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Rates of Developmental Coordination Disorder in Children Born Very Preterm.
Spittle, Alicia J; Dewey, Deborah; Nguyen, Thi-Nhu-Ngoc; Ellis, Rachel; Burnett, Alice; Kwong, Amanda; Lee, Katherine; Cheong, Jeanie L Y; Doyle, Lex W; Anderson, Peter J.
Afiliación
  • Spittle AJ; Department of Physiotherapy, University of Melbourne, Melbourne, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Newborn Research, Royal Women's Hospital, Melbourne, Australia. Electronic address: aspittle@unimelb.edu.au.
  • Dewey D; Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
  • Nguyen TN; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.
  • Ellis R; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.
  • Burnett A; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Newborn Research, Royal Women's Hospital, Melbourne, Australia.
  • Kwong A; Department of Physiotherapy, University of Melbourne, Melbourne, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Newborn Research, Royal Women's Hospital, Melbourne, Australia.
  • Lee K; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
  • Cheong JLY; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Newborn Research, Royal Women's Hospital, Melbourne, Australia; Department of Obstetrics and Gynecology, University of Melbourne, Melbourne, Australia.
  • Doyle LW; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Newborn Research, Royal Women's Hospital, Melbourne, Australia; Department of Pediatrics, University of Melbourne, Melbourne, Australia; Department of Obstetrics and Gynecology, University of Melbourne, Melbourne, Austra
  • Anderson PJ; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Pediatrics, University of Melbourne, Melbourne, Australia; Turner Institute for Brain & Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia.
J Pediatr ; 231: 61-67.e2, 2021 04.
Article en En | MEDLINE | ID: mdl-33340547
OBJECTIVE: To examine the stability of developmental coordination disorder (DCD) throughout childhood in children born very preterm and term. Further, in the very preterm group, to compare perinatal variables and neurobehavioral outcomes at 13 years of age for children with persisting DCD and those with typical motor development. STUDY DESIGN: Prospective study of 180 very preterm and 73 term-born children assessed at 5, 7, and/or 13 years of age using the Movement Assessment Battery for Children, with scores ≤16th percentile used to classify DCD. Children with cerebral palsy or an IQ of <80 were excluded. RESULTS: Children born very preterm had increased odds for DCD at 5 (OR, 5.53; 95% CI, 2.53-12.0; P < .001), 7 (OR, 3.63; 95% CI, 1.43-9.18; P = .06), and 13 years (OR, 4.34; 95% CI, 1.61-11.7; P = .004) compared with term-born children. The rates of DCD in very preterm children reduced from 47.9% at 5 years of age, to 28.5% at 7 years and 27.8% at 13 years of age (OR per year of age, 0.81; 95% CI, 0.75-0.87; P < .001), but less so for term-born children (15.3%, 10.0%, and 8.5% at 5, 7, and 13-years respectively [OR, 0.91; 95% CI, 0.75-1.09; P = .31]). Within the very preterm group at 13 years of age, there was evidence that children with persisting DCD performed poorer across several cognitive domains compared with children with typical motor development, with differences in the order of 0.5-1.0 SD. CONCLUSIONS: Although the rates of DCD decreased across middle childhood for both groups, the odds for DCD were consistently higher for very preterm children compared with term, with important implications for cognitive functioning in the very preterm group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Trastornos de la Destreza Motora / Recien Nacido Extremadamente Prematuro / Enfermedades del Prematuro Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male / Newborn País/Región como asunto: Oceania Idioma: En Revista: J Pediatr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Trastornos de la Destreza Motora / Recien Nacido Extremadamente Prematuro / Enfermedades del Prematuro Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male / Newborn País/Región como asunto: Oceania Idioma: En Revista: J Pediatr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos