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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The prenatal, postnatal, neonatal, and family environmental risk factors for Developmental Coordination Disorder: A
Wenchong Du1, Li Ke2, Yun Wang3
1Department of Psychology, Nottingham Trent University, Burton Street, Nottingham, NG1 1BU, UK.
Insights
Male sex, BMI, and preterm birth are key risk factors for Developmental Coordination Disorder (DCD). Parental education and one-child status also significantly influence DCD risk in China.
Area of Science:
- Developmental Pediatrics
- Neuroscience
- Child Psychology
Background:
- Developmental Coordination Disorder (DCD) is a neurodevelopmental condition affecting motor skills.
- Understanding obstetric and environmental factors is crucial for DCD etiology.
- Previous research has not sufficiently explored these risk factors in population-based samples.
Purpose of the Study:
- To investigate prenatal, perinatal, neonatal, and family environmental risk factors for DCD.
- To identify specific risk factors in a large, representative Chinese child population.
- To contribute to the understanding of DCD's underlying mechanisms.
Main Methods:
- A population-based sample of 2185 children aged 3-10 years in China.
- Movement Assessment Battery for Children-2 (MABC-2) for motor function assessment.
- Parental questionnaires and DSM-5 criteria for DCD identification; multilevel logistic regression analysis.
Main Results:
- Identified 156 children with DCD.
- Significant risk factors for DCD include male sex, BMI score, preterm birth, and certain prenatal conditions.
- Parental education level and one-child status emerged as significant environmental risk factors, independent of others.
Conclusions:
- Male sex, specific obstetric conditions (e.g., preterm birth), and environmental factors like parental education are associated with DCD.
- Findings highlight the importance of considering both biological and environmental influences in DCD.
- This study provides insights for future DCD assessment, monitoring, and intervention strategies.
Abstract:
Knowledge of obstetric and environmental influences on Developmental Coordination Disorder (DCD) helps provide increased understanding of the mechanisms underlying the disorder. However, the literature to date has not adequately examined the obstetric and environmental risk factors for DCD in a population-based sample. The current study was therefore conducted to explore the prenatal, perinatal, neonatal, and family environmental risk factors for DCD. A total of 2185 children aged 3-10 years from a national representative sample in China were included; the Movement Assessment Battery for Children-2 was used to assess motor function, and a questionnaire was completed by parents. DCD was identified in 156 children according to the DSM-5 criteria. Multilevel logistic regression was used, and comparisons were made between the DCD and non-DCD group. The results confirmed that male sex, BMI score, preterm birth, and some prenatal conditions are significant risk factors for DCD. Parents' education level and one-child status as two significant environmental risk factors for DCD appear largely independent of other risk factors in the Chinese population. This study provides an opportunity to explore the etiology of DCD and suggest potential assessment, monitoring and intervention programs for DCD that could be examined in the future.
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