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Delayed Motor Development and Infant Obesity as Risk Factors for Severe Deformational Plagiocephaly: A Matched

Eun-Hee Kim^1,2, Ki Eun Kim², Jihyun Jeon²

¹Department of Pediatrics, Sejong Chungnam National University Hospital, Chungnam National University School of Medicine, Sejong, South Korea.

Frontiers in Pediatrics

|December 2, 2020

Summary

Deformational plagiocephaly risk factors include bottle-only feeding, limited tummy time, and delayed motor development. Infant obesity is identified as a novel risk factor for both mild and severe cases of this condition.

Keywords:

deformational plagiocephaly development obesity risk factors tummy time

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A Battery of Motor Tests in a Neonatal Mouse Model of Cerebral Palsy

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Published on: November 3, 2016

Area of Science:

Pediatrics
Developmental Biology
Public Health

Background:

Deformational plagiocephaly (DP) prevalence has risen, linked to infant sleep positioning recommendations.
DP is influenced by a complex interplay of biological and environmental factors.

Purpose of the Study:

To investigate the associations between deformational plagiocephaly and perinatal or infant characteristics.
To identify risk factors, including infant obesity, associated with DP development and severity.

Main Methods:

A case-control study involving 135 infants diagnosed with DP and 135 age- and sex-matched controls.
Assessment of motor development using the Alberta Infant Motor Scale and obesity via body mass index.
Logistic regression models were employed to analyze risk factors for DP and its severity.

Main Results:

Bottle-only feeding (aOR=4.65), limited tummy time (aOR=3.51), delayed motor development (aOR=2.85), and infant obesity (aOR=2.45) were significant risk factors for DP.
Delayed motor development (aOR=4.91) and obesity (aOR=4.10) were strongly associated with severe DP.
Infant obesity emerged as a newly identified risk factor for deformational plagiocephaly.

Conclusions:

DP risk is positively associated with bottle-only feeding, infrequent tummy time, and delayed motor development.
Infant obesity is a significant and novel risk factor for deformational plagiocephaly.
Early identification and comprehensive management of infant obesity are recommended for infants with DP.