Purpose: This study was intended to determine whether anaerobic muscle perf
ormance is deficient in 5- to 7-yr-old children of extremely low birthweigh
t (ELBW, 500-999 g) and very low birthweight (VLBW, 1000-1499 g). Methods:
Fourteen ELBW and 20 VLBW children were compared with 24 normal birthweight
(NBW, >2500 g) term controls. Peak (PP) and mean (MP) muscle power were de
termined by the Wingate anaerobic test. Bioimpedance analysis and anthropom
etry were done to assess fat-free mass (FFM) and lean cross-sectional area
of the thigh and calf. Results: The ELBW group had significantly lower MP a
nd PP, compared with the VLBW and, in particular, with the NEW group. This
lower performance was apparent also when values were corrected for total bo
dy mass (MP) and FFM (MP and PP), bur not when corrected for cross-sectiona
l area of thigh and calf. Conclusion: The lower anaerobic muscle performanc
e in ELBW children may be partly due to their smaller muscle mass, but may
also reflect a low percentage of fast-twitch muscle fibers, low muscle phos
phagen content, or deficiency in motor control.