Difficulty in mental, neuromusculoskeletal, and movement-related school functions associated with low birthweight or

Kinsuk Maitra1, Hae Yean Park2, Jaime Eggenberger3

  • 1Kinsuk Maitra, PhD, OTR/L, is Chair and Professor, Department of Occupational Therapy, College of Nursing and Health Sciences, Florida International University, 11200 SW Eighth Street, MMC, AHC3 443, Miami, FL 33199; kmaitra@fiu.edu.

Insights

Children born with low birthweight (LBW) or preterm face significant challenges in mental and motor functions, impacting their school readiness and academic success.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Public Health

Background:

  • Low birthweight (LBW) and preterm birth are critical indicators of infant health.
  • These conditions are associated with potential long-term developmental and functional deficits.
  • Understanding their impact on school-age functions is crucial for early intervention.

Purpose of the Study:

  • To conduct a meta-analysis examining the association between LBW or preterm birth and school function difficulties.
  • To assess impacts on mental, neuromusculoskeletal, and movement-related tasks.

Main Methods:

  • A meta-analysis of 40 studies was performed, yielding 549 effect sizes.
  • Statistical methods included heterogeneity evaluation (Q and I-squared) and publication bias assessment (Egger's regression, funnel plot).

Main Results:

  • Children born LBW showed significant difficulties in mental (d = -0.655) and neuromusculoskeletal/movement tasks (d = -0.391).
  • Preterm-born children also exhibited significant difficulties in mental and motor tasks (d = -0.237) compared to full-term peers.

Conclusions:

  • LBW and preterm birth are linked to substantial deficits in cognitive and motor functions.
  • These functional deficits negatively affect school readiness and academic achievement in affected children.