scholarly journals Very Low Birth Weight Preterm Children Motor Performance in the First Year of Life

2020 ◽  
Vol 22 (4) ◽  
pp. 254-259
Author(s):  
Lenise Baldin Cavazzola ◽  
Natiele de Mello De Oliveira ◽  
Mayra Nathu Lodi ◽  
Bruna Chiarani ◽  
Fernanda Trubian ◽  
...  

AbstractMotor skills acquisition is negatively affected by low birth weight in preterm infants. This research aimed to evaluate the motor development of preterm babies from zero to 12 months of corrected age, born with very low birth weight. The sample of 45 children, from 2 to 12 months of chronological age, was divided into two groups: Group A (from 0 to 6 months, n=35) and Group B (from 7 to 12 months, n=10). In order to assess the motor skill development, Alberta Infant Motor Scale (AIMS) was used along with two questionnaires to control the biological and environmental risk factors. In the results 53,3% of the children were preterm below 30 weeks gestational age, and more than 40% of the evaluated population presented a poor motor performance for the age, with 13.3% of the referred children as having abnormal motor development and 35.6%, suspicious of delayed motor development. The worst performance could be observed in Group B. The findings reinforce the importance of early assessment, considering that the first semester is the most critical period for the child’s neuropsychomotor development. Key-words: Infant, Premature. Motor Skills. Infant, Very Low Birth Weight. Resumo O baixo peso ao nascer afeta negativamente as aquisições motoras dos prematuros. Esta pesquisa teve como objetivo avaliar o desenvolvimento motor de bebês pré-termos de zero a 12 meses de idade corrigida, nascidos de muito baixo peso. Participaram da pesquisa 45 crianças, com idade entre 2 e 12 meses de idade cronológica, divididas em 2 grupos: Grupo A (0 a 6 meses, n=35) e grupo B (7 a 12 meses, n=10). Para avaliação motora foi utilizada a Alberta Infant Motor Scale (AIMS) e dois questionários para controle dos fatores de risco biológicos e ambientais. Nos resultados, 53,3% das crianças eram prematuras com idade gestacional menor que 30 semanas e mais de 40% da população avaliada apresentou desempenho motor inadequado, sendo que 13,3% apresentaram atraso e 35,6% suspeita de atraso. O pior desempenho foi observado no grupo A. Os achados reforçam a importância da avaliação precoce, considerando que o primeiro semestre é o período mais crítico ao desenvolvimento motor. Palavras-chave: Recém-Nascido Prematuro. Destreza Motora. Recém-Nascido de muito Baixo Peso.

Author(s):  
Anitha Madayi ◽  
Luming Shi ◽  
Yanan Zhu ◽  
Lourdes Mary Daniel ◽  
Asila Alia Noordin ◽  
...  

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 120A-120A ◽  
Author(s):  
Jo-Ann B Bier ◽  
Tanya L Oliver ◽  
Anne Ferguson ◽  
Michelle R Tremont ◽  
Michael E Msall ◽  
...  

2000 ◽  
Vol 20 (3) ◽  
pp. 172-175 ◽  
Author(s):  
CJR Simons ◽  
MaryBeth Mandich ◽  
Susan K Ritchie ◽  
Martha D Mullett

2016 ◽  
Vol 20 (6) ◽  
pp. 918-924 ◽  
Author(s):  
Lars Adde ◽  
Niranjan Thomas ◽  
Hima B. John ◽  
Samuel Oommen ◽  
Randi Tynes Vågen ◽  
...  

Author(s):  
Bevilacqua Francesca ◽  
Ragni Benedetta ◽  
Conforti Andrea ◽  
Braguglia Annabella ◽  
Gentile Simonetta ◽  
...  

