Early motor development: risk factors for delay in a population study in Southern Brazil.

IF 2.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI:10.11606/s1518-8787.2023057004991

Ana Carolina Zago, Jéssica Puchalski Trettim, Bárbara Borges Rubin, Carolina Coelho Scholl, Fernanda Teixeira Coelho, Fernanda Ulguim, Luísa Mendonça de Souza Pinheiro, Mariana Bonati de Matos, Ricardo Tavares Pinheiro, Luciana de Avila Quevedo

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Abstract

Objective: To assess risk factors associated with motor development delay at three months of age.

Methods: Cross-sectional study with mothers and their three-month-old babies in Southern Brazil. The Bayley-III Scale of Infant and Toddler Development (BSID-III) and the Alberta Infant Motor Scale (AIMS) were used to assess motor development.

Results: We evaluated 756 mothers and their three-month-old babies. The overall mean motor development assessed by the BSID-III and the AIMS was 104.7 (SD 13.5) and 55.4 (SD 25.4), respectively. When assessed by the BSID-III, the lowest motor development scores were among babies born by cesarean delivery (p = 0.002), prematurely (p < 0.001), and with low birth weight (p < 0.001). When assessed by the AIMS, babies born prematurely (p = 0.002) and with low birth weight (p=0.004) had the lowest motor development means. After a cluster analysis, we found that babies born by cesarean delivery, with low birth weight, and prematurely had more impaired motor development compared with children born without any risk factors.

Conclusion: Identifying risk factors allows the implementation of early interventions to prevent motor development delay and, therefore, reduce the probability of other future problems.

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早期运动发育：巴西南部一项人口研究延迟的风险因素。

目的：评估与三个月大时运动发育迟缓相关的危险因素。方法：对巴西南部的母亲及其三个月大的婴儿进行横断面研究。Bayley III婴幼儿发育量表（BSID-III）和艾伯塔省婴儿运动量表（AIMS）用于评估运动发育。结果：我们对756名母亲及其三个月大的婴儿进行了评估。BSID-III和AIMS评估的整体平均运动发育分别为104.7（SD 13.5）和55.4（SD 25.4）。通过BSID-III进行评估时，剖宫产婴儿（p=0.002）、早产婴儿（p<0.001）和低出生体重婴儿（p=0.001）的运动发育得分最低。通过AIMS评估时，早产婴儿（p=0.0002）和低体重婴儿（p=0.004）的运动发展平均数最低。经过聚类分析，我们发现剖宫产、低出生体重和早产的婴儿与没有任何危险因素的婴儿相比，运动发育受损更严重。结论：识别风险因素可以实施早期干预措施，防止运动发育迟缓，从而降低未来出现其他问题的可能性。

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来源期刊

Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.

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