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Early life events and motor development in childhood and adolescence: a longitudinal study
Tegan Grace1, Max Bulsara2, Monique Robinson3
1School of Health Sciences, University of Notre Dame Australia, Fremantle, Western Australian, Australia.
Insights
Pregnancy factors like pre-eclampsia and smoking impact motor development into adolescence. These antenatal and perinatal risks affect males and females differently, highlighting sex-specific developmental pathways.
Area of Science:
- Developmental Pediatrics
- Neuroscience
- Public Health
Background:
- Early life risk factors are crucial for motor development.
- Limited research exists on antenatal, perinatal, and neonatal influences on motor skills extending into adolescence.
- Sex differences in motor development necessitate separate analyses.
Purpose of the Study:
- To investigate antenatal, perinatal, and neonatal factors influencing motor development from late childhood through adolescence.
- To examine sex-specific effects of these early life factors on motor outcomes.
Main Methods:
- Utilized data from the Western Australian Pregnancy Cohort Study (n=2868).
- Assessed motor proficiency using the Neuromuscular Development Index (NDI) at ages 10, 14, and 17 years.
- Employed linear mixed models to analyze changes in motor development over time, considering sex differences.
Main Results:
- Maternal pre-eclampsia, Caesarean section, and low income negatively impacted motor outcomes in both males and females.
- Lower percentage of optimal birthweight was associated with reduced motor skills in males.
- Younger maternal age, early pregnancy smoking, and late pregnancy stress were linked to lower motor development in females.
Conclusions:
- Pregnancy-related events significantly influence motor development trajectories into late adolescence.
- Antenatal and perinatal risk factors demonstrate differential effects on male and female motor development.
- Observed sex differences suggest distinct developmental pathways influenced by early life exposures.
Aim:
Few studies have reported on early life risk factors for motor development outcomes past childhood. Antenatal, perinatal and neonatal factors affecting motor development from late childhood to adolescence were explored. As sex differences in motor development have been previously reported, males and females were examined separately.
Methods:
Participants (n = 2868) were from the Western Australian Pregnancy Cohort Study. Obstetric and neonatal data were examined to determine factors related to motor development at 10 (n = 1622), 14 (n = 1584) and 17 (n = 1221) years. The Neuromuscular Development Index (NDI) of the McCarron Assessment of Motor Development determined offspring motor proficiency. Linear mixed models were developed to allow for changes in motor development over time.
Results:
Maternal pre-eclampsia, Caesarean section and low income were negatively related to male and female motor outcomes. Lower percentage of optimal birthweight was related to a lower male NDI. Younger maternal age, smoking during early pregnancy and stress during later pregnancy were related to lower female NDIs.
Conclusion:
Events experienced during pregnancy were related to motor development into late adolescence. Males and females were influenced differently by antenatal and perinatal risk factors; this may be due to sex-specific developmental pathways.
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