scholarly journals Developmental trends in early childhood and their predictors from an Indian birth cohort

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beena Koshy ◽  
Manikandan Srinivasan ◽  
Anuradha Bose ◽  
Sushil John ◽  
Venkata Raghava Mohan ◽  
...  

Abstract Background Early childhood developmental pattern analyses not only project future cognition potential, but also identify potential risks for possible intervention. The current study evaluates developmental trends in the first 3 years of life and their predictors in a low and middle income country setting. Methods Trends of early childhood development at 6, 15, 24 and 36 months of age and their predictors were explored in a longitudinal community-based birth cohort study in an urban slum in Vellore, South India. Development was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III). Results The birth cohort enrolled 251 children with 94, 91, 91 and 87% follow-up at 6, 15, 24 and 36 months respectively. Child development domains of cognition, language, motor and social skills showed a significant decline in scores between 6 and 36 months of age. Higher socioeconomic position (SEP) and nurturing home environment contributed to increase in cognition scores by 1.9 and 0.9 units respectively. However, stunting caused a decline in cognition scores by 1.7 units. Higher maternal cognition, higher SEP, and caregiver responsivity positively contributed to language change over time, while higher maternal depression contributed negatively. An enriching home environment, growth parameters and blood iron status had positive association with change in motor skills. Conclusions A triple intervention plan to enhance home environment and nurturance, early childhood nutrient supplementation, and maternal education and well-being might prevent child developmental decline in high risk settings.

2020 ◽  
Author(s):  
Beena Koshy ◽  
Manikandan Sriniva ◽  
Anuradha Bose ◽  
Sushil Mathew John ◽  
Venkata Raghava Mohan ◽  
...  

Abstract Background: Early childhood developmental pattern analyses not only project future cognition potential, but also identify potential risks for possible intervention. The current study evaluates developmental trends in the first three years of life and their predictors in a low and middle income country setting.Methods: Trends of early childhood development at 6, 15, 24 and 36 months of age and their predictors were explored in a longitudinal community-based birth cohort study in an urban slum in Vellore, South India. Development was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III).Results: The birth cohort enrolled 251 children with 94%, 91% and 87% follow-up at 6, 24 and 36 months respectively. Child development domains of cognition, language, motor and social skills showed a significant decline in scores between 6 and 36 months of age. Higher socioeconomic position (SEP) and nurturing home environment contributed to increase in cognition scores by 1.9 and 0.9 units respectively. However, stunting resulted in drop of cognition scores by 1.7 units. Higher maternal cognition, higher SEP, and caregiver responsivity positively contributed to language change over time, while higher maternal depression contributed negatively. An enriching home environment, growth parameters and blood iron status had positive association with change in motor skills.Conclusions: A triple intervention plan to enhance home environment and nurturance, early childhood nutrient supplementation, and maternal education and well-being might prevent child developmental decline in high risk settings.


2020 ◽  
Author(s):  
Beena Koshy ◽  
Manikandan Sriniva ◽  
Anuradha Bose ◽  
Sushil Mathew John ◽  
Venkata Raghava Mohan ◽  
...  

Abstract Background: Early childhood developmental pattern analyses not only project future cognition potential, but also identify potential risks for possible intervention. There is a paucity of literature evaluating developmental trends in the low and middle income country settings.Methods: Trends of early childhood development at 6, 15, 24 and 36 months of age and their predictors were explored in a longitudinal community-based birth cohort study in an urban slum in Vellore, South India. Development was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III).Results: The birth cohort enrolled 251 children with a 94%, 91% and 87% follow-up at 6, 24 and 36 months respectively. Child development domains of cognition, language, motor and social skills showed a significant decline in scores between 6 and 36 months of age. Cognition change was maximum augmented by higher socio-economic status (SES) and nurturing home environment while stunting had the maximum negative impact. Higher maternal cognition, higher SES, and caregiver responsivity positively contributed to language change over time, while higher maternal depression contributed negatively. An enriching home environment, growth parameters and blood iron status had high association with change in motor skills.Conclusions: A triple intervention plan to enhance home environment and nurturance, maternal education and well-being, and early childhood nutrition supplementation might prevent child developmental decline in high risk settings.


2020 ◽  
Author(s):  
Beena Koshy ◽  
Manikandan Sriniva ◽  
Anuradha Bose ◽  
Sushil Mathew John ◽  
Venkata Raghava Mohan ◽  
...  

Abstract Background: Early childhood developmental pattern analyses not only project future cognition potential, but also identify potential risks for possible intervention. There is a paucity of literature evaluating developmental trends in the low and middle income country settings. Methods: Trends of early childhood development at 6, 15, 24 and 36 months of age and their predictors were explored in a longitudinal community-based birth cohort study in an urban slum in Vellore, South India. Development was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III). Results: The birth cohort enrolled 251 children with 94%, 91% and 87% follow-up at 6, 24 and 36 months respectively. Child development domains of cognition, language, motor and social skills showed a significant decline in scores between 6 and 36 months of age. Cognition change was maximum augmented by higher socio-economic position (SEP) and nurturing home environment while stunting had the maximum negative impact. Higher maternal cognition, higher SEP, and caregiver responsivity positively contributed to language change over time, while higher maternal depression contributed negatively. An enriching home environment, growth parameters and blood iron status had high association with change in motor skills. Conclusions: A triple intervention plan to enhance home environment and nurturance, early childhood nutrient supplementation, and maternal education and well-being might prevent child developmental decline in high risk settings.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Narendar Manohar ◽  
Andrew Hayen ◽  
Loc Do ◽  
Jane Scott ◽  
Sameer Bhole ◽  
...  

Abstract Background Early childhood is a period when dietary behaviours are established. This study aimed to examine the longitudinal intake of core and discretionary foods and identify early life and socio-economic factors influencing those intakes. Methods Mother-infant dyads (n = 934) from the Healthy Smiles Healthy Kids study, an ongoing birth cohort study, were interviewed. The information on ‘weekly frequency of core and discretionary foods intake’ using a food frequency questionnaire was collected at 4 months, 8 months, 1 year, 2 years and 3 years age points. Group-based trajectory modelling analyses were performed to identify diet trajectories for ‘core’ and ‘discretionary’ foods respectively. A multinomial logistic regression was performed to identify the maternal and child-related predictors of resulting trajectories. Results The intake of core and discretionary foods each showed distinct quadratic (n = 3) trajectories with age. Overall, core foods intake increased rapidly in the first year of life, followed by a decline after age two, whereas discretionary foods intake increased steadily across the five age points. Multiparity (Relative Risk (RR): 0.46, 95%CI: 0.27–0.77), non-English speaking ethnicity of mother (RR: 0.66, 95%CI: 0.47–0.91) and having a single mother (RR: 0.40, 95%CI: 0.18–0.85) were associated with low trajectories of core foods intake whereas older maternal age (RR: 1.05, 95%CI: 1.01–1.08) and longer breastfeeding duration (RR: 1.02, 95%CI: 1.00–1.03) were associated with higher trajectories of core foods intake. Also, multiparity (RR 2.63, 95%CI: 1.47–4.70), low maternal education (RR 3.01, 95%CI: 1.61–5.65), and socio-economic disadvantage (RR 2.69, 95%CI: 1.31–5.55) were associated with high trajectories of discretionary foods intake. Conversely, longer duration of breastfeeding (RR 0.99, 95%CI: 0.97–0.99), and timely introduction of complementary foods (RR 0.30, 95%CI: 0.15–0.61) had a protective effect against high discretionary foods consumption in infancy and early childhood. Conclusion Children’s frequency of discretionary foods intake increases markedly as they transition from infancy to preschool age, and the trajectories of intake established during early childhood are strongly influenced by socio-demographic factors and infant feeding choices. Hence, there is a need for targeted strategies to improve nutrition in early childhood and ultimately prevent the incidence of chronic diseases in children.


2012 ◽  
Vol 26 (3) ◽  
pp. 236-249 ◽  
Author(s):  
Alicia Matijasevich ◽  
Laura D. Howe ◽  
Kate Tilling ◽  
Iná S. Santos ◽  
Aluísio J. D. Barros ◽  
...  

2010 ◽  
Vol 86 (7) ◽  
pp. 419-424 ◽  
Author(s):  
Frances V. O'Callaghan ◽  
Abdullah Al Mamun ◽  
Michael O'Callaghan ◽  
Alexandra Clavarino ◽  
Gail M. Williams ◽  
...  

2007 ◽  
Vol 119 (4) ◽  
pp. 930-936 ◽  
Author(s):  
Aida Semic-Jusufagic ◽  
Claus Bachert ◽  
Philippe Gevaert ◽  
Gabriele Holtappels ◽  
Lesley Lowe ◽  
...  

Author(s):  
Margot I. Jackson ◽  
Kathleen Kiernan ◽  
Sara McLanahan

Maternal education influences families’ socioeconomic status. It is strongly associated with children’s cognitive development and a key predictor of other resources within the family that strongly predict children’s well-being: economic insecurity, family structure, and maternal depression. Most studies examine the effects of these variables in isolation at particular points in time, and very little research examines whether findings observed among children in the United States can be generalized to children of a similar age in other countries. We use latent class analysis and data from two nationally representative birth cohort studies that follow children from birth to age five to answer two questions: (1) How do children’s family circumstances evolve throughout early childhood? and (2) To what extent do these trajectories account for differences in children’s cognitive development? Cross-national analysis reveals a good deal of similarity between the United States and UK in patterns of family life during early childhood, and in the degree to which those patterns contribute to educational inequality.


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