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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The prenatal, perinatal and neonatal risk factors for children's developmental coordination disorder: a population
Jing Hua1, Guixiong Gu2, Peiqi Jiang1
1Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, China.
Insights
Several prenatal, perinatal, and neonatal factors are associated with developmental coordination disorder (DCD) in children. Early identification and monitoring of these risk factors are crucial for timely intervention and improved outcomes.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Developmental Coordination Disorder (DCD) affects motor function in children.
- Understanding risk factors is essential for early intervention.
- Previous research on DCD etiology in China is limited.
Purpose of the Study:
- To investigate prenatal, perinatal, and neonatal risk factors associated with DCD.
- To establish the prevalence of DCD in a Chinese nursery school population.
- To inform maternity and child healthcare practices.
Main Methods:
- Population-based study involving 4001 children from nursery schools in mainland China.
- Movement Assessment Battery for Children-Second Edition (MABC-2) used for motor function assessment.
- Multilevel logistic regression analysis to identify risk factors.
Main Results:
- 330 out of 4001 children (8.2%) met DSM-IV criteria for DCD.
- Maternal age, threatened abortion, fetal distress, preterm birth, chronic lung disease, and newborn pathological jaundice were significant risk factors (ORs ranging from 1.43 to 9.14).
- These factors collectively suggest potential etiological pathways for DCD.
Conclusions:
- Prenatal, perinatal, and neonatal factors play a significant role in the development of DCD.
- Improved assessment and monitoring of identified risk factors are recommended for healthcare practitioners.
- Further research into the etiology of DCD is warranted.
Abstract:
We initially conducted a population-based study on developmental coordination disorder (DCD) in mainland China to explore the prenatal, perinatal and neonatal risk factors on DCD. A total of 4001 children were selected from 160 classes in 15 public nursery schools. The Movement Assessment Battery for Children-Second Edition (MABC-2) was used to assess the children's motor function. Crude and adjusted odds ratios were estimated to determine the strength of association using a multilevel logistic regression model with a random intercept. Three hundred and thirty children out of 4001 subjects met the DSM-IV criteria for DCD, and 3671 children were non-DCD. Maternal age, threatened abortion, fetal distress during labor, preterm birth, chronic lung disease and newborn pathological jaundice were related with DCD (OR=1.72, 2.72, 9.14, 5.17, 1.43, and 2.54, respectively, each p<0.05). Considered collectively, these risk factors may provide clues to an etiology of DCD. Additionally, the practitioners of maternity and child health care should improve the assessment and monitoring of the prenatal, perinatal and neonatal risk factors for DCD.
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