Predictors of early motor trajectories from birth to 5 years in neonatal at‐risk and control children
| Autor: | Dieter Wolke, Kati Heinonen, Nicole Baumann, Katri Räikkönen, James R. Tresilian |
|---|---|
| Přispěvatelé: | Medicum, Doctoral Programme in Cognition, Learning, Instruction and Communication, Doctoral Programme in Clinical Research, Behavioural Sciences, Developmental Psychology Research Group, Department of Psychology and Logopedics, Doctoral Programme Brain & Mind, Doctoral Programme in Population Health |
| Rok vydání: | 2019 |
| Předmět: |
Longitudinal study
Pediatrics medicine.medical_specialty RJ 515 Psychology CEREBRAL-PALSY Psychological intervention BF population at-risk TERM Cerebral palsy 03 medical and health sciences 0302 clinical medicine cohort studies Quality of life Pregnancy QUALITY-OF-LIFE Germany 030225 pediatrics medicine Humans motor development risk factors DEVELOPMENTAL COORDINATION DISORDER Longitudinal Studies Prospective Studies 030212 general & internal medicine trajectories of motor functioning Finland Motor skill OUTCOMES business.industry Infant Newborn Infant General Medicine INFANTS BORN medicine.disease Mental health ADULTS BORN PRETERM Child Preschool Pediatrics Perinatology and Child Health Cohort PATTERNS Female business MENTAL-HEALTH BEHAVIOR Cohort study |
| Zdroj: | Acta Paediatrica. 109:728-737 |
| ISSN: | 1651-2227 0803-5253 |
| DOI: | 10.1111/apa.14985 |
| Popis: | Aim\ud To describe motor development in preschool children, to identify perinatal, neonatal, and social environmental risk factors of poor motor development, and to replicate results in a second cohort.\ud \ud Methods\ud Two prospective samples in Germany (Bavarian Longitudinal Study, BLS) and Finland (Arvo Ylppö Longitudinal Study, AYLS) assessed 4,741 and 1,423 children from birth to 56 months, respectively. Motor functioning was evaluated at birth, and 5, 20 and 56 months. Perinatal, neonatal and social environmental information was collected at birth and 5 months.\ud \ud Results\ud Two distinct motor trajectories were identified: low (BLS: n=4,486 (94.6%), AYLS: n=1,391 (97.8%)) and high (BLS: n=255 (5.4%), AYLS: n=32 (2.2%)) degree of motor difficulties. High degree of motor difficulties was predicted by neonatal complications, abnormal neonatal neurological status, duration of hospitalisation, and poor parent‐infant relationships. Although neonatal complications and poor parent‐infant relationships did not significantly predict high degree of motor difficulties in the AYLS, the trends identified were similar to those obtained from the BLS.\ud \ud Conclusion\ud Early identification of children at‐risk of motor difficulties across infancy and toddlerhood may help referring those children to interventions earlier. Modifiable risk factors, such as parent‐infant relationships, may be addressed by intervention strategies to prevent children from developing motor difficulties. |
| Databáze: | OpenAIRE |
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