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Published on: May 17, 2024
Relationship between physical growth and motor development in infancy and early childhood: Multivariate analysis
Gregory Livshits1, Zvi Cohen2, Itshak Otremski2
1Research Unit, Human Population Biology, Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, 69978 Tel Aviv, Israel.
Insights
Infant growth and motor development are complexly related. While direct links exist between motor milestones, birth measurements like weight primarily influence development indirectly.
Area of Science:
- Pediatrics
- Developmental Biology
- Biostatistics
Background:
- Understanding infant development requires analyzing physical growth and motor milestone achievement.
- Early life measurements provide critical data for developmental assessments.
Purpose of the Study:
- To investigate the intricate relationships between infant physical growth parameters and the attainment of motor developmental milestones.
- To elucidate the direct and indirect contributions of early growth to motor development.
Main Methods:
- Longitudinal study of 651 singleton infants over 2 years.
- Measurements included body weight (WT), length (LT), and head circumference (HC).
- Principal component analysis (PCA) and path analysis were employed to model relationships.
Main Results:
- PCA identified distinct components related to physical measurements, motor development, and growth rates.
- Path analysis indicated direct relationships between sequential motor milestones (TURN, SAT, STOOD, WALK, TOOTH).
- Birth measurements, particularly birth weight, showed indirect effects on motor development rate.
Conclusions:
- The interplay between infant growth and motor development is multifaceted.
- Sequential motor milestones are directly linked, but early growth influences are predominantly indirect.
- This study highlights the complex developmental trajectories in early childhood.
Abstract:
This study was based on a sample of 651 singleton infants, from 325 unrelated families. Body weight (WT), length (LT) and head circumference (HC) of each child were measured at day of birth and thereafter every 3 months during the first 2 years. The achievement of five developmental milestones was surveyed, the ages at which the infant could turn him- or herself over (TURN), sit up (SAT), stand up (STOOD), walk without support (WALK), and cut the first tooth (TOOTH). Principal component analysis showed several patterns, in particular: (1) PC1 includes all physical measurements of the infant at all specific ages, (2) PC2 is a factor of motor development and early growth rate; gestational age, birth weight, and body length also showed high negative correlations with this component, (3) PC4 is a factor that related the motor development variables with growth rate between 6 and 12 months, and (4) PC6 is a "late growth" component. Path analysis revealed that real relationships between the variables of motor development and growth rate are complicated. It showed the existence of direct relations between sequential motor milestones. However, most of the growth rate variables and birth measurements, in particular birth WT, had only an indirect contribution to rate of motor development. © 1993 Wiley-Liss, Inc.
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