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Developmental trend of children with Down's syndrome - How do sex and neonatal conditions influence their
Sayaka Aoki1, Yuko Yamauchi2, Keiji Hashimoto3
1Center for Health and Environmental Risk Research, National Institute for Environmental Studies, Japan.
Insights
Children with Down syndrome (DS) develop slower than typically developing children. Factors like sex, low birth weight, and congenital heart disease (CHD) impact DS development differently in boys and girls.
Area of Science:
- Developmental Psychology
- Pediatrics
- Genetics
Background:
- Children with Down syndrome (DS) exhibit unique developmental trajectories.
- Understanding factors influencing DS development is crucial for targeted interventions.
Purpose of the Study:
- To investigate the influence of sex and neonatal conditions (preterm birth, low birth weight, congenital heart disease) on the developmental trends of children with Down syndrome.
- To analyze motor, cognitive, and language development in children with DS.
Main Methods:
- A cohort of 158 children with DS (mean age 25.5 months) was assessed using the Kyoto Scale of Psychological Development.
- Multilevel models for change were employed to analyze intrapersonal growth and between-personal factors.
- Developmental age (DA) across motor, cognitive, and language domains was measured.
Main Results:
- Children with DS demonstrated slower developmental speeds compared to typical children across all assessed domains.
- Girls with DS showed significantly faster development in non-verbal cognitive and language abilities compared to boys.
- Low birth weight and congenital heart disease (CHD) negatively impacted non-verbal cognitive development in boys but positively influenced it in girls.
Conclusions:
- The study confirms slower developmental rates in children with Down syndrome.
- Sex and neonatal conditions, specifically low birth weight and CHD, differentially affect the developmental trajectories of boys and girls with DS.
Objective:
This study investigated factors that would influence developmental trend of children with Down's syndrome (DS) in three different domains (motor, cognitive, language), specifically focusing on the effect of sex and neonatal conditions, including preterm birth, low birth weight, and congenital heart disease (CHD).
Methods:
The participants were 158 children with DS (mean age at the initial test = 25.5 months) receiving clinical service at a rehabilitation center in Yokohama, Japan. Kyoto Scale of Psychological Development was used to measure developmental level, which derive total developmental age (DA), Posture-motor DA, Cognitive-adaptive DA, and Language-social DA. For the analyses, a multilevel model for change was adopted, as the model allowed us to investigate intrapersonal growth and the between-personal factors that are associated with individual differences in the pattern of growth.
Results:
The developmental speed of children with DS was found to be slower than that of typical children in all the three developmental domains assessed (i.e., the estimated coefficient of the slope for chronological age on DA was less than 1). DS Girls developed significantly faster than boys in non-verbal cognitive and language abilities. Low birth weight and CHD had a significant negative impact on development of non-verbal cognitive abilities for boys, but had a somewhat positive effect for girls.
Conclusion:
As was shown in previous studies, the result of this study indicated that the children with DS develop slower than non-disabled children. Low birth weight and CHD were found to influence developmental trend of children with DS, differently for boys and girls.
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