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Published on: May 17, 2024
Birth month and infant gross motor development: Results from the Japan Environment and Children's Study (JECS)
Kahoko Yasumitsu-Lovell1,2, Lucy Thompson1,3, Elisabeth Fernell1
1Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Insights
Infants born in summer months showed poorer gross motor development at 6 and 12 months. Seasonal factors during early pregnancy may influence these developmental outcomes in children.
Area of Science:
- Developmental Pediatrics
- Environmental Health
- Epidemiology
Background:
- Previous studies on birth month and neurodevelopmental disorders yielded inconsistent results.
- Understanding seasonal influences on early child development is crucial for identifying potential risk factors.
Purpose of the Study:
- To investigate the association between birth month and gross motor development in infants.
- To analyze developmental outcomes at 6 and 12 months of age within a large Japanese cohort.
Main Methods:
- Utilized data from the Japan Environment and Children's Study (JECS) cohort (n=72,203).
- Assessed gross motor development using the Ages and Stages Questionnaire (ASQ-3) at 6 and 12 months.
- Analyzed the association between birth month and ASQ-3 scores, including adjusted Relative Risk (aRR).
Main Results:
- A significant association was found between birth month and gross motor development at both 6 and 12 months.
- Infants born in summer months (August, June) exhibited the poorest gross motor development outcomes.
- Boys generally demonstrated better gross motor development scores than girls at both time points.
Conclusions:
- Birth month is a significant factor associated with gross motor development in early childhood.
- Seasonal influences, potentially maternal vitamin D deficiency or influenza during pregnancy, may impact fetal development.
- Findings highlight the importance of considering seasonal variations in early developmental assessments.
Abstract:
The association between birth month and neurodevelopmental or psychiatric disorders has been investigated in a number of previous studies; however, the results have been inconsistent. This study investigated the association between birth month and child gross motor development at 6 and 12 months of age in a large cohort of infants (n = 72,203) participating in the Japan Environment and Children's Study (JECS). Gross motor development was assessed using the Ages and Stages Questionnaire (ASQ-3). At 6 months and 12 months, 20.7% and 14.2%, respectively, had ASQ-3 indications of gross motor problems. Birth month was strongly associated with gross motor development at both time points, particularly at 6 months. Summer-born infants had the worst outcomes at both 6 months and 12 months of age. This outcome applied to the ASQ-3 score itself and to the adjusted Relative Risk (aRR), with the highest aRRs (relative to January-born) among August-born (aRR 2.51; 95%CI 2.27-2.78 at 6 months), and June-born (aRR 1.84; 95%CI 1.63-2.09 at 12 months). Boys had better scores than girls both at 6 and 12 months of age. We speculate that seasonal factors-such as maternal vitamin D deficiency and influenza infection-affecting the fetus in early pregnancy might account for the findings.
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