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Developmental status of 5-year-old moderate low birth weight children

Mehran Karimi1, Razieh Fallah, Ali Dehghanpoor

  • 1Shahid Sadoughi University of Medical Sciences-Yazd, Department of Pediatrics, Shaheed Sadoughi Hospital, Iran.

Brain & Development
|January 25, 2011
PubMed

Insights

Children with low birth weight (LBW) show higher rates of developmental delays by age five. Early monitoring of LBW children is crucial for timely diagnosis and intervention.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Low birth weight (LBW), defined as birth weight less than 2500 grams, presents a significant global child health challenge.
  • Moderately low birth weight (MLBW) affects children born between 1500-2499 grams, necessitating comparative developmental assessments.
  • Normal birth weight (NBW) is defined as 2500-4000 grams, serving as a benchmark for developmental comparisons.

Purpose of the Study:

  • To evaluate and compare the developmental status of five-year-old children with moderate low birth weight (MLBW) against those with normal birth weight (NBW).
  • To identify potential developmental disparities between MLBW and NBW children at preschool age.

Main Methods:

  • A case-control study design was employed, comparing children with MLBW (cases) to children with NBW (controls).
  • Developmental status was assessed using the Persian version of the 60-month Ages and Stages Questionnaires (ASQ).
  • Participants were five-year-old children referred for vaccination in Yazd, Iran, between December 2008 and June 2009.

Main Results:

  • The MLBW group exhibited a significantly higher frequency of developmental delays across gross motor, fine motor, and problem-solving domains.
  • Mean scores in all assessed developmental domains were statistically significantly lower in the MLBW group compared to the NBW group.
  • These findings highlight specific areas of developmental vulnerability in children born with moderate low birth weight.

Conclusions:

  • Low birth weight is identified as a significant risk factor contributing to developmental delays in children.
  • Emphasizing the evaluation and monitoring of developmental status in LBW children is critical for early and timely diagnosis.
  • Proactive investigation, management, and rehabilitation strategies are essential for improving outcomes in LBW children.
Abstract

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