12% respectively; abnormal renal function in 7% in both groups; and anaemia in 3% and 5% respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Unrecognised or unmet health needs were frequent in both VLBW young adults and controls. Respiratory problems and hypertension were more frequent in the former. Continuity of care is important for VLBW adults who require a regular GP. GPs should routinely ask about gestation and birthweight and VLBW graduates should volunteer this information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc18044","type":"journal-article","created":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T01:21:05Z","timestamp":1554254465000},"page":"32-38","source":"Crossref","is-referenced-by-count":3,"title":["Unrecognised and unmet physical health problems in a national cohort of very low birthweight young adults and controls"],"prefix":"10.1071","volume":"11","author":[{"given":"Brian A.","family":"Darlow","sequence":"first","affiliation":[{"name":"ADepartment of Paediatrics, University of Otago PO Box 4345, Christchurch 8140, New Zealand"},{"name":"CCorresponding author. 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