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Increase in children with developmental delay: Survey on 18-month-old children in Togane city, Japan
Hideki Uchikawa1, Seika Yamoto2, Mika Saito2
1Department of Pediatrics, Eastern Chiba Medical Center, Togane, Japan; Department of General Medical Science, Graduate School of Medicine, Chiba University, Chiba, Japan.
Insights
Developmental delays in children are increasing, with trends showing fewer pointing gestures and less response to sounds. Nursery school attendance and bedtime routines appear to influence these developmental milestones.
Area of Science:
- Pediatric developmental disorders
- Childhood neurodevelopmental trends
Background:
- Increasing hospital visits for neurodevelopmental disorders necessitate investigation into contributing factors.
- Environmental and genetic factors are under scrutiny for their role in developmental delays.
Purpose of the Study:
- To analyze developmental delay trends in children.
- To investigate the background factors associated with childhood developmental delays.
Main Methods:
- Longitudinal study of 4,145 children (18-month checkups) in Togane city, Japan (2011-2021).
- Parental questionnaires assessed child development and lifestyle factors over time.
Main Results:
- A significant increase in children not producing pointing gestures or responding to names/sounds was observed (p < 0.05).
- Attending nursery school and bedtime routines were significantly associated with pointing gesture development.
Conclusions:
- A decade-long trend of slowed childhood development is evident.
- Early childhood interaction (nursery school) and adequate sleep (bedtime routines) are crucial for development.
Background:
Individuals who visit hospitals with neurodevelopmental disorders have recently increased. To locate the cause for this increase, various factors, such as environmental and genetic ones, are being investigated. The objective of this study is to analyze the developmental delay in children and their background.
Methods:
The participants were children who underwent the checkup for 18-month-old children in Togane city, Japan, from 2011 to 2021; 4,145 children-2,147 boys and 1,998 girls with a mean age of 18.8 months-were included. To examine the tendency over time and the background, we used the questionnaire about development and lifestyle reported by parents.
Results:
The number of children who did not produce pointing gestures or respond to their names and low-volume sounds tended to increase over the survey period (p = 0.0125, p = 0.0435, p = 0.0275). Next, we examined the relationship between pointing gestures and lifestyle and found that there was a relationship between attending a nursery school and bedtime and pointing gestures.
Conclusion:
A slow developmental trend over the last decade has been observed among children. The background was related to attending a nursery school and bedtime, suggesting that interaction with others and sleep are important for the development of children.
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