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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Hearing abilities and language development in anemic children of a public daycare center
Juliana Nunes Santos1, Stela Maris Aguiar Lemos, Silmar Paulo Moreira Rates
1Universidade Federal de Minas Gerais. juliana.santos@fead.br
Insights
Anemia in young children is linked to poorer auditory and language development. Anemic children showed significant differences in hearing and language skills compared to non-anemic peers.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Audiology
Background:
- Iron-deficiency anemia is a global health concern, particularly in children.
- Early childhood development, including auditory and language skills, is crucial for long-term outcomes.
- The relationship between anemia and developmental milestones requires further investigation.
Purpose of the Study:
- To compare auditory and language development in anemic versus non-anemic children aged 3-6 years.
- To identify specific developmental deficits associated with anemia in early childhood.
- To provide data for early intervention strategies in at-risk populations.
Main Methods:
- A transversal, blind case-control study involving 19 anemic and 38 non-anemic children.
- Iron-deficiency anemia diagnosed via digital puncture (hemoglobin < 11.3 g/dL).
- Auditory assessment included otoacoustic emissions, tympanometry, and central auditory processing evaluation; language development assessed using behavior observation guidelines.
Main Results:
- Anemic children exhibited significantly lower hemoglobin levels compared to controls.
- Statistically significant differences were observed in acoustic reflex presence, language reception performance indexes, and cognitive language aspects.
- Anemic children showed a higher prevalence of inadequate hearing abilities, including sequential memory and sound localization.
Conclusions:
- Anemic children demonstrated significant differences in acoustic reflex and language development compared to non-anemic children.
- A higher prevalence of hearing evaluation alterations was noted in anemic children.
- Findings underscore the impact of anemia on critical early developmental domains.
Background:
the relationship between anemia and development.
Aim:
to compare the auditory and language development in anemic and non-anemic children, with ages ranging from three to six years, of a public daycare center in Belo Horizonte city.
Method:
a transversal study; blind case and control format. A digital puncture was performed in all children to detect iron-deficiency anemia (hemoglobin = 11.3g/dL). The research group was composed of 19 anemic children and the control group of 38 healthy children, selected through randomized paired sampling. The children's hearing was evaluated through otoacoustic emissions, tympanometry and a simplified evaluation of the central auditory processing was performed. The language development of each child was observed using the behavior observation guidelines for children with ages from zero to six years. Performance indexes were created in order to classify the language responses of the children.
Results:
the groups did not differ in terms of age, gender, breast-feeding and mother's literacy. The following variables presented statistically significant differences: hemoglobin values (10.6g/dL, 12.6g/dL); presence of the acoustic reflex (63%, 92%); reception performance indexes (72.8, 90.1); emission (50.6, 80.6) and cognitive aspects of language (47.8, 76.0) in anemic and non-anemic children respectively. The hearing abilities in the verbal and non-verbal sequential memory and the sonorous localization were inadequate in most of the children, especially in those with anemia.
Conclusion:
anemic children differed statically from non-anemic children in terms of alterations in the acoustic reflex and language development and also presented a higher prevalence of alterations in the hearing evaluation.
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