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Risk of Developmental Coordination Disorder in Italian very preterm children at school age compared to general

Barbara Caravale1, Lena Herich2, Stefania Zoia3

  • 1Department of Developmental and Social Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|February 4, 2019
PubMed

Insights

Children born very preterm (VP) face a higher risk of Developmental Coordination Disorder (DCD). Male gender and small for gestational age (SGA) status are significant predictors of DCD in these children.

Area of Science:

  • Neurodevelopmental disorders
  • Pediatric neurology
  • Developmental pediatrics

Background:

  • Developmental Coordination Disorder (DCD) affects motor coordination in children without neurological or sensory impairments.
  • Children born very preterm (VP) are at increased risk for DCD, even without cerebral palsy (CP).

Purpose of the Study:

  • To assess the risk of DCD at school age in very preterm (VP) children compared to controls.
  • To identify predictors of DCD in VP survivors, adjusting for key demographic and perinatal factors.

Main Methods:

  • A prospective cohort study in Italy included 608 VP children and 370 controls.
  • The Developmental Coordination Disorder Questionnaire (DCDQ-Italian) assessed motor coordination from a parental perspective.
  • Multivariable regression analysis determined adjusted risk ratios for DCD screening positivity.

Main Results:

  • VP children scored significantly lower on motor coordination than controls, with ~30% at risk for DCD.
  • Low birth weight for gestational age (SGA) and male gender were significant predictors of DCD risk.
  • Extremely preterm infants (<28 weeks gestation) showed the highest DCD risk.

Conclusions:

  • Very preterm (VP) birth is associated with an elevated risk of Developmental Coordination Disorder (DCD).
  • Male sex and SGA status are key risk factors for DCD in VP children.
Abstract

Keywords:
DCDQDevelopmental coordination disorderParent questionnaireSGAVery preterm infants

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