Childhood growth and development associated with need for full-time special education at school age.
Eur J Paediatr Neurol
; 13(1): 18-27, 2009 Jan.
Article
em En
| MEDLINE
| ID: mdl-18407533
ABSTRACT
OBJECTIVE:
To explore how growth measurements and attainment of developmental milestones in early childhood reflect the need for full-time special education (SE).METHODS:
After stratification in this population-based study, 900 pupils in full-time SE groups (age-range 7-16 years, mean 12 years 8 months) at three levels and 301 pupils in mainstream education (age-range 7-16, mean 12 years 9 months) provided data on height and weight from birth to age 7 years and head circumference to age 1 year. Developmental screening was evaluated from age 1 month to 48 months. Statistical methods included a general linear model (growth measurements), binary logistic regression analysis (odds ratios for growth), and multinomial logistic regression analysis (odds ratios for developmental milestones).RESULTS:
At 1 year, a 1 standard deviation score (SDS) decrease in height raised the probability of SE placement by 40%, and a 1 SDS decrease in head size by 28%. In developmental screening, during the first months of life the gross motor milestones, especially head support, differentiated the children at levels 0-3. Thereafter, the fine motor milestones and those related to speech and social skills became more important.CONCLUSION:
Children whose growth is mildly impaired, though in the normal range, and who fail to attain certain developmental milestones have an increased probability for SE and thus a need for special attention when toddlers age. Similar to the growth curves, these children seem to have consistent developmental curves (patterns).
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estatura
/
Peso Corporal
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Desenvolvimento Infantil
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Educação Inclusiva
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
/
Child
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Female
/
Humans
/
Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article