Summary Data on neurodevelopmental outcomes of infants born with esophageal atresia (EA) are still scarce and controversial. The aims of our study were to evaluate motor and cognitive development during the first year of life, in patients operated on of EA and to investigate potential risk factors for motor and cognitive development both at 6 and 12 months. This is an observational prospective longitudinal study in a selected cohort of type C and D EA infants enrolled in our follow-up program from 2009 to 2017. In order to exclude possible confounding factors, the following exclusion criteria were applied: (i) gestational age ≤ 32 weeks and/or birth weight ≤ 1500 g; (ii) genetic syndrome or chromosomal anomaly known to be associated with neurodevelopmental delay; (iii) neurologic disease; (iv) esophageal gap ≥three vertebral bodies. Patients were evaluated at 6 and 12 months of life (corrected age for infants with a gestational age of 32–37 weeks) with the Bayley Scales of Infant and Toddler Development—3rd Edition. In our selected cohort of EA infants, 82 were evaluated at 6 months and 59 were reevaluated at 12 months. Both Motor and Cognitive average scores were within the norm at both time points. However, we report increased number of infants with motor delay with time: 14% at 6 months and 24% at 12 months. Multiple regression analysis for Motor scores at 6 [F(4,74) = 4.363, P = 0.003] and 12 months [F(6,50) = 2.634, P = 0.027] identified (i) low birth weight, (ii) longer hospital stay and (iii) weight < fifth percentile at 1 year as risk factors. Interestingly, average Cognitive scores also increased with time from 85.2% at 6 months and 96.6% at 12 months. Multiple regression models explaining variance of Cognitive scores at 6 [F(4, 73) = 2.458, P = 0.053] and 12 months [F(6, 49) = 1.232, P = 0.306] were nonsignificant. Our selected cohort of EA patients shows, on the average, Motor and Cognitive scores within the norm both at 6 and 12 months. Nevertheless, the percentage of infants with Motor scores below the average increases regardless gestational age. None of clinical and sociodemographic variables taken into consideration was able to predict cognitive development both at 6 and 12 months whereas risk factors for Motor development change during the first year of life. Healthcare providers should pay particular attention to patients with low birth weight, longer hospital stays and weight under fifth percentile at 1 year. Future studies should include long-term outcomes to reveal possible catch up in motor development and/or possible findings in Cognitive scores.


2009 ◽  
Vol 4 (2) ◽  
pp. 152
Author(s):  
A.C. Westerberg ◽  
C. Henriksen ◽  
A. Ellingvåg ◽  
M. Veierød ◽  
P. Juliusson ◽  
...  

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Musa Dehghan ◽  
Abdullah Ghasemi ◽  
Ali Kashi ◽  
Elahe Arabameri ◽  
Kayvan Molanorouzi

Background: Human development is influenced by genetic, environmental, and social factors whose foundation is formed from infancy and childhood. Preterm birth and low birth weight are important issues that can affect the development and threaten the public health. Objectives: The aim of this study was to evaluate and compare motor development manipulation, balance, aiming, and receiving in low, very low birth weight, and normal children aged 3 to7 years. Methods: In this comparative study, 63 children were selected from among the preterm infants admitted to NICU ward. They were divided into three groups of (1) low birth weight children (mean 2066 ± 354 g) (n = 30), (2) very low birth weight children (mean 1325 ± 117 g) (n = 13), and (3) preterm twin children (mean 1781 ± 385 g) (n = 20).Also, 15 term children with an average weight (3345 ± 365 g) were selected. To evaluate the motor development of children, the Movement Assessment Battery for Children (Second Edition) (MABC-2) test was used. The results were analyzed by SPSS using one-way ANOVA test (P ≤ 0.05). Results: Low birthweight and very low birthweight children had poorer performance on manipulation, aiming, catching, and balance compared to normal children (P ≤ 0.05). Conclusions: VLBW children performed significantly poorer than LBW and Twin children on the subscales of posting coins, threading beads, drawing trail, one-leg balance, and walking heels raised.


Author(s):  
João Guilherme Alves ◽  
Sarita Amorim Vasconcelos ◽  
Tais Sá de Almeida ◽  
Raquel Lages ◽  
Eduardo Just

AbstractA rapid catch-up growth in very low birth weight has been associated both with a higher height growth and a higher risk to metabolic disturbances, including insulin resistance and its consequences. Abdominal fat distribution in early postnatal life may play a role in these outcomes and can help in addressing this neonatal dilemma. This study aimed to compare abdominal fat distribution among very low birth weight (VLBW) children with and without rapid catch-up growth.A cohort study followed 86 VLBW (<1500) children born in Brazil, during the first 3 years of life. Rapid catch-up growth was considered as an increased in length >2A total of 79 VLBW children completed the study, of whom 22 (27.8%) showed rapid catch-up growth. Abdominal subcutaneous and preperitoneal fat thickness showed no differences among children with or without rapid catch-up growth at 3.3 mm vs. 3.8 mm, respectively (p=0.79) and 4.0 mm vs. 4.0 mm (p=0.55), respectively. VLBW children with rapid catch-up growth were also taller.Rapid catch-up growth during the first year of life in VLBW children does not seem to change abdominal fat distribution until the third year of life.


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