Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors

As survival rates of preterm infants have increased due to advances in perinatal care, focus has shifted towards the profound long-term effects of prematurity. An extensive amount of evidence has shown increased susceptibility to chronic illnesses among preterm infants. While the onset of such condi...

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Main Authors: Kishan D. Tsang, Gerdien A. Tramper-Stranders, Jasper V. Been, Angelique K. Hoffmann-Haringsma, Irwin K. Reiss, Marielle W.H. Pijnenburg, Ismé M. De Kleer
Format: Article
Language:English
Published: European Respiratory Society 2025-06-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/34/176/240267.full
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author Kishan D. Tsang
Gerdien A. Tramper-Stranders
Jasper V. Been
Angelique K. Hoffmann-Haringsma
Irwin K. Reiss
Marielle W.H. Pijnenburg
Ismé M. De Kleer
author_facet Kishan D. Tsang
Gerdien A. Tramper-Stranders
Jasper V. Been
Angelique K. Hoffmann-Haringsma
Irwin K. Reiss
Marielle W.H. Pijnenburg
Ismé M. De Kleer
author_sort Kishan D. Tsang
collection DOAJ
description As survival rates of preterm infants have increased due to advances in perinatal care, focus has shifted towards the profound long-term effects of prematurity. An extensive amount of evidence has shown increased susceptibility to chronic illnesses among preterm infants. While the onset of such conditions typically emerges during adulthood, their roots trace back to the early stages of life. Much of this interest has been directed towards short- and long-term consequences of extreme and very preterm birth. However, it has become apparent that, despite a limited risk of complications during the neonatal period, the moderate and late preterm population suffers from an increased likelihood of morbidity during the course of life. Considering the higher prevalence of moderate and late preterm births compared to extreme and very preterm births, understanding and investigating their health outcomes is essential to address the broader impact of prematurity. In this review, we will discuss the impact of moderate and late prematurity on lung development, function and how environmental factors impose these individuals to increased risk for respiratory morbidity during the course of life. We describe interventions during early life that may protect the moderate-to-late preterm population from adverse lung development and further deterioration by addressing modifiable risk factors.
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spelling doaj-art-b84724d1fe344c2bb46a836c60fe7b752025-08-20T03:30:03ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172025-06-013417610.1183/16000617.0267-20240267-2024Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factorsKishan D. Tsang0Gerdien A. Tramper-Stranders1Jasper V. Been2Angelique K. Hoffmann-Haringsma3Irwin K. Reiss4Marielle W.H. Pijnenburg5Ismé M. De Kleer6 Department of Paediatrics, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands Department of Paediatrics, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands Department of Paediatrics, Division of Neonatal and Paediatric Intensive Care, Erasmus University Medical Centre – Sophia Children's Hospital, Rotterdam, The Netherlands Department of Paediatrics, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands Department of Paediatrics, Division of Neonatal and Paediatric Intensive Care, Erasmus University Medical Centre – Sophia Children's Hospital, Rotterdam, The Netherlands Department of Paediatrics, Division of Respiratory Medicine and Allergology, Erasmus University Medical Centre – Sophia Children's Hospital, Rotterdam, The Netherlands Department of Paediatrics, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands As survival rates of preterm infants have increased due to advances in perinatal care, focus has shifted towards the profound long-term effects of prematurity. An extensive amount of evidence has shown increased susceptibility to chronic illnesses among preterm infants. While the onset of such conditions typically emerges during adulthood, their roots trace back to the early stages of life. Much of this interest has been directed towards short- and long-term consequences of extreme and very preterm birth. However, it has become apparent that, despite a limited risk of complications during the neonatal period, the moderate and late preterm population suffers from an increased likelihood of morbidity during the course of life. Considering the higher prevalence of moderate and late preterm births compared to extreme and very preterm births, understanding and investigating their health outcomes is essential to address the broader impact of prematurity. In this review, we will discuss the impact of moderate and late prematurity on lung development, function and how environmental factors impose these individuals to increased risk for respiratory morbidity during the course of life. We describe interventions during early life that may protect the moderate-to-late preterm population from adverse lung development and further deterioration by addressing modifiable risk factors.http://err.ersjournals.com/content/34/176/240267.full
spellingShingle Kishan D. Tsang
Gerdien A. Tramper-Stranders
Jasper V. Been
Angelique K. Hoffmann-Haringsma
Irwin K. Reiss
Marielle W.H. Pijnenburg
Ismé M. De Kleer
Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
European Respiratory Review
title Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
title_full Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
title_fullStr Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
title_full_unstemmed Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
title_short Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors
title_sort moderate to late prematurity understanding respiratory consequences and modifiable risk factors
url http://err.ersjournals.com/content/34/176/240267.full
